Madison, Virginia · CCN 495244 · Phone: 5409483054 · 92 beds · Ownership: For Profit - Limited Liability Company
Autumn Care Of Madison is a Medicare-certified skilled nursing facility (CCN 495244) in Madison, Virginia. It holds a CMS overall Five-Star rating of 3 of 5 stars on CMS Care Compare. FileFlo scores its CMS survey-readiness at 58/100 (Material Gaps).
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Autumn Care Of Madison is a Medicare- and Medicaid-certified skilled nursing facility in Madison, Virginia, operating under CMS Certification Number (CCN) 495244. 92-bed facility. For Profit - Limited Liability Company. Part of the Saber Healthcare Group chain. The facility is required to comply with the Requirements for Long-Term Care Facilities at 42 CFR Part 483.
Autumn Care Of Madison has held its Medicare/Medicaid certification for approximately 34 years (certification date on file: 1991-07-01). Long-tenured facilities (15+ years) often have established F-tag remediation playbooks and a deeper standard-survey trail; newly-certified facilities (under 3 years) are subject to a different initial survey cadence under 42 CFR 488.308.
Local market context (Madison County): Autumn Care Of Madison is the only Medicare-certified skilled nursing facility in the same-county sample for Virginia. Sole-provider counties concentrate post-acute placement decisions into a single facility, which can either be operational leverage or a regulatory-visibility risk depending on quality trajectory.
CMS publishes Five-Star ratings for nursing homes monthly, drawn from the most recent three years of standard surveys, complaint surveys, and Minimum Data Set (MDS) submissions.
Long-Stay Quality Measure rating: ★★★★☆ (4 of 5). Long-stay measures cover residents in the facility 100+ days and include indicators like residents experiencing one or more falls with major injury, residents whose ability to move independently worsened, and residents with a urinary tract infection.
Short-Stay Quality Measure rating: ★★★★★ (5 of 5). Short-stay measures cover post-acute residents discharged within 100 days and include rehospitalization within 30 days, successful return to community, and improvement in function.
Differentiating long-stay from short-stay QMs matters for placement decisions — a facility with strong short-stay QMs may still underperform on long-stay metrics, and vice versa.
Inspection overdue: CMS Provider Data flags Autumn Care Of Madison as having an overdue standard health inspection. SNFs must receive a standard survey at most every 15 months on average and never more than 16 months from the last (42 CFR 488.308). Backlogged inspections can result from state agency staffing shortages but do not exempt the facility from the substantive compliance requirements during the gap.
Recent health deficiencies cited at last standard survey: 13. National average for facilities of this size is approximately 8 deficiencies per cycle. Autumn Care Of Madison has no CMS fines in its most recent reporting cycle. Last documented standard health survey: 2023-02-23. CMS conducts standard surveys at most every 15 months for SNFs, with substandard-quality findings triggering more frequent revisits.
CMS health survey weighted score: 51. The weighted score multiplies deficiency severity (A-L) by scope (isolated, pattern, widespread); higher weighted scores translate directly into the Health Inspection star rating tier breakpoints CMS publishes monthly.
At today's staffing levels, Autumn Care Of Madison would not meet the cadre-specific minimums scheduled to take effect on the May 2029 timeline under 89 FR 40876: RN HPRD is 0.457 vs the 0.55 floor, a 0.09-hour gap and nurse-aide HPRD is 1.867 vs the 2.45 floor, a 0.58-hour gap. Closing this gap typically requires either net new hires at the specific cadre, shifted scheduling that reallocates existing FTEs to direct-care hours, or a hardship exemption application under 42 CFR 483.35.
Total nurse staffing: 3.502 hours per resident day (HPRD), which is 0.02 hours above the 3.48 total HPRD floor that the CMS Minimum Staffing Standards rule (89 FR 40876, May 2024) phases in for rural-facility facilities by May 2029.
Staffing mix: RN 0.457 HPRD, LPN 1.178 HPRD, CNA 1.867 HPRD. The same CMS final rule also phases in cadre-specific minimums of 0.55 RN HPRD and 2.45 nurse aide HPRD on the 2029 timeline; RN-specific shortfalls have historically been the most common single-facility staffing deficiency at standard surveys.
Weekend RN staffing: 0.29 HPRD. Weekend RN coverage is a separately reported CMS measure; facilities with low weekend RN HPRD frequently see resident-acuity-driven adverse events spike on the weekend shift.
Total nurse staff turnover: 55.4% annualized — high (typical of facilities with chronic staffing pressure).
RN-specific turnover: 55.6% annualized. RN turnover above 50% is the single strongest correlate with QM rating decline in CMS's own internal analyses.
Autumn Care Of Madison is operated as part of Saber Healthcare Group, a chain operating 126 Medicare-certified facilities (CMS chain identifier 461). Chain-operated facilities tend to share corporate compliance staff, standard operating procedures, and survey-prep resources — but also share enforcement exposure when CMS designates a chain-wide issue under the system-wide quality assurance framework.
Provider type designation: Medicare And Medicaid.
The facility is classified by CMS as rural (outside metropolitan statistical areas). Rural SNFs face different challenges — referral pipeline depth, RN availability, ambulance distance for transfers — and CMS applies certain modifiers to the staffing minimums under hardship exemption pathways for rural facilities.
Peer comparisons use a same-state cohort of 200 Medicare-certified SNFs, pulled live from CMS Provider Data. The cohort excludes terminated and surrendered certifications.
FileFlo's compliance indicator for Autumn Care Of Madison is 58/100 (Material Gaps). The score is derived from publicly published health-deficiency counts, weighted survey scores, infection-control citations, fines, and staffing hours per resident day. It is not a CMS rating. The full survey-readiness audit (covering F-tags from the most recently cited deficiencies, infection control, staffing minimums, MDS accuracy) is at /tools/cms-survey-readiness-score.
FileFlo publishes a profile for every Medicare-certified nursing home so administrators, DONs, and family members can find the same publicly-published quality data without bouncing between Care Compare, the SFF list, and the CMS Provider Data Catalog. Field-level CFR citations are linked throughout. Dispute this record if any field is incorrect — we resync with CMS monthly and process correction requests within five business days.
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Autumn Care Of Madison (CCN 495244) holds a CMS overall Five-Star rating of 3 of 5 stars on CMS Care Compare. CMS updates these ratings quarterly from the facility's submitted assessment and claims data.
Autumn Care Of Madison is a Medicare-certified skilled nursing facility (CMS Certification Number 495244) in Madison, Virginia.
FileFlo scores Autumn Care Of Madison's CMS survey-readiness at 58/100 (Material Gaps). This is a FileFlo indicator built from CMS-published data, not an official CMS rating.
As a Medicare-certified skilled nursing facility, Autumn Care Of Madison is surveyed against the Conditions of Participation in 42 CFR Part 483 — covering patient/resident rights, assessment and care planning, quality (QAPI), infection control, and aide services. Each CoP section is linked on this page.
Run FileFlo's free CMS survey-readiness audit for Autumn Care Of Madison — it grades the skilled nursing facility against every Condition of Participation in 42 CFR Part 483 in about three minutes, names each gap's F-Tag, and requires no signup.
The 42 CFR Part 483 CoP sections a CMS survey actually checks, in plain English:
Compliance terms: F-Tag · Joint Commission. See the Skilled Nursing Facility directory and the Healthcare compliance guide →
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Data sourced from CMS Care Compare (publish 2026-04-01). Information may not reflect the facility's current status. Resync occurs monthly. Dispute this record · Claim this profile