The Waters of Clifty Falls
950 Cross Ave, Madison, IN 47250 · (812) 273-4640
For profit - Limited Liability company · 138 certified beds
The Waters of Clifty Falls has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in June 2025, found 15 citations (the Indiana average is 7.2). It hasn't been fined in the last three years.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 2 out of 5 stars · Below average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 1 out of 5 stars · Much below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on June 4, 2025 found 15 citations. What an inspection citation means
- Keep residents' personal and medical records private and confidential.June 4, 2025 · F0583 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.June 4, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.June 4, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.June 4, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Allow residents to self-administer drugs if determined clinically appropriate.June 4, 2025 · F0554 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.June 4, 2025 · F0640 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.June 4, 2025 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.June 4, 2025 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.June 4, 2025 · F0688 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.June 4, 2025 · F0756 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.June 4, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide timely, quality laboratory services/tests to meet the needs of residents.June 4, 2025 · F0770 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.June 4, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.June 4, 2025 · F0921 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Post nurse staffing information every day.June 4, 2025 · F0732 · Level of harm: Potential for minimal harm · Residents affected: Many
Complaint inspections, last three years
Inspections after complaints found 21 citations.
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.May 14, 2026 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.May 14, 2026 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.April 8, 2026 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.April 8, 2026 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.January 22, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.January 22, 2026 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.November 18, 2025 · F0689 · Level of harm: Actual harm · Residents affected: Few
- Keep all essential equipment working safely.November 18, 2025 · F0908 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.October 20, 2025 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident must receive and the facility must provide necessary behavioral health care and services.July 14, 2025 · F0740 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that residents are free from significant medication errors.July 14, 2025 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.February 25, 2025 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Make sure that a working call system is available in each resident's bathroom and bathing area.February 25, 2025 · F0919 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Protect each resident from the wrongful use of the resident's belongings or money.August 30, 2024 · F0602 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.August 30, 2024 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.July 17, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.July 17, 2024 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.April 4, 2024 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.April 4, 2024 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.February 27, 2024 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.February 27, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
No fines or payment denials in the last three years.
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Indiana average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 2.88 | 3.69 | 3.86 |
| Registered nurses (RN) | 0.34 | 0.67 | 0.69 |
| Licensed practical nurses (LPN) | 0.75 | 0.78 | 0.86 |
| Nurse aides | 1.80 | 2.24 | 2.32 |
| Total nursing staff turnover | 44.1% | 45.9% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 138 |
| Average residents per day | 96.6 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Hickory Creek at Madison Madison · ★★★★★ 4 out of 5 stars
- River Terrace Health Campus Madison · ★★★★★ 3 out of 5 stars
- Thornton Terrace Health Campus Hanover · ★★★★★ 5 out of 5 stars
- Aperion Care Hanover Hanover · ★★★★★ 1 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from The Waters of Clifty Falls on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.