The Waters of Clifty Falls
The Waters of Clifty Falls
2.3 (38 reviews)
Skilled Nursing Facility • 138 Licensed Beds
950 Cross Ave, Madison, IN
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
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The Waters of Clifty Falls

Skilled Nursing Facility • 138 Licensed Beds
950 Cross Ave,
Madison, IN
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
View details →
About

The Waters of Clifty Falls – Medicare Certified Since 1983

The Waters of Clifty Falls is a Medicare and Medicaid certified skilled nursing facility located in Madison, Indiana. This facility has been serving the community for 43 years. A Medicare-certified skilled nursing facility provides 24-hour nursing care, rehabilitation services, and assistance with activities of daily living for patients who need skilled nursing or rehabilitation services on a daily basis.

This facility has 138 certified beds with a current occupancy rate of 71% (averaging 98 residents per day), which is moderate. Skilled nursing facilities provide 24-hour nursing care for patients who need rehabilitation services after a hospital stay or ongoing care for chronic conditions. Services include skilled nursing, physical therapy, occupational therapy, speech therapy, and assistance with daily activities.

Staffing Levels: Based on CMS payroll data, this facility provides approximately 2.89 hours of total nursing care per resident per day (1.9 hours from CNAs, 0.63 hours from LPNs, 0.36 hours from RNs). Physical therapy staffing is 0.04 hours per resident per day. Higher staffing levels are generally associated with better quality outcomes.

Medicare Quality Ratings: According to CMS, The Waters of Clifty Falls has an overall quality rating of 1 out of 5 stars, which is much below average compared to other nursing homes nationwide. Individual category ratings are: health inspection: 1 stars, staffing: 1 stars, quality measures: 3 stars.

Medicare Coverage: Medicare covers skilled nursing facility care for up to 100 days following a qualifying hospital stay of at least 3 days. Days 1-20 are fully covered by Medicare, days 21-100 require a daily coinsurance payment. Many residents also use Medicaid, private insurance, or pay privately for long-term stays.

Questions to Ask: When visiting a nursing home, ask about: staff-to-resident ratios and RN coverage around the clock, how they handle medical emergencies, activities and therapy programs, how they communicate with families, their approach to falls prevention, and policies for managing resident complaints.

Visit Medicare Care Compare to view detailed ratings, inspection reports, staffing data, and compare this facility with others in the area.

Quality ratings and facility data are updated periodically by CMS. We recommend verifying current information at Medicare Care Compare.

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Local Comparison Snapshot

How The Waters of Clifty Falls compares to 166 facilities in Rural IN

Click a measure name to jump to details • Hover over for definitions

Measure
This Facility
Area Avg
Comparison
Overall Rating
Medicare 5-star rating
1
3.3
Quality Measures
Clinical outcomes & safety
3
4
Health Inspections
State survey results
1
3.1
Staffing
Nurse-to-resident ratio
1
2.6
Staffing Hours (per resident/day)
RN Hours
Registered nurses
0.36 hrs
0.69 hrs
LPN/LVN Hours
Licensed practical nurses
0.63 hrs
0.72 hrs
CNA Hours
Certified nursing assistants
1.90 hrs
2.24 hrs
Total Nursing Hours
CNA + LPN + RN combined
2.88 hrs
3.66 hrs
Agency/Contractor Usage
Lower agency use often indicates more stable, consistent care
RN Agency Use
% of RN hours from contractors
0 %
3.6 %
LPN/LVN Agency Use
% of LPN hours from contractors
0 %
4.4 %
CNA Agency Use
% of CNA hours from contractors
0 %
2.5 %
Staff Stability & Occupancy
Staff Turnover
Annual nursing staff turnover
38 %
44 %
Occupancy Rate
Percentage of beds filled
71 %
72 %
Financial Estimate
Based on CMS Cost Report data (for reference only)
Est. Daily Rate
Average cost per day
$361
$342
Estimate Only: This figure is calculated from cost reports and is for informational purposes only. Actual rates vary significantly. See details or contact the facility.
Better than Area
Near Average
Below Area Average

Data from CMS Medicare Compare and Payroll-Based Journal. Area averages based on 166 facilities in Rural IN.
Ratings and staffing data typically reflect the most recent quarterly reporting period available.

