Skilled nursing

AUTUMN LAKE HEALTHCARE AT WEST HARTFORD

0.00 reviews · 0 verifiedWEST HARTFORD, CTLic. 075407

Signals

JKLRecent citation with immediate-jeopardy / high severity (J/K/L)Source: CMS Health Citations

VBP-SLow SNF VBP readmission measure score (1.9)Source: CMS SNF VBP (PDC)

FINECMS fine: $24,453Source: CMS Penalties

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About

Autumn Lake Healthcare at West Hartford offers comprehensive care services in a picturesque setting, providing skilled nursing for a variety of complex medical conditions. Located conveniently near UConn John Dempsey Hospital, the facility specializes in both short-term rehabilitation and long-term care, ensuring a supportive environment for recovery and well-being.

CMS Care CompareView on Medicare.gov →

Medicare overall

3/5Medicare.gov Care Compare stars are shown for context only. They are never part of the Unbeatable composite score.

Staffing (PBJ)

3.98 total HPRDRN 0.63 · weekend 88%Oct 2025 – Dec 2025

Survey history

12 inspections89 deficiencies on record

Federal IDs

CCN 075407

Overall: 3/5 · Health: 2/5 · Staffing: 3/5 · QM: 5/5

Unbeatable ratings come only from verified family, staff, and professional reviews on this site. CMS stars, staffing, and citations are public regulatory signals — useful for context, not blended into our score.

Recent inspections

Health surveyMay 2026 · CMS4 deficiencies

F-684SS D — Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F-755SS D — Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F-760SS D — Ensure that residents are free from significant medication errors.
F-761SS F — 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.

Health surveyNov 2025 · CMS13 deficiencies

F-550SS D — Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F-554SS D — Allow residents to self-administer drugs if determined clinically appropriate.
F-561SS D — Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
F-580SS D — Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F-607SS D — Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F-645SS D — PASARR screening for Mental disorders or Intellectual Disabilities
F-657SS D — Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F-677SS D — Provide care and assistance to perform activities of daily living for any resident who is unable.
F-684SS D — Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F-686SS D — Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F-698SS D — Provide safe, appropriate dialysis care/services for a resident who requires such services.
F-791SS D — Provide or obtain dental services for each resident.
F-880SS D — Provide and implement an infection prevention and control program.

Fire safetyNov 2025 · STATE FIRE MARSHAL4 deficiencies

K-311SS D — Have an enclosure around a vertical opening shaft.
K-324SS D — Provide properly protected cooking facilities.
K-914SS D — Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
K-921SS D — Ensure that testing and maintenance of electrical equipment is performed.

Health surveyAug 2025 · CMS2 deficiencies

F-684SS D — Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F-725SS D — Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Health surveyFeb 2025 · CMS1 deficiencies

F-684SS D — Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Health surveyDec 2024 · CMS1 deficiencies

F-684SS D — Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Health surveySep 2024 · CMS2 deficiencies

F-580SS D — Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F-842SS D — Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Health surveyFeb 2024 · CMS23 deficiencies

F-585SS C — Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
F-636SS D — Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
F-641SS D — Ensure each resident receives an accurate assessment.
F-644SS D — Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
F-656SS E — Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F-657SS E — Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F-658SS E — Ensure services provided by the nursing facility meet professional standards of quality.
F-660SS D — Plan the resident's discharge to meet the resident's goals and needs.
F-684SS D — Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F-686SS D — Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F-689SS D — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-695SS D — Provide safe and appropriate respiratory care for a resident when needed.
F-698SS D — Provide safe, appropriate dialysis care/services for a resident who requires such services.
F-759SS D — Ensure medication error rates are not 5 percent or greater.
F-761SS D — 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.
F-804SS E — Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F-809SS D — Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
F-812SS E — Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F-842SS D — Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F-880SS E — Provide and implement an infection prevention and control program.

Fire safetyFeb 2024 · STATE FIRE MARSHAL3 deficiencies

K-353SS D — Inspect, test, and maintain automatic sprinkler systems.
K-902SS D — Meet requirements for the installation and maintenance of medical gas and medical vacuum systems.
K-918SS D — Have generator or other power source capable of supplying service within 10 seconds.

Health surveySep 2023 · CMS8 deficiencies

F-578SS D — 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.
F-658SS D — Ensure services provided by the nursing facility meet professional standards of quality.
F-678SS J — Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
F-684SS D — Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F-695SS D — Provide safe and appropriate respiratory care for a resident when needed.
F-730SS D — Observe each nurse aide's job performance and give regular training.
F-835SS D — Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F-842SS B — Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Health surveyOct 2021 · CMS16 deficiencies

F-557SS D — Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
F-580SS D — Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F-585SS B — Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
F-600SS D — Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F-609SS D — Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F-610SS D — Respond appropriately to all alleged violations.
F-656SS D — Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F-657SS D — Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F-658SS D — Ensure services provided by the nursing facility meet professional standards of quality.
F-678SS D — Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
F-684SS E — Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F-686SS E — Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F-756SS D — Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F-758SS D — Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
F-880SS E — Provide and implement an infection prevention and control program.
F-943SS D — Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Fire safetyOct 2021 · STATE FIRE MARSHAL12 deficiencies

E-25SS D — Create arrangements with other facilities to receive patients.
E-30SS D — List the names and contact information of those in the facility.
E-37SS F — Establish staff and initial training requirements.
E-7SS D — Address patient/client population and determine types of services needed.
K-291SS D — Install emergency lighting that can last at least 1 1/2 hours.
K-351SS E — Install an approved automatic sprinkler system.
K-353SS D — Inspect, test, and maintain automatic sprinkler systems.
K-363SS D — Install corridor and hallway doors that block smoke.
K-711SS F — Provide a written emergency evacuation plan.
K-712SS F — Have simulated fire drills held at unexpected times.
K-920SS E — Ensure proper usage of power strips and extension cords.
K-923SS D — Have proper medical gas storage and administration areas.

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Ownership

Operated by AUTUMN LAKE HEALTHCARE (privately held) since 1995.

Nov 2023
operator transition — KC DERBY CT AL OPCO JV LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST (100%) — KC DERBY CT AL OPCO JV LLC
Nov 2023
operator transition — AUT CT7 HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST (100%) — AUT CT7 HOLDINGS LLC

Contact

1 EMILY WAY
WEST HARTFORD, CT 06107

Get directions →

8605617022 autumnlakewesthartford.com

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