Autumn Lake Healthcare at Windsor
581 Poquonock Ave · Windsor, CT · 06095 · 8606887211
108 certified beds For profit - Corporation
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.33 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.41 | 0.55–0.75 |
| Weekend hours / resident-day | 3.16 | ≈ weekday level |
| Nursing turnover / year | 51% | median 45% |
| Fines (3-yr window) | 1 · $19,432 |
Inspection citations (53 in the current record)
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Potential for harm · D April 14, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 15, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 14, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected May 15, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 14, 2026 · found via complaint
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected May 15, 2026 · Quality of Life and Care
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Actual harm · G March 11, 2026
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 20, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 11, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 20, 2026 · Resident Rights
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Potential for harm · D March 11, 2026
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected April 20, 2026 · Resident Rights
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Potential for harm · D March 11, 2026
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 20, 2026 · Resident Rights
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Potential for harm · D March 11, 2026
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 20, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 11, 2026
Respond appropriately to all alleged violations.
Corrected April 20, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 11, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected April 20, 2026 · Resident Rights
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Potential for harm · D March 11, 2026
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected April 20, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 11, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 20, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 11, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 20, 2026 · Resident Assessment and Care Planning
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Potential for harm · E March 11, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 20, 2026 · Quality of Life and Care
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Potential for harm · D March 11, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 20, 2026 · Quality of Life and Care
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Potential for harm · D March 11, 2026
Provide enough food/fluids to maintain a resident's health.
Corrected April 20, 2026 · Quality of Life and Care
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Potential for harm · E March 11, 2026
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected April 20, 2026 · Nursing and Physician Services
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Potential for harm · E March 11, 2026
Observe each nurse aide's job performance and give regular training.
Corrected April 20, 2026 · Nursing and Physician Services
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Potential for harm · D March 11, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 20, 2026 · Pharmacy Service
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Potential for harm · E March 11, 2026
Ensure medication error rates are not 5 percent or greater.
Corrected April 20, 2026 · Pharmacy Service
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Potential for harm · E March 11, 2026
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected April 20, 2026 · Pharmacy Service
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Potential for harm · D March 11, 2026
Provide routine and 24-hour emergency dental care for each resident.
Corrected April 20, 2026 · Quality of Life and Care
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Potential for harm · E March 11, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 20, 2026 · Nutrition and Dietary
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Potential for harm · F March 11, 2026
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected April 20, 2026 · Administration
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Potential for harm · D March 11, 2026
Provide and implement an infection prevention and control program.
Corrected April 20, 2026 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 12, 2024 | Fine | $19,432 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 075011 · certified since September 1, 1971. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.