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Complaint Investigation

Waters Of Clifty Falls, The

November 18, 2025 · Madison, IN · 950 Cross Ave
Citations 2
CMS Rating 1/5
Beds 138
Provider ID 155209
Healthcare Facility
Waters Of Clifty Falls, The
Madison, IN  ·  View full profile →
Inspection Summary

WATERS OF CLIFTY FALLS, THE in MADISON, IN — inspection on November 18, 2025.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0689
Quality of Life and Care Deficiencies
Actual Harm

sharp part of the wheelchair causing some skin tears and lacerations of the lower extremities.

The physical exam indicated the resident had a 5 centimeter (cm) circumferential laceration of the right lower leg, one skin tear proximal. On the right leg there were four small skin tears.

All skin tears were 2 cm in length.

The 5 cm laceration to the left lower leg was numbed using lidocaine, irrigated with high-pressure irrigation and 2 X (by) 4 sutures were placed in a running fashion to approximate each side.

The total of 5 X 2 cm small skin tears were irrigated with normal saline and Dermabond (a skin adhesive to hold wounds together) was placed. A Progress Note, dated 08/23/2025 at 12:00 P.M., indicated the resident returned from the hospital.

The resident was noted to have glue to the skin tears on the right calf and six sutures and skin glue to the wound on the left calf.

There were new orders to cleanse the areas daily and monitor for redness, discharge, fever, or worsening in condition.

The resident family was aware and at bedside. A Wound Assessment Report, dated 08/27/2025, indicated the resident had a skin tear to the left lower posterior leg.

The wound measured 6.50 cm X 4.20 cm.

The wound had sutures. A Wound Assessment Report, dated 08/27/2025, indicated the resident had a skin tear to the right lower posterior leg.

The wound measured 10.10 cm X 2.50 cm. A Wound Assessment Report, dated 09/17/2025, indicated the residents skin tears to the right and left lower legs were healed.

The current facility policy titled, GUIDELINES FOR INCIDENTS/ACCIDENTS/FALLS, dated 06/30/2023, was provided by the Administrator on 11/18/2025 at 1:21 P.M.

The policy indicated, .The facility will ensure that incidents and accidents that occur involving residents are identified, reported, and resolved.This citation related to Intake 2598682.3.1-45(a)(1)3.1-45(a)(2)

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/18/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Waters of Clifty Falls, The

950 Cross Ave Madison, IN 47250

SUMMARY STATEMENT OF DEFICIENCIES

circumferential laceration of the right lower leg, 1 skin tear proximal. On the right leg there were four small skin tears.

All skin tears were 2 cm in length.

The 5 cm laceration to the left lower leg was numbed using lidocaine, irrigated with high-pressure irrigation and 2 X (by) 4 sutures were placed in a running fashion to approximate each side.

The total of 5 X 2 cm small skin tears were irrigated with normal saline and Dermabond (a skin adhesive to hold wounds together) was placed. A Progress Note, dated 08/23/2025 at 12:00 P.M., indicated the resident returned from the hospital.

The resident was noted to have glue to the skin tears on the right calf and six sutures and skin glue to the wound on the left calf.

There were new orders to cleanse the areas daily and monitor for redness, discharge, fever, or worsening in condition.

The resident family was aware and at bedside.The current, undated, facility policy titled, Nursing-Annual Inspections, was provided by the Administrator on 11/18/2025 at 1:21 P.M.

The policy indicated, .Wheelchairs: Check all wheelchairs for proper operation and needed repairs.This citation related to Intake 2598682.3.1-19(bb)

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in MADISON, IN, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from WATERS OF CLIFTY FALLS, THE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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