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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Waters of Shelbyville is a trusted nursing home in Shelbyville, TN, offering a wide range of care options, including long-term care, memory care, hospice care, respite care, skilled nursing, and rehabilitation. Featuring newly-renovated amenities and spacious, private rooms in a clean and home-like setting, the community strives to keep older adults comfortable and safe. Nutritional services, pain management, and 24-hour care are among the excellent services dedicated to residents’ welfare. The community also provides individualized care plans tailored to residents’ needs and habits.
Light physical activities, social events, and various recreational programs provide residents with more opportunities to explore new interests and gain meaningful experiences. Cozy communal areas and state-of-the-art rehabilitation equipment are also available for residents’ relaxation and wellness. Shops, churches, and other local amenities also surround the area, providing residents with easy access to their necessities and leisure. This nursing home ensures older adults can thrive in retirement, making it a great choice for senior living in Tennessee.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 136th out of 137 homes in Tennessee.| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 19m per day | ▼ 49% State avg: 37m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 19m per day | ▲ 20% State avg: 1h 6m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 36m per day | ▼ 26% State avg: 2h 9m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 46m per day | ▼ 18% State avg: 3h 21m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 2m per day | ▼ 60% State avg: 5m per day · National avg: 4m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 13m per day | ▼ 48% State avg: 25m per day · National avg: 29m per day |
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
21% of new residents, usually for short-term rehab.
59% of new residents, often for short stays.
21% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #118 / 141Payroll — State benchmarkedThis home is ranked 118th out of 141 homes in Tennessee.Shows total annual staff payroll benchmarked to the Tennessee average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Higher than the Tennessee average: 73%The Waters of Shelbyville is administrated by Sandra K. Griffin- Bokoskey.
Housing Options: Private / Shared Rooms
Building Type: Single-story
Dining Services
Housekeeping Services
Social and Recreational Activities
On-site Medical Care and Health Services
Rehabilitative Support
In Tennessee, the Department of Health, Division of Health Care Facilities performs unannounced inspections and investigations to ensure facilities provide high-quality resident care.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsTennessee average 3.5
Last Health inspection on Nov 2023
Tennessee average 15.4
Tennessee average 4.39
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
13 of 16 citations resulted from standard inspections; and 3 of 16 resulted from complaint investigations.
9% better than Tennessee averageTennessee average: 1.1
67% worse than Tennessee averageTennessee average: 0.6
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The Waters of Shelbyville is located in Shelbyville, Tennessee.
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1.3 miles from city center
Estimated distance in miles from Shelbyville's city center to The Waters of Shelbyville's address, calculated via Google Maps.
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Reporting period: April 1 – June 30, 2025 (Q2 2025). Source: CMS Payroll-Based Journal report.
36% worse than Tennessee average
8% better than Tennessee average
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Total hours from contractors
2,350 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
| Certified Nursing Assistant | 33 | 0 | 33 | 10,690 | 91 | 100% | 9.4 |
| Licensed Practical Nurse | 20 | 2 | 22 | 8,226 | 91 | 100% | 9.5 |
| Registered Nurse | 5 | 1 | 6 | 1,362 | 89 | 98% | 9.8 |
| Other Dietary Services Staff | 2 | 0 | 2 | 960 | 78 | 86% | 7.5 |
| Speech Language Pathologist | 0 | 2 | 2 | 717 | 76 | 84% | 8.7 |
| RN Director of Nursing | 1 | 0 | 1 | 622 | 65 | 71% | 9.6 |
| Administrator | 1 | 0 | 1 | 565 | 64 | 70% | 8.8 |
| Physical Therapy Aide | 0 | 1 | 1 | 559 | 64 | 70% | 8.7 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 531 | 65 | 71% | 8.2 |
| Dietitian | 1 | 0 | 1 | 513 | 66 | 73% | 7.8 |
| Nurse Practitioner | 1 | 1 | 2 | 440 | 52 | 57% | 8.5 |
| Physical Therapy Assistant | 0 | 1 | 1 | 383 | 51 | 56% | 7.5 |
| Mental Health Service Worker | 1 | 0 | 1 | 364 | 50 | 55% | 7.3 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 150 | 20 | 22% | 6.8 |
| Qualified Social Worker | 0 | 2 | 2 | 90 | 28 | 31% | 3.2 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
69Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.5
38% better than Tennessee averageTennessee average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
12.2
38% better than Tennessee averageTennessee average: 19.5
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
8.1%
49% better than Tennessee averageTennessee average: 16.0%
Percent of long-stay residents whose ability to move independently worsened
9.5%
56% better than Tennessee averageTennessee average: 21.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
18.9%
9% better than Tennessee averageTennessee average: 20.7%
Percent of long-stay residents experiencing one or more falls with major injury
4.6%
25% worse than Tennessee averageTennessee average: 3.7%
Percent of long-stay high risk residents with pressure ulcers
4.1%
24% better than Tennessee averageTennessee average: 5.4%
Percent of long-stay residents with a urinary tract infection
0.4%
81% better than Tennessee averageTennessee average: 2.1%
Percent of long-stay residents who lose too much weight
5.9%
6% better than Tennessee averageTennessee average: 6.3%
Percent of long-stay residents who have depressive symptoms
76.1%
591% worse than Tennessee averageTennessee average: 11.0%
Percent of long-stay residents who received an antipsychotic medication
3.9%
76% better than Tennessee averageTennessee average: 16.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.0%
8% better than Tennessee averageTennessee average: 89.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
6% better than Tennessee averageTennessee average: 94.5%
Number of hospitalizations per 1,000 long-stay resident days.
1.61
In line with Tennessee averageTennessee average: 1.58
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.92
22% worse than Tennessee averageTennessee average: 1.57
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
86.0%
8% better than Tennessee averageTennessee average: 79.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.7%
61% better than Tennessee averageTennessee average: 1.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
93.2%
17% better than Tennessee averageTennessee average: 79.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
23.1%
In line with Tennessee averageTennessee average: 22.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
12.5%
12% worse than Tennessee averageTennessee average: 11.2%
Percentage of SNF residents who experience falls with major injury during their stay.
2.1%
177% worse than Tennessee averageTennessee average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
62.5%
16% better than Tennessee averageTennessee average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
57.4%
14% better than Tennessee averageTennessee average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
Historical financial and operational data for The Waters of Shelbyville based on CMS SNF Cost Reports.
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The Waters of Shelbyville is in the Union Street neighborhood of Shelbyville.
The Waters of Shelbyville has a walk score of 39. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to TN state health department records, The Waters of Shelbyville's license number is 00000006.
According to TN state health department records, The Waters of Shelbyville's license expires on April 30, 2026.
The Waters of Shelbyville's occupancy is 83%.
The team at The Waters of Shelbyville can be reached at [email protected].
Sandra K. Griffin- Bokoskey is the administrator of The Waters of Shelbyville.
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