Autumn Lake Healthcare at Cromwell
385 Main Street, Cromwell, CT 06416 · Capitol County · 175 certified beds · avg 170 residents/day · certified since Mar 1, 1979
Part of chain: AUTUMN LAKE HEALTHCARE (59 facilities, chain avg rating 2.8★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Apr 2, 2026 · F-0697
The facility did not provide safe and appropriate pain management for a resident who needed it.
Why it matters: Untreated pain causes needless suffering and can lead to depression, poor sleep, and declining health.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: May 25, 2026 (Deficient, Provider has date of correction)
All citations in the current public record (31)
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 2, 2026 | ▲ G · Actual harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Apr 2, 2026 | E · Potential for harm, repeated | The facility did not protect residents from being involuntarily separated — kept apart from other residents, kept out of their own room, or confined to their room. Isolating a resident this way is a form of mistreatment. |
| Apr 2, 2026 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Apr 2, 2026 | 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. |
| Apr 2, 2026 | 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. |
| Apr 2, 2026 | 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. |
| Apr 2, 2026 | 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. |
| Apr 2, 2026 | D · Potential for harm, one-off | The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. |
| Apr 2, 2026 | B · Minimal risk, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jul 25, 2024 | F · Potential for harm, facility-wide | 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. |
| Jul 25, 2024 | F · Potential for harm, facility-wide | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. |
| Jul 25, 2024 | 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. |
| Jul 25, 2024 | E · Potential for harm, repeated | 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. · from a complaint |
| Jul 25, 2024 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Jul 25, 2024 | 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. · from a complaint |
| Jul 25, 2024 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Jul 25, 2024 | 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. |
| Jul 25, 2024 | 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. |
| Jul 25, 2024 | B · Minimal risk, repeated | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. |
| Jul 25, 2024 | B · Minimal risk, repeated | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Jul 25, 2024 | B · Minimal risk, repeated | 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. |
| Apr 8, 2022 | 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. |
| Apr 8, 2022 | D · Potential for harm, one-off | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. |
| Apr 8, 2022 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. |
| Apr 8, 2022 | 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. |
| Apr 8, 2022 | 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. |
| Apr 8, 2022 | 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. |
| Apr 8, 2022 | D · Potential for harm, one-off | The facility did not make sure the resident's doctor reviewed their care and wrote, signed, and dated progress notes and orders at each required visit. |
| Apr 8, 2022 | B · Minimal risk, repeated | The facility did not properly hold, secure, and manage residents' personal money that was deposited with it for safekeeping. Facilities holding residents' funds must keep careful, honest accounts. |
| Apr 8, 2022 | B · Minimal risk, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Apr 8, 2022 | B · Minimal risk, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (12 → 9).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 10 | 0 | E |
| 2024 | 12 | 0 | F |
| 2026 | 9 | 1 | G ▲ |
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)
1 fine totaling $10,628.
| Date | Type | Amount / length |
|---|---|---|
| Apr 2, 2026 | Fine | $10,628 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Connecticut avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 2.94 | 3.80 | 3.95 | bottom 5% in Connecticut; bottom 12% in the U.S. |
| Registered Nurse hours | 0.27 | 0.70 | 0.69 | bottom 2% in Connecticut; bottom 7% in the U.S. |
| Weekend total nurse staffing | 2.74 | 3.43 | 3.50 | bottom 7% in Connecticut; bottom 18% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.16 | 0.46 | 0.48 | bottom 2% in Connecticut; bottom 6% in the U.S. |
| Total nursing staff turnover (%) | 34.2 | 37.4 | 45.8 | top 40% in Connecticut; top 22% in the U.S. |
| RN turnover (%) | 12.5 | 38.6 | 42.9 | top 8% in Connecticut; top 6% 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 3.01, RN 0.28, weekend 2.81. 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 - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Cromwell Parent LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/01/2015 |
| Accurate Staffing LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2015 |
| Brand Sonnenschine LLP | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2015 |
| Cromwell Parent LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2015 |
| Cromwell Realty LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 01/01/2015 |
| Cromwell Realty LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2015 |
| Raad, Marc | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2015 |
| Raad, Marc | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2015 |
| Scher, Chaim | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/19/2019 |
| Scher, Chaim | Individual | ADP of the SNF | NOT APPLICABLE | 02/19/2019 |
| Schwartz, Mark | Individual | Corporate Officer | NOT APPLICABLE | 02/01/2025 |
| Schwartz, Mark | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2015 |
| Stern, Aryeh | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2015 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
- "Under what circumstances, if any, would a resident ever be kept in their room or separated from others?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "How is routine foot care handled here, and does a podiatrist visit regularly?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "How do you coordinate hospice care, and can residents stay here while receiving it?"
- "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 |
|---|---|---|---|---|---|
| Pilgrim Manor | 0.6 mi | Cromwell, CT | ★★★★★ | 4/5 | |
| Portland Care & Rehab Centre, INC | 1.6 mi | Portland, CT | ★★★★★ | 4/5 | |
| Water's Edge Center for Health & Rehabilitation | 3.1 mi | Middletown, CT | ★★★☆☆ | 2/5 | abuse |
| Apple Rehab Cromwell | 3.4 mi | Cromwell, CT | ★★☆☆☆ | 2/5 | |
| Wadsworth Glen Health Care and Rehabilitation Cent | 3.6 mi | Middletown, CT | ★☆☆☆☆ | 2/5 | abuse |
| John L. Levitow Health Care Center | 3.6 mi | Rocky Hill, CT | ★★★★★ | 4/5 | |
| 60 West | 3.7 mi | Rocky Hill, CT | ★★★★★ | 5/5 | |
| Apple Rehab Middletown | 4.4 mi | Middletown, CT | ★★★☆☆ | 2/5 | |
| Apple Rehab Rocky Hill | 4.4 mi | Rocky Hill, CT | ★★☆☆☆ | 2/5 | |
| Maple View Health & Rehabilitation Center | 5.2 mi | Rocky Hill, CT | ★★★★★ | 5/5 | |
| Cobalt Lodge Health Care and Rehabilitation Center | 5.5 mi | Cobalt, CT | ★☆☆☆☆ | 1/5 | abuseSFF |
| Civita Care Center at Newington | 6.6 mi | Newington, CT | ★☆☆☆☆ | 1/5 | abuse |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 075263.