Autumn Lake Healthcare At The Willows

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

67.2% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 165 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 69.9% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 113 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.54 therapist hours per resident per day in 2026Q1 — more than 84% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 10% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 90 beds and averages 83.3 residents a day — about 93% occupied, or roughly 7 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.80 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.63 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.15 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.69 hrs/resident/day on weekends vs 3.85 on weekdays — 4% thinner on weekends. RN hours go from 0.70 to 0.46 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 28% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

25 citations, most serious first. The 10 most serious are shown; the remaining 15 are one tap away and print in full.

• Potential for harm · Ecited before2025-11-14 · tag F0761 — failed to label and store drugs safely — pattern
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, review of facility documentation, facility policy and interview, the facility failed to ensure ophthalmic medications were labeled properly after opening. The findings include:Observation on 9/16/25 at 10:20 AM of 4 of 6 medication cart inspections identified the following ophthalmic medication, which were open, had no documented dates regarding when they were open. a. Medication cart identified as 2nd floor long hall.1 bottle of brimonidine tartrate 0.2% eye drops.1 bottle of Systane eye drops.1 bottle of Refresh eye drops. b. Medication cart identified as 2nd floor short hall.1 bottle of Dorzolamide hydrochloride/timolol maleate 2%/0.5% eye drops.1 bottle of Latanoprost 0.005% eye drops.2 bottles of Brimonidine tartrate 0.2% eye drops.1 bottle of Ciprofloxin 0.3% eye drops.1 bottle of Latanoprost 0.005% eye drops.1 bottle of Timolol eye drops 0.5% eye drops. c. Medication cart identified as private short hall.1 bottle of Brimonidine tartrate 0.2% eye drops.2 bottles Latanoprost 0.005% eye drops.1 bottle of Refresh eye drops. d. Medication cart identified as…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-11-14 · tag F0883 — failed to offer flu and pneumonia vaccines — pattern
  Develop and implement policies and procedures for flu and pneumonia vaccinations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on review of facility documentation, facility policy and interviews for 4 of 5 residents, (Resident #3, 9, 12 and 75) reviewed for pneumococcal and influenza vaccine administration, the facility failed to ensure informed consent and documented administration of pneumococcal and influenza vaccinations was done according to policy. The findings include: 1. Resident #3 was admitted to the facility in April 2022 with diagnoses that included cerebral palsy and mitral insufficiency. Resident #3 was self-responsible.A review of Resident #3's immunization record identified the pneumococcal vaccine (PV20) was administered on 4/28/23.The Pneumococcal Vaccine Informed Consent form dated 4/28/23 identified no documented signed consent for the pneumococcal vaccine. 2. Resident #9 was admitted to the facility in March 2021 with diagnoses that included chronic obstructive pulmonary disease and atherosclerotic heart disease. Resident #9 was not self-responsible.Review of the clinical record failed to identify documentation the influenza vaccine was offered to Resident #9 or the responsible…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-11-14 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, review of the clinical record, facility policy, and interviews for 1 of 5 residents (Resident #2) reviewed for pressure ulcers, the facility failed to ensure the implementation of appropriate measures to prevent the possible worsening of pressure ulcers for a dependent resident. The findings include: Resident #2's diagnosis included diabetes type 2 with diabetic neuropathy, venous insufficiency, and dementia. The admission Minimum Data Set assessment dated [DATE] identified Resident #2 had a Brief Interview of Mental Status score of 9 indicating moderate cognitive impairment and required maximal/substantial assistance to turn in bed, to sit to stand, and chair to bed to chair transfers. Additionally, Resident #2 had 1 stage 2 pressure ulcer present on admission and was at risk for pressure ulcer development.The Resident Care Plan dated 4/9/25 identified an actual impairment to the resident's skin, new deep tissue injuries (pressure ulcers) to the bilateral heels. Interventions included to…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-14 · tag F0693 — failed to provide proper feeding-tube care — isolated
  Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, review of the clinical record, facility documentation, facility policy and interview for 1 resident (Resident #65) reviewed for enteral feeding, the facility failed to provide enteral feeding according to professional standards to prevent aspiration. The findings include:Resident #65 was admitted to the facility in January 2025, with a readmission in May 2025, after a hospitalization. Diagnosis included Parkinson's disease, dysphagia and gastrostomy tube. Physician's orders for September 2025 (original order date 6/3/25) directed to administer the following enteral feeding; Jevity 1.5 at 75mg/hour for 16 hours, on at 6:00 AM, off at 10:00 PM. Additionally, the September 2025 physician's orders directed to elevate the residents head of bed 30 - 45 degrees during feeding and for at least 30 - 45 minutes after feedings, and elevate head of bed 60 minutes after medication administration via feeding tube. The quarterly MDS dated [DATE] identified Resident #65 had intact cognition, fluctuating…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-14 · tag F0698 — failed to provide proper dialysis care — isolated
