Cycle 1
Health 2024-12-06 · Fire 2024-12-06
12 health deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Waterbury, CT
Autumn Lake Healthcare At Bucks Hill
4-star overall rating with 3-star inspections with 12 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
2817 North Main Street, Waterbury, CT
(203) 757-0731
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
90
Certified beds
Average residents
86
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Autumn Lake Healthcare
Operator or chain grouping
Approved since
1999-02-04
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
60 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
Hours and turnover
RN hours / resident day
0.46
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.90
Licensed practical nurse staffing · state 0.84 · national 0.87
Aide hours / resident day
1.92
Nurse aide staffing · state 2.28 · national 2.35
Total nurse hours
3.29
All reported nurse hours · state 3.83 · national 3.89
Licensed hours
1.37
RN + LPN hours · state 1.54 · national 1.54
Weekend hours
3.06
Weekend nurse staffing · state 3.41 · national 3.43
Weekend RN hours
0.30
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.46
CMS adjusted RN staffing hours
Adjusted total hours
3.28
CMS adjusted total nurse staffing hours
Case-mix index
1.37
Higher values indicate more complex resident acuity
RN turnover
46%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
28%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,478
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
39.84
Composite VBP score used to determine payment impact.
Payment multiplier
0.9928
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.41
Baseline 19.58% · Performance 20.32% · Measure score 2.41 · Achievement 2.41 · Improvement 0
Healthcare-associated infections
2.65
Baseline 8.49% · Performance 7.39% · Measure score 2.65 · Achievement 1.50 · Improvement 2.65
Total nurse turnover
10
Baseline 37.80% · Performance 23.26% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
0.88
Baseline 2.82 hours · Performance 3.23 hours · Measure score 0.88 · Achievement 0.53 · Improvement 0.88
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.96% |
10.72%
0.8 pts better
|
No Different than the National Rate · Eligible stays 145 · Observed rate 8.97% · Lower 95% interval 7.13% |
| Discharge to community | 57.74% |
50.57%
7.2 pts better
|
No Different than the National Rate · Eligible stays 149 · Observed rate 53.69% · Lower 95% interval 48.98% |
| Medicare spending per beneficiary | 1.21 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 99.26% |
95.27%
4 pts better
|
Numerator 134 · Denominator 135 |
| Falls with major injury | 0.74% |
0.77%
About the same
|
Numerator 1 · Denominator 135 |
| Discharge self-care score | 62.11% |
53.69%
8.4 pts better
|
Numerator 59 · Denominator 95 |
| Discharge mobility score | 60% |
50.94%
9.1 pts better
|
Numerator 57 · Denominator 95 |
| Pressure ulcers or injuries, new or worsened | 2.22% |
2.29%
0.1 pts better
|
Numerator 3 · Denominator 135 · Adjusted rate 2.9% |
| Healthcare-associated infections requiring hospitalization | 7.39% |
7.12%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 88 · Observed rate 7.95% · Lower 95% interval 4.31% |
| Staff COVID-19 vaccination coverage | 1.41% |
8.2%
6.8 pts worse
|
Numerator 2 · Denominator 142 |
| Staff flu vaccination coverage | 30.14% |
42%
11.9 pts worse
|
Numerator 44 · Denominator 146 |
| Discharge function score | 68.42% |
56.45%
12 pts better
|
Numerator 65 · Denominator 95 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 33 · Denominator 33 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 81 · Denominator 81 |
| Resident COVID-19 vaccinations up to date | 80.82% |
25.2%
55.6 pts better
|
Numerator 59 · Denominator 73 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.7 |
2.1
1.4 pts better
|
1.9
1.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.7 · Expected 2.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.7 |
1.5
0.8 pts better
|
1.8
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.7 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
87.5%
12.5 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.1% |
93.5%
3.6 pts better
|
95.5%
1.6 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.4% |
3.4%
1 pts better
|
3.3%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 1.6% · Q3 1.7% · Q4 1.6% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 28.8% |
17.1%
11.7 pts worse
|
11.4%
17.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.2% · Q2 41.9% · Q3 34.5% · Q4 5.3% · 4Q avg 28.8% |
| Percentage of long-stay residents who lose too much weight | 13.8% |
6.4%
7.4 pts worse
|
5.4%
8.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.5% · Q2 13.0% · Q3 16.7% · Q4 7.3% · 4Q avg 13.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.7% |
17.3%
4.6 pts better
|
19.6%
6.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 11.1% · Q3 14.5% · Q4 12.7% · 4Q avg 12.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 6.8% |
19.4%
12.6 pts better
|
16.7%
9.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 5.1% · Q3 4.7% · Q4 7.3% · 4Q avg 6.8% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
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 | 14.5% |
18.1%
3.6 pts better
|
16.3%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 18.7% · Q3 20.6% · Q4 6.9% · 4Q avg 14.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.1% |
18.4%
6.3 pts better
|
14.9%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 21.2% · Q2 13.7% · Q3 5.9% · Q4 7.7% · 4Q avg 12.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.9%
0.9 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.8% |
1.7%
0.9 pts better
|
1.7%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 1.6% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.4% |
24.8%
2.4 pts better
|
19.8%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.6% · Q2 22.2% · Q3 21.9% · Q4 17.2% · 4Q avg 22.4% |
| Percentage of long-stay residents with pressure ulcers | 5.1% |
4.4%
0.7 pts worse
|
