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Waters Of Clifty Falls, The

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About Waters Of Clifty Falls, The

General Information

Legal Business NameMajor Hospital
Ownership TypeGovernment - County
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJanuary 20, 1983 (34 years)
Capacity138
Residents95
Percent Occupied69%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Waters Of Clifty Falls, The

Waters Of Clifty Falls, The
was reviewed by Medicare to have a rating of 1 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Indiana Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

July 1, 2015 - 18 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.

May 12, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionExits that are accessible at all times.

March 27, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
DFewPotential for HarmHealth InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

September 18, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
BSomePotential for Minimal HarmComplaintProtect each resident from all abuse, physical punishment, and involuntary separation from others.

February 24, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionProperly installed hallway dispensers for alcohol-based hand rub.
ESomePotential for HarmFire Safety InspectionAn approved automatic sprinkler system connected to the fire alarm system.
ESomePotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
ESomePotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.

January 31, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$7,898 fine
GFewActual HarmComplaint+InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionListen to the resident groups and act on their complaints and suggestions that affect resident care and life.
ESomePotential for HarmComplaint+InspectionHave enough nurses to care for every resident in a way that maximizes the resident's well being.
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
DFewPotential for HarmHealth InspectionProtect each resident from mistreatment, neglect and misappropriation of personal property.
DFewPotential for HarmHealth InspectionDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
DFewPotential for HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.
DFewPotential for HarmHealth InspectionAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.

March 21, 2013 - 4 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$350 fine

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Waters Of Clifty Falls, The require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

1hr 55min
2hr 30min
ReportedExpected
CNA
35min
40min
ReportedExpected
LPN
35min
1hr 10min
ReportedExpected
RN
3hr 10min
4hr 25min
ReportedExpected
Total Nursing

This facility also provides approximately 30min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

88.4%
72.6%
72.6%
94.7%
Q1 2015Q2 2015Q3 2015IN
Assessed and Appropriately Given the Seasonal Influenza Vaccine
65.5%
71.1%
75.9%
93.7%
Q1 2015Q2 2015Q3 2015IN
Assessed and Appropriately Given the Pneumococcal Vaccine
45.7%
41.7%
38.9%
48.7%
Q1 2015Q2 2015Q3 2015IN
Low Risk Residents Who Lose Control of Their Bowel or Bladder
22.5%
26.6%
36.7%
17.4%
Q1 2015Q2 2015Q3 2015IN
Received an Antipsychotic Medication
23.6%
23.3%
12.5%
16.6%
Q1 2015Q2 2015Q3 2015IN
Need for Help with ADLs has Increased
-
6.6%
14.5%
7.1%
Q1 2015Q2 2015Q3 2015IN
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
12.0%
7.2%
8.4%
8.0%
Q1 2015Q2 2015Q3 2015IN
Lose Too Much Weight
3.1%
4.7%
6.3%
6.5%
Q1 2015Q2 2015Q3 2015IN
High Risk Residents With Pressure Ulcers
0.0%
0.0%
0.0%
6.5%
Q1 2015Q2 2015Q3 2015IN
Have Depressive Symptoms
3.6%
9.6%
4.8%
4.8%
Q1 2015Q2 2015Q3 2015IN
With a Urinary Tract Infection
2.4%
3.6%
4.8%
3.5%
Q1 2015Q2 2015Q3 2015IN
Experiencing One or More Falls with Major Injury
3.0%
7.0%
6.2%
2.9%
Q1 2015Q2 2015Q3 2015IN
With a Catheter Inserted and Left in Their Bladder
1.2%
1.2%
1.2%
0.7%
Q1 2015Q2 2015Q3 2015IN
Were Physically Restrained

Quality Measures for Short Stay Residents

68.7%
54.1%
54.8%
81.7%
Q1 2015Q2 2015Q3 2015IN
Assessed and Appropriately Given the Pneumococcal Vaccine
45.9%
28.9%
28.9%
82.3%
Q1 2015Q2 2015Q3 2015IN
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
25.9%
22.9%
22.2%
16.7%
Q1 2015Q2 2015Q3 2015IN
Self Report Moderate to Severe Pain
1.6%
5.6%
4.2%
2.4%
Q1 2015Q2 2015Q3 2015IN
Newly Received an Antipsychotic Medication
2.8%
2.3%
5.1%
1.6%
Q1 2015Q2 2015Q3 2015IN
With Pressure Ulcers That Are New or Worsened