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C
Below Standard

AUTUMN LAKE HEALTHCARE AT MADISON

34 WILDWOOD AVENUE · MADISON, CT 06443

2032458008 · For profit - Limited Liability company

90 beds76.8 residents180 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

AUTUMN LAKE HEALTHCARE AT MADISON receives an overall staffing grade of C (Below Standard). With 3.5756 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.5187 HPRD, below the recommended 0.75. It is 0.32 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 10.42% compared to weekdays. The facility uses a moderate level of agency staff (12.18% of hours), suggesting some reliance on temporary workers.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (1)

⚠️RN staffing (0.5187 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.5756hrs/resident/day▼ 0.32
CMS benchmark: 3.48
RN HPRD
0.5187hrs/resident/day▼ 0.16
Recommended: 0.75
Weekend Drop-off
10.42%
3.6841 weekday → 3.3003 weekend
Agency Staff
12.18%
4.03% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.0316hrs/resident/day
Direct care aides
LPN HPRD
1.0253hrs/resident/day
Licensed practical nurses
Consistency
0.483std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. South Central Ct County Average-0.29 HPRD
3.87
03.58 HPRD
vs. Connecticut State Average-0.26 HPRD
3.84
03.58 HPRD
vs. National Average-0.32 HPRD
3.90
03.58 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
AUTUMN LAKE HEALTHCARE AT MADISON ★
MADISON · This facility
—
C
3.57560.5187★★★☆☆
Apple Rehab Guilford
GUILFORD
0.5 mi
C
3.30730.5103★☆☆☆☆
GUILFORD HOUSE, THE
GUILFORD
4.8 mi
B
4.3510.748★★★★☆
EVERGREEN WOODS
NORTH BRANFORD
6.2 mi
A+
5.29511.6819★★★★★
ARK HEALTHCARE & REHABILITATION AT BRANFORD HILLS
BRANFORD
10.9 mi
B
3.57750.7399★★★☆☆
AARON MANOR NURSING & REHABILITATION
CHESTER
11.5 mi
A
4.15711.0767★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

8
Inspections
50
Total Deficiencies
$15,593
Fines Assessed
Aug 25, 2025Health
12 deficiencies cited
▼
Apr 1, 2024Health
1 deficiency cited
▼
Mar 6, 2024Health
2 deficiencies cited
▼
Nov 13, 2023Health
23 deficiencies cited· Includes actual harm
▼
Sep 27, 2023Health
2 deficiencies cited
▼
Jun 14, 2023Health
1 deficiency cited
▼
Feb 27, 2023Health
1 deficiency cited
▼
Jul 14, 2021Health
8 deficiencies cited
▼

Penalty History

Sep 27, 2023Fine
$15,593
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.