Autumnwood of Mcbain
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 55 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Above-median deficiencies (22 vs median 8.0)
Bottom 25% in MI · Below recommended RN staffing · Worst in CIENA HEALTHCARE/LAUREL HEALTH CARE chain · $39,000 in fines
What this means for your family
While the facility is frequently praised for its effective physical therapy and kind staff, the recent increase in reports regarding severe understaffing and neglect is concerning. We strongly recommend visiting during off-hours to observe response times and asking management specifically how they plan to address the reported staffing shortages before admitting your loved one.
Google Reviews
Google Reviews
55 reviews on Google“Autumnwood of McBain receives polarized feedback, with many families praising the dedicated therapy team and compassionate nursing staff for successful rehabilitation stays. However, significant concerns exist regarding chronic understaffing, which leads to long wait times for basic care, inconsistent attention to hygiene, and occasional lapses in patient safety and dignity.”
Quality Themes
Tap a score for detailsStrengths
- Highly effective physical and occupational therapy
- Compassionate and dedicated nursing staff
- Strong support for post-surgery rehabilitation
- Clean and well-maintained facility environment
Concerns
- Chronic understaffing leading to long wait times (mentioned by 6 reviewers)
- Poor hygiene and cleanliness in patient rooms (mentioned by 3 reviewers)
- Inconsistent or neglectful patient care (mentioned by 5 reviewers)
- Poor food quality and limited meal options (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 53 analyzed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1I noticed your facility has a strong reputation for physical and occupational therapy; how do you integrate those rehabilitation services into a resident's daily routine?
- 2Given that some families have expressed concerns about response times, what specific systems or protocols do you have in place to ensure residents receive timely assistance when they call for help?
- 3I see that your team is active in responding to feedback online; how do you use that family input to make tangible improvements to the quality of care or dining options?
- 4Regarding the recent health inspection reports, what steps is the leadership team currently taking to address those specific areas of concern and improve the overall care standards?
- 5How do you ensure that the cleanliness and hygiene of individual resident rooms are consistently maintained to a high standard throughout the week?
- 6What does the daily activity calendar look like, and how do you encourage residents to participate in social engagement outside of their scheduled therapy sessions?
Personalized based on this facility's data
Key Review Excerpts
“The staff will work with you to prepare and ensure that you are strong and safe to return home to complete your recovery process.”
“CENAS genuinely care and are very short staffed. They could use more CENAS! The wait times to be put into bed from being sitting in a wheelchair all day is horrendous”
“The staff is wonderful. They are also helpful and kind. I do feel that they need more employees but the ones they have work so hard to care for everyone.”
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
8
measures
8
measures
1
measures
Residents needing more daily help over time
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents whose walking got worse
Residents on anti-anxiety or sleep medication
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families filed complaints leading to 9 deficiencies, raising concerns about nursing staffing adequacy and medication errors. The facility shows recurring problems with nursing staff competencies, medication management, and food service across multiple surveys, though all issues have correction dates. While most deficiencies are low-severity, the pattern of complaint-triggered problems suggests families should carefully evaluate current care quality.
May 27, 2025Complaint3
Nursing and Physician Services Deficiencies
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Mar 26, 2025Routine15
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental Deficiencies
Have enough outside ventilation via a window or mechanical ventilation, or both.
Construction Deficiencies
Meet other general requirements.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
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.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Honor each resident's preferences, choices, values and beliefs.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Nursing and Physician Services Deficiencies
Ensure that paid feeding assistants have the training they need.
Mar 26, 2025Complaint6
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Resident Rights Deficiencies
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Apr 17, 2024Routine6
Nutrition and Dietary Deficiencies
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
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.
Resident Rights Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
May 26, 2023Routine11
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Miscellaneous Deficiencies
Provide a written emergency evacuation plan.
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Smoke Deficiencies
Provide properly protected cooking facilities.
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Nutrition and Dietary Deficiencies
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Nutrition and Dietary Deficiencies
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Federal Penalties
Fine
Mar 26, 2025
$39,000
Ownership & Operations
Who Operates This Facility
Autumnwood of Mcbain
for profit
Chain Affiliation
Ciena Healthcare/laurel Health Care
83 facilities nationwide
Chain avg rating: 2.9/5 · Rank 83 of 84 (Worst)
Ownership & Management
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
55 reviews from families & visitors
Official Website
Visit cienahealthcare.com
Medicare data downloads
Original nursing home datasets
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