Number One Autumn Court, Madison, VA 22727 · Madison County · (540) 948-3054
92 certified beds, about 81 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1991
CMS Care Compare ratings, data as of September 1, 2026 · CCN 495244 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on February 23, 2023, inspectors cited 13 health deficiencies (the Virginia average is 14.3, the national average 9.2).
None of its 32 health citations since February 2020 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.20 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.42 of those hours.
54.8% of nursing staff left within the year CMS measured (Virginia average 48.1%).
CMS links it to Saber Healthcare Group, an affiliated group of 126 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 32 health citations on file.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a medication error rate of less than five percent. A total of three errors occurred out of 31 opportunities for error due to residents not receiving their medication for two residents (Resident (R)19 and R84) out of six residents observed for medication administration. In addition, one of six residents (R27) received a partial dose of medication. The facility medication error rate was 9.68%. This failure had the potential to affect the accurate dosing of medication administered to the residents and for residents not to receive the full beneficial effects of the prescribed medications.
Inspectors wroteBased on staff interview and clinical record review, it was determined the facility staff failed to notify the physician and the responsible party of changes in condition for one of four residents in the survey sample, Resident # 3.
Inspectors wroteBased on staff interview and clinical record review, it was determined the facility staff failed to maintain a complete and accurate clinical record for one of four residents in the survey sample, Resident #1.
Inspectors wroteBased on resident interview, staff interview, clinical record review and facility document review, it was determined that the facility staff failed to implement a complete pain management program for one of 28 residents in the survey sample, Resident # 49 (R49).
Inspectors wroteBased on staff interview, facility document review and clinical record review, the facility staff failed to notify a resident's responsible party of a change in condition for one of 28 residents in the survey sample, Resident #223.
Inspectors wroteBased on staff interview, facility document review, and clinical record review, it was determined that the facility staff failed to provide the required written documentation for a facility-initiated transfer, for one of 28 residents in the survey sample, Resident # 64 (R64).
Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined that the facility staff failed provide a bed hold policy notice to the resident or the resident's representative, for a facility-initiated transfer of one of 28 residents in the survey sample, Resident #64 (R64).
Inspectors wroteBased on clinical record review and staff interview it was determined that the facility staff failed to maintain an accurate MDS (minimum data set) assessment for one of 28 residents in the survey sample, Resident #38.
Inspectors wroteBased on resident interview, staff interview, facility policy review, and clinical record review, it was determined the facility staff failed to implement the comprehensive care plan for two of 28 residents in the survey sample, Residents #33 and #49.
Inspectors wroteBased on staff interview, clinical record review, and facility document review, it was determined that facility staff failed to revise the comprehensive care plan for one of 28 residents in the survey sample, Resident #49.
Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined the facility staff failed follow the physician's order for obtaining daily weights for one of 28 residents in the survey sample, Resident #33.
Inspectors wroteBased on staff interview, facility document review, and clinical record review, it was determined the facility staff failed to ensure a new heel wound was assessed accurately, and a treatment was obtained and implemented timely, for one of 28 residents in the survey sample, Resident #33 (R33).
Inspectors wroteBased on observation, resident interview, clinical record review, staff interview and facility document review it was determined that the facility staff failed to provide foot care for two of 28 residents, Resident #43 and Resident #7.
Inspectors wroteBased on observation, resident interview, clinical record review, staff interview and facility document review it was determined that the facility staff failed to provide respiratory care and services consistent with professional standards of practice for two of 28 residents, Resident #43 and Resident #45.
Inspectors wroteBased on resident interview, clinical record review, staff interview and facility document review, it was determined the facility staff failed to evidence consistent communication to the hemodialysis (1) center for one of 28 residents in the survey sample, Resident #35.
Inspectors wroteBased on observation, staff interview, and clinical record review, it was determined the facility staff failed to maintain effective infection control for one of 28 residents in the survey sample, Resident #33.
Inspectors wroteBased on observation, staff interview, and facility document review it was determined facility staff failed to store food in the kitchen in accordance with professional standards for food service safety. The facility failed to properly dispose of dry goods that were past their expiration date, dispose of milk past it expiration date and date/label refrigerated juice not stored in it's original container.
Inspectors wroteBased on observation, clinical record review, staff interviews and facility document review it was determined that the facility staff failed to ensure an injury of unknown origin was immediately reported to the administrator, State Agency and other officials for one of 34 residents in the survey sample, Resident #609. The facility staff failed to immediately report an injury of unknown origin for Resident #609 that was first observed on 12/23/2020. The injury of unknown origin was not reported to the director of nursing until 12/24/2020 and the director of nursing failed to immediately report the injury to the administrator. Resident #609's injury of unknown origin was not reported to the administrator until 12/28/20 and to the appropriate agencies or the responsible party until 12/28/2020.
