WATERS OF CLIFTY FALLS, THE
WATERS OF CLIFTY FALLS, THE is a 138-bed nursing home in MADISON, Indiana. CMS has certified it for Medicare and Medicaid since 1983-01-20. It averages 96.6 residents a day.
What harm was found in the violations cited at WATERS OF CLIFTY FALLS, THE?
CMS lists 55 health-inspection deficiencies for WATERS OF CLIFTY FALLS, THE since 2023-04-04, 47 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-05-14.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-05-14 | F0690, F0842 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2026-04-08 | F0686, F0842 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2026-01-22 | F0684, F0686 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D |
| 2025-11-18 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2025-11-18 | F0908 | Keep all essential equipment working safely. | D |
| 2025-10-20 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D |
| 2025-07-14 | F0740, F0760 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / Ensure that residents are free from significant medication errors. | D |
| 2025-06-04 | F0583, F0684, F0812, F0880 | Keep residents' personal and medical records private and confidential. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. | E |
| 2025-06-04 | F0554, F0640, F0657, F0686, F0688, F0756, F0761, F0770, F0842, F0921 | Allow residents to self-administer drugs if determined clinically appropriate. / Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide 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. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure 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. / Provide timely, quality laboratory services/tests to meet the needs of residents. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D |
| 2025-06-04 | F0732 | Post nurse staffing information every day. | C |
| 2025-02-25 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E |
| 2025-02-25 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D |
| 2024-08-30 | F0602, F0761 | Protect each resident from the wrongful use of the resident's belongings or money. / Ensure 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. | D |
| 2024-07-17 | F0609, F0610 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. | D |
| 2024-06-24 | F0761, F0812 | Ensure 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2024-06-24 | F0686, F0690, F0693, F0698, F0758 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / 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. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / 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 |
| 2024-04-04 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E |
| 2024-04-04 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2024-02-27 | F0580, F0689 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2023-09-28 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E |
| 2023-09-28 | F0684, F0686, F0744 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D |
| 2023-04-04 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2023-04-04 | F0558, F0641, F0686, F0689, F0758, F0760, F0761 | Reasonably accommodate the needs and preferences of each resident. / Ensure each resident receives an accurate assessment. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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. / Ensure that residents are free from significant medication errors. / Ensure 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. | D |
How is WATERS OF CLIFTY FALLS, THE staffed relative to the IN average?
| Measure | This facility | IN average |
|---|---|---|
| Total nurse staffing hours per resident per day | 2.88460 | 3.67961 |
| Total nursing staff turnover (%) | 44.1 | 45.9 |
| Average number of residents per day | 96.6 | 72.5 |
Who owns WATERS OF CLIFTY FALLS, THE, and what chain is it in?
WATERS OF CLIFTY FALLS, THE is registered with CMS as For profit - Limited Liability company, operates under the legal business name MAJOR HOSPITAL and belongs to the INFINITY HEALTHCARE CONSULTING chain.
| Role | Owner | Association date |
|---|---|---|
| CONTRACTED MANAGING EMPLOYEE | HANDY, SHAYNE, JONES, KATHY | since 05/19/2014 |
| CORPORATE OFFICER | HORNER, JOHN | since 05/19/2014 |
| OPERATIONAL/MANAGERIAL CONTROL | THE WATERS OF CLIFTY FALLS, LLC, HANDY, SHAYNE, HORNER, JOHN, JONES, KATHY | since 05/19/2014 |
Were you or a family member harmed at WATERS OF CLIFTY FALLS, THE?