| Autumn Lake Healthcare at Madison | |
| 34 Wildwood Avenue, Madison, Connecticut 06443 | |
| (203) 245-8008 | |
| Name | Autumn Lake Healthcare at Madison |
|---|---|
| Location | 34 Wildwood Avenue, Madison, Connecticut |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 90 |
| Occupancy Rate | 92.56% |
| Medicare ID (CCN) | 075405 |
| Legal Business Name | 34 Wildwood Ave Opco LLC |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | Autumn Lake Healthcare (59 nursing homes) |
| Chain Average Overall Rating | 2.8 out of 5 |
| NPI Number | 1750168704 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | 34 Wildwood Ave Opco LLC |
| Doing Business As | Autumn Lake Healthcare at Madison |
| Address | 34 Wildwood Ave, Madison, CT 06443 |
| Phone Number | 732-358-6883 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.17 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.42 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.03 | 0.86 |
| Nurse aide hours per resident per day | 1.72 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.03 | 3.42 |
| RN hours per resident per day on the weekend | 0.31 | 0.48 |
| Physical therapist hours per resident per day | 0.08 | 0.07 |
| Total nursing staff turnover | 40.3% | 45.8% |
| Registered nurse turnover | 57.1% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $15,593 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 1 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Aug 25, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Oct 21, 2025 |
| Aug 25, 2025 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. F0561, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Oct 21, 2025 |
| Aug 25, 2025 | 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. F0585, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Oct 21, 2025 |
| Aug 25, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Oct 21, 2025 |
| Aug 25, 2025 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Oct 21, 2025 |
| Aug 25, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Oct 21, 2025 |
| Aug 25, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Oct 21, 2025 |
| Aug 25, 2025 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Oct 21, 2025 |
| Aug 25, 2025 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Oct 21, 2025 |
| Aug 25, 2025 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Oct 21, 2025 |
| Aug 25, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Oct 21, 2025 |
| Aug 25, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Oct 21, 2025 |
| Apr 1, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by May 6, 2024 |
| Mar 6, 2024 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Apr 15, 2024 |
| Mar 6, 2024 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Apr 15, 2024 |
| Nov 13, 2023 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection | Actual harm, isolated | Corrected by Jan 25, 2024 |
| Nov 13, 2023 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725, Nursing and Physician Services, Standard inspection | Potential for harm, widespread | Corrected by Jan 25, 2024 |
| Nov 13, 2023 | 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. F0809, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Jan 25, 2024 |
| Nov 13, 2023 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by Jan 25, 2024 |
| Nov 13, 2023 | Honor the resident's right to organize and participate in resident/family groups in the facility. F0565, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Jan 25, 2024 |
| Nov 13, 2023 | 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. F0584, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Jan 25, 2024 |
| Nov 13, 2023 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Jan 25, 2024 |
| Nov 13, 2023 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Jan 25, 2024 |
| Nov 13, 2023 | Observe each nurse aide's job performance and give regular training. F0730, Nursing and Physician Services, Standard inspection | Potential for harm, pattern | Corrected by Jan 25, 2024 |
| Nov 13, 2023 | 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. F0758, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Jan 25, 2024 |
| Nov 13, 2023 | Provide or obtain dental services for each resident. F0791, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Jan 25, 2024 |
| Nov 13, 2023 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921, Environmental, Standard inspection | Potential for harm, pattern | Corrected by Jan 25, 2024 |
| Nov 13, 2023 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. F0947, Nursing and Physician Services, Standard inspection | Potential for harm, pattern | Corrected by Jan 25, 2024 |
| Nov 13, 2023 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jan 25, 2024 |
| Nov 13, 2023 | 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. F0578, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jan 25, 2024 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 20.97 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 6.06 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.42 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 89.7 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.66 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.34 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 82.82 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.1 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 13.29 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.5 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 92.21 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 1.69 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 30.3 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 26.25 | 15.38 |