Autumn Lake Healthcare At Madison

Inspection history (49)

• November 13, 2023 · E

  Citation F0584

  Federal surveyors cited this nursing home on 2023-11-13 under CMS tag F0584 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. The deficiency was recorded as corrected on 2024-01-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-13.GOV

• November 13, 2023 · E

  Citation F0677

  Federal surveyors cited this nursing home on 2023-11-13 under CMS tag F0677 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide care and assistance to perform activities of daily living for any resident who is unable. The deficiency was recorded as corrected on 2024-01-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-13.GOV

• November 13, 2023 · E

  Citation F0695

  Federal surveyors cited this nursing home on 2023-11-13 under CMS tag F0695 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2024-01-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-13.GOV

• November 13, 2023 · E

  Citation F0921

  Federal surveyors cited this nursing home on 2023-11-13 under CMS tag F0921 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. The deficiency was recorded as corrected on 2024-01-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-13.GOV

• November 13, 2023 · D

  Citation F0578

  Federal surveyors cited this nursing home on 2023-11-13 under CMS tag F0578 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-01-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-13.GOV

• November 13, 2023 · D

  Citation F0604

  Federal surveyors cited this nursing home on 2023-11-13 under CMS tag F0604 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. The deficiency was recorded as corrected on 2024-01-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-13.GOV

• November 13, 2023 · D

  Citation F0687

  Federal surveyors cited this nursing home on 2023-11-13 under CMS tag F0687 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate foot care. The deficiency was recorded as corrected on 2024-01-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-13.GOV

• November 13, 2023 · E

  Citation F0758

  Federal surveyors cited this nursing home on 2023-11-13 under CMS tag F0758 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is l…. The deficiency was recorded as corrected on 2024-01-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-13.GOV

• November 13, 2023 · E

  Citation F0565

  Federal surveyors cited this nursing home on 2023-11-13 under CMS tag F0565 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor the resident's right to organize and participate in resident/family groups in the facility. The deficiency was recorded as corrected on 2024-01-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-13.GOV

• November 13, 2023 · G

  Citation F0686

  Federal surveyors cited this nursing home on 2023-11-13 under CMS tag F0686 (CMS scope/severity G: isolated, actual harm) for Provide appropriate pressure ulcer care and prevent new ulcers from developing. The deficiency was recorded as corrected on 2024-01-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-13.GOV

• November 13, 2023 · F

  Citation F0725

  Federal surveyors cited this nursing home on 2023-11-13 under CMS tag F0725 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. The deficiency was recorded as corrected on 2024-01-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-13.GOV

• November 13, 2023 · B

  Citation F0625

  Federal surveyors cited this nursing home on 2023-11-13 under CMS tag F0625 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for 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. The deficiency was recorded as corrected on 2024-01-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-13.GOV

• November 13, 2023 · D

  Citation F0580

  Federal surveyors cited this nursing home on 2023-11-13 under CMS tag F0580 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. The deficiency was recorded as corrected on 2024-01-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-13.GOV

• November 13, 2023 · D

  Citation F0657

  Federal surveyors cited this nursing home on 2023-11-13 under CMS tag F0657 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. The deficiency was recorded as corrected on 2024-01-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-13.GOV

• November 13, 2023 · E

  Citation F0730

  Federal surveyors cited this nursing home on 2023-11-13 under CMS tag F0730 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Observe each nurse aide's job performance and give regular training. The deficiency was recorded as corrected on 2024-01-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-13.GOV

• November 13, 2023 · F

  Citation F0809

  Federal surveyors cited this nursing home on 2023-11-13 under CMS tag F0809 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. The deficiency was recorded as corrected on 2024-01-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-13.GOV

• November 13, 2023 · E

  Citation F0947

  Federal surveyors cited this nursing home on 2023-11-13 under CMS tag F0947 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. The deficiency was recorded as corrected on 2024-01-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-13.GOV

• November 13, 2023 · F

  Citation F0880

  Federal surveyors cited this nursing home on 2023-11-13 under CMS tag F0880 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2024-01-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-13.GOV

• September 27, 2023 · E

  Citation F0943

  Federal surveyors cited this nursing home on 2023-09-27 under CMS tag F0943 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. The deficiency was recorded as corrected on 2023-11-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-27.GOV

• September 27, 2023 · D

  Citation F0657

  Federal surveyors cited this nursing home on 2023-09-27 under CMS tag F0657 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. The deficiency was recorded as corrected on 2023-11-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-27.GOV

Penalties

Total fines on file: $15,593

Staffing

Latest: 3.28 nurse staffing hours per resident per day (2026-06-01)

Ownership

For profit - Limited Liability company

1. Parent organization: Kc Derby Ct Al Opco Jv LLC

   parent · PAC 8820440860