5.1%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 7.0% · Q3 3.9% · Q4 3.3% · 4Q avg 5.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
70.5%
29.5 pts better
|
81.7%
18.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.2% |
11.1%
2.9 pts better
|
12.0%
3.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.2% · Observed 8.5% · Expected 11.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.1% |
1.5%
0.4 pts better
|
1.6%
0.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.9% · Q3 1.7% · Q4 1.6% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.6% |
69.7%
25.9 pts better
|
79.7%
15.9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.9% |
25.0%
5.1 pts better
|
23.9%
4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.9% · Observed 21.7% · Expected 26.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-08-22 · Fire 2022-08-22
5 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Cycle 3
Health 2019-11-15 · Fire 2019-11-15
7 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2024-12-06
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-12-18
D · Potential for more than minimal harm
2022-08-22
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-09-30
D · Potential for more than minimal harm
2022-08-22
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-09-30
D · Potential for more than minimal harm
2022-08-22
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-09-30
D · Potential for more than minimal harm
2019-11-15
E13 · Emergency Preparedness Deficiencies
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2019-12-19
D · Potential for more than minimal harm
2019-11-15
E20 · Emergency Preparedness Deficiencies
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2019-12-19
D · Potential for more than minimal harm
2019-11-15
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-12-19
D · Potential for more than minimal harm
2019-11-15
K711 · Miscellaneous Deficiencies
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2019-12-19
Inspection history
Recent health citations
F · Potential for more than minimal harm
2024-12-06
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-01-16
E · Potential for more than minimal harm
2024-12-06
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-01-16
D · Potential for more than minimal harm
2024-12-06
F578 · Resident Rights Deficiencies
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 2025-01-16
D · Potential for more than minimal harm
2024-12-06
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-01-16
D · Potential for more than minimal harm
2024-12-06
F676 · Quality of Life and Care Deficiencies
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2025-01-16
D · Potential for more than minimal harm
2024-12-06
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-01-16
D · Potential for more than minimal harm
2024-12-06
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-01-16
D · Potential for more than minimal harm
2024-12-06
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-01-16
D · Potential for more than minimal harm
2024-12-06
F688 · Quality of Life and Care Deficiencies
Health
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.
Corrected 2025-01-16
D · Potential for more than minimal harm
2024-12-06
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-01-16
D · Potential for more than minimal harm
2024-12-06
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-01-16
B · Minimal harm
2024-12-06
F921 · Environmental Deficiencies
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-01-16
D · Potential for more than minimal harm
2024-05-15
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-06-24
D · Potential for more than minimal harm
2023-11-15
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-12-27
D · Potential for more than minimal harm
2023-11-15
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-12-27
D · Potential for more than minimal harm
2023-11-15
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-12-27
D · Potential for more than minimal harm
2023-11-15
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-12-27
E · Potential for more than minimal harm
2022-08-22
F565 · Resident Rights Deficiencies
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2022-09-29
D · Potential for more than minimal harm
2022-08-22
F584 · Resident Rights Deficiencies
Health
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.
Corrected 2022-09-29
D · Potential for more than minimal harm
2022-08-22
F636 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2022-09-29
D · Potential for more than minimal harm
2022-08-22
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2022-09-29
E · Potential for more than minimal harm
2019-11-15
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2019-12-12
D · Potential for more than minimal harm
2019-11-15
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2019-12-12
D · Potential for more than minimal harm
2019-11-15
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-12-12
Penalties and ownership
What sits behind the stars
Ownership
Bucks Hill Parent LLC
5% Or Greater Direct Ownership Interest · Organization
Stern, Aryeh
5% Or Greater Indirect Ownership Interest · Individual
Bucks Hill Realty LLC
5% Or Greater Mortgage Interest · Organization
Raad, Marc
Operational/Managerial Control · Individual
Schwartz, Mark
Operational/Managerial Control · Individual
Schwartz, Mark
Corporate Officer · Individual
Wagner, Krista
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Waterbury Center For Nursing & Rehabilitation Llc
Waterbury, CT
4-star overall rating with 4-star inspections with 6 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Apple Rehab Watertown
Watertown, CT
2-star overall rating with 2-star inspections with $25,058 in total fines with 13 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
#3
Cheshire House Health Care Facility & Rehab Center
Waterbury, CT
2-star overall rating with 2-star inspections with 16 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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