ElderGrade
D

51/100

Below average

Waters Of Clifty Falls, The

950 Cross Ave, Madison, IN 47250

CMS 1/5 stars #4 of 5 in Jefferson County (812) 273-4640
Certified beds
138
Occupancy
70%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 1 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection 16/30 Staffing 8/30 Stability 12/15 Outcomes 5/15 Enforcement 10/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.

Inspection safety

16/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -4 for 1 actual-harm citation(s) in the last 3 years
  • -10 for 47 total citations against a national median of 17

Staffing

8/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 2.16 total nurse hours per resident per day (national median 3.77)
  • 0.34 RN hours per resident per day
  • Weekend staffing drops 6% against weekdays

Staff stability

12/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 44% of nursing staff left in the last year

Resident outcomes

5/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 2 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 2.88 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.34 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 2.70 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 44.10%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 57 citations

Last standard health inspection: June 4, 2025 (1 year ago).

D May 14, 2026 F0690 From a complaint

Quality of Life and Care Deficiencies

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

No actual harm, potential for more than minimal harm

D May 14, 2026 F0842 From a complaint

Resident Assessment and Care Planning Deficiencies

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

No actual harm, potential for more than minimal harm

D Apr 8, 2026 F0686 From a complaint

Quality of Life and Care Deficiencies

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

No actual harm, potential for more than minimal harm

D Apr 8, 2026 F0842 From a complaint

Resident Assessment and Care Planning Deficiencies

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

No actual harm, potential for more than minimal harm

D Jan 22, 2026 F0684 From a complaint

Quality of Life and Care Deficiencies

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

No actual harm, potential for more than minimal harm

D Jan 22, 2026 F0686 From a complaint

Quality of Life and Care Deficiencies

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

No actual harm, potential for more than minimal harm

G Nov 18, 2025 F0689 From a complaint

Quality of Life and Care Deficiencies

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

Actual harm to a resident

D Nov 18, 2025 F0908 From a complaint

Environmental Deficiencies

Keep all essential equipment working safely.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of INFINITY HEALTHCARE CONSULTING, which operates 70 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
HANDY, SHAYNE Individual CONTRACTED MANAGING EMPLOYEE
JONES, KATHY Individual CONTRACTED MANAGING EMPLOYEE
HORNER, JOHN Individual CORPORATE OFFICER
THE WATERS OF CLIFTY FALLS, LLC Organization OPERATIONAL/MANAGERIAL CONTROL
HANDY, SHAYNE Individual OPERATIONAL/MANAGERIAL CONTROL
HORNER, JOHN Individual OPERATIONAL/MANAGERIAL CONTROL
JONES, KATHY Individual OPERATIONAL/MANAGERIAL CONTROL

What families say

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Common questions about Waters Of Clifty Falls, The

What is the ElderGrade for Waters Of Clifty Falls, The? +

Waters Of Clifty Falls, The holds an ElderGrade of D (51 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Waters Of Clifty Falls, The? +

Residents receive an average of 2.88 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Waters Of Clifty Falls, The been cited for harming residents? +

Yes. 1 of the 57 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Waters Of Clifty Falls, The accept Medicaid? +

Yes, Waters Of Clifty Falls, The is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.