Starfile

Starfile / Indiana

WATERS OF CLIFTY FALLS, THE

950 CROSS AVE, MADISON, IN 47250 · CCN 155209

Ratings

Overall
★☆☆☆☆ 1
Health inspection
★☆☆☆☆ 1
Quality measures
★★★☆☆ 3
Staffing
★★☆☆☆ 2

Facility

Ownership type
For profit - Limited Liability company
Certified beds
138
Avg residents/day
101.4
Phone
8122734640

Inspection history vs Indiana & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityIndiana avgNational avgvs state
12025-06-04227.69.5+14.4 worse
22024-06-24157.99.8+7.1 worse
32023-04-04168.89.3+7.2 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care7
Resident assessment and care planning3
Nursing and physician services1
Resident rights3
Nutrition and dietary1
Pharmacy service3
Environmental2
Administration1
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)2.7631.0%
RN staffing (reported)0.3214.3%
Total nurse staffing (adjusted)2.09

Fines & penalties

Total fines
$0
Number of fines
0
Number of penalties
0
Payment denials
0

Chain

Chain
INFINITY HEALTHCARE CONSULTING
Facilities in chain
70
Chain avg overall
2.20 / 5

Inspection citations (53)1 actual harm

  1. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2026-01-22 · Health

    Potential for more than minimal harm

  2. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2026-01-22 · Health

    Potential for more than minimal harm

  3. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-11-18 · Health · corrected 2025-11-25

    Actual harm

  4. DF0908Keep all essential equipment working safely.2025-11-18 · Health · corrected 2025-11-25

    Potential for more than minimal harm

  5. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-10-20 · Health · corrected 2025-10-24

    Potential for more than minimal harm

  6. DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2025-07-14 · Health · corrected 2025-07-25

    Potential for more than minimal harm

  7. DF0760Ensure that residents are free from significant medication errors.2025-07-14 · Health · corrected 2025-07-25

    Potential for more than minimal harm

  8. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-06-04 · Health · corrected 2025-07-03

    Potential for more than minimal harm

  9. EF0583Keep residents' personal and medical records private and confidential.2025-06-04 · Health · corrected 2025-07-03

    Potential for more than minimal harm

  10. DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2025-06-04 · Health · corrected 2025-07-03

    Potential for more than minimal harm

  11. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-06-04 · Health · corrected 2025-07-03

    Potential for more than minimal harm

  12. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-06-04 · Health · corrected 2025-07-03

    Potential for more than minimal harm

  13. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-06-04 · Health · corrected 2025-07-03

    Potential for more than minimal harm

  14. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2025-06-04 · Health · corrected 2025-07-03

    Potential for more than minimal harm

  15. CF0732Post nurse staffing information every day.2025-06-04 · Health · corrected 2025-07-03

    Potential for minimal harm

  16. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-06-04 · Health · corrected 2025-07-03

    Potential for more than minimal harm

  17. 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.2025-06-04 · Health · corrected 2025-07-03

    Potential for more than minimal harm

  18. DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2025-06-04 · Health · corrected 2025-07-03

    Potential for more than minimal harm

  19. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-06-04 · Health · corrected 2025-07-03

    Potential for more than minimal harm

  20. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-06-04 · Health · corrected 2025-07-03

    Potential for more than minimal harm

  21. EF0880Provide and implement an infection prevention and control program.2025-06-04 · Health · corrected 2025-07-03

    Potential for more than minimal harm

  22. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-06-04 · Health · corrected 2025-07-03

    Potential for more than minimal harm

  23. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-02-25 · Health · corrected 2025-01-23

    Potential for more than minimal harm

  24. EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2025-02-25 · Health · corrected 2025-03-20

    Potential for more than minimal harm

  25. DF0602Protect each resident from the wrongful use of the resident's belongings or money.2024-08-30 · Health · corrected 2024-09-19

    Potential for more than minimal harm

  26. 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.2024-08-30 · Health · corrected 2024-09-19

    Potential for more than minimal harm

  27. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-07-17 · Health · corrected 2024-08-14

    Potential for more than minimal harm

  28. DF0610Respond appropriately to all alleged violations.2024-07-17 · Health · corrected 2024-08-14

    Potential for more than minimal harm

  29. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-06-24 · Health · corrected 2024-07-17

    Potential for more than minimal harm

  30. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-06-24 · Health · corrected 2024-07-17

    Potential for more than minimal harm

  31. DF0693Ensure 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.2024-06-24 · Health · corrected 2024-07-17

    Potential for more than minimal harm

  32. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-06-24 · Health · corrected 2024-07-17

    Potential for more than minimal harm

  33. DF0758Implement 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.2024-06-24 · Health · corrected 2024-07-17

    Potential for more than minimal harm

  34. EF0761Ensure 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.2024-06-24 · Health · corrected 2024-07-17

    Potential for more than minimal harm

  35. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-06-24 · Health · corrected 2024-07-17

    Potential for more than minimal harm

  36. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-04-04 · Health · corrected 2024-04-29

    Potential for more than minimal harm

  37. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-04-04 · Health · corrected 2024-04-29

    Potential for more than minimal harm

  38. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-02-27 · Health · corrected 2024-03-08

    Potential for more than minimal harm

  39. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-27 · Health · corrected 2024-03-08

    Potential for more than minimal harm

  40. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-09-28 · Health · corrected 2023-10-27

    Potential for more than minimal harm

  41. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-09-28 · Health · corrected 2023-10-27

    Potential for more than minimal harm

  42. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-09-28 · Health · corrected 2023-10-27

    Potential for more than minimal harm

  43. DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2023-09-28 · Health · corrected 2023-10-27

    Potential for more than minimal harm

  44. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-07-26 · Health · corrected 2023-08-11

    Potential for more than minimal harm

  45. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-07-26 · Health · corrected 2023-08-11

    Potential for more than minimal harm

  46. DF0558Reasonably accommodate the needs and preferences of each resident.2023-04-04 · Health · corrected 2023-04-22

    Potential for more than minimal harm

  47. DF0641Ensure each resident receives an accurate assessment.2023-04-04 · Health · corrected 2023-04-22

    Potential for more than minimal harm

  48. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-04-04 · Health · corrected 2023-04-22

    Potential for more than minimal harm

  49. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-04-04 · Health · corrected 2023-04-22

    Potential for more than minimal harm

  50. DF0758Implement 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.2023-04-04 · Health · corrected 2023-04-22

    Potential for more than minimal harm

  51. DF0760Ensure that residents are free from significant medication errors.2023-04-04 · Health · corrected 2023-04-22

    Potential for more than minimal harm

  52. 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.2023-04-04 · Health · corrected 2023-04-22

    Potential for more than minimal harm

  53. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-04-04 · Health · corrected 2023-04-22

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
MAJOR HOSPITALOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2014-05-19
THE WATERS OF CLIFTY FALLS, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2014-05-19
HANDY, SHAYNEIndividualOPERATIONAL/MANAGERIAL CONTROL2014-05-19
HORNER, JOHNIndividualOPERATIONAL/MANAGERIAL CONTROL2014-05-19
JONES, KATHYIndividualOPERATIONAL/MANAGERIAL CONTROL2014-05-19
HORNER, JOHNIndividualCORPORATE OFFICER2014-05-19
HANDY, SHAYNEIndividualCONTRACTED MANAGING EMPLOYEE2014-05-19
JONES, KATHYIndividualCONTRACTED MANAGING EMPLOYEE2014-05-19

Other facilities in MADISON

NameOverallBeds
HICKORY CREEK AT MADISON★★★★☆36
RIVER TERRACE HEALTH CAMPUS★★☆☆☆57

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.