13 health deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Madison, VA
3-star overall rating with 3-star inspections with 13 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Number One Autumn Court, Madison, VA
(540) 948-3054
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
92
Certified beds
Average residents
81
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Saber Healthcare Group
Operator or chain grouping
Approved since
1991-07-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
126 facilities
Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.40
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
0.99
Licensed practical nurse staffing · state 1.00 · national 0.87
Aide hours / resident day
1.79
Nurse aide staffing · state 2.12 · national 2.35
Total nurse hours
3.19
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
1.39
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
2.84
Weekend nurse staffing · state 3.31 · national 3.43
Weekend RN hours
0.28
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.43
CMS adjusted RN staffing hours
Adjusted total hours
3.43
CMS adjusted total nurse staffing hours
Case-mix index
1.27
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 49% · national 45%
Total nurse turnover
57%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Program rank
9,754
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
22.65
Composite VBP score used to determine payment impact.
Payment multiplier
0.9829
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
2.44
Baseline 21.18% · Performance 20.30% · Measure score 2.44 · Achievement 2.44 · Improvement 1.62
Healthcare-associated infections
5.16
Baseline 5.60% · Performance 6.29% · Measure score 5.16 · Achievement 5.16 · Improvement 0
Total nurse turnover
0
Baseline 64.41% · Performance 65.52% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
1.47
Baseline 3.36 hours · Performance 3.50 hours · Measure score 1.47 · Achievement 1.47 · Improvement 0.07
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.92% |
10.72%
0.8 pts better
|
No Different than the National Rate · Eligible stays 103 · Observed rate 7.77% · Lower 95% interval 6.99% |
| Discharge to community | 55.85% |
50.57%
5.3 pts better
|
No Different than the National Rate · Eligible stays 83 · Observed rate 53.01% · Lower 95% interval 47.3% |
| Medicare spending per beneficiary | 0.77 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 94.44% |
95.27%
0.8 pts worse
|
Numerator 51 · Denominator 54 |
| Falls with major injury | 1.85% |
0.77%
1.1 pts worse
|
Numerator 1 · Denominator 54 |
| Discharge self-care score | 53.66% |
53.69%
About the same
|
Numerator 22 · Denominator 41 |
| Discharge mobility score | 53.66% |
50.94%
2.7 pts better
|
Numerator 22 · Denominator 41 |
| Pressure ulcers or injuries, new or worsened | 3.7% |
2.29%
1.4 pts worse
|
Numerator 2 · Denominator 54 · Adjusted rate 2.86% |
| Healthcare-associated infections requiring hospitalization | 6.29% |
7.12%
0.8 pts better
|
No Different than the National Rate · Eligible stays 65 · Observed rate 3.08% · Lower 95% interval 3.59% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 113 |
| Staff flu vaccination coverage | 23.81% |
42%
18.2 pts worse
|
Numerator 25 · Denominator 105 |
| Discharge function score | 60.98% |
56.45%
4.5 pts better
|
Numerator 25 · Denominator 41 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 31 · Denominator 31 |
| Resident COVID-19 vaccinations up to date | 33.33% |
25.2%
8.1 pts better
|
Numerator 10 · Denominator 30 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.6 |
1.5
0.1 pts worse
|
1.9
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.2 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.9 |
1.4
0.5 pts worse
|
1.8
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.6 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.3% |
91.2%
6.1 pts better
|
93.4%
3.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 97.1% · Q2 97.4% · Q3 98.7% · Q4 96.1% · 4Q avg 97.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.4% |
94.0%
2.4 pts better
|
95.5%
0.9 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.0% |
3.6%
0.4 pts worse
|
3.3%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.2% · Q2 5.1% · Q3 2.6% · Q4 1.3% · 4Q avg 4.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.2% |
15.7%
11.5 pts better
|
11.4%
7.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.4% · Q3 9.3% · Q4 5.4% · 4Q avg 4.2% |
| Percentage of long-stay residents who lose too much weight | 7.3% |
5.7%
1.6 pts worse
|
5.4%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 5.7% · Q3 6.2% · Q4 8.7% · 4Q avg 7.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.8% |
20.2%
6.4 pts better
|
19.6%
5.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.8% · Q2 14.1% · Q3 13.2% · Q4 14.1% · 4Q avg 13.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 16.8% |
15.0%
1.8 pts worse
|
16.7%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 13.3% · Q3 13.0% · Q4 16.9% · 4Q avg 16.8% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 23.1% |
17.5%
5.6 pts worse
|
16.3%
6.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 12.1% · Q3 13.1% · Q4 12.9% · 4Q avg 23.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 31.9% |
15.7%
16.2 pts worse
|
14.9%
17 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 41.8% · Q2 30.8% · Q3 19.7% · Q4 36.8% · 4Q avg 31.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% |
