Autumn Care of Madison

Name: Autumn Care of Madison
Address: NUMBER ONE AUTUMN COURT, Madison, VA, 22727, US
Telephone: 5409483054

Number One Autumn Court, Madison, VA 22727 · Madison County · 92 certified beds · avg 81 residents/day · certified since Jul 1, 1991

Part of chain: SABER HEALTHCARE GROUP (126 facilities, chain avg rating 2.9★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.17

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5

⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (32)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Apr 24, 2026	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · from a complaint
Feb 5, 2025	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Feb 5, 2025	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Feb 23, 2023	E · Potential for harm, repeated	The facility did not provide safe and appropriate pain management for a resident who needed it.
Feb 23, 2023	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Feb 23, 2023	D · Potential for harm, one-off	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Feb 23, 2023	D · Potential for harm, one-off	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
Feb 23, 2023	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Feb 23, 2023	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Feb 23, 2023	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Feb 23, 2023	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Feb 23, 2023	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Feb 23, 2023	D · Potential for harm, one-off	The facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults.
Feb 23, 2023	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Feb 23, 2023	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Feb 23, 2023	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Sep 16, 2021	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Sep 16, 2021	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Sep 16, 2021	D · Potential for harm, one-off	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that.
Sep 16, 2021	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Sep 16, 2021	D · Potential for harm, one-off	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
Sep 16, 2021	D · Potential for harm, one-off	The facility did not observe each nurse aide's job performance or provide regular training as required.
Feb 13, 2020	E · Potential for harm, repeated	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Feb 13, 2020	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Feb 13, 2020	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Feb 13, 2020	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Feb 13, 2020	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Feb 13, 2020	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Feb 13, 2020	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Feb 13, 2020	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Feb 13, 2020	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Feb 13, 2020	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (6 → 13).

Year	Citations	Worst severity that year
2020	10	E
2021	6	E
2023	13	E
2025	2	D
2026	1	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Virginia avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.17	3.67	3.95	bottom 35% in Virginia; bottom 20% in the U.S.
Registered Nurse hours	0.42	0.66	0.69	bottom 30% in Virginia; bottom 25% in the U.S.
Weekend total nurse staffing	2.76	3.21	3.50	bottom 36% in Virginia; bottom 19% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.24	0.46	0.48	bottom 27% in Virginia; bottom 19% in the U.S.
Total nursing staff turnover (%)	54.8	48.1	45.8	bottom 35% in Virginia; bottom 25% in the U.S.
RN turnover (%)	60.0	48.2	42.9	bottom 30% in Virginia; bottom 22% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.20, RN 0.42, weekend 2.79. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 3/5 · short-stay residents: 5/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
SHG Autumn, LLC	Organization	5% or Greater Direct Ownership Interest	100%	03/01/2016
Cibc Bank USA	Organization	ADP of the SNF	NOT APPLICABLE	03/31/2021
Citrin Cooperman Advisors LLC	Organization	ADP of the SNF	NOT APPLICABLE	03/01/2016
Hopkins, Joseph	Individual	Operational/Managerial Control	NOT APPLICABLE	05/08/2023
Hopkins, Joseph	Individual	ADP of the SNF	NOT APPLICABLE	05/08/2023
Jenkins, Chelsie	Individual	Operational/Managerial Control	NOT APPLICABLE	09/30/2024
Jenkins, Chelsie	Individual	ADP of the SNF	NOT APPLICABLE	09/30/2024
Nicoluzakis, Gregory	Individual	Corporate Officer	NOT APPLICABLE	03/01/2019
Nicoluzakis, Gregory	Individual	ADP of the SNF	NOT APPLICABLE	03/01/2019
Ohi Asset (VA) Madison, LLC	Organization	5% or Greater Mortgage Interest	NOT APPLICABLE	03/01/2016
Saber Governance LLC	Organization	ADP of the SNF	NOT APPLICABLE	09/01/2019
SHG Management LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	09/01/2019
SHG Management LLC	Organization	ADP of the SNF	NOT APPLICABLE	09/01/2019
SHG Mt, LLC	Organization	ADP of the SNF	NOT APPLICABLE	04/29/2026
Volpe, Benjamin	Individual	Corporate Director	NOT APPLICABLE	03/01/2019
Volpe, Benjamin	Individual	Corporate Officer	NOT APPLICABLE	03/01/2019
Volpe, Benjamin	Individual	ADP of the SNF	NOT APPLICABLE	03/01/2019
Walker & Associates PC	Organization	ADP of the SNF	NOT APPLICABLE	03/01/2016
Weisberg, William	Individual	Corporate Officer	NOT APPLICABLE	03/01/2019

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your current medication error rate, and what have you changed to bring errors down?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"How do you keep residents' medical records accurate, complete, and secure?"
"How do you assess and manage residents' pain, especially for those who have trouble communicating?"
"If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
"If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Mountain View Nursing Home	6.7 mi	Aroda, VA	★★★★★	4/5
Greene Acres Rehabilitation and Nursing	8.4 mi	Stanardsville, VA	★★★☆☆	4/5
Dogwood Village of Orange County Health and Rehab	13.9 mi	Orange, VA	★★★★☆	3/5
The Culpeper	17.1 mi	Culpeper, VA	★★★★☆	3/5
Culpeper Health & Rehabilitation Center	17.7 mi	Culpeper, VA	★★☆☆☆	1/5

Compare this facility with the 3 closest →

All facilities in Madison →

Facility data as of CMS processing date 2026-08-01. CCN 495244.

The Care File

Visit checklist — Autumn Care of Madison

Number One Autumn Court, Madison, VA 22727 · 5409483054

Health inspection rating 3/5 · CMS overall 2/5· Fines (3y): $0

Questions for the administrator:

☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
☐ "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
☐ "If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 495244 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)