Apple Rehab Guilford
Medicare-certified10 BOSTON POST RD, Guilford, CT 06437
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Autumn Lake Healthcare at Madison provides skilled nursing and rehabilitation services designed to help Connecticut residents regain strength and independence. Our experienced team delivers personalized care with a focus on recovery and quality of life during your stay in Madison.
Capacity
90 residents
Location
Madison, CT
Status
Listed in a public registry
34 WILDWOOD AVENUE, Madison, Connecticut 06443
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on August 25, 2025, state inspectors cited 12 health deficiencies (the Connecticut average is 13.0).
Nurses and nurse aides spend 3 hours 10 minutes with each resident a day, below the Connecticut average of 3 hours 44 minutes.
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 10 minutesBelow the Connecticut average |
| Registered nurse time per resident, per day | 25 minutesBelow the Connecticut average |
| Nursing staff who left in the past year | 40%Above the Connecticut average |
38 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
August 25, 2025 · Standard inspection · 12 citations
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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.
Ensure services provided by the nursing facility meet professional standards of quality.
Provide and implement an infection prevention and control program.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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.
Respond appropriately to all alleged violations.
April 1, 2024 · Complaint investigation · 1 citation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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.
Provide and implement an infection prevention and control program.
Provide safe and appropriate respiratory care for a resident when needed.
Provide or obtain dental services for each resident.
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
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.
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Observe each nurse aide's job performance and give regular training.
Honor the resident's right to organize and participate in resident/family groups in the facility.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Provide appropriate foot care.
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.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
34 WILDWOOD AVENUEMadison, CT 06443
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State inspectors visited on August 25, 2025 and cited 12 health deficiencies, 3 of them from complaint investigations. The Connecticut average is 13.0.
Nurses and aides spend 3 hours 10 minutes with each resident per day, including 25 minutes from registered nurses. 40% of nursing staff left over the past year.
Medicare's records show no fines against Autumn Lake Healthcare at Madison in the last three years.
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.