Federal inspection record · CMS data as of October 1, 2026
Autumn Lake Healthcare At Madison
34 Wildwood Avenue, Madison, CT · (203) 245-8008
- Certified beds
- 90
- Residents per day
- 84
- Ownership
- For-Profit
- Chain
- Autumn Lake Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 16, 1994
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Connecticut.
-
Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Connecticut homes
Autumn Lake Healthcare At Madison carries 85 inspection points. That is fewer than 37% of Connecticut's 190 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Connecticut: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–29 pts
- 4★ 29–53 pts
- 3★ 53–79 pts
- 2★ 79–116.75 pts
- 1★ over 116.75 pts
Bars show every rated home in Connecticut by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
46 health citations on record since 2021. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Quality of Life and Care12E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide safe and appropriate respiratory care for a resident when needed.
- E
Provide or obtain dental services for each resident.
- D
Provide appropriate foot care.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
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
Provide enough food/fluids to maintain a resident's health.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Resident Rights11E
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
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
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
- E
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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
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
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- B
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- B
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.
- D
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.
Freedom from Abuse, Neglect, and Exploitation5D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Resident Assessment and Care Planning5D
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Nursing and Physician Services4F
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
Observe each nurse aide's job performance and give regular training.
- E
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Infection Control3F
- D
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Nutrition and Dietary2F
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
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.
Pharmacy Service2E
- D
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.
- E
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.
Environmental1E
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspection history
2025-08-25
12 health deficiencies · 7 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2023-11-13
23 health deficiencies · 17 fire-safety deficiencies
Top issue: Resident Rights (7 deficiencies)
2021-07-14
11 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 21 min of nursing staff time a day, 29 min of it from a registered nurse.
This home
3 h 21 min
Connecticut average
3 h 54 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 48% of nursing staff and 73% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.3 pts better | 1.6 | 1.9 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts better | 0.9 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine8 pts better | 97.1% | 89.1% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.8 pts better | 98.5% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2 pts better | 1.6% | 3.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms65.7 pts worse | 90.7% | 25.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.5 pts better | 5.9% | 6.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.8 pts worse | 21.8% | 18.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7.9 pts worse | 25.6% | 17.7% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.9 pts better | 12.9% | 14.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6.2 pts worse | 23.9% | 17.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better | 0.0% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.2 pts worse | 30.2% | 24.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.2 pts better | 2.7% | 3.9% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9 pts better | 81.5% | 72.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit7.1 pts better | 3.3% | 10.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.7 pts worse | 2.1% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine10.3 pts better | 83.3% | 73.0% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2 pts better | 21.5% | 23.5% | 23.4% |
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Who owns and runs it
10 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Aut Ct7 Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 100% | 3 facilities |
| Kc Derby Ct Al Opco Jv LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 3 facilities |
| Aut Ct7 Holdings LLC | Adp Of The SNF · Organization | 0% | 3 facilities |
| Griffin, Giovanna | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Griffin, Giovanna | Adp Of The SNF · Individual | 0% | 1 facilities |
| Schwartz, Mark | Managing Control - Governing Body · Individual | 0% | 56 facilities |
| Schwartz, Mark | Operational/Managerial Control · Individual | 0% | 56 facilities |
| Schwartz, Mark | Adp Of The SNF · Individual | 0% | 56 facilities |
| Zumpano, James | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Zumpano, James | Adp Of The SNF · Individual | 0% | 1 facilities |
·
Fire safety
24 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems5E
- E
Ensure that testing and maintenance of electrical equipment is performed.
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D
Ensure proper usage of power strips and extension cords.
- D
Ensure that testing and maintenance of electrical equipment is performed.
Smoke5F
- D
Provide properly protected cooking facilities.
- D
Install corridor and hallway doors that block smoke.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Provide properly protected cooking facilities.
- D
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Emergency Preparedness5D
- D
Establish policies and procedures including evacuation.
- D
List the names and contact information of those in the facility.
- D
Conduct testing and exercise requirements.
- D
Conduct risk assessment and an All-Hazards approach.
- D
Address patient/client population and determine types of services needed.
Miscellaneous4F
- D
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
- D
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Egress3D
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D
Install emergency lighting that can last at least 1 1/2 hours.
Services2D
- D
Have properly installed electrical wiring and gas equipment.
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
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Other homes nearby
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- Nursing / resident / day
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Guilford House, The
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Evergreen Woods
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