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Medicare Star Ratings

Official CMS ratings based on health inspections, staffing, and quality measures

Data as of December 2025

What do Medicare star ratings measure?
Medicare rates nursing homes on a 1-5 star scale based on three key areas: health inspection results, staffing levels, and quality measures like falls and infections.
How often are ratings updated?
CMS updates nursing home ratings monthly. Ratings can change based on new inspection results, staffing data from payroll records, and clinical quality outcomes.
Overall Rating
1/5
Quality Measures
3/5
Health Inspections
1/5
Staffing
1/5

Star Ratings History

Quarterly performance from 2013-2026

View on Medicare.gov
Overall
Health Inspections
Quality
Staffing
Source: Centers for Medicare & Medicaid Services

How Does This Facility Compare?

Compared to 166 other nursing homes in Rural IN

Why compare to local facilities?
Local comparisons account for regional staffing markets and demographics. A facility performing above local averages often indicates strong management and quality care relative to area standards.
The Waters of Clifty Falls
Rural IN Average

Based on CMS Medicare star ratings. Higher ratings indicate better performance.

Staffing Hours per Resident Day

The Waters of Clifty Falls
Rural IN Average

Staffing data from CMS Payroll-Based Journal. Higher hours generally indicate more direct care time.

Staff Turnover Rate

The Waters of Clifty Falls
Rural IN Average

Lower turnover rates generally indicate a more stable workforce and better continuity of care.

Agency/Contract Staff Usage

The Waters of Clifty Falls
Rural IN Average

Lower agency usage often indicates better staff retention. High agency rates (>30%) may suggest staffing challenges.

Agency Staff Trends

Historical agency/contract staff usage by role

What does agency usage indicate?
Agency/contract staff fill temporary staffing gaps. Lower percentages typically indicate a stable, permanent workforce. Facilities with consistently high agency usage (>30%) may face staff retention challenges, though temporary spikes can occur during seasonal illness or transitions.
CNA
LPN
RN

Data from CMS Payroll-Based Journal (PBJ). Agency % = contractor hours / total hours.

Direct Care Staffing

Average minutes of direct nursing care per resident per day

Data as of December 2025

Understanding staffing levels: Higher staffing is associated with better quality outcomes. Research suggests around 4.1 hours of total nursing care per resident per day as a quality benchmark. Compare this facility's staffing to local averages to assess relative care levels.
114
minutes/day
CNAs
Certified Nursing Assistants
38
minutes/day
LPNs
Licensed Practical Nurses
22
minutes/day
RNs
Registered Nurses
2
minutes/day
PTs
Physical Therapists

Staffing Trends

Direct care minutes per resident per day

CNAs
LPNs
RNs
PTs
Source: Centers for Medicare & Medicaid Services

Occupancy Rate History

Average daily residents as a percentage of certified beds

Understanding occupancy: Higher occupancy can indicate strong community reputation and demand. Very low occupancy may affect financial stability, while extremely high occupancy could mean limited bed availability.
The Waters of Clifty Falls
Rural IN Average (72.1%)

Data from CMS Provider Info files. Occupancy = Average Residents per Day / Certified Beds.

Staff Turnover History

Annual percentage of nursing staff who left the facility

Data as of December 2025

Understanding turnover: Lower turnover rates generally indicate a more stable workforce and better continuity of care. High turnover can affect care quality and resident relationships. The national average for nursing homes is around 50-60%.
All Nursing Staff
Registered Nurses (RN)
Area Average

Data from CMS Payroll-Based Journal. Turnover = staff who left during the year / total staff.

Average Daily Rate

Average daily charge for care at this facility

Based on CMS Cost Report data (inpatient revenue ÷ total patient days)

FY 2023 Daily Rate
$361
per resident per day
Compared to 164 facilities in your area
Above local median ($342)
Daily Rate Trend (2018-2023)
Contact Facility for Actual Rates
This figure is an average calculated from cost reports and is for informational purposes only. Actual rates vary significantly based on level of care needed, room type, payer source (Medicare, Medicaid, private pay), and other factors. Please contact the facility directly for current pricing and availability.
How This Is Calculated
This average daily rate is calculated from CMS Cost Reports by dividing total inpatient revenue by total patient days. It represents an average across all payers and care levels. Higher rates may indicate more intensive care, specialized services, or regional cost factors.

Data Source: Financial data from CMS Skilled Nursing Facility Cost Reports. Data typically lags 1-2 years. This information is for educational purposes only and should not be the sole basis for financial or care decisions. CareListings does not guarantee accuracy.

