Waters of Clifty Falls, The

Madison, IN • 2.76 HPRD • 101 residents • For Profit • Entity: Infinity Healthcare ConsultingMadison, IN • 2.76 HPRD • 101 residentsFor Profit • Infinity Healthcare Consulting

PBJ Takeaway: Waters of Clifty Falls, The

2.76 HPRD2.76 HPRD (2.59 Direct HPRD)101 residentsStaffing: ★★Overall: ★

Waters of Clifty Falls, The reported 2.76 HPRD (≈ 8.7 residents per total staff) in Q3 2025. This level is below its case-mix (acuity) 5.10 HPRD and in the bottom 5% of nursing homes in Indiana (3.65 HPRD).

Put another way… On a typical 30-bed floor at Waters of Clifty Falls, The you’d see about 3.5 staff, including 2.2 nurse aides. For the entire 101-resident facility, that’s about 11.6 total staff, including 7.6 nurse aides.

320 Consulting

Reported vs. Case-Mix (Acuity)

Case-mix is a CMS metric based on resident acuity.

Reported HPRD (2.76) is 54.2% of case-mix (5.10).

Total Staffing: Waters of Clifty Falls, The

Total Staffing

Waters of Clifty Falls, The

Direct staff excludes Admin/DON. State minimums via MACPAC (2022) may reflect calculated HPRD equivalents. Direct staff excludes Admin/DON. State minimums via MACPAC may reflect calculated HPRD equivalents.

RN Staffing: Waters of Clifty Falls, The

RN Staffing

Waters of Clifty Falls, The

Census: Waters of Clifty Falls, The

Census

Waters of Clifty Falls, The

Contract Staff %: Waters of Clifty Falls, The

Contract Staff %

Waters of Clifty Falls, The

Request custom PBJ analysis for litigation and investigative reporting.Request custom PBJ analysis.

Methodology

This dashboard uses CMS Payroll-Based Journal (PBJ) data (2017–2025), along with other public datasets (Provider Information, Affiliated Entity). State staffing standards via MACPAC (2022).

Metrics

Hours Per Resident Day (HPRD): Total staff hours ÷ average residents. Example: 350 hours for 100 residents = 3.5 HPRD.
Direct Care (excl. Admin, DON): Hours per resident day for direct care staff only (RN, LPN, CNA, NAtrn, MedAide), excluding administrative and supervisory roles.
Contract Staff %: Share of hours provided by contract staff.
Census: Average number of residents during the period.

Note: Some states set minimums (e.g., NJ, CA, NY at 3.5 HPRD); a federal 3.48 minimum was recently overturned (2025). A 2001 federal study linked 4.1 HPRD to better outcomes in that study. Staffing needs vary by resident acuity (case-mix), day, and shift. Estimates on PBJ Takeaway assume roughly 60% of staff are CNAs.

Data transparency

The PBJ Dashboard pulls directly from CMS data and is carefully vetted for accuracy. Still, sometimes a bug sneaks into the jelly. That could mean: a systemic CMS data reporting issue (e.g., Q2 2017 contract staffing, missing data in 2020 due to COVID) or there could be a coding error on our part. If you spot something that looks off, please let me know via the contact form so I can set things right.