WATERS OF CLIFTY FALLS, THE

πŸ“ 950 CROSS AVE, madison, IN 47250 πŸ“ž 8122734640 πŸ›οΈ 138 beds

Overall Rating

⭐
1/5

Health Inspection

⭐
1/5

Staffing

⭐⭐
2/5

Quality Measures

⭐⭐⭐
3/5

Inspection History Overview

93
Total Violations
8 years of data
$15,028
Total Fines
5 penalties
17
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2025 2 violations

Tag 0550 D Feb 25, 2025

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Jan 23, 2025
Tag 0919 E Feb 25, 2025

Make sure that a working call system is available in each resident's bathroom and bathing area.

βœ“ Corrected: Mar 20, 2025

2024 13 violations

Tag 0609 D Jul 17, 2024

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Aug 14, 2024
Tag 0610 D Jul 17, 2024

Respond appropriately to all alleged violations.

βœ“ Corrected: Aug 14, 2024
Tag 0686 D Jun 24, 2024

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Jul 17, 2024
Tag 0690 D Jun 24, 2024

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

βœ“ Corrected: Jul 17, 2024
Tag 0693 D Jun 24, 2024

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.

βœ“ Corrected: Jul 17, 2024
Tag 0698 D Jun 24, 2024

Provide safe, appropriate dialysis care/services for a resident who requires such services.

βœ“ Corrected: Jul 17, 2024
Tag 0758 D Jun 24, 2024

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.

βœ“ Corrected: Jul 17, 2024
Tag 0761 E Jun 24, 2024

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.

βœ“ Corrected: Jul 17, 2024
Tag 0812 E Jun 24, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Jul 17, 2024
Tag 0755 D Apr 4, 2024

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Apr 29, 2024
Tag 0842 E Apr 4, 2024

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

βœ“ Corrected: Apr 29, 2024
Tag 0580 D Feb 27, 2024

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Mar 8, 2024
Tag 0689 D Feb 27, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Mar 8, 2024

2023 14 violations

Tag 0677 E Sep 28, 2023

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Oct 27, 2023
Tag 0684 D Sep 28, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Oct 27, 2023
Tag 0686 D Sep 28, 2023

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Oct 27, 2023
Tag 0744 D Sep 28, 2023

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

βœ“ Corrected: Oct 27, 2023
Tag 0677 D Jul 26, 2023

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Aug 11, 2023
Tag 0725 E Jul 26, 2023

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

βœ“ Corrected: Aug 11, 2023
Tag 0558 D Apr 4, 2023

Reasonably accommodate the needs and preferences of each resident.

βœ“ Corrected: Apr 22, 2023
Tag 0641 D Apr 4, 2023

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Apr 22, 2023
Tag 0686 D Apr 4, 2023

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Apr 22, 2023
Tag 0689 D Apr 4, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Apr 22, 2023
Tag 0758 D Apr 4, 2023

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.

βœ“ Corrected: Apr 22, 2023
Tag 0760 D Apr 4, 2023

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Apr 22, 2023
Tag 0761 D Apr 4, 2023

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.

βœ“ Corrected: Apr 22, 2023
Tag 0812 E Apr 4, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Apr 22, 2023

2022 11 violations

Tag 0689 D Oct 17, 2022

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Oct 3, 2022
Tag 0921 D Oct 17, 2022

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

βœ“ Corrected: Oct 18, 2022
Tag 0880 E Sep 12, 2022

Provide and implement an infection prevention and control program.

βœ“ Corrected: Oct 11, 2022
Tag 0926 D Sep 12, 2022

Have policies on smoking.

βœ“ Corrected: Oct 11, 2022
Tag 0689 D Jun 3, 2022

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Jun 20, 2022
Tag 0677 D May 16, 2022

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Jun 15, 2022
Tag 0684 D May 16, 2022

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Jun 15, 2022
Tag 0686 E May 16, 2022

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Jun 15, 2022
Tag 0692 E May 16, 2022

Provide enough food/fluids to maintain a resident's health.

βœ“ Corrected: Jun 15, 2022
Tag 0695 D May 16, 2022

Provide safe and appropriate respiratory care for a resident when needed.

βœ“ Corrected: Jun 15, 2022
Tag 0880 D May 16, 2022

Provide and implement an infection prevention and control program.

βœ“ Corrected: Jun 15, 2022

2021 7 violations

Tag 0600 D Dec 16, 2021

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Jan 15, 2022
Tag 0880 D Dec 16, 2021

Provide and implement an infection prevention and control program.

βœ“ Corrected: Jan 15, 2022
Tag 0812 D Sep 9, 2021

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Sep 16, 2021
Tag 0755 D Aug 18, 2021

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Sep 15, 2021
Tag 0880 E Aug 18, 2021

Provide and implement an infection prevention and control program.

βœ“ Corrected: Sep 15, 2021
Tag 0689 D Apr 1, 2021

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Apr 26, 2021
Tag 0686 D Jan 14, 2021

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

2020 14 violations

Tag 0880 E Sep 24, 2020

Provide and implement an infection prevention and control program.

