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Waters Of Clifty Falls, The
950 CROSS AVE
Madison, IN 47250
(812) 273-4640
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 138 |
| Number of Residents: | 95 |
| Percent of Occupied Beds: | 69% |
| Sprinkler Status: | Fully Sprinklered |
| Program Participation: | Medicare and Medicaid |
| Type of Ownership: | For profit - Corporation |
| Located Within a Hospital? | No |
| Multi Nursing Home Ownership? | Yes |
| Resident and Family Councils? | Resident |
| Continuing Care Retirement Community? | No |
| Quality Indicator Survey? | No |
| Special Focus Facility? | No |
| Overall: |  |
| Health Inspection: |  |
| Nurse Staffing: |  |
| Quality Measures: | |
| RN Only: | |
| Date | Type | Category | Deficiency | Scope | Level of Harm | Date of Correction |
| 20071129 | Health | Resident Rights Deficiencies | Provide care in a way that keeps or builds each resident's dignity and self respect. | Isolated | Minimal harm or potential for actual harm | 20080124 |
| 20071129 | Health | Resident Assessment Deficiencies | Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | Isolated | Minimal harm or potential for actual harm | 20080228 |
| 20071129 | Health | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | Isolated | Actual harm | 20080124 |
| 20071129 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Actual harm | 20080228 |
| 20071129 | Health | Quality Care Deficiencies | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Isolated | Actual harm | 20080124 |
| 20071129 | Health | Resident Assessment Deficiencies | Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | Isolated | Minimal harm or potential for actual harm | 20080124 |
| 20080124 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Isolated | Minimal harm or potential for actual harm | 20080228 |
| 20080124 | Health | Resident Assessment Deficiencies | Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | Isolated | Minimal harm or potential for actual harm | 20080228 |
| 20080724 | Health | Resident Assessment Deficiencies | Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | Isolated | Minimal harm or potential for actual harm | 20080818 |
| 20080724 | Health | Resident Assessment Deficiencies | Get doctor orders for the resident's immediate care when admitted. | Isolated | Minimal harm or potential for actual harm | 20080819 |
| 20080724 | Health | Pharmacy Service Deficiencies | 1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. | Isolated | Minimal harm or potential for actual harm | 20080819 |
| 20080724 | Health | Resident Assessment Deficiencies | Make sure that a doctor approves a resident's admission in writing and that each resident has a doctor. | Isolated | Minimal harm or potential for actual harm | 20080819 |
| 20080724 | Health | Resident Assessment Deficiencies | Develop a plan with the resident and family for the resident's care after leaving the nursing home. | Isolated | Minimal harm or potential for actual harm | 20080819 |
| 20080724 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Minimal harm or potential for actual harm | 20080819 |
| 20080724 | Health | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | Isolated | Minimal harm or potential for actual harm | 20080819 |
| 20081024 | Health | Quality Care Deficiencies | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Isolated | Minimal harm or potential for actual harm | 20081123 |
| 20081024 | Health | Resident Assessment Deficiencies | Make a complete assessment that covers all questions for areas that are listed in official regulations. | Isolated | Minimal harm or potential for actual harm | 20081123 |
| 20081024 | Health | Resident Assessment Deficiencies | Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | Isolated | Minimal harm or potential for actual harm | 20081123 |
| 20090924 | Health | Resident Assessment Deficiencies | Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | Isolated | Minimal harm or potential for actual harm | 20091020 |
| 20090924 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Minimal harm or potential for actual harm | 20091020 |
| 20090924 | Health | Resident Rights Deficiencies | Try to resolve each resident's complaints quickly. | Isolated | Minimal harm or potential for actual harm | 20091020 |
| 20100211 | Health | Quality Care Deficiencies | Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Isolated | Minimal harm or potential for actual harm | 20100409 |
| 20100211 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Isolated | Minimal harm or potential for actual harm | 20100409 |
| 20100311 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Isolated | Minimal harm or potential for actual harm | 20100409 |
| 20100311 | Health | Quality Care Deficiencies | Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Isolated | Minimal harm or potential for actual harm | 20100409 |
| 20100311 | Health | Quality Care Deficiencies | Give professional services that follow each resident's written care plan. | Isolated | Minimal harm or potential for actual harm | 20100409 |
| 20100311 | Health | Resident Rights Deficiencies | Provide care in a way that keeps or builds each resident's dignity and self respect. | Isolated | Minimal harm or potential for actual harm | 20100409 |
| 20100311 | Health | Environmental Deficiencies | Provide needed housekeeping and maintenance. | Isolated | Minimal harm or potential for actual harm | 20100409 |
| 20100311 | Health | Resident Rights Deficiencies | Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | Isolated | Minimal harm or potential for actual harm | 20100409 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 97 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 98 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 20 | |
| Percent of long-stay residents who have moderate to severe pain: | 2 | |
| Percent of high-risk long-stay residents who have pressure sores: | 7 | |
| Percent of low-risk long-stay residents who have pressure sores: | 0 | |
| Percent of long-stay residents who were physically restrained: | 2 | |
| Percent of long-stay residents who are more depressed or anxious: | 16 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 57 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 6 | |
| Percent of long-stay residents who spend most of their time in bed or in a chair: | 3 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 7 | |
| Percent of long-stay residents who had a urinary tract infection: | 8 | |
| Percent of long-stay residents who lose too much weight: | 6 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 96 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 99 | |
| Percent of short-stay residents who have delirium: | 0 | |
| Percent of short-stay residents who had moderate to severe pain: | 2 | |
| Percent of short-stay residents who have pressure sores: | 9 | |
| # of Residents: | 95 |
| # RN Hours per Resident: | 0.82 |
| # LPN Hours per Resident: | 0.69 |
| # CNA Hours per Resident: | 2.91 |
| Total Staff Hours per Resident: | 1.51 |
