Waters Of Clifty Falls, The - 1-Star Rehab Facility in Madison, IN | PlacetClinical Quality Indicators
Long-stay residents , lower is better
Antipsychotic medication use 15.13%Falls causing major injury 4.71%Pressure ulcers (high-risk) 4.54%Admissions Contacts
No admissions contacts on file yet.
CMS Star Ratings
Last inspected: Nov 2025 (203 days ago)🔍 Health Inspection
1/5
★☆☆☆☆
📊 Quality Measures
3/5
★★★☆☆
Medicare
Source: CMS MDS Quality Measures. Updated quarterly.
State avg: 40 min · US avg: 41 min
Total Nurse / Resident / Day
2h 46m
State avg: 3h 43m · US avg: 3h 53m
1 min
State avg: 4 min · US avg: 4 min
31 per 100
State avg: 47 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
Weekend vs. Weekday RN
78%above avg
US avg: 64%
Total Nurse Weekend
1h 55m
Federal Penalties
No federal penalties in the past 3 years.
✅ No penalty records on file
Inspection Citations
Survey: November 18, 2025(6 citations)
🟠 Actual HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmEnvironmental DeficienciesComplaint
🟠 Actual HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmEnvironmental DeficienciesComplaint
🟠 Actual HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmEnvironmental DeficienciesComplaint
Survey: October 20, 2025(3 citations)
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
Survey: July 14, 2025(6 citations)
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmPharmacy Service DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmPharmacy Service DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
Survey: June 4, 2025(45 citations)
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
Survey: February 25, 2025(6 citations)
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmEnvironmental DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmEnvironmental DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for Harm
+ 8 more survey(s) not shown in snapshot
28.0 per 100
State avg: 22.4 · US avg: 23.9
10.8 per 100
State avg: 10.5 · US avg: 12.0
4.7 per 100
State avg: 3.8 · US avg: 3.3
4.5 per 100
State avg: 4.1 · US avg: 5.1
8.5 per 100
State avg: 1.3 · US avg: 1.6
92.4 per 100
State avg: 79.0 · US avg: 79.7
Rates shown per 100 patients · Green = better than average · Amber = average · Red = below average
VBP Performance Score
23/100
Incentive Payment
-1.70% penalty
Healthcare-Assoc. Infections
8.1 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Avg Length of Stay
34.6 days
Avg Payment / Stay
$15,329.66
Patient Complexity
2.61 × avg
Avg LOS 15-30 days is typical for short-term rehab · Patient complexity = HCC risk score (1.0 = national average; higher = sicker patient mix)
🟡 Potential for Harm
Pharmacy Service Deficiencies
Complaint
⚪ MinimalNursing and Physician Services Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmEnvironmental Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
⚪ MinimalNursing and Physician Services Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmEnvironmental Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
⚪ MinimalNursing and Physician Services Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmEnvironmental Deficiencies
Environmental Deficiencies
Complaint
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