Waters Of Clifty Falls, The - Madison Nursing Home

General Information

UPDATE
Federal Provider Number
155209
Provider Name
WATERS OF CLIFTY FALLS, THE
Provider Address
950 CROSS AVE
MADISON, IN 47250
Provider Phone Number
(812) 273-4640
Provider SSA County
380
Provider County Name
Jefferson
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
138
Number of Residents in Certified Beds
95
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MAJOR HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1983-01-20
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.90579
Reported LPN Staffing Hours per Resident per Day
0.62474
Reported RN Staffing Hours per Resident per Day
0.62474
Reported Licensed Staffing Hours per Resident per Day
1.24947
Reported Total Nurse Staffing Hours per Resident per Day
3.15527
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07211
Expected CNA Staffing Hours per Resident per Day
2.49456
Expected LPN Staffing Hours per Resident per Day
0.68879
Expected RN Staffing Hours per Resident per Day
1.12904
Expected Total Nurse Staffing Hours per Resident per Day
4.31239
Adjusted CNA Staffing Hours per Resident per Day
1.87457
Adjusted LPN Staffing Hours per Resident per Day
0.75282
Adjusted RN Staffing Hours per Resident per Day
0.41345
Adjusted Total Nurse Staffing Hours per Resident per Day
2.94931
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2015-03-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2014-01-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
76
Cycle 3 Total Number of Health Deficiencies
18
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
132
Cycle 3 Standard Health Survey Date
2012-10-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
132
Total Weighted Health Survey Score
65.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
8
Number of Fines
2
Total Amount of Fines in Dollars
8248
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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