All citations for Autumn Lake Healthcare at Madison

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Autumn Lake Healthcare at Madison

Last standard health inspection on record

August 25, 2025

Showing 51 to 72 of 72 citations

  1. No harm, with potential for more than minimal harm

    Address patient/client population and determine types of services needed.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0007, Emergency Preparedness Deficiencies. Inspection of November 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 18, 2023).

  2. No harm, with potential for more than minimal harm

    Establish policies and procedures including evacuation.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0020, Emergency Preparedness Deficiencies. Inspection of November 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 18, 2023).

  3. No harm, with potential for more than minimal harm

    List the names and contact information of those in the facility.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0030, Emergency Preparedness Deficiencies. Inspection of November 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 18, 2023).

  4. No harm, with potential for more than minimal harm

    Conduct testing and exercise requirements.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of November 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 18, 2023).

  5. No harm, with potential for more than minimal harm

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0223, Egress Deficiencies. Inspection of November 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 18, 2023).

  6. No harm, with potential for more than minimal harm

    Install emergency lighting that can last at least 1 1/2 hours.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of November 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 9, 2024).

  7. No harm, with potential for more than minimal harm

    Provide properly protected cooking facilities.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of November 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 18, 2023).

  8. No harm, with potential for more than minimal harm

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of November 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 9, 2024).

  9. No harm, with potential for more than minimal harm

    Have properly installed electrical wiring and gas equipment.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0511, Services Deficiencies. Inspection of November 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 18, 2023).

  10. No harm, with potential for more than minimal harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0521, Services Deficiencies. Inspection of November 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 18, 2023).

  11. No harm, with potential for more than minimal harm

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 18, 2023).

  12. No harm, with potential for more than minimal harm

    Ensure proper usage of power strips and extension cords.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 18, 2023).

  13. No harm, with potential for more than minimal harm

    Ensure that testing and maintenance of electrical equipment is performed.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 18, 2023).

  14. No harm, with potential for more than minimal harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of September 27, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 30, 2023).

  15. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0578, Resident Rights Deficiencies. Inspection of July 14, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 3, 2021).

  16. No harm, with potential for more than minimal harm

    Ensure services provided by the nursing facility meet professional standards of quality.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of July 14, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 3, 2021).

  17. No harm, with potential for more than minimal harm

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of July 14, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 3, 2021).

  18. No harm, with potential for more than minimal harm

    Provide enough food/fluids to maintain a resident's health.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of July 14, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 3, 2021).

  19. No harm, with potential for more than minimal harm

    Provide safe and appropriate respiratory care for a resident when needed.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of July 14, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 3, 2021).

  20. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of July 14, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 3, 2021).

  21. No harm, with potential for minimal harm

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Pattern (more than a few residents). CMS level B.

    Health citation F-0623, Resident Rights Deficiencies. Inspection of November 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 25, 2024).

  22. No harm, with potential for minimal harm

    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.

    Pattern (more than a few residents). CMS level B.

    Health citation F-0625, Resident Rights Deficiencies. Inspection of November 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 25, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.