Federal inspection record · CMS data as of October 1, 2026
Willows Of Shelbyville
2309 S Miller St, Shelbyville, IN · (317) 398-9781
- Certified beds
- 121
- Residents per day
- 91
- Ownership
- Government
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 1967
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Indiana.
-
Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Indiana homes
Willows Of Shelbyville carries 45 inspection points. That is fewer than 38% of Indiana's 504 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Indiana: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–9 pts
- 4★ 9–24 pts
- 3★ 24–42 pts
- 2★ 42–72 pts
- 1★ over 72 pts
Bars show every rated home in Indiana by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
30 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Everything else, by area of care
Quality of Life and Care12E
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
- E
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide enough food/fluids to maintain a resident's health.
Resident Rights5E
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Assessment and Care Planning4E
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure each resident receives an accurate assessment.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Infection Control3D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pharmacy Service2D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Environmental1F
- F
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspection history
2025-12-23
4 health deficiencies · 12 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2024-10-01
8 health deficiencies · 10 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2023-07-26
18 health deficiencies · 15 fire-safety deficiencies
Top issue: Quality of Life and Care (9 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 53 min of nursing staff time a day, 18 min of it from a registered nurse.
This home
3 h 53 min
Indiana average
3 h 44 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 58% of nursing staff and 38% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts worse | 1.7 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts better | 0.7 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.3 pts better | 100.0% | 93.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.9 pts better | 100.0% | 95.1% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury5.2 pts worse | 9.0% | 3.8% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms33.8 pts worse | 59.3% | 25.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.2 pts better | 4.1% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication11.7 pts worse | 35.2% | 23.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication8.7 pts worse | 22.4% | 13.7% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened4.9 pts worse | 16.0% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.2 pts worse | 15.0% | 10.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.7 pts better | 0.4% | 1.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence9.1 pts worse | 31.5% | 22.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.3 pts better | 1.2% | 3.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine15.3 pts better | 97.2% | 81.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5.7 pts better | 5.2% | 10.9% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts better | 0.8% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine3 pts worse | 76.2% | 79.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission16.5 pts better | 5.3% | 21.8% | 23.4% |
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Who owns and runs it
12 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Claxton, Ryan | Corporate Officer · Individual | 0% | 25 facilities |
| Claxton, Ryan | Operational/Managerial Control · Individual | 0% | 25 facilities |
| Claxton, Ryan | Adp Of The SNF · Individual | 0% | 25 facilities |
| Frankel, Israel | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Frankel, Israel | Adp Of The SNF · Individual | 0% | 4 facilities |
| Horner, John | Corporate Officer · Individual | 0% | 11 facilities |
| Paul, Mandi | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Paul, Mandi | Adp Of The SNF · Individual | 0% | 1 facilities |
| Radadiya, Pragneshkumar | Operational/Managerial Control · Individual | 0% | 13 facilities |
| Radadiya, Pragneshkumar | Adp Of The SNF · Individual | 0% | 13 facilities |
| Shelbyville In Opco LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Shelbyville In Opco LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
·
Fire safety
37 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke13F
- E
Provide properly protected cooking facilities.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Provide properly protected cooking facilities.
- E
Install an approved automatic sprinkler system.
- E
Install corridor and hallway doors that block smoke.
- F
Install an approved automatic sprinkler system.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
- E
Install corridor and hallway doors that block smoke.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Egress8F
- E
Have properly located and lighted "Exit" signs.
- F
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Have exits that are accessible at all times.
- E
Have properly located and lighted "Exit" signs.
- F
Install emergency lighting that can last at least 1 1/2 hours.
- E
Meet other general requirements.
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Emergency Preparedness6F
- F
Implement emergency and standby power systems.
- C
Conduct testing and exercise requirements.
- F
Provide emergency officials' contact information.
- F
Establish staff and initial training requirements.
- C
Create arrangements with other facilities to receive patients.
- C
List the names and contact information of those in the facility.
Services6E
- E
Have properly installed electrical wiring and gas equipment.
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E
Have an externally vented heating system.
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E
Have properly installed electrical wiring and gas equipment.
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Miscellaneous2F
- F
Provide a written emergency evacuation plan.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems2F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper usage of power strips and extension cords.
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Other homes nearby
-
Especially Kidz Health & Rehab
Shelbyville, IN
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 20 min
- Fines
- $0
-
Ashford Place Health Campus
Shelbyville, IN · Trilogy Health Services
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 44 min
- Fines
- $0
-
Waldron Rehabilitation And Healthcare Center
Waldron, IN · Adams County Memorial Hospital
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 4 min
- Fines
- $0