Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Autumn Care Of Madison during CMS and state inspections, most recent first.
Surveyors found that the facility’s medication error rate exceeded 5% when three errors were identified out of 31 opportunities. One resident did not receive a prescribed daily dose of bumetanide because the medication had not been delivered, while another did not receive an ordered Salon Pas 4% lidocaine patch when the RN reported the facility was out of patches. In addition, a resident ordered two Senna (Geri-Kot) 8.6 mg tablets twice daily received only one tablet from an LPN/Unit Manager, who believed two had been given. These missed and partial doses occurred despite a facility policy requiring immediate action and pharmacy notification when medications are unavailable at the time of administration.
Facility staff did not notify the physician or responsible party after a resident developed a bruise and later experienced an unwitnessed fall. Despite facility policy requiring prompt notification of such incidents, there was no documentation that these notifications occurred.
Facility staff did not maintain an accurate clinical record for a resident who had been transferred out, as physician notes were entered after the resident's departure indicating ongoing evaluation and care. These entries were inconsistent with the resident's absence from the facility.
Medication Error Rate Exceeded Due to Missed and Partial Doses
Penalty
Summary
The deficiency involves the facility’s failure to maintain a medication error rate below 5%, with surveyors identifying three errors out of 31 opportunities, resulting in a 9.68% error rate. During a medication pass, one resident did not receive a prescribed dose of bumetanide 1 mg that was ordered to be given daily at 9:00 AM. The RN responsible initially stated the medication had been given, but when the medication cart was checked, there was no bumetanide card, and further review showed the pharmacy had not delivered the medication. Another resident did not receive a prescribed Salon Pas 4% lidocaine patch ordered twice daily, and the RN administering medications reported that the facility was out of the patches and that none were available in either medication room. In a separate observation, a resident with an order for Senna (Geri-Kot) 8.6 mg, two tablets twice daily, received only one tablet during the observed medication administration. The LPN/Unit Manager who administered the medication stated they thought they had given two tablets. The facility’s own policy on Medication Shortages/Unavailable Medications requires staff, upon discovering an inadequate supply of medication at the time of administration, to immediately initiate action to obtain the medication from the pharmacy and to notify the pharmacy if a shortage is discovered at the time of administration. The observed failures to administer ordered medications as prescribed and to ensure full doses were given led to the cited medication error rate above the 5% threshold.
Failure to Notify Physician and Responsible Party of Resident Incidents
Penalty
Summary
Facility staff failed to notify the physician and the responsible party of significant changes in a resident's condition. Specifically, for one resident, there was no documentation that the physician or responsible party were informed after a bruise was discovered on the resident's right buttock, as reported by a hospice CNA. Additionally, after the resident experienced an unwitnessed fall in the bathroom, there was again no documentation of notification to the physician or responsible party. The resident was assessed post-fall and found to have stable vital signs, no pain, and no new deficits. Interviews with nursing staff and the director of nursing confirmed that it is facility policy to notify the provider and responsible party as soon as practicably possible following incidents such as falls or injuries. However, both staff and administrative review revealed that there was no evidence of such notifications being made or documented for the incidents involving this resident. The facility's own Incident/Accident Policy also requires prompt notification, which was not followed in these cases.
Incomplete and Inaccurate Clinical Record Documentation
Penalty
Summary
Facility staff failed to maintain a complete and accurate clinical record for one resident. The resident was admitted to the facility and later transferred to a hospital, after which she did not return. Despite her absence, the clinical record contained two physician notes dated after her transfer, both documenting that the patient was seen and evaluated for continuity of care, including review of nurses' notes and discussion with nursing staff. These entries were inconsistent with the resident's status, as she was no longer present in the facility at the time the notes were written. The physician responsible for these notes was not available for interview, and no further information was provided prior to the survey exit.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Madison
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Mountain View Nursing Home | 6.7 mi | ★★★★★ | 3 | 0 |
| Greene Acres Rehabilitation And Nursing | 8.4 mi | ★★★★★ | 0 | 0 |
| Dogwood Village Of Orange County Health And Rehab | 13.9 mi | ★★★★★ | 0 | 0 |
| The Culpeper | 17.1 mi | ★★★★★ | 0 | 0 |
| Culpeper Health & Rehabilitation Center | 17.7 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.