Autumn Lake Healthcare at Windsor
581 Poquonock Ave · Windsor, CT · 06095 · 8606887211
108 certified beds For profit - Corporation
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.33 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.41 | 0.55–0.75 |
| Weekend hours / resident-day | 3.16 | ≈ weekday level |
| Nursing turnover / year | 51% | median 45% |
| Fines (3-yr window) | 1 · $19,432 |
Inspection citations (53 in the current record)
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Potential for harm · D April 14, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 15, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 14, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected May 15, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 14, 2026 · found via complaint
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected May 15, 2026 · Quality of Life and Care
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Actual harm · G March 11, 2026
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 20, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 11, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 20, 2026 · Resident Rights
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Potential for harm · D March 11, 2026
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected April 20, 2026 · Resident Rights
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Potential for harm · D March 11, 2026
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 20, 2026 · Resident Rights
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Potential for harm · D March 11, 2026
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 20, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 11, 2026
Respond appropriately to all alleged violations.
Corrected April 20, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 11, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected April 20, 2026 · Resident Rights
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Potential for harm · D March 11, 2026
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected April 20, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 11, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 20, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 11, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 20, 2026 · Resident Assessment and Care Planning
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Potential for harm · E March 11, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 20, 2026 · Quality of Life and Care
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Potential for harm · D March 11, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 20, 2026 · Quality of Life and Care
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Potential for harm · D March 11, 2026
Provide enough food/fluids to maintain a resident's health.
Corrected April 20, 2026 · Quality of Life and Care
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Potential for harm · E March 11, 2026
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected April 20, 2026 · Nursing and Physician Services
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Potential for harm · E March 11, 2026
Observe each nurse aide's job performance and give regular training.
Corrected April 20, 2026 · Nursing and Physician Services
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Potential for harm · D March 11, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 20, 2026 · Pharmacy Service
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Potential for harm · E March 11, 2026
Ensure medication error rates are not 5 percent or greater.
Corrected April 20, 2026 · Pharmacy Service
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Potential for harm · E March 11, 2026
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 April 20, 2026 · Pharmacy Service
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Potential for harm · D March 11, 2026
Provide routine and 24-hour emergency dental care for each resident.
Corrected April 20, 2026 · Quality of Life and Care
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Potential for harm · E March 11, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 20, 2026 · Nutrition and Dietary
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Potential for harm · F March 11, 2026
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected April 20, 2026 · Administration
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Potential for harm · D March 11, 2026
Provide and implement an infection prevention and control program.
Corrected April 20, 2026 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 12, 2024 | Fine | $19,432 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 075011 · certified since September 1, 1971. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.