Inspectors wroteBased on resident interview, staff interview and clinical record review it was determined that the facility staff failed to submit an accurate MDS (minimum data set) assessment for one of 34 residents in the survey sample, Resident #49. Resident #49's quarterly MDS assessment with an ARD of 8/20/2021, in Section O failed to code Resident #49 as receiving oxygen during the assessment period.
Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined that the facility staff failed to follow professional standards of practice for one of 34 residents in the survey sample, Resident #42. The facility staff failed to clarify a physician's order to include the size of Resident #42's Foley urinary catheter (1).
Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, it was determined that the facility staff failed to implement bed rail requirements for one of 34 residents in the survey sample, Resident #51. The facility staff implemented bed rails for Resident #51 without a documented clinical need.
Inspectors wroteBased on staff interview and facility document review, it was determined that the facility staff failed to complete an annual CNA (certified nursing aide) performance review for one of five CNA record reviews. The facility staff failed to complete an annual performance review for CNA #3.
Inspectors wrote4. Resident # 73 was admitted to the facility with diagnoses that included but were not limited to high blood pressure and anxiety [1]. Resident # 73's most recent MDS (minimum data set), a quarterly assessment with an ARD (assessment reference date) of [DATE], coded Resident # 73 as scoring a three on the brief interview for mental status (BIMS) of a score of 0 - 15, three - being severely impaired of cognition for making daily decisions. Review of Resident # 73's clinical record failed to evidence an advance directive. Further review of the clinical record revealed a Care Plan Conference Summary dated [DATE]. The Care Plan Conference Summary documented in part, Topics Discussed: Adv. Dir. [Advance Directive/Code Status: Discussed with Res. Rep [Resident Representative]. Comments DNR [Do Not Resuscitate]. [...]
Inspectors wroteBased on staff interview and clinical record review it was determined that the facility staff failed to accurately complete a MDS (minimum data set) resident assessment for one of 42 residents in the survey sample, Resident #77. The facility staff failed to accurately complete the quarterly MDS (minimum data set) regarding the use of psychotropic medications for Resident #77 with the ARD (assessment reference date) of 01/31/2020.
Inspectors wroteBased on resident interview, staff interview, clinical record review, and facility document review, it was determined that facility staff failed to review and revise the comprehensive care plan for one of 42 residents in the survey sample, Residents # 23. The facility staff failed to revise Resident #23's comprehensive care plan to include the use of a spirometer.
Inspectors wroteBased on observation, staff interview, clinical record review, facility document review and in the course of a complaint investigation, it was determined that the facility staff failed to follow professional standards for two of 42 residents in the survey sample, Resident # 79, and Resident #50. The facility staff obtain a physician's order for the use of an [NAME] machine post Resident #79's total knee replacement, and failed to administer the prescribed dosage of the scheduled Calcium/Vitamin D during the medication administration observation for Resident #50 on 02/12/2020 at 8:00 a.m.
Inspectors wroteBased on observation, staff interview, and clinical record review, it was determined that facility staff failed to provide care and services for an indwelling catheter for one of 42 residents in the survey sample, Residents # 75.
Inspectors wroteBased on resident interview, staff interview, clinical record review, and facility document review, it was determined that facility staff failed to ensure respiratory care and services consistent with professional standards of practice for one of 42 residents in the survey sample, Residents # 23. The facility staff failed obtain a physician's order for Resident #23's use of an incentive spirometer and failed to store the resident's incentive spirometer in a sanitary manner.
Inspectors wroteBased on staff interview and clinical record review, it was determined that the facility staff failed to ensure a drug regimen free from unnecessary medication for one of 42 residents in the survey sample, Resident # 73. The facility staff failed to implement non-pharmacological interventions prior to the administration of the prn [as needed] pain medications Hydrocodone-Acetaminophen and Tylenol to Resident #73.
Inspectors wroteBased on observation, staff interview and facility document review it was determined that facility staff failed to ensure an expired three milliliter multi-dose vile of Humalog [1] was not available for use for one of 42 residents in the survey sample, Resident # 47.
Inspectors wroteBased on observation, staff interview, and facility document review it was determined facility staff failed to store food in a sanitary manner and discard food past its expiration date in two of two facility nourishment rooms observed.
Inspectors wroteBased on resident interview, staff interview, clinical record review and facility document review, it was determined that facility staff failed to implement infection control practices to prevent the development and spread of infection for two of 42 residents in the survey sample, Resident #23 and Resident #42. Resident #73's incentive spirometer was observed stored in an unsanitary manner. The spirometer was observed uncovered on the residents over the bed table during separate observations. Resident #42's catheter bag was observed resting directly on the floor during separate observations.
