Skilled nursing facility · CMS certification number 445171
THE WATERS OF SHELBYVILLE, LLC
SHELBYVILLE, Tennessee · Medicare and Medicaid
Certified beds, as filed in Care Compare: 96
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on May 15, 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,031,702 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $714,183 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,317,519 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,647,477 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$329,958 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,589,646 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,259,688 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,259,688 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 96 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 35,136 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,778 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 22,952 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 2,618 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 27,348 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 39 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 8 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 93 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 140 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,869 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 195.34 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1449887, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 26, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,686,643 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $847,843 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,838,800 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,858,268 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $980,532 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $607,278 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,587,810 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,587,810 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 96 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,066 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 225 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 89.29 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 423.02 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 129.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1431956, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 28, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,070,213 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $821,601 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,248,612 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,922,080 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$673,468 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $338,105 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$335,363 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$335,363 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 96 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,016 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 188 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.48 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 117.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1379549, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 13, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,146,390 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $887,155 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,259,235 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,915,406 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$656,171 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $633,378 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$22,793 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$22,793 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 96 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,911 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 156 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 98.79 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 10.89 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 134.04 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1344232, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on October 17, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,148,913 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,417,358 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,731,555 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,621,297 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $110,258 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,187,025 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,297,283 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,297,283 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 96 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,578 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 171 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 85.82 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 372.05 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 149.58 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1335306, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 15, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,966,158 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $707,278 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,258,880 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,164,431 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $94,449 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $220,950 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $315,399 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $315,399 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 96 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,666 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 223 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,799.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 124.06 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1286195, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 16, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,492,665 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,056,142 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,436,523 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,096,845 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $339,678 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $209,775 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $549,453 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $549,453 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 96 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,243 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 156 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.74 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 200.28 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1276470, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 11, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,957,912 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,428,823 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,529,089 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,090,228 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $438,861 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $79,023 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $517,884 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $517,884 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 96 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,999 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 204 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.19 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 156.86 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1252270, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended July 31, 2016
Cost report for January 1, 2016 to July 31, 2016 — a reporting period of 212 days, not a full year, on form CMS-2540-10, settled, processed by CMS on January 18, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,246,367 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $773,338 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,473,029 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,306,555 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $166,474 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $37,793 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $204,267 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $204,267 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 96 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,023 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 188 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 170.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 95.87 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1181832, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 7, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,233,313 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,597,549 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,635,764 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,068,617 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $567,147 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $59,688 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $626,835 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $626,835 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 96 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,348 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 301 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 155.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 104.15 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1179457, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 9, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,827,804 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,429,265 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,398,539 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,534,016 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$135,477 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $40,794 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$94,683 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$94,683 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 107 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,154 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 273 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.52 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 94.27 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 110.45 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1154198, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 15, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,241,451 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,514,770 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,726,681 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,622,491 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $104,190 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $34,845 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $139,035 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $139,035 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 107 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,126 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 364 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 66.64 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 88.26 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1114970, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on December 2, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,385,788 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,959,246 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,426,542 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,876,632 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $549,910 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $44,351 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $594,261 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $594,261 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 107 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,652 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 345 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.51 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 72.08 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 100.44 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1081320, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 26, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,610,972 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,288,826 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,322,146 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,519,373 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $802,773 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $23,731 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $826,504 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $826,504 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 107 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,517 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 533 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.63 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 107.6 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 62.88 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1053262, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 26, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,217,886 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,579,822 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $638,064 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $13,696 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $651,760 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 107 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 35,016 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 507 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.07 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 141.82 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 69.07 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 433095, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for August 1, 2009 to December 31, 2009 — a reporting period of 152 days, not a full year, on form CMS-2540-96, settled, processed by CMS on October 26, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,835,546 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,680,239 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $155,307 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $747 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $156,054 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 107 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 14,426 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 124 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.83 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 82.55 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 116.34 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 432874, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended June 30, 2008
Cost report for July 1, 2007 to June 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 22, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,643,914 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,991,818 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$347,904 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $337,946 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $269 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$10,227 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 107 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,402 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 165 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 53.12 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,054.46 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 232.74 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 364279, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended June 30, 2007
Cost report for July 1, 2006 to June 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 12, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,364,961 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,537,047 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$172,086 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $186,118 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $14,032 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 107 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,412 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 174 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 50.3 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 774.52 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 215.01 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 302146, read from the public cost report file SNFFY2006.zip.
Fiscal year 2006, ended June 30, 2006
Cost report for July 1, 2005 to June 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 24, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,899,030 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,084,066 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$185,036 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $316,295 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $1,561 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $129,698 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 107 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,766 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 229 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.75 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 833.29 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 164.92 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 299962, read from the public cost report file SNFFY2005.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| A&F REALTY LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 20% | since 08/01/2016 |
| TACKETT, THOMAS | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 05/16/2019 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of THE WATERS OF SHELBYVILLE, LLC (enrollment ID O20161024001462).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| A&F REALTY LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20 | 8/1/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| GUBIN ENTERPRISES LIMITED PARTNERSHIP | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 40 | 8/1/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| MICHAEL BLISKO | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 40 | 8/1/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| THOMAS T TACKETT | Individual | W-2 MANAGING EMPLOYEE | 0 | 5/16/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- September 1, 2026: GUBIN ENTERPRISES LIMITED PARTNERSHIP no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
Recent changes on this record
- September 1, 2026: GUBIN ENTERPRISES LIMITED PARTNERSHIP no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- May 15, 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- June 26, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- May 28, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- March 13, 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- October 17, 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- June 15, 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- December 16, 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- March 11, 2020: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- January 18, 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- December 7, 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- August 25, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- March 9, 2017: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- December 15, 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- December 2, 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- December 26, 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- October 26, 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- October 26, 2012: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- September 9, 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
- July 19, 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- February 22, 2010: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip
- February 12, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2006.zip
- January 24, 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2005.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | February 27, 2026 | February 27, 2026 | 0 | 18 |
| 2 | November 6, 2019 | November 6, 2019 | 4 | 7 |
| 3 | December 5, 2018 | December 5, 2018 | 5 | 4 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
9 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| November 29, 2023 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | January 11, 2024 |
| November 29, 2023 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | Yes | Deficient, Provider has date of correction | January 11, 2024 |
| November 6, 2019 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | December 9, 2019 |
| November 6, 2019 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | December 9, 2019 |
| November 6, 2019 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | No | Past Non-Compliance | August 20, 2019 |
| November 6, 2019 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | December 9, 2019 |
| December 5, 2018 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | January 15, 2019 |
| December 5, 2018 | Health | F 0693 | Quality of Life and Care Deficiencies | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | No | Deficient, Provider has date of correction | January 15, 2019 |
| December 5, 2018 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | January 15, 2019 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | THE WATERS OF SHELBYVILLE, LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1985-01-11 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Bedford |
| Telephone Number | 9316802300 |
| Chain Name | INFINITY HEALTHCARE CONSULTING |
| Chain ID | 763 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 96 |
| Average Number of Residents per Day | 75.3 |
| Overall Rating | 4 |
| Health Inspection Rating | 4 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 4 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on THE WATERS OF SHELBYVILLE, LLC: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On May 15, 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for THE WATERS OF SHELBYVILLE, LLC
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Tennessee at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 445171.