Cycle 1
Health 2025-05-14 · Fire 2025-05-14
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Carlisle, KY
Willowbrook Healthcare
0-star overall rating with 0-star inspections
2323 Concrete Road, Carlisle, KY
(859) 651-2400
Overall
0 / 5
CMS overall stars
Health inspections
0 / 5
Survey and complaint cycles
Staffing
0 / 5
RN + nurse staffing
Quality measures
0 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
71
Certified beds
Average residents
9
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2025-05-14
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
1.84
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
2.32
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
5.12
Nurse aide staffing · state 2.43 · national 2.35
Total nurse hours
9.28
All reported nurse hours · state 4.01 · national 3.89
Licensed hours
4.16
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
7.93
Weekend nurse staffing · state 3.50 · national 3.43
Weekend RN hours
0.97
Weekend registered nurse coverage · state 0.52 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.00
CMS adjusted RN staffing hours
Adjusted total hours
0.00
CMS adjusted total nurse staffing hours
Case-mix index
1.63
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure. |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure. |
| Medicare spending per beneficiary | Not Available |
1.02
|
No data were submitted for this measure. |
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator Not Available · Adjusted rate Not Available · No data were submitted for this measure. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure. |
| Staff COVID-19 vaccination coverage | Not Available |
8.2%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 75.9% |
83.8%
7.9 pts worse
|
81.7%
5.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q4 75.0% · 4Q avg 75.9% |
Survey summary
Recent inspection cycles
Inspection history
Recent health citations
Penalties and ownership
What sits behind the stars
Ownership
Frances, Jay
5% Or Greater Direct Ownership Interest · Individual
Frances, Mollyanne
5% Or Greater Direct Ownership Interest · Individual
Baber, Roy
Operational/Managerial Control · Individual
Legacy Health Services Inc
Operational/Managerial Control · Organization
Nearby options
Other facilities in reach
#1
Harrison Nursing and Rehabilitation Center
Cynthiana, KY
1-star overall rating with 1-star inspections with $34,409 in total fines with 10 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
#2
Edgemont Healthcare
Cynthiana, KY
1-star overall rating with 1-star inspections with abuse icon flag with $133,225 in total fines with 19 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
#3
Bourbon Heights Nursing Home
Paris, KY
1-star overall rating with 1-star inspections with $57,841 in total fines with 10 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
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