17 fire safety citations on file: 2 on February 23, 2023, 10 on September 16, 2021, 5 on February 13, 2020.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Virginia | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.20 | 3.76 | 3.86 |
| Registered nurses | 0.42 | 0.69 | 0.69 |
| All nursing staff on weekends | 2.79 | 3.29 | 3.42 |
| Nurse aides | 1.72 | ||
| Licensed practical nurses | 1.06 | ||
| Nursing staff turnover (share who left in a year) | 54.8% | 48.1% | 45.8% |
| Registered nurse turnover | 60.0% | 48.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.88 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.37 on weekdays and 2.79 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.97 in April to June 2025 to 3.20 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.20 | 0.42 | 3.37 | 2.79 | 3.5% | 0 of 90 | 81 |
| Oct to Dec 2025 | 3.50 | 0.46 | 3.70 | 2.99 | 7.4% | 0 of 92 | 79 |
| Jul to Sep 2025 | 3.19 | 0.40 | 3.32 | 2.84 | 5.8% | 0 of 92 | 81 |
| Apr to Jun 2025 | 2.97 | 0.38 | 3.13 | 2.57 | 4.2% | 0 of 91 | 83 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Virginia, Jan to Mar 2026 | 3.58 | 0.56 | 3.76 | 3.12 | 5.7% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Virginia, all employers | |||
| CNAs (nursing assistants) | $20.77 | $17.80 to $22.56 | 40,580 |
| LPNs and LVNs | $31.21 | $28.66 to $35.84 | 15,550 |
| Registered nurses | $45.00 | $38.51 to $49.53 | 77,490 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Virginia | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 30.1 | 14.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.3 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.4 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.0 | 3.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.5 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 19.4 | 15.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.2 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 17.1 | 14.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 19.0 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 8.8 | 11.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.8 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 1.5 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Autumn Care of Madison's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (55.9% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
55.9% this home
No different from the national rate
US median of homes 51.5% · Virginia: 101 better, 22 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 83 eligible stays.
9.9% this home
No different from the national rate
US median of homes 10.7% · Virginia: 1 better, 9 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 103 eligible stays.
6.3% this home
No different from the national rate
US median of homes 7.1% · Virginia: 2 better, 8 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 65 eligible stays.
63.6% this home
Median of homes: Virginia60.0% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 44 residents counted.
3.2% this home
Median of homes: Virginia0.7% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 62 residents counted.
1.4% this home
Median of homes: Virginia2.1% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 62 residents counted.
100.0% this home
Median of homes: Virginia97.8% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 32 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: AUTUMN CORPORATION. CMS links this home to Saber Healthcare Group, a group of 126 nursing homes averaging 2.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Shg Autumn, LLC | 5% or greater direct ownership interest | Organization | 100% | 03/01/2016 |
| Ohi Asset (VA) Madison, LLC | 5% or greater mortgage interest | Organization | 03/01/2016 | |
| Volpe, Benjamin | Corporate director | Individual | 03/01/2019 | |
| Nicoluzakis, Gregory | Corporate officer | Individual | 03/01/2019 | |
| Volpe, Benjamin | Corporate officer | Individual | 03/01/2019 | |
| Weisberg, William | Corporate officer | Individual | 03/01/2019 | |
| Shg Management LLC | Operational/managerial control | Organization | 09/01/2019 | |
| Hopkins, Joseph | Operational/managerial control | Individual | 05/08/2023 | |
| Jenkins, Chelsie | Operational/managerial control | Individual | 09/30/2024 | |
| Cibc Bank USA | Adp of the SNF | Organization | 03/31/2021 | |
| Citrin Cooperman Advisors LLC | Adp of the SNF | Organization | 03/01/2016 | |
| Saber Governance LLC | Adp of the SNF | Organization | 09/01/2019 | |
| Shg Management LLC | Adp of the SNF | Organization | 09/01/2019 | |
| Shg Mt, LLC | Adp of the SNF | Organization | 04/29/2026 | |
| Walker & Associates PC | Adp of the SNF | Organization | 03/01/2016 | |
| Hopkins, Joseph | Adp of the SNF | Individual | 05/08/2023 | |
| Jenkins, Chelsie | Adp of the SNF | Individual | 09/30/2024 | |
| Nicoluzakis, Gregory | Adp of the SNF | Individual | 03/01/2019 | |
| Volpe, Benjamin | Adp of the SNF | Individual | 03/01/2019 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Virginia. NursingHomeClear cannot take or act on complaints.