Autumn Care of Madison
Number One Autumn Court · Madison, VA · 22727 · 5409483054
92 certified beds For profit - Limited Liability company Chain: Saber Healthcare Group
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.50 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.46 | 0.55–0.75 |
| Weekend hours / resident-day | 2.99 | ≈ weekday level |
| Nursing turnover / year | 55% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (32 in the current record)
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Potential for harm · D April 24, 2026 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected May 22, 2026 · Pharmacy Service
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Potential for harm · D February 5, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected February 18, 2025 · Resident Rights
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Potential for harm · D February 5, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 18, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 23, 2023
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected March 28, 2023 · Resident Rights
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Potential for harm · D February 23, 2023
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected March 28, 2023 · Resident Rights
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Potential for harm · D February 23, 2023
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.
Corrected March 28, 2023 · Resident Rights
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Potential for harm · D February 23, 2023
Ensure each resident receives an accurate assessment.
Corrected March 28, 2023 · Resident Assessment and Care Planning
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Potential for harm · D February 23, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 28, 2023 · Resident Assessment and Care Planning
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Potential for harm · D February 23, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 28, 2023 · Resident Assessment and Care Planning
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Potential for harm · D February 23, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 28, 2023 · Quality of Life and Care
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Potential for harm · D February 23, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 28, 2023 · Quality of Life and Care
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Potential for harm · D February 23, 2023
Provide appropriate foot care.
Corrected March 28, 2023 · Quality of Life and Care
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Potential for harm · D February 23, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 28, 2023 · Quality of Life and Care
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Potential for harm · E February 23, 2023
Provide safe, appropriate pain management for a resident who requires such services.
Corrected March 28, 2023 · Quality of Life and Care
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Potential for harm · D February 23, 2023
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected March 28, 2023 · Quality of Life and Care
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Potential for harm · D February 23, 2023
Provide and implement an infection prevention and control program.
Corrected March 28, 2023 · Infection Control
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Potential for harm · D September 16, 2021
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 29, 2020 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 16, 2021
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected October 15, 2021 · Resident Assessment and Care Planning
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Potential for harm · D September 16, 2021
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected October 15, 2021 · Resident Assessment and Care Planning
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Potential for harm · D September 16, 2021
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected October 15, 2021 · Quality of Life and Care
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Potential for harm · D September 16, 2021
Observe each nurse aide's job performance and give regular training.
Corrected October 15, 2021 · Nursing and Physician Services
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Potential for harm · E September 16, 2021
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 15, 2021 · Nutrition and Dietary
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Potential for harm · E February 13, 2020
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 March 23, 2020 · Resident Rights
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Potential for harm · D February 13, 2020
Ensure each resident receives an accurate assessment.
Corrected March 23, 2020 · Resident Assessment and Care Planning
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Potential for harm · D February 13, 2020
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 23, 2020 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 495244 · certified since July 1, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.