Connecticut › South Central Ct County › Madison
Autumn Lake Healthcare At Madison
34 Wildwood Avenue, Madison, CT 06443
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Autumn Lake Healthcare At Madison, in Madison, Connecticut, is certified for 90 beds under for-profit, limited liability company ownership and belongs to the Autumn Lake Healthcare chain.
CMS gives it 2 of 5 stars overall, below the Connecticut median of 3; the health inspection rating is 2, staffing 1 and quality measures 5.
Inspectors recorded 48 health deficiencies across the three most recent survey cycles (12, 23, 13 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 53.3 per 100 beds, more than the state median of 29.2.
CMS lists 1 penalty in the period covered: fines totalling $16K.
Reported nurse staffing is 3.2 hours per resident per day (0.4 RN), close to the Connecticut median of 3.7; nursing staff turnover is 40.3%.
Compared with county, state and nation
| Measure | This facility | South Central Ct Co. median | Connecticut median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 48 | 39 | 35 | 28.7 |
| Citations per 100 beds | 53.3 | 38.3 | 29.2 | 26.8 |
| Total nurse hours per resident day | 3.2 | 3.8 | 3.7 | 3.9 |
| RN hours per resident day | 0.4 | 0.5 | 0.6 | 0.7 |
| Nursing staff turnover | 40.3% | 39.8% | 35.9% | 45.8% |
| Fines listed | $15,593 | $8,021 | $8,021 | — |
County and state figures are medians across facilities (23 in the county, 191 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Connecticut average per facility for the same cycle, as published by CMS. Standard health survey dates: 25 Aug 2025, 13 Nov 2023.
Severity mix: G ×1 D ×29 E ×13 F ×3 B ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 25 Aug 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 21 Oct 2025 |
| 25 Aug 2025 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 21 Oct 2025 |
| 25 Aug 2025 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Standard survey | 21 Oct 2025 |
| 25 Aug 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 21 Oct 2025 |
| 25 Aug 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 21 Oct 2025 |
| 25 Aug 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 21 Oct 2025 |
| 25 Aug 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 21 Oct 2025 |
| 25 Aug 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 21 Oct 2025 |
| 25 Aug 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 21 Oct 2025 |
| 25 Aug 2025 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 21 Oct 2025 |
| 25 Aug 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 21 Oct 2025 |
| 25 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 21 Oct 2025 |
| 1 Apr 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 6 May 2024 |
| 6 Mar 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 15 Apr 2024 |
| 6 Mar 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 15 Apr 2024 |
| 13 Nov 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 25 Jan 2024 |
| 13 Nov 2023 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Standard survey | 25 Jan 2024 |
| 13 Nov 2023 | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | F | Standard survey | 25 Jan 2024 |
| 13 Nov 2023 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 25 Jan 2024 |
| 13 Nov 2023 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 25 Jan 2024 |
| 13 Nov 2023 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard survey | 25 Jan 2024 |
| 13 Nov 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 25 Jan 2024 |
| 13 Nov 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 25 Jan 2024 |
| 13 Nov 2023 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Standard survey | 25 Jan 2024 |
| 13 Nov 2023 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | Standard survey | 25 Jan 2024 |
| 13 Nov 2023 | F0791 | Provide or obtain dental services for each resident. | E | Standard survey | 25 Jan 2024 |
| 13 Nov 2023 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 25 Jan 2024 |
| 13 Nov 2023 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Standard survey | 25 Jan 2024 |
| 13 Nov 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 25 Jan 2024 |
| 13 Nov 2023 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 25 Jan 2024 |
| 13 Nov 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 25 Jan 2024 |
| 13 Nov 2023 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard survey | 25 Jan 2024 |
| 13 Nov 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 25 Jan 2024 |
| 13 Nov 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 25 Jan 2024 |
| 13 Nov 2023 | F0687 | Provide appropriate foot care. | D | Standard survey | 25 Jan 2024 |
| 13 Nov 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 25 Jan 2024 |
| 13 Nov 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | Standard survey | 25 Jan 2024 |
| 13 Nov 2023 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | B | Standard survey | 25 Jan 2024 |
| 27 Sep 2023 | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E | Complaint investigation | 30 Nov 2023 |
| 27 Sep 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 30 Nov 2023 |
| 14 Jul 2021 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 3 Aug 2021 |
| 14 Jul 2021 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 3 Aug 2021 |
| 14 Jul 2021 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 3 Aug 2021 |
| 14 Jul 2021 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 3 Aug 2021 |
| 14 Jul 2021 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 3 Aug 2021 |
| 14 Jul 2021 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 3 Aug 2021 |
| 14 Jul 2021 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 3 Aug 2021 |
| 14 Jul 2021 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 3 Aug 2021 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 27 Sep 2023 | Fine | $15,593 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Connecticut average. Turnover: nursing staff 40.3%, RNs 57.1%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Connecticut median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 21.0% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.4% | 1.2% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.7% | 3.1% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.1% | 1.1% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 13.3% | 15.3% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.7% | 3.8% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 26.3% | 17.6% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: 34 Wildwood Ave Opco Llc. Chain: Autumn Lake Healthcare (59 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Kc Derby Ct Al Opco Jv LLC | 5% or greater direct ownership interest | 100% | 11/28/2023 |
| Aut Ct7 Holdings LLC | 5% or greater indirect ownership interest | 100% | 11/28/2023 |
| Aut Ct7 Holdings LLC | Adp of the snf | NOT APPLICABLE | 11/28/2023 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in South Central Ct County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Evergreen Woods | North Branford | 50 | 5 | 4 | 5 | 15 | 30.0 | — | 4 Sep 2025 |
| Grimes Center | New Haven | 114 | 5 | 4 | 5 | 22 | 19.3 | — | 30 Jan 2026 |
| Milford Health and Rehabilitation Center | Milford | 120 | 5 | 4 | 3 | 21 | 17.5 | $19K | 16 Jun 2026 |
| Autumn Lake Healthcare At the Willows | Woodbridge | 90 | 4 | 4 | 3 | 25 | 27.8 | — | 14 Nov 2025 |
| Civita Care Center At West River | Milford | 120 | 4 | 3 | 3 | 26 | 21.7 | — | 29 Jan 2025 |
| Guilford House, The | Guilford | 75 | 4 | 3 | 5 | 33 | 44.0 | $9K | 22 Sep 2025 |
| Leeway, Inc | New Haven | 30 | 4 | 5 | 1 | 23 | 76.7 | — | 30 Dec 2025 |
| Whispering Pines Rehabilitation and Nursing Center | East Haven | 90 | 4 | 4 | 2 | 34 | 37.8 | — | 17 Mar 2026 |
All 23 facilities in South Central Ct County
Questions and answers
How many deficiencies has Autumn Lake Healthcare At Madison been cited for?
48 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Connecticut median is 35 per facility.
Has Autumn Lake Healthcare At Madison been fined?
Yes. CMS lists fines totalling $16K in the period covered.
How does staffing at Autumn Lake Healthcare At Madison compare?
Reported total nurse staffing is 3.2 hours per resident per day against a Connecticut median of 3.7 and a national average of 3.9.
Who operates Autumn Lake Healthcare At Madison?
It is part of the Autumn Lake Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Kc Derby Ct Al Opco Jv LLC and Aut Ct7 Holdings LLC. Individual owners and managers are not listed on this site.
When was Autumn Lake Healthcare At Madison last inspected?
The most recent survey or investigation in the CMS record is dated 25 Aug 2025; the most recent standard health survey was 25 Aug 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.