Indiana › Jefferson County › Madison
Waters of Clifty Falls, The
950 Cross Ave, Madison, IN 47250
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 138 beds, Waters of Clifty Falls, The serves Madison in Jefferson County, Indiana and has taken Medicare and Medicaid residents since 1983.
CMS gives it 1 of 5 stars overall, below the Indiana median of 3; the health inspection rating is 1, staffing 1 and quality measures 2.
Inspectors recorded 55 health deficiencies across the three most recent survey cycles (24, 13, 18 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 39.9 per 100 beds, more than the state median of 22.9.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 2.9 hours per resident per day (0.3 RN), close to the Indiana median of 3.6; nursing staff turnover is 44.1%.
Compared with county, state and nation
| Measure | This facility | Jefferson Co. median | Indiana median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 55 | 20 | 19 | 28.7 |
| Citations per 100 beds | 39.9 | 35.1 | 22.9 | 26.8 |
| Total nurse hours per resident day | 2.9 | 3.4 | 3.6 | 3.9 |
| RN hours per resident day | 0.3 | 0.6 | 0.6 | 0.7 |
| Nursing staff turnover | 44.1% | 44.1% | 45.4% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (5 in the county, 507 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Indiana average per facility for the same cycle, as published by CMS. Standard health survey dates: 4 Jun 2025, 24 Jun 2024.
Severity mix: G ×1 D ×43 E ×10 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 14 May 2026 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 29 May 2026 |
| 14 May 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 29 May 2026 |
| 8 Apr 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 21 Apr 2026 |
| 8 Apr 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 21 Apr 2026 |
| 22 Jan 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 2 Mar 2026 |
| 22 Jan 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 2 Mar 2026 |
| 18 Nov 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 25 Nov 2025 |
| 18 Nov 2025 | F0908 | Keep all essential equipment working safely. | D | Complaint investigation | 25 Nov 2025 |
| 20 Oct 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 24 Oct 2025 |
| 14 Jul 2025 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Complaint investigation | 25 Jul 2025 |
| 14 Jul 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 25 Jul 2025 |
| 4 Jun 2025 | F0583 | Keep residents' personal and medical records private and confidential. | E | Standard survey | 3 Jul 2025 |
| 4 Jun 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 3 Jul 2025 |
| 4 Jun 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 3 Jul 2025 |
| 4 Jun 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 3 Jul 2025 |
| 4 Jun 2025 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 3 Jul 2025 |
| 4 Jun 2025 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 3 Jul 2025 |
| 4 Jun 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 3 Jul 2025 |
| 4 Jun 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 3 Jul 2025 |
| 4 Jun 2025 | F0688 | 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. | D | Standard survey | 3 Jul 2025 |
| 4 Jun 2025 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 3 Jul 2025 |
| 4 Jun 2025 | F0761 | 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 | Standard survey | 3 Jul 2025 |
| 4 Jun 2025 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard survey | 3 Jul 2025 |
| 4 Jun 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 3 Jul 2025 |
| 4 Jun 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard survey | 3 Jul 2025 |
| 4 Jun 2025 | F0732 | Post nurse staffing information every day. | C | Standard survey | 3 Jul 2025 |
| 25 Feb 2025 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Complaint investigation | 20 Mar 2025 |
| 25 Feb 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 23 Jan 2025 |
| 30 Aug 2024 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 19 Sep 2024 |
| 30 Aug 2024 | F0761 | 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 | Complaint investigation | 19 Sep 2024 |
| 17 Jul 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 14 Aug 2024 |
| 17 Jul 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 14 Aug 2024 |
| 24 Jun 2024 | F0761 | 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. | E | Standard survey | 17 Jul 2024 |
| 24 Jun 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 17 Jul 2024 |
| 24 Jun 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 17 Jul 2024 |
| 24 Jun 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 17 Jul 2024 |
| 24 Jun 2024 | F0693 | 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 | Standard survey | 17 Jul 2024 |
| 24 Jun 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 17 Jul 2024 |
| 24 Jun 2024 | F0758 | 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 | Standard survey | 17 Jul 2024 |
| 4 Apr 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 29 Apr 2024 |
| 4 Apr 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 29 Apr 2024 |
| 27 Feb 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 8 Mar 2024 |
| 27 Feb 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 8 Mar 2024 |
| 28 Sep 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 27 Oct 2023 |
| 28 Sep 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 27 Oct 2023 |
| 28 Sep 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 27 Oct 2023 |
| 28 Sep 2023 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Complaint investigation | 27 Oct 2023 |
| 4 Apr 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 22 Apr 2023 |
| 4 Apr 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 22 Apr 2023 |
| 4 Apr 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 22 Apr 2023 |
| 4 Apr 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 22 Apr 2023 |
| 4 Apr 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 22 Apr 2023 |
| 4 Apr 2023 | F0758 | 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 | Standard survey | 22 Apr 2023 |
| 4 Apr 2023 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 22 Apr 2023 |
| 4 Apr 2023 | F0761 | 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 | Standard survey | 22 Apr 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Indiana average. Turnover: nursing staff 44.1%, RNs 37.5%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Indiana median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 4.4% | 8.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.2% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.2% | 0.5% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.6% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 10.7% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 9.2% | 9.3% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.1% | 3.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 13.4% | 11.4% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Major Hospital. Chain: Infinity Healthcare Consulting (69 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| The Waters of Clifty Falls, LLC | Operational/managerial control | NOT APPLICABLE | 05/19/2014 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Jefferson County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Thornton Terrace Health Campus | Hanover | 55 | 5 | 4 | 4 | 12 | 21.8 | — | 10 Sep 2025 |
| Hickory Creek At Madison | Madison | 36 | 4 | 4 | 1 | 7 | 19.4 | — | 18 Sep 2025 |
| River Terrace Health Campus | Madison | 57 | 3 | 3 | 3 | 20 | 35.1 | — | 6 Mar 2026 |
| Aperion Care Hanover | Hanover | 125 | 1 | 1 | 2 | 57 | 45.6 | $54K | 16 Apr 2026 |
All 5 facilities in Jefferson County
Questions and answers
How many deficiencies has Waters of Clifty Falls, The been cited for?
55 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Indiana median is 19 per facility.
Has Waters of Clifty Falls, The been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Waters of Clifty Falls, The compare?
Reported total nurse staffing is 2.9 hours per resident per day against a Indiana median of 3.6 and a national average of 3.9.
Who operates Waters of Clifty Falls, The?
It is part of the Infinity Healthcare Consulting chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include The Waters of Clifty Falls, LLC. Individual owners and managers are not listed on this site.
When was Waters of Clifty Falls, The last inspected?
The most recent survey or investigation in the CMS record is dated 14 May 2026; the most recent standard health survey was 4 Jun 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.