Federal inspection record · CMS data as of October 1, 2026
Willowbrook Healthcare
2323 Concrete Road, Carlisle, KY · (859) 651-2400
- Certified beds
- 71
- Residents per day
- 47
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 14, 2025
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Kentucky.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Kentucky homes
Willowbrook Healthcare carries 30 inspection points. That is fewer than 32% of Kentucky's 265 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Kentucky: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–2 pts
- 4★ 2–11 pts
- 3★ 11–22 pts
- 2★ 22–45 pts
- 1★ over 45 pts
Bars show every rated home in Kentucky by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
8 health citations on record since 2026. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Assessment and Care Planning2D
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Freedom from Abuse, Neglect, and Exploitation1E
- E
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Pharmacy Service1E
- E
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.
Resident Rights1D
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Quality of Life and Care1D
- D
Provide safe and appropriate respiratory care for a resident when needed.
Nutrition and Dietary1D
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2026-05-28
8 health deficiencies · 10 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2025-05-14
0 health deficiencies · 0 fire-safety deficiencies
No concentrated health issue counts in this cycle.
4
Nursing time per resident, per day
Each resident here gets about 5 h 14 min of nursing staff time a day, 38 min of it from a registered nurse.
This home
5 h 14 min
Kentucky average
3 h 59 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine8.8 pts worse | 85.3% | 94.1% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1 pts better | 97.2% | 96.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury4.6 pts worse | 8.4% | 3.8% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms18.5 pts worse | 37.4% | 18.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.4 pts better | 2.2% | 6.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6.8 pts worse | 36.7% | 29.9% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.2 pts worse | 18.4% | 16.2% | 15.4% |
| Percentage of long-stay residents who were physically restrained3 pts worse | 3.2% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened5.9 pts worse | 18.2% | 12.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased8 pts worse | 21.2% | 13.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better | 0.0% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection5.9 pts worse | 7.4% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence12.4 pts worse | 30.7% | 18.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.7 pts worse | 5.4% | 4.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine25.6 pts worse | 58.9% | 84.5% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication4.3 pts worse | 5.9% | 1.6% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine31.5 pts worse | 52.2% | 83.7% | 80.1% |
·
Who owns and runs it
24 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Frances, Jay | 5% Or Greater Direct Ownership Interest · Individual | 50% | 3 facilities |
| Frances, Mollyanne | 5% Or Greater Direct Ownership Interest · Individual | 50% | 1 facilities |
| Anderson, Veronica | Adp Of The SNF · Individual | 0% | 1 facilities |
| Baber, Roy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Baber, Roy | Adp Of The SNF · Individual | 0% | 1 facilities |
| Calhoun & Company Pllc | Adp Of The SNF · Organization | 0% | 2 facilities |
| Chatham, Barry | Adp Of The SNF · Individual | 0% | 4 facilities |
| Chatham, Brian | Adp Of The SNF · Individual | 0% | 4 facilities |
| Chatham, Stephen | Adp Of The SNF · Individual | 0% | 4 facilities |
| Frances, Jay | Managing Control - Governing Body · Individual | 0% | 3 facilities |
| Frances, Mollyanne | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Fuller, Debbie | Adp Of The SNF · Individual | 0% | 2 facilities |
| Hargis & Associates, LLC | Adp Of The SNF · Organization | 0% | 12 facilities |
| Hargis, Forwood | Adp Of The SNF · Individual | 0% | 12 facilities |
| Kreil, Karen | Adp Of The SNF · Individual | 0% | 2 facilities |
| Legacy Health Services Inc | Operational/Managerial Control · Organization | 0% | 3 facilities |
| Legacy Health Services Inc | Adp Of The SNF · Organization | 0% | 3 facilities |
| Martin, Arnie | Adp Of The SNF · Individual | 0% | 5 facilities |
| Mcintosh, Sarah | Adp Of The SNF · Individual | 0% | 12 facilities |
| Nicholas County Fiscal Court | Adp Of The SNF · Organization | 0% | 1 facilities |
| Petersen, Jalme | Adp Of The SNF · Individual | 0% | 3 facilities |
| Proactive Medical Review And Consultants LLC | Adp Of The SNF · Organization | 0% | 11 facilities |
| Smith, Kimberly | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 7 facilities |
| Toadvine, Stephen | Adp Of The SNF · Individual | 0% | 1 facilities |
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Fire safety
10 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4F
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Provide properly protected cooking facilities.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
Gas, Vacuum, and Electrical Systems3F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- D
Ensure proper usage of power strips and extension cords.
Miscellaneous2F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E
Have simulated fire drills held at unexpected times.
Emergency Preparedness1F
- F
Develop and maintain an Emergency Preparedness Program (EP).
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Other homes nearby
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Harrison Nursing and Rehabilitation Center
Cynthiana, KY
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 32 min
- Fines
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-
Edgemont Healthcare
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★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 9 min
- Fines
- $133,225
-
Bourbon Heights Nursing Home
Paris, KY · Special Focus
★★★★★- Worst citation, 3 yrs
- L
- Nursing / resident / day
- 4 h 34 min
- Fines
- $57,841