Financial Health

Comprehensive financial indicators from CMS Cost Reports

Data from fiscal year 2023 (most recent available - cost report data lags ~2 years)

For-Profit Facility

Financial Summary

Metric This Facility Local Median Comparison
Operating Margin
Profitability ratio
22% 0% Above
Net Income
Annual profit or loss
$2,369,814 $122,165 Above
Staff Cost per Resident
Daily salary expense per resident
$106/day $143/day Lower
Occupancy Rate
Bed utilization percentage
71% 70% Higher
Est. Daily Rate
Average revenue per patient day
$361/day $342/day Higher
Total Beds
Licensed bed capacity
138 95 Larger

Local comparisons based on 164 skilled nursing facilities in the Indiana (Rural) metro area

Revenue & Expenses

Net Patient Revenue
After adjustments & allowances
$10,876,413
Operating Expenses
Total operating costs
$8,511,964
Total Salaries
Staff compensation
$3,473,487

Payer Mix

Medicare
9%
Medicaid
69%
Private Pay & Other
23%

Operating Margin Trend (2018-2023)

Understanding Financial Health
Operating Margin: Percentage of revenue remaining after operating costs. Positive = profitable operations.
Staff Investment: Higher spending per resident often correlates with better care quality.
Payer Mix: Shows revenue sources. Higher Medicare % typically means more post-acute/rehab care; higher Medicaid % indicates more long-term care residents.
Nonprofit/Government: May operate with lower margins while still providing quality care due to community mission.

Data Source: All financial data on this page comes from CMS Skilled Nursing Facility Cost Reports submitted by the facility to the Centers for Medicare & Medicaid Services. This information is provided for educational purposes only and should not be the sole basis for any financial or care decisions. Cost report data typically lags 1-2 years. CareListings does not guarantee the accuracy of this data.

Who Stays Here

Breakdown of residents by payment type

Based on fiscal year 2023 cost report data

Total Days
32,790
Medicare
Short-term skilled nursing
9%
Medicaid
Long-term care residents
69%
Private Pay / Other
Self-pay, insurance, VA
23%
Higher Medicare %
Indicates more short-term rehabilitation residents. Medicare typically covers up to 100 days of skilled nursing care after a hospital stay.
Higher Medicaid %
Indicates more long-term care residents. Medicaid covers nursing home care for those who qualify financially.

Average Length of Stay

How long residents typically stay at this facility

Based on fiscal year 2023 cost report data

Overall Average
123.27
days
Medicare Stays
68.56
days
Medicaid Stays
181.56
days
Total Admissions
273
Total Discharges
266
Medicare (Short-Term)
Medicare covers skilled nursing for rehabilitation after a hospital stay. Typical stays are 20-30 days for recovery from surgery, stroke, or illness.
Medicaid (Long-Term)
Medicaid covers long-term nursing home care for those who qualify. Many residents stay months or years, receiving ongoing daily care and support.

Services

Comprehensive skilled nursing services, rehabilitation programs, and medical care in MADISON

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Reviews

2.3 (38 reviews)
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Ginger Lyles's profile photo
Ginger Lyles in the last week

If I could rate this place a 0 I would. Well let's see where should I begin?! From the social worker,business manager ,and some of the nurses. I absolutely do not recommend this place. I am so infuriated about the care that was given to my 78 year old father who is a Vietnam vet and has dementia. First off they do not stay In touch with you for nothing about your loved ones. You are practically left in the dark about them. The communication sucks. They harass you over their ridiculous rate of 241.50 A DAY plus other fees about what you owe them. My Dad has found bugs in his food, has been talked to like a child, and was made to wait for hours at a time for his pain medicine. Dad was getting VERY DEPRESSED in this hell hole. I was so very fortunate to get him out of there. However when I got him his foot was and still is infected with a foul smelling odor and drainage. That is not acceptable. He also reeked of urine and didn't get hardly get any baths. His clothes were NOT washed .they also served him oversalted dinners. No one hardly told me anything about his foot. On the way to get him one of the nurses or staff talked to me like I was stupid and said are you going to leave your Dad overnight by himself at the motel? I MEAN CMON REALLY?!?! I am a caregiver and a medical student and have been for quite some time. So they talk to you like you are dumb!!! Then no one told me LYFT OR UBER came out that far so thankfully I was able to get a taxi to meet me to get him. If you want your loved one to go down hill fast and die send them here. If I had known MONTHS ago all of this HE WOULD HAVE NEVER went here!!! Stay FAR FAR AWAY from these people!!!!!

