Shelbyville Healthcare & Senior Living

In the surveyor’s words

From the most serious findings on record at Shelbyville Healthcare & Senior Living, in the surveyor’s own words.

• Immediate jeopardy, patternF602May 11, 2026

  Based on observation, interview, and record review, the facility failed to protect the resident's right to be free from misappropriation of property by a staff member for 21 of 21 residents (R1-R21) reviewed for misappropriation in the sample list of 21. This failure resulted in $12,091.78 being misappropriated from R1 through R21's pooled resident trust fund. All 21 residents affected are vulnerable with Dementia and/or Mental Illness/Disability diagnoses. A reasonable person would likely suffer psychosocial harm, such as emotional distress and lack of trust as a result of misappropriation of funds. The Past Noncompliance occurred from 9/30/25 to 4/29/26. […]

• Actual harm, isolatedF684Apr 3, 2025

  Deficiencies at this level require more than one deficiency practice statement. A. Based on interview and record review the facility failed to transcribe and implement physician ordered wound treatments, failed to ensure wound supplies were provided and treatments were completed as ordered. The facility failed to accommodate a request for physician ordered wound treatments to be supplied or changed to an alternative treatment. The facility also failed to notify the provider of the facility changing the dressing orders, not transcribing/implementing Wound Physician Assistant (PA) orders, and not notifying the Wound PA of a resident request to change wound dressing orders for one (R1) resident out of five residents reviewed for wound care in a sample list of five residents. […]

• Actual harm, isolatedF602Jul 7, 2022

  Based on interview and record review the facility failed to ensure one resident (R1) was not subjected to misappropriation of money of three residents reviewed for abuse in a sample list of three residents. This failure caused R1 to experience financial harm due to loss of $238 cash stored in R1's bedroom and psychosocial harm expressed as anger, disappointment, and inability to trust care givers. Findings include: R1's physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . R1's Minimum Data Set (MDS) dated [DATE] document R1 is cognitively intact, and does not suffer from Dementia or Alzheimer's Disease. R1's Nurse's Note dated 6/15/22 at 2:15PM documents (R1) reported missing funds from room (two times) Staff searched room and unable to find (money). […]

• Actual harm, isolatedF607Jul 7, 2022

  Based on interview and record review the facility failed to develop and implement a guiding policy regarding how the facility will ensure a resident can safeguard their own personal money or property within the building. This security failure has led to R1's money being taken from R1's room, without permission. R1 suffered the loss of $238 cash. R1 is one of three residents reviewed for abuse in the sample of three. Findings Include: The facility's Abuse Prevention Program revised 11/28/16 states There are two specific instances where theft should be considered: (first bullet point) The 'theft' value of a piece of property. […]

• No harm, potential for more than minimal, widespreadF761Feb 19, 2026

  Based on observation, interview and record review the facility failed to ensure Narcotic medications are kept under a double lock system, failed to ensure medications are stored properly and failed to ensure medications remain in a locked environment. These failures have the potential to affect all 38 residents residing in the facility. Findings include: The facility daily midnight census dated 2/17/26 documents 38 residents reside in the facility. 1.R6's Minimum Data Set (MDS) dated [DATE] documents R6 as severely cognitively impaired. […]