Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

AUTUMN LAKE HEALTHCARE AT GLEN HILL

DANBURY, CT · 100 certified beds · Last Life Safety survey June 9, 2025

CMS Certification Number 075031 · first certified January 1967

Ownership

Independently operated (no chain recorded by CMS) · For profit - Individual

No change of ownership on CMS record since January 1, 2016, when the records begin.

20
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
4
Tags cited more than once
Across separate surveys
11
Inspection & testing records
Of the citations on file

Position within CT

20 citations — more than 80% of the 191 certified nursing homes in CT. Compared within CT rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 3 citations; the earlier surveys in the window averaged 8.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens March 2027 — about 6 months from now. This facility’s last Life Safety survey was June 2025. Facilities in CT are typically surveyed 21–28 months after the last one (median 24), measured over 181 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

3 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

5 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 20 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0584 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.

How that compares

Citations on file over three years

Compared with the median facility in CT, and nationally. Surveyors differ markedly between states, so the CT figure is the meaningful one.

This facility20CT median10National median11
Citations on file over three years, compared
MeasureCitations
This facility20
Median facility in CT10
Median facility nationally11

Survey history

Citations at each Life Safety survey
52021-01122023-0532025-06
Citations at each Life Safety survey
Survey dateCitations
January 14, 20215
May 23, 202312
June 9, 20253

Most-cited tags

Most-cited tags at this facility
K-09182K-03452K-07612K-03212K-03721K-03241K-03471K-09201
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0918Have generator or other power source capable of supplying service within 10 seconds.22025-06-09
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22025-06-09
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.22025-06-09
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.22023-05-23
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12021-01-14
K-0324Provide properly protected cooking facilities.12023-05-23
K-0347Properly provide smoke detection systems in areas open to corridors.12023-05-23
K-0920Ensure proper usage of power strips and extension cords.12023-05-23

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 10
  • Gas, Vacuum, and Electrical Systems Deficiencies 4
  • Miscellaneous Deficiencies 4
  • Egress Deficiencies 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies10
Gas, Vacuum, and Electrical Systems Deficiencies4
Miscellaneous Deficiencies4
Egress Deficiencies2

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

June 9, 2025 — 3 citations

Citations issued on June 9, 2025
TagWhat the surveyor checksStatus
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (July 3, 2025)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (July 3, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (July 3, 2025)

May 23, 2023 — 12 citations

Citations issued on May 23, 2023
TagWhat the surveyor checksStatus
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (July 13, 2023)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (July 13, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (July 13, 2023)
K-0347Properly provide smoke detection systems in areas open to corridors.Deficient, Provider has date of correction (July 13, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (July 13, 2023)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (July 13, 2023)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (July 13, 2023)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (July 13, 2023)
K-0781Have restrictions on the use of portable space heaters.Deficient, Provider has date of correction (July 13, 2023)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (July 13, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (July 13, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (July 13, 2023)

January 14, 2021 — 5 citations

Citations issued on January 14, 2021
TagWhat the surveyor checksStatus
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (February 18, 2021)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (February 18, 2021)
K-0311Have an enclosure around a vertical opening shaft.Deficient, Provider has date of correction (February 18, 2021)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (February 18, 2021)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (February 18, 2021)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.