WILLOWS OF SHELBYVILLE
2309 S MILLER ST, SHELBYVILLE, IN 46176 · CCN 155022
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★☆ 4
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- Government - City/county
- Certified beds
- 121
- Avg residents/day
- 75.8
- Phone
- 3173989781
Inspection history vs Indiana & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Indiana avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-12-23 | 5 | 7.6 | 9.5 | -2.6 better |
| 2 | 2024-10-01 | 10 | 7.9 | 9.8 | +2.1 worse |
| 3 | 2023-07-26 | 15 | 8.8 | 9.3 | +6.2 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 2 |
| Resident assessment and care planning | 1 |
| Nutrition and dietary | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.77 | 58.7% |
| RN staffing (reported) | 0.46 | 72.7% |
| Total nurse staffing (adjusted) | 2.71 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Inspection citations (30)1 actual harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-12-23 · Health · corrected 2026-01-21
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2025-12-23 · Health · corrected 2026-01-21
Potential for more than minimal harm
- DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2025-12-23 · Health · corrected 2026-01-21
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-12-23 · Health · corrected 2026-01-21
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-03-06 · Health · corrected 2025-03-20
Potential for more than minimal harm
- DF0578Honor 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.2024-10-01 · Health · corrected 2024-10-25
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-10-01 · Health · corrected 2024-10-25
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-10-01 · Health · corrected 2024-10-25
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-10-01 · Health · corrected 2024-10-25
Potential for more than minimal harm
- EF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2024-10-01 · Health · corrected 2024-10-25
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-10-01 · Health · corrected 2024-10-25
Potential for more than minimal harm
- FF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-10-01 · Health · corrected 2024-10-25
Potential for more than minimal harm
- GF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2024-05-02 · Health · corrected 2024-05-20
Actual harm
- DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2024-05-02 · Health · corrected 2024-05-20
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-05-02 · Health · corrected 2024-05-20
Potential for more than minimal harm
- DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2024-02-22 · Health · corrected 2024-03-20
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-02-22 · Health · corrected 2024-03-20
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2024-02-22 · Health · corrected 2024-03-20
Potential for more than minimal harm
- DF0761Ensure 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.2024-02-22 · Health · corrected 2024-03-20
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-02-22 · Health · corrected 2024-03-20
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-07-26 · Health · corrected 2023-08-25
Potential for more than minimal harm
- DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2023-07-26 · Health · corrected 2023-08-25
Potential for more than minimal harm
- EF0584Honor 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.2023-07-26 · Health · corrected 2023-08-25
Potential for more than minimal harm
- DF0585Honor 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.2023-07-26 · Health · corrected 2023-08-25
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-07-26 · Health · corrected 2023-08-25
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-07-26 · Health · corrected 2023-08-25
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-07-26 · Health · corrected 2023-08-25
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-07-26 · Health · corrected 2023-08-25
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2023-07-26 · Health · corrected 2023-08-25
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-07-26 · Health · corrected 2023-08-25
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| MAJOR HOSPITAL | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2012-01-01 |
| SHELBYVILLE IN OPCO LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-07-01 |
| CLAXTON, RYAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-03-27 |
| FRANKEL, ISRAEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-07-01 |
| PAUL, MANDI | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-04-01 |
| RADADIYA, PRAGNESHKUMAR | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-07-01 |
| CLAXTON, RYAN | Individual | CORPORATE OFFICER | — | 2025-03-27 |
| HORNER, JOHN | Individual | CORPORATE OFFICER | — | 2012-01-01 |
Other facilities in SHELBYVILLE
| Name | Overall | Beds |
|---|---|---|
| ASHFORD PLACE HEALTH CAMPUS | ★★★★☆ | 68 |
| ESPECIALLY KIDZ HEALTH & REHAB | ★★☆☆☆ | 130 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.