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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 TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJanuary 20, 1983 (35 years)
Capacity138
Residents91
Percent Occupied66%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
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 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

September 1, 2016 - 15 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmComplaintStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmComplaintProvide housekeeping and maintenance services.

May 25, 2016 - 1 year ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmComplaintHave enough nurses to care for every resident in a way that maximizes the resident's well being.

April 19, 2016 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProvide medically-related social services to help each resident achieve the highest possible quality of life.

January 26, 2016 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
ESomePotential for HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionPrepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
ESomePotential for HarmHealth InspectionHave enough nurses to care for every resident in a way that maximizes the resident's well being.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

July 1, 2015 - 2 years 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.

March 27, 2015 - 3 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.

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 45min
2hr 25min
ReportedExpected
CNA
40min
40min
ReportedExpected
LPN
35min
1hr 10min
ReportedExpected
RN
2hr 55min
4hr 15min
ReportedExpected
Total Nursing

This facility also provides approximately 25min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

72.6%
83.9%
83.9%
83.9%
93.3%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
71.6%
82.9%
82.2%
82.9%
92.8%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
25.9%
30.0%
51.7%
53.8%
49.5%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of low risk long-stay residents who lose control of their bowels or bladder
28.2%
32.9%
37.9%
33.3%
22.5%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents who received an antianxiety or hypnotic medication
24.0%
22.6%
22.6%
20.7%
18.3%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents whose ability to move independently worsened
38.2%
33.8%
31.3%
32.3%
15.9%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents who received an antipsychotic medication
21.3%
20.3%
22.2%
9.2%
16.7%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents whose need for help with daily activities has increased
8.2%
1.5%
6.9%
6.1%
6.6%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents who self-report moderate to severe pain
8.2%
6.8%
9.6%
17.4%
7.6%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents who lose too much weight
4.2%
6.2%
1.9%
2.0%
6.1%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of high risk long-stay residents with pressure ulcers
0.0%
0.0%
1.6%
6.2%
8.5%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents who have depressive symptoms
12.3%
9.5%
4.1%
2.9%
3.9%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents with a urinary tract infection
4.1%
3.9%
4.1%
5.7%
3.6%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents experiencing one or more falls with major injury
2.7%
1.2%
1.2%
1.1%
2.2%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.5%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

50.6%
67.1%
77.2%
60.7%
81.1%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
28.9%
76.5%
76.5%
76.5%
80.2%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
-
-
72.9%
75.3%
63.3%
Q4 2015Q1 2016Q2 2016Q3 2016IN
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who made improvements in function
30.0%
28.6%
17.2%
23.4%
15.7%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of short-stay residents who self-report moderate to severe pain
1.9%
3.9%
0.0%
2.2%
2.2%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of short-stay residents who newly received an antipsychotic medication
3.6%
3.0%
1.1%
1.0%
1.5%
Q4 2015Q1 2016Q2 2016Q3 2016IN
Percentage of short-stay residents with pressure ulcers that are new or worsened