Savannah Krout's profile photo
Savannah Krout 5 months ago

DO NOT take your loved ones here I don't care if it's your last option or for wound care or what have you. The STAFF are bullies and neglectful. My dad was under their care for only 12 hours and they did not have his med vac hooked up which was CRITICAL for his care, did not have his meds the next morning, told him "you're fine" when requesting pain meds in the earlier evening. He had a fasciotomy and thought he'd be under better care here. Wrong. He listened to some older lady yell for help all night. (I'm so sorry if this is your loved one). He told them he was going to have his daughter (me) pick him up and he wanted to leave and the head nurse shouted "let him leave" at him as if taunting him because he was unable to physically walk. Speaking of. No one even asked or helped him to the bathroom and offered no substitute! I immediately took over his care and brought him home. I spent half the day at a hospital trying to reverse the damage of not being hooked up the med vac that he had been on for 2 weeks at the hospital prior to being admitted to their care. They never hooked it up and made excuses as to why. but even while there to pick him up, A nurse stopped me and told me "he doesn't need therapy" and I was told "he's not old, he doesn't want to be here" as if I hadn't been in direct communication with my father the whole time. Cameras are not allowed but they should be DEMANDED. All these young nurses and not a single one showing any empathy or actual care for their clients. None of them even large enough to help anyone who physically needs assistance. This place needs SHUT DOWN. Your loved ones will die unhappily here. I'm telling you as a trained medical advocate, DO NOT TAKE YOUR LOVES ONES HERE. It's not funding, it's not understaffed, it's not management. It's NEGLECTFUL and ABUSE

Carol Wells's profile photo
Carol Wells 3 months ago

My Dad was admitted on the evening of June 17, 2025. His diagnosis was Dementia with vivid hallucinations. The facility overdosed Daddy on insulin. The order for his insulin from the VA Hospital in Indianapolis read: Give 5 units of insulin at bedtime if blood glucose is over 70. What the facility entered into Daddy's chart was: Give 70 units of insulin at bedtime. What he was given: June 17th: 70 units at bedtime. June 18th: no insulin given. (the night shift nurse thought the order seemed like too much insulin so she was leaving it up to the day nurse.) June 19th: 70 units of insulin given at breakfast. June 18th was Daddy's 85th birthday. On the 19th my sister and I took a birthday cake for Daddy's birthday. We had talked to him on his birthday and he wanted a chocolate cake. We arrived at the facility at approximately 10 am. We talked with him for a little while, just getting very little interaction. He said he was tired and laid down. I told him to sit up so he could eat his cake, he just shrugged a shoulder. A little later I told him to sit up so he could get ready for lunch, again he just shrugged his shoulder. He started snoring, so my sister and I decided he just needed a nap. We went to Walmart to get him some snacks and things. We got back to the nursing facility around 2pm. Daddy was still sleeping and snoring. I tried waking him up by hollering and shaking him. I didn't get any response. I went and talked to the nurse because I was concerned that I couldn't get any response from him. I asked her if Daddy had been given any medications that would make him sleepy. I knew he had a PRN medication he could be given if he was agitated. She told me he had not been given anything. She told me that he had walked down to the community room for breakfast and he had eaten well. I told her I was concerned about not being able to wake him. I told her I had shook him and was hollering. I also told her that he is not hard to wake up. She said that he was just tired from being in a new place and adjusting, not to worry. I went back to his room. We arranged his snacks and got everything organized and put away. Continued to try to wake him up and couldn't. We decided to go ahead and leave around 3 pm or so, as he was in a deep sleep. As we were about to leave, PT came in the room. She couldn't wake him either and decided to let him sleep and come back later. We had a 3 hour drive home. Just as we got home, we got a phone call from our niece that is an LPN at the facility. She had been off work on vacation. She returned home from vacation the evening of the 19th and decided to visit Daddy and take him dinner. When she entered the room she heard his snoring and knew it wasn't right. She also could not wake him, not even with sternum rubs she got no response. She told them to call 911. EMT checked his sugar and his glucose at the time was 58. Daddy was taken to the hospital, ended up on a ventilator and flown to Indianapolis VA. He was on a ventilator for a week without any form of sedation. He did have aspiration pneumonia, but that did not explain the initial comatose state. Nor did it explain him being able to tolerate being on a ventilator for a week without any type of sedation. We eventually made the decision to remove the ventilator and nasal feeding tube and put Daddy on hospice. We lost our Dad on July 11, 2025. He was in the Waters facility for about 48 hours.

Chris's profile photo
Chris 3 months ago

The nursing staff and CNA staff is very slow at helping the patients. When you the patient ask for help it seems they don't want to help or complain about it.

Twyla Moon's profile photo
Twyla Moon 12 months ago

Absolutely a great facility! The nursing staff treat all of their residents as their own family. Mindy and Jerry have definitely made this facility a better place. Our granny love the staff and her room they definitely make her feel welcomed and at home. Thank you for all you do! Brandon & Twyla Eubank❤️

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