  Provide safe, appropriate dialysis care/services for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of the clinical record, policy, and interviews for the only sampled resident (Resident #7) reviewed for a specialized treatment, the facility failed to ensure that a recommendation for a change in medication received from the specialized treatment center was acted upon. The findings include:Resident #7's diagnosis included end stage renal disease, schizoaffective disorder and multiple myeloma. The quarterly Minimum Data Set assessment dated [DATE] identified Resident #7 had a Brief Interview of Mental Status score of 15 indicating no cognitive impairment and was independent with bed mobility, dressing, and transfers. The Resident Care Plan dated 9/2/25 identified impaired renal function at risk for complications related to specialized treatments. Interventions included to monitor laboratory values and report abnormal values to the physician and send the communication book to the specialized treatment center and review upon return.Review of specialized treatment communication book identified a…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-14 · tag F0791 — failed to provide routine dental services — isolated
  Provide or obtain dental services for each resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of the clinical record, policy, observation, and interviews for the only sampled resident (Resident #85) reviewed for dental services, the facility failed to act upon a dental recommendation for a consultation with an oral surgeon. The findings include:Resident #85's diagnosis included prostate and bone cancer, anxiety and depression.The comprehensive Minimum Data Set assessment dated [DATE] identified Resident #85 was cognitively intact and required substantial to maximal assistance with bed mobility, was independent with eating, and required set-up/clean-up assistance with oral hygiene. The assessment failed to identify Resident #85 had dental irregularities including broken teeth.The Resident Care Plan in effect from 7/8/25 through 9/16/25 failed to identify Resident #58 had dental issues. Interview and observation on 9/16/25 12:37 PM with Resident #85 identified that he/she had been seen by the in-house dentist a few months ago and was told that he/she needed to be seen by an oral surgeon…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-11-14 · tag F0804 — failed to serve food at safe, palatable temperature — isolated
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, review of facility policy and interview for 1 resident (Resident #43) reviewed for food, the facility failed to serve meals at a palatable temperature. The findings include:Resident #43's diagnosis included heart disease, emphysema, and chronic obstructive pulmonary disease.The admission Minimum Data Set (MDS) dated [DATE] identified Resident #43 as cognitively intact, required set-up assistance for eating and partial moderate assistance for bathing. Also, Resident #43 required substantial, maximal assistance for toileting and transfers.Interview with Resident #43 on 09/17/2025 at 2:25 PM identified that the food was cold at times.On 9/23/25 at 12:32 PM, a test tray was conducted. The following was identified.The lunch meal was plated from a warming plate which was placed in a blue-plate holder with a blue enclosed lid and left the dietary department at 12:25 PM in a metal cart which was enclosed all around and filled with 7 to 8 meals. The Administrator transferred the last cart, 6, with…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-08-13 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record reviews, observations, facility documentation, facility policy and interviews for one (1) of three (3) residents, (Resident #1), reviewed for showers, the facility failed to provide a weekly shower in accordance with the plan of care. The findings include: Resident #1 was admitted to the facility on [DATE] with diagnoses that included spinal stenosis with neurogenic claudication, spondylolisthesis, diabetes mellitus, osteoarthritis, and depression. Review of the hospital Discharge summary dated [DATE] identified Resident #1 underwent a L3-L5 posterior spinal fusion on 7/11/24 without complications. Discharge wound instructions directed Resident #1 may shower on the 3rd day after the surgery. Review of the Shower List Schedule identified Resident #1 was scheduled to receive a shower on Fridays during the 3:00 PM to 11:00 PM shift. Clinical record review of the Nurse Aide Documentation for ADL (activities of daily living) regarding bathing, the month of July 2024 identified on 7/19/24,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-08-13 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record reviews, observations, facility documentation, facility policy and interviews for two (2) of three (3) residents (Resident #1 and #2), reviewed for wounds and medication administration, the facility failed to perform wound care and administer medications as ordered. The findings include: 1. Resident #1 was admitted to the facility on [DATE] with diagnoses that included spinal stenosis with neurogenic claudication, spondylolisthesis, diabetes mellitus, osteoarthritis, and depression. Physician orders dated 7/15/24 directed to provide wound care to mid-back and left flank surgical incision and to the drain sites. The orders directed to cleanse the areas with normal saline, pat dry, and cover with a dry clean dressing. The admission Minimum Data Set assessment dated [DATE] identified Resident #1 made consistent and reasonable decisions regarding tasks of daily life and required substantial/maximal assistance for showers. Review of the Treatment Administration Record (TAR) for the month of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-04-12 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, facility documentation review, facility policy review, and interviews for one Resident (Resident # 1) reviewed for abuse, the facility failed to ensure care was provided in a dignified manner. The findings include: Resident #1 was admitted with diagnoses that included dementia with agitation. A quarterly MDS assessment dated [DATE] identified Resident #1 had moderate cognitive impairment, and required supervision or assistance for toileting, dressing, and transfers. The RCP directed staff to assist with transfers and care. A facility incident report dated 3/15/2024 at 4:30 PM identified an allegation of staff to resident abuse without injury; Resident #1 reported to the Ombudsman that she/he was spoken to rudely and was not given incontinent care during the night two (2) night prior. A facility summary report dated 3/21/2024 identified Resident #1 required an assist of one (1) staff for ADLs and was independent with wheelchair mobility (self-propelled). Facility investigation…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to AUTUMN LAKE HEALTHCARE — 59 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 8 rows in the source record cover these 5 parties — each is shown once here with every role it holds. Nothing is omitted.

2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $1.5M paid to related parties — landlords or management companies under common ownership — equal to about 12% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in CT