Lexington, KY

The Willows at Hamburg

3-star overall rating with 2-star inspections with $61,627 in total fines with 2 recent health deficiencies

2531 Old Rosebud Road, Lexington, KY

(859) 543-0337

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

64

Certified beds

Average residents

57

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Trilogy Health Services

Operator or chain grouping

Approved since

2012-12-14

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.69

Registered nurse staffing

LPN hours / resident day

1.22

Licensed practical nurse staffing

Aide hours / resident day

2.98

Nurse aide staffing

Weekend hours

4.65

Weekend nurse staffing

RN turnover

18%

Annual RN turnover

Total nurse turnover

30%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.3
1.9
0.4 pts worse
1.9
0.4 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.7
2.2
0.5 pts better
1.8
0.1 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.6%
94.3%
4.3 pts better
93.4%
5.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
96.2%
3.8 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 3.4%
3.8%
0.4 pts better
3.3%
0.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 14.9%
15.2%
0.3 pts better
11.4%
3.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 3.8%
6.7%
2.9 pts better
5.4%
1.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 34.3%
29.6%
4.7 pts worse
19.6%
14.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 16.7%
17.6%
0.9 pts better
16.7%
About the same
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.2%
0.2 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 17.6%
17.3%
0.3 pts worse
16.3%
1.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 18.5%
15.6%
2.9 pts worse
14.9%
3.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
0.7%
0.7 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.0%
1.7%
1.7 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 27.4%
19.8%
7.6 pts worse
19.8%
7.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 0.0%
5.5%
5.5 pts better
5.1%
5.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 91.8%
83.8%
8 pts better
81.7%
10.1 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 16.7%
13.9%
2.8 pts worse
12.0%
4.7 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.8%
1.8 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 89.3%
83.6%
5.7 pts better
79.7%
9.6 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 20.7%
24.5%
3.8 pts better
23.9%
3.2 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-08 · Fire 2025-08-08

2 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2022-05-06 · Fire 2022-05-06

4 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2019-08-22 · Fire 2019-08-22

1 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2022-05-06

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2022-06-03

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-08-08

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-09-12

D · Potential for more than minimal harm 2025-08-08

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2025-09-12

J · Immediate jeopardy 2024-07-03

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-07-11

J · Immediate jeopardy 2024-07-03

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2024-07-11

F · Potential for more than minimal harm 2022-05-06

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2022-06-05

E · Potential for more than minimal harm 2022-05-06

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-06-05

E · Potential for more than minimal harm 2019-08-22

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2019-09-20

Penalties and ownership

What sits behind the stars

$61,627 2024-07-03

Fine

Fine · fine $61,627

Fine

Ownership

Trilogy Opco LLC

5% Or Greater Direct Ownership Interest · Organization

100% 62 facilities 2021-10-01
American Healthcare Reit Holdings LP

5% Or Greater Indirect Ownership Interest · Organization

0% 65 facilities 2021-10-01
American Healthcare Reit Inc

5% Or Greater Indirect Ownership Interest · Organization

0% 66 facilities 2021-10-01
Barney, Leigh

Corporate Officer · Individual

0% 69 facilities 2019-11-01
Bryant, William

Corporate Officer · Individual

0% 49 facilities 2016-01-05
Bufford, Randall

Corporate Officer · Individual

0% 35 facilities 2019-11-01
Conner, Gregory

Corporate Officer · Individual

0% 34 facilities 2021-06-03
Continental Merger Sub LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 50 facilities 2021-10-01
Corbin, Kathy

W-2 Managing Employee · Individual

0% 72 facilities 2011-01-10
Davis, David

Corporate Officer · Individual

0% 71 facilities 2017-08-21
Fightmaster, Lisa

W-2 Managing Employee · Individual

0% 60 facilities 2015-12-01
Frazier, Samuel

Operational/Managerial Control · Individual

0% 1 facilities 2017-03-06
Gahc3 Trilogy Jv LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 62 facilities 2021-10-01
Gahc4 Trilogy Jv LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 62 facilities 2021-10-01
Keybank National Association

5% Or Greater Mortgage Interest · Organization

0% 44 facilities 2018-09-11
Northstar Healthcare Income Inc

5% Or Greater Indirect Ownership Interest · Organization

0% 50 facilities 2021-10-01
Northstar Healthcare Income Operating Partnership LP

5% Or Greater Indirect Ownership Interest · Organization

0% 50 facilities 2021-10-01
Prosky, Danny

Corporate Officer · Individual

0% 51 facilities 2015-12-01
Streiff, Mathieu

Corporate Officer · Individual

0% 47 facilities 2015-12-01
Trilogy Healthcare Holdings Inc

5% Or Greater Indirect Ownership Interest · Organization

0% 63 facilities 2021-10-01
Trilogy Holdings Nt-Hci, LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 48 facilities 2021-10-01
Trilogy Investors LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 61 facilities 2021-10-01
Trilogy Management Services LLC

Operational/Managerial Control · Organization

0% 56 facilities 2021-10-01
Trilogy Real Estate Investment Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 61 facilities 2021-10-01
Trilogy Reit Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 61 facilities 2021-10-01

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