The Waters of Clifty Falls
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.
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
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.
View Other Options Near You
Medicare Star Ratings
Official CMS ratings based on health inspections, staffing, and quality measures
Data as of December 2025
Star Ratings History
Quarterly performance from 2013-2026
How Does This Facility Compare?
Compared to 166 other nursing homes in Rural IN
Based on CMS Medicare star ratings. Higher ratings indicate better performance.
Staffing Hours per Resident Day
Staffing data from CMS Payroll-Based Journal. Higher hours generally indicate more direct care time.
Staff Turnover Rate
Lower turnover rates generally indicate a more stable workforce and better continuity of care.
Agency/Contract Staff Usage
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
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
Staffing Trends
Direct care minutes per resident per day
Occupancy Rate History
Average daily residents as a percentage of certified beds
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
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)
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)
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
Average Length of Stay
How long residents typically stay at this facility
Based on fiscal year 2023 cost report data
Services
Comprehensive skilled nursing services, rehabilitation programs, and medical care in MADISON
Looking for Caregiver or Nursing Jobs?
Create a free profile to connect with senior care employers in Madison, IN. Browse open positions, get matched with opportunities, and take the next step in your caregiving career.
Find Jobs Near MeReviews
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!!!!!
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
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.
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.
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❤️
Explore Skilled Nursing Facilities Near Madison
Discover skilled nursing facilities in nearby communities
Hanover
5.0 mi away
Kent
7.3 mi away
Canaan
9.1 mi away
Brooksburg
9.1 mi away
Dupont
10.5 mi away
Lamb
12.7 mi away
Deputy
13.4 mi away
Blocher
13.7 mi away
Paris Crossing
13.7 mi away
Commiskey
14.3 mi away
New Washington
15.8 mi away
Grayford
16.4 mi away
Cross Plains
16.4 mi away
New Marion
16.9 mi away
Vevay
17.9 mi away
Find Additional Care Services in Madison
Explore additional care options and services available in your area