Nursing HomeInspections

The Willows at Hamburg

Nursing home in Lexington, KY

Medicare & Medicaid certified2★ overall (CMS)

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Public-record details

Address
2531 Old Rosebud Road, Lexington, KY 40509
Phone
(859) 543-0337
Listed under
For-profit, Part of a retirement community
Medicare CCN
185470
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
1 of 5
Staffing rating
5 of 5
Quality measures rating
4 of 5
Certified beds
64
Average residents per day
57
Ownership
For-profit, individual
Legal business name
Trilogy Healthcare of Fayette I LLC
Chain
Trilogy Health Services (127 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Dec 14, 2012
Changed ownership in last 12 months
No
Continuing care retirement community
Yes
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 185470. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Jul 10, 2026. CMS lists 10 health citations for this facility across its last three standard inspection cycles and complaint inspections (May 6, 2022 to Jul 10, 2026): 4 from complaint inspections, 2 at the “actual harm” level or higher, including 2 at “immediate jeopardy”.

InspectionCitationSeverity
Jul 10, 2026Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Jul 10, 2026Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Jul 10, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary
D
Potential for more than minimal harm, isolated
Jul 10, 2026Keep all essential equipment working safely.
Environmental
D
Potential for more than minimal harm, isolated
Aug 8, 2025Ensure 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…
Pharmacy Service
D
Potential for more than minimal harm, isolated
Aug 8, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary
E
Potential for more than minimal harm, pattern
Jul 3, 2024Protect 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 · complaint inspection
J
Immediate jeopardy, isolated
Jul 3, 2024Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
J
Immediate jeopardy, isolated
May 6, 2022Provide and implement an infection prevention and control program.
Infection Control
E
Potential for more than minimal harm, pattern
May 6, 2022Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary
F
Potential for more than minimal harm, widespread

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $61,627 in the last three years.

Jul 3, 2024Fine: $61,627

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
5.32 hours
Registered nurse (RN) time per resident per day
1.09 hours
Nurse aide time per resident per day
3.13 hours
Total nurse staffing on weekends
4.98 hours
Nursing staff turnover (yearly)
35%
RN turnover (yearly)
18%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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