12 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
16 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Cromwell, CT
4-star overall rating with 3-star inspections with 12 recent health deficiencies with 16 fire-safety deficiencies in the latest cycle
385 Main Street, Cromwell, CT
(860) 635-5613
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
Beds
175
Certified beds
Average residents
166
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Autumn Lake Healthcare
Operator or chain grouping
Approved since
1979-03-01
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
RN hours / resident day
0.26
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.95
Licensed practical nurse staffing · state 0.84 · national 0.87
Aide hours / resident day
1.84
Nurse aide staffing · state 2.28 · national 2.35
Total nurse hours
3.05
All reported nurse hours · state 3.83 · national 3.89
Licensed hours
1.21
RN + LPN hours · state 1.54 · national 1.54
Weekend hours
2.82
Weekend nurse staffing · state 3.41 · national 3.43
Weekend RN hours
0.14
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.25
CMS adjusted RN staffing hours
Adjusted total hours
3.00
CMS adjusted total nurse staffing hours
Case-mix index
1.39
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
38%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Program rank
7,537
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
29.50
Composite VBP score used to determine payment impact.
Payment multiplier
0.9855
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
1.99
Baseline 18.77% · Performance 20.51% · Measure score 1.99 · Achievement 1.99 · Improvement 0
Healthcare-associated infections
1.61
Baseline 8.70% · Performance 7.91% · Measure score 1.61 · Achievement 0 · Improvement 1.61
Total nurse turnover
6.46
Baseline 29.54% · Performance 37.27% · Measure score 6.46 · Achievement 6.46 · Improvement 0
Adjusted total nurse staffing
1.73
Baseline 2.59 hours · Performance 3.3 hours · Measure score 1.73 · Achievement 0.78 · Improvement 1.73
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.41% |
10.72%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 166 · Observed rate 12.65% · Lower 95% interval 8.67% |
| Discharge to community | 52.84% |
50.57%
2.3 pts better
|
No Different than the National Rate · Eligible stays 141 · Observed rate 46.1% · Lower 95% interval 44.97% |
| Medicare spending per beneficiary | 1.07 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 98.29% |
95.27%
3 pts better
|
Numerator 115 · Denominator 117 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 117 |
| Discharge self-care score | 37.21% |
53.69%
16.5 pts worse
|
Numerator 32 · Denominator 86 |
| Discharge mobility score | 47.67% |
50.94%
3.3 pts worse
|
Numerator 41 · Denominator 86 |
| Pressure ulcers or injuries, new or worsened | 4.27% |
2.29%
2 pts worse
|
Numerator 5 · Denominator 117 · Adjusted rate 3.56% |
| Healthcare-associated infections requiring hospitalization | 7.91% |
7.12%
0.8 pts worse
|
No Different than the National Rate · Eligible stays 102 · Observed rate 8.82% · Lower 95% interval 4.82% |
| Staff COVID-19 vaccination coverage | 1.79% |
8.2%
6.4 pts worse
|
Numerator 4 · Denominator 223 |
| Staff flu vaccination coverage | 13.74% |
42%
28.3 pts worse
|
Numerator 47 · Denominator 342 |
| Discharge function score | 55.81% |
56.45%
0.6 pts worse
|
Numerator 48 · Denominator 86 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 40 · Denominator 40 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 44 · Denominator 44 |
| Resident COVID-19 vaccinations up to date | 86.15% |
25.2%
61 pts better
|
Numerator 56 · Denominator 65 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
2.1
0.7 pts better
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.2 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.0 |
1.5
0.5 pts better
|
1.8
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.9 · Expected 1.5 · 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 | 99.3% |
93.5%
5.8 pts better
|
95.5%
3.8 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.1% |
3.4%
0.3 pts better
|
3.3%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 3.7% · Q3 0.7% · Q4 2.1% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 42.4% |
17.1%
25.3 pts worse
|
11.4%
31 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.0% · Q2 38.0% · Q3 46.8% · Q4 55.2% · 4Q avg 42.4% |
| Percentage of long-stay residents who lose too much weight | 7.2% |
6.4%
0.8 pts worse
|
5.4%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 5.8% · Q3 8.0% · Q4 6.2% · 4Q avg 7.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.4% |
17.3%
3.1 pts worse
|
19.6%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.6% · Q2 18.9% · Q3 19.8% · Q4 17.7% · 4Q avg 20.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 17.0% |
19.4%
2.4 pts better
|
16.7%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.2% · Q2 15.8% · Q3 18.0% · Q4 17.6% · 4Q avg 17.0% · 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 | 10.4% |
18.1%
7.7 pts better
|
16.3%
5.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.1% · Q2 3.5% · Q3 5.4% · Q4 12.6% · 4Q avg 10.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.3% |
18.4%
4.1 pts better
|
14.9%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 23.2% · Q2 13.5% · Q3 10.3% · Q4 10.7% · 4Q avg 14.3% · 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 | 0.5% |
1.7%
1.2 pts better
|