0.5%
0.2 pts better
|
1.0%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.7% |
1.6%
0.1 pts worse
|
1.7%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 0.0% · Q3 0.0% · Q4 2.7% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.7% |
22.2%
1.5 pts better
|
19.8%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.8% · Q2 25.2% · Q3 19.3% · Q4 21.7% · 4Q avg 20.7% |
| Percentage of long-stay residents with pressure ulcers | 2.1% |
5.2%
3.1 pts better
|
5.1%
3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 3.0% · Q3 1.5% · Q4 2.6% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 76.4% |
74.6%
1.8 pts better
|
81.7%
5.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 74.5% · Q2 75.0% · Q3 77.4% · Q4 81.2% · 4Q avg 76.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 19.8% |
11.7%
8.1 pts worse
|
12.0%
7.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 19.8% · Observed 19.6% · Expected 11.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.2% |
1.2%
About the same
|
1.6%
0.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 0.0% · Q3 0.0% · Q4 3.6% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 63.4% |
73.6%
10.2 pts worse
|
79.7%
16.3 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 63.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 15.8% |
22.0%
6.2 pts better
|
23.9%
8.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 15.8% · Observed 16.1% · Expected 24.3% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (6 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Resident Assessment and Care Planning (3 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Resident Assessment and Care Planning (3 deficiencies)
5 fire-safety deficiencies
Top issue: Miscellaneous (2 deficiencies)
Fire safety
Fire Safety
Meet other general requirements.
Corrected 2023-03-27
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-03-27
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2021-11-03
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2021-11-03
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2021-11-03
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2021-11-03
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2021-11-03
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2021-11-03
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2021-11-03
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-11-03
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2021-11-03
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2021-11-03
Fire Safety
Use approved construction type or materials.
Corrected 2020-09-04
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-09-04
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2020-09-04
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2020-09-04
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2020-09-04
Inspection history
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-02-18
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-02-18
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-03-28
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-03-28
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-03-28
Health
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.
Corrected 2023-03-28
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-03-28
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-03-28
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-03-28
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-03-28
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-03-28
Health
Provide appropriate foot care.
Corrected 2023-03-28
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-03-28
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-03-28
Health
Provide and implement an infection prevention and control program.
Corrected 2023-03-28
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2021-10-15
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2020-12-29
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2021-10-15
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2021-10-15
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2021-10-15
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2021-10-15
Health
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.
Corrected 2020-03-23
Health
Ensure each resident receives an accurate assessment.
Corrected 2020-03-23
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2020-03-23
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2020-03-23
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2020-03-23
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2020-03-23
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2020-03-23
Health
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.
Corrected 2020-03-23
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2020-03-23
Health
Provide and implement an infection prevention and control program.
Corrected 2020-03-23
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
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5-star overall rating with 4-star inspections with 3 recent health deficiencies
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2-star overall rating with 4-star inspections with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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3-star overall rating with 3-star inspections with 9 recent health deficiencies
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