βœ“ Corrected: Oct 23, 2020
Tag 0921 E Sep 24, 2020

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

βœ“ Corrected: Oct 23, 2020
Tag 0580 D Jan 9, 2020

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Feb 8, 2020
Tag 0604 D Jan 9, 2020

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

βœ“ Corrected: Feb 8, 2020
Tag 0641 D Jan 9, 2020

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Feb 8, 2020
Tag 0684 D Jan 9, 2020

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Feb 8, 2020
Tag 0686 D Jan 9, 2020

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Feb 8, 2020
Tag 0688 D Jan 9, 2020

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.

βœ“ Corrected: Feb 8, 2020
Tag 0689 E Jan 9, 2020

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Feb 8, 2020
Tag 0744 D Jan 9, 2020

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

βœ“ Corrected: Feb 8, 2020
Tag 0756 D Jan 9, 2020

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

βœ“ Corrected: Feb 8, 2020
Tag 0758 D Jan 9, 2020

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.

βœ“ Corrected: Feb 8, 2020
Tag 0760 D Jan 9, 2020

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Feb 8, 2020
Tag 0867 E Jan 9, 2020

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

βœ“ Corrected: Feb 8, 2020

2019 3 violations

Tag 0622 D Nov 15, 2019

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

βœ“ Corrected: Nov 26, 2019
Tag 0761 D May 2, 2019

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.

βœ“ Corrected: May 20, 2019
Tag 0842 D May 2, 2019

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

βœ“ Corrected: May 20, 2019

2018 29 violations

Tag 0550 D Dec 18, 2018

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Jan 17, 2019
Tag 0585 F Dec 18, 2018

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

βœ“ Corrected: Jan 17, 2019
Tag 0623 D Dec 18, 2018

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

βœ“ Corrected: Jan 17, 2019
Tag 0636 D Dec 18, 2018

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

βœ“ Corrected: Jan 17, 2019
Tag 0656 D Dec 18, 2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Jan 17, 2019
Tag 0657 D Dec 18, 2018

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Jan 17, 2019
Tag 0686 D Dec 18, 2018

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Jan 17, 2019
Tag 0689 D Dec 18, 2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Jan 17, 2019
Tag 0695 D Dec 18, 2018

Provide safe and appropriate respiratory care for a resident when needed.

βœ“ Corrected: Jan 17, 2019
Tag 0697 D Dec 18, 2018

Provide safe, appropriate pain management for a resident who requires such services.

βœ“ Corrected: Jan 17, 2019
Tag 0698 D Dec 18, 2018

Provide safe, appropriate dialysis care/services for a resident who requires such services.

βœ“ Corrected: Jan 17, 2019
Tag 0725 F Dec 18, 2018

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

βœ“ Corrected: Jan 17, 2019
Tag 0744 D Dec 18, 2018

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

βœ“ Corrected: Jan 17, 2019
Tag 0757 D Dec 18, 2018

Ensure each resident’s drug regimen must be free from unnecessary drugs.

βœ“ Corrected: Jan 17, 2019
Tag 0838 F Dec 18, 2018

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies.

βœ“ Corrected: Jan 17, 2019
Tag 0880 D Dec 18, 2018

Provide and implement an infection prevention and control program.

βœ“ Corrected: Jan 17, 2019
Tag 0881 F Dec 18, 2018

Implement a program that monitors antibiotic use.

βœ“ Corrected: Jan 17, 2019
Tag 0919 D Dec 18, 2018

Make sure that a working call system is available in each resident's bathroom and bathing area.

βœ“ Corrected: Jan 17, 2019
Tag 0677 D Aug 31, 2018

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Sep 21, 2018
Tag 0686 D Aug 31, 2018

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Sep 21, 2018

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2021 4 penalties totaling $11,710

$9,750
Fine
December 16, 2021
$1,310
Fine
September 13, 2021
$9,750
Fine
August 18, 2021
$650
Fine
July 5, 2021
Average: $3,903 | Range: $650 - $9,750

2019 1 penalties totaling $3,318

$3,318
Fine
November 15, 2019
Average: $3,318 | Range: $3,318 - $3,318

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

July 17, 2024
0.00

Health

June 24, 2024
0.00

Health

April 4, 2024
0.00

Health

February 27, 2024
0.00

Health

September 28, 2023
0.00

Health

July 26, 2023
0.00

Health

April 4, 2023
0.00

Health

October 17, 2022
0.00

Health

September 12, 2022
0.00

Health

June 3, 2022
0.00

Health

May 16, 2022
0.00

Health

December 16, 2021
0.00

Health

September 9, 2021
0.00

Health

August 18, 2021
0.00

Health

April 1, 2021
0.00

Health

January 14, 2021
0.00

Health

January 9, 2020
0.00

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Ownership Information

Non profit - Corporation
Independent (Not part of a chain)
155209
155209
8122734640
Jefferson

Historical Ownership Records

August 25, 2025
Organization
August 25, 2025
Organization
August 25, 2025
Individual