The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited November 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
AUTUMN LAKE HEALTHCARE AT MADISON
MADISON, CT · Medicare-certified · 90 beds
In good standing
For-profitChain member
3 of 5 overall
Autumn Lake Healthcare at Madison has an overall 3-star rating. Its health inspection and staffing ratings are both 2 stars, quality measures are 5 stars, reported nurse staffing is below the federal benchmark (3.28 vs 4.1 hours per resident per day), and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.2755 hrs/resident/day
Quality measures
Last inspection: August 25, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2755.
Staffing detail
- Registered nurses
- 0.48
- Licensed practical nurses
- 1.02
- Nurse aides
- 1.78
- Weekend nursing
- 3.05
Hours per resident per day.
Total staff turnover: 41%
Registered nurse turnover: 55%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
24.4%31.7%Worsening
Residents with a fall causing major injury
2.9%0%Improving
Residents with pressure ulcers (bedsores)
1.6%3.8%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
7.3%9.8%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
19.6%31.2%Worsening
Residents whose ability to walk got worse
10.6%22.9%Worsening
Long-stay residents on antianxiety or sleep medication
19.6%19.6%No change
Short-stay residents newly given an antipsychotic
0%3.7%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
27.2%27.7%Worsening
Residents with depressive symptoms
89.6%91.2%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
97.1%96.7%No change
Short-stay residents given the seasonal flu vaccine
—92.2%—
Short-stay residents given the pneumonia vaccine
94.7%77.4%Worsening
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited November 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited November 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: F
The home failed to make sure residents were served meals and snacks at times that fit their needs, preferences, and requests. Cited November 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 809 — 42 CFR §483.60 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 12 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $15,593 in total fines.
- $15,593
Federal fine
Sep 27, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of AUTUMN LAKE HEALTHCARE · 60 homes · 3 stars avg
- Occupancy
- 81 residents on an average day (90% of 90 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 32 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.