1.7%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.4% · Q4 0.7% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.4% |
24.8%
0.4 pts better
|
19.8%
4.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.8% · Q2 19.8% · Q3 24.7% · Q4 29.0% · 4Q avg 24.4% |
| Percentage of long-stay residents with pressure ulcers | 3.6% |
4.4%
0.8 pts better
|
5.1%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 2.4% · Q3 2.7% · Q4 5.5% · 4Q avg 3.6% · 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 | 13.6% |
11.1%
2.5 pts worse
|
12.0%
1.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.6% · Observed 14.1% · Expected 11.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.3% |
1.5%
1.2 pts better
|
1.6%
1.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.1% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.9% |
69.7%
28.2 pts better
|
79.7%
18.2 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.9% |
25.0%
7.1 pts better
|
23.9%
6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 17.9% · Observed 18.8% · Expected 25.0% · Used in QM five-star |
Survey summary
Top issue: Nutrition and Dietary (2 deficiencies)
16 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Resident Assessment and Care Planning (3 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Nutrition and Dietary (2 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-09-13
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-09-13
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-09-13
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-09-13
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-09-13
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-09-13
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-09-13
Fire Safety
Meet other general requirements that are deficient.
Corrected 2024-09-13
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-09-13
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2024-09-13
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-09-13
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-09-13
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2024-09-13
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-09-13
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-09-13
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-09-13
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-05-17
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2022-05-17
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-05-17
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-05-17
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-05-17
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2019-04-03
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-04-03
Fire Safety
Provide properly protected cooking facilities.
Corrected 2019-04-03
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2019-04-03
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2019-04-03
Fire Safety
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Corrected 2019-04-03
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-09-06
Health
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2024-09-06
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 2024-09-06
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-09-06
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-09-06
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-09-06
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-09-06
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-09-06
Health
Provide and implement an infection prevention and control program.
Corrected 2024-09-06
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2024-09-06
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-09-06
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 2024-09-06
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-05-09
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-05-09
Health
Provide and implement an infection prevention and control program.
Corrected 2022-06-10
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2022-06-10
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2022-06-10
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 2022-06-10
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-06-10
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-06-10
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2022-06-10
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2022-06-10
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 2022-06-10
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-06-10
Health
Provide and implement an infection prevention and control program.
Corrected 2019-02-01
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-02-21
Health
Dispose of garbage and refuse properly.
Corrected 2019-02-21
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 2019-02-21
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Mortgage Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Nearby options
Cromwell, CT
4-star overall rating with 4-star inspections with $12,048 in total fines with 10 recent health deficiencies
Portland, CT
5-star overall rating with 4-star inspections with $10,033 in total fines with 5 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
Middletown, CT
2-star overall rating with 1-star inspections with $15,642 in total fines with 11 recent health deficiencies
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