Autumn Care of Salisbury
Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.
based on 51 Google reviews

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What this means for your family
While many families report a positive experience with the activities and rehab staff, there are serious, recurring allegations regarding basic hygiene and medication management. If you are considering this facility, we strongly recommend conducting unannounced visits during weekends or evening shifts to observe the quality of care firsthand and asking management specifically how they track and prevent the loss of resident personal property.
Google Reviews
Google Reviews
51 reviews on Google“Autumn Care of Salisbury receives highly polarized feedback, with many families praising the compassionate, attentive staff and the facility's ability to provide a supportive environment for long-term care and rehab. However, significant concerns exist regarding basic care standards, including reports of residents being left in soiled conditions, lost personal belongings, and inconsistent medication administration. Families should be aware that while many have positive experiences, there are recurring reports of communication breakdowns and neglect during off-hours.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and attentive nursing staff
- Effective and supportive rehab therapy team
- Clean and well-maintained facility environment
- Engaging activities and outings for residents
Concerns
- Loss of personal belongings (dentures, clothing) and lack of accountability (mentioned by 2 reviewers)
- Poor quality of food and dietary management (mentioned by 2 reviewers)
- Inconsistent medication administration and communication at shift changes (mentioned by 2 reviewers)
- Neglect of basic hygiene and resident needs (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 55 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1I noticed your team is very active in responding to online feedback; how do you use that family input to improve the daily experience for residents?
- 2With the current staffing ratings, what specific protocols do you have in place to ensure consistent communication during shift changes and medication administration?
- 3We’ve heard great things about your rehab team, but could you walk us through how you monitor and maintain personal belongings like dentures and clothing to prevent them from being misplaced?
- 4Regarding the dining experience, what steps are you taking to improve the quality of meals and ensure residents' specific dietary needs are being met?
- 5Given the recent focus on facility standards, how do you ensure that basic hygiene and personal care needs are consistently prioritized for every resident?
- 6What are some of the most popular activities or outings currently offered, and how do you encourage residents to participate in these social opportunities?
Personalized based on this facility's data
Key Review Excerpts
“The staff was compassionate, attentive, and treated our family member with dignity and respect.”
“The staff has been incredibly kind and caring. My husband is always clean and well cared for. He has even said that everyone is good to him and respects his wishes.”
“With all due respect to the great people that work there, they are offset by others who do not communicate at shift change and are unable to follow orders and administer important meds on time.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
13
measures
4
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents whose walking got worse
Residents vaccinated for pneumonia
Residents vaccinated for the flu
Residents needing more daily help over time
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed multiple reports triggering inspections, with recurring issues in medication management, abuse prevention, and resident rights. The facility shows persistent problems with preventing abuse and neglect policies, appearing in surveys two years apart, while most other deficiencies have been corrected. One recent abuse prevention deficiency from January 2026 remains without a correction plan, which is concerning for resident safety.
Jan 14, 2026Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Mar 6, 2025Routine5
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Mar 6, 2025Complaint6
Resident Rights Deficiencies
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Quality of Life and Care Deficiencies
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Nov 9, 2023Routine5
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the installation and maintenance of electrical systems.
Jul 10, 2023Complaint1
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
May 26, 2022Routine5
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Federal Penalties
Fine
Jul 10, 2023
$8,738
Ownership & Operations
Who Operates This Facility
Autumn Care of Salisbury
for profit
Chain Affiliation
Saber Healthcare Group
126 facilities nationwide
Chain avg rating: 3.0/5 · Rank 51 of 125
Ownership & Management
Owners
Shg Autumn, LLC
Owner · Organization
Weisberg, William
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
51 reviews from families & visitors
Official Website
Visit saberhealth.com
Medicare data downloads
Original nursing home datasets
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