Nursing homes › Indiana › Waters of Clifty Falls, the
950 Cross Ave, Madison, IN 47250 · 8122734640 · 138 certified beds
Per CMS filings, this facility is affiliated with Infinity Healthcare Consulting, a group operating 70 facilities in 4 states. Group record: average rating 2.1/5, 14 abuse citation icons, 5 facilities on the Special Focus list, $4,187,160 in federal fines. This facility rates below its group average (2.1/5).
Total nurse staffing: 2.88 (Indiana median: 3.55). RN hours: 0.34. Weekend total: 2.70. Nursing staff turnover: 44%.
All-time on record: 57 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-14 | 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 | corrected 2026-05-29 |
| 2026-05-14 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2026-05-29 |
| 2026-04-08 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | complaint | corrected 2026-04-21 |
| 2026-04-08 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2026-04-21 |
| 2026-01-22 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2026-03-02 |
| 2026-01-22 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | complaint | corrected 2026-03-02 |
| 2025-11-18 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2025-11-25 |
| 2025-11-18 | Keep all essential equipment working safely. | D | complaint | corrected 2025-11-25 |
| 2025-10-20 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2025-10-24 |
| 2025-07-14 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | complaint | corrected 2025-07-25 |
| 2025-07-14 | Ensure that residents are free from significant medication errors. | D | complaint | corrected 2025-07-25 |
| 2025-06-04 | Keep residents' personal and medical records private and confidential. | E | Health | corrected 2025-07-03 |
| 2025-06-04 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Health | corrected 2025-07-03 |
| 2025-06-04 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2025-07-03 |
| 2025-06-04 | Provide and implement an infection prevention and control program. | E | Health | corrected 2025-07-03 |
| 2025-06-04 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Health | corrected 2025-07-03 |
| 2025-06-04 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Health | corrected 2025-07-03 |
| 2025-06-04 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2025-07-03 |
| 2025-06-04 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2025-07-03 |
| 2025-06-04 | 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 | Health | corrected 2025-07-03 |
| 2025-06-04 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Health | corrected 2025-07-03 |
| 2025-06-04 | 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 | Health | corrected 2025-07-03 |
| 2025-06-04 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Health | corrected 2025-07-03 |
| 2025-06-04 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2025-07-03 |
| 2025-06-04 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Health | corrected 2025-07-03 |
| 2025-06-04 | Post nurse staffing information every day. | C | Health | corrected 2025-07-03 |
| 2025-02-25 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | complaint | corrected 2025-03-20 |
| 2025-02-25 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2025-01-23 |
| 2024-08-30 | Protect each resident from the wrongful use of the resident's belongings or money. | D | complaint | corrected 2024-09-19 |
| 2024-08-30 | 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 | corrected 2024-09-19 |
| 2024-07-17 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-08-14 |
| 2024-07-17 | Respond appropriately to all alleged violations. | D | complaint | corrected 2024-08-14 |
| 2024-06-24 | 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 | Health | corrected 2024-07-17 |
| 2024-06-24 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2024-07-17 |
| 2024-06-24 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2024-07-17 |
| 2024-06-24 | 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 | Health | corrected 2024-07-17 |
| 2024-06-24 | 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 | Health | corrected 2024-07-17 |
| 2024-06-24 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Health | corrected 2024-07-17 |
| 2024-06-24 | 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 | Health | corrected 2024-07-17 |
| 2024-04-04 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | complaint | corrected 2024-04-29 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| HORNER, JOHN | Corporate Officer | Individual | NOT APPLICABLE | since 05/19/2014 |
| THE WATERS OF CLIFTY FALLS, LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 05/19/2014 |
| HANDY, SHAYNE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/19/2014 |
| HORNER, JOHN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/19/2014 |
| JONES, KATHY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/19/2014 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 155209. Corrections: data@carerecords.org.