Autumn Care of Norfolk

Name: Autumn Care of Norfolk
Address: 1401 HALSTEAD AVENUE REVISED, Norfolk, VA, 23502, US
Telephone: 7578570481

1401 Halstead Avenue Revised, Norfolk, VA 23502 · Norfolk City County · 120 certified beds · avg 115 residents/day · certified since Aug 23, 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

2.96

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: 4/5

⚠ 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 (43)

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
Jan 13, 2023	E · Potential for harm, repeated	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.
Jan 13, 2023	E · Potential for harm, repeated	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.
Jan 13, 2023	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Jan 13, 2023	E · Potential for harm, repeated	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Jan 13, 2023	E · Potential for harm, repeated	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Jan 13, 2023	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Jan 13, 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.
Jan 13, 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.
Jan 13, 2023	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.
Jan 13, 2023	D · Potential for harm, one-off	The facility did not provide or arrange specialized rehabilitation services — such as physical, occupational, or speech therapy — for residents who needed them.
Jan 13, 2023	D · Potential for harm, one-off	The facility did not report COVID-19 data to residents and their families as required. Facilities must keep residents and families informed about COVID-19 cases.
Sep 20, 2019	E · Potential for harm, repeated	The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out.
Sep 20, 2019	E · Potential for harm, repeated	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Sep 20, 2019	D · Potential for harm, one-off	The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences.
Sep 20, 2019	D · Potential for harm, one-off	The facility did not honor residents' right to share a room with their spouse or a roommate of their choosing, or moved residents to a different room without written notice beforehand.
Sep 20, 2019	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Sep 20, 2019	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.
Sep 20, 2019	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.
Sep 20, 2019	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Sep 20, 2019	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.
Sep 20, 2019	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.
Sep 20, 2019	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 20, 2019	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.
Sep 20, 2019	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Sep 20, 2019	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.
Sep 20, 2019	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Sep 20, 2019	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.
Sep 20, 2019	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Feb 14, 2018	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Feb 14, 2018	E · Potential for harm, repeated	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 14, 2018	E · Potential for harm, repeated	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 14, 2018	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.
Feb 14, 2018	E · Potential for harm, repeated	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.
Feb 14, 2018	D · Potential for harm, one-off	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate.
Feb 14, 2018	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Feb 14, 2018	D · Potential for harm, one-off	The facility did not make sure resident assessments were done by a qualified health professional. Assessments guide all of a resident's care, so the person doing them must be properly trained.
Feb 14, 2018	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Feb 14, 2018	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 14, 2018	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 14, 2018	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Feb 14, 2018	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 14, 2018	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.
Feb 14, 2018	D · Potential for harm, one-off	The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (17 → 11).

Year	Citations	Worst severity that year
2018	15	E
2019	17	E
2023	11	E

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)	2.96	3.67	3.95	bottom 20% in Virginia; bottom 12% in the U.S.
Registered Nurse hours	0.46	0.66	0.69	bottom 40% in Virginia; bottom 32% in the U.S.
Weekend total nurse staffing	2.45	3.21	3.50	bottom 15% in Virginia; bottom 8% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.36	0.46	0.48	top 42% in Virginia; bottom 45% in the U.S.
Total nursing staff turnover (%)	51.1	48.1	45.8	bottom 42% in Virginia; bottom 34% in the U.S.
RN turnover (%)	40.0	48.2	42.9	top 34% in Virginia; top 46% 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 3.22, RN 0.51, weekend 2.67. Staffing rating: 2/5.

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: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Who owns this facility

For profit - Individual

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
Jackson, Ashley	Individual	Operational/Managerial Control	NOT APPLICABLE	06/28/2022
Jackson, Ashley	Individual	ADP of the SNF	NOT APPLICABLE	06/28/2022
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) Norfolk, LLC	Organization	5% or Greater Security Interest	NOT APPLICABLE	03/01/2016
Ohi Asset (VA) Norfolk, LLC	Organization	ADP of the SNF	NOT APPLICABLE	03/01/2016
Pease, Ashlei	Individual	Operational/Managerial Control	NOT APPLICABLE	06/07/2022
Pease, Ashlei	Individual	ADP of the SNF	NOT APPLICABLE	06/07/2022
Saber Governance LLC	Organization	ADP of the SNF	NOT APPLICABLE	09/01/2019
Saber Healthcare Group LLC	Organization	ADP of the SNF	NOT APPLICABLE	03/01/2016
SHG Autumn, LLC	Organization	ADP of the SNF	NOT APPLICABLE	11/03/2025
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	11/03/2025
Tadros, Nabil	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2008
Volpe, Benjamin	Individual	Corporate Director	NOT APPLICABLE	03/01/2019
Volpe, Benjamin	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.

"If my family member falls or their condition changes, exactly when and how will I be notified?"
"How soon after admission is a full assessment completed, and how are the findings shared with the family?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"How is routine foot care handled here, and does a podiatrist visit regularly?"
"How do you coordinate and monitor care for residents who receive dialysis?"
"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	Flags
Lake Taylor Hosp	1.3 mi	Norfolk, VA	★★★★☆	3/5
Waterside Health & Rehab Center	1.6 mi	Norfolk, VA	★★★☆☆	3/5
Cypress Pointe Rehabilitation and Nursing	2.4 mi	Virginia Beach, VA	★★☆☆☆	2/5
Maimonides Health Center of Virginia Beach	3.1 mi	Virginia Beach, VA	★★☆☆☆	2/5	abuse
Norfolk Health Care Center	3.4 mi	Norfolk, VA	★☆☆☆☆	1/5
Norview Heights Rehabilitation and Nursing	3.5 mi	Norfolk, VA	★★☆☆☆	3/5
Kempsville Health & Rehab Center	3.9 mi	Virginia Beach, VA	★★☆☆☆	3/5
Harbor's Edge	4.3 mi	Norfolk, VA	★★★★★	5/5
Ghent Health and Rehabilitation	4.5 mi	Norfolk, VA	★☆☆☆☆	1/5	abuse
Bayside Health & Rehabilitation Center	4.6 mi	Virginia Beach, VA	★☆☆☆☆	1/5
Signature Healthcare of Norfolk	5.0 mi	Norfolk, VA	★★★☆☆	2/5
Our Lady of Perpetual Help	5.3 mi	Virginia Beach, VA	★★★★★	4/5

Compare this facility with the 3 closest →

All facilities in Norfolk →

Facility data as of CMS processing date 2026-08-01. CCN 495253.

The Care File

Visit checklist — Autumn Care of Norfolk

1401 Halstead Avenue Revised, Norfolk, VA 23502 · 7578570481

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "How soon after admission is a full assessment completed, and how are the findings shared with the family?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "How is routine foot care handled here, and does a podiatrist visit regularly?"
☐ "How do you coordinate and monitor care for residents who receive dialysis?"
☐ "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 495253 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)