The Willows at Hamburg
2531 Old Rosebud Road, Lexington, KY 40509 · Fayette County · 64 certified beds · avg 58 residents/day · certified since Dec 14, 2012
Part of chain: TRILOGY HEALTH SERVICES (123 facilities, chain avg rating 4.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Jul 3, 2024 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jul 11, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Jul 3, 2024 · F-0607 · triggered by a complaint
The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
Why it matters: Without working prevention policies, mistreatment is more likely to happen and less likely to be caught.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jul 11, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (7)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Aug 8, 2025 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Aug 8, 2025 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Jul 3, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Jul 3, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint |
| May 6, 2022 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| May 6, 2022 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Aug 22, 2019 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (2 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 1 | 0 | E |
| 2022 | 2 | 0 | F |
| 2024 | 2 | 2 | J ▲ |
| 2025 | 2 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $61,627.
| Date | Type | Amount / length |
|---|---|---|
| Jul 3, 2024 | Fine | $61,627 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Kentucky avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.80 | 3.71 | 3.95 | top 12% in Kentucky; top 17% in the U.S. |
| Registered Nurse hours | 0.96 | 0.74 | 0.69 | top 17% in Kentucky; top 18% in the U.S. |
| Weekend total nurse staffing | 4.92 | 3.27 | 3.50 | top 8% in Kentucky; top 7% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.65 | 0.53 | 0.48 | top 22% in Kentucky; top 19% in the U.S. |
| Total nursing staff turnover (%) | 43.4 | 46.4 | 45.8 | top 44% in Kentucky; top 46% in the U.S. |
| RN turnover (%) | 33.3 | 41.8 | 42.9 | top 34% in Kentucky; top 33% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 5.24, RN 1.05, weekend 5.37. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 3/5 · short-stay residents: 5/5
Who owns this facility
For profit - Individual
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Continental Merger Sub LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 10/01/2021 |
| Northstar Healthcare Income INC | Organization | 5% or Greater Indirect Ownership Interest | — | 10/01/2021 |
| Northstar Healthcare Income Operating Partnership LP | Organization | 5% or Greater Indirect Ownership Interest | — | 10/01/2021 |
| Trilogy Holdings Nt-Hci, LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 10/01/2021 |
| Barney, Leigh | Individual | Corporate Officer | NOT APPLICABLE | 11/01/2019 |
| Bryant, William | Individual | Corporate Officer | NOT APPLICABLE | 01/05/2016 |
| Bufford, Randall | Individual | Corporate Officer | NOT APPLICABLE | 11/01/2019 |
| Conner, Gregory | Individual | Corporate Officer | NOT APPLICABLE | 06/03/2021 |
| Corbin, Kathy | Individual | W-2 Managing Employee | NOT APPLICABLE | 01/10/2011 |
| Davis, David | Individual | Corporate Officer | NOT APPLICABLE | 08/21/2017 |
| Fightmaster, Lisa | Individual | W-2 Managing Employee | NOT APPLICABLE | 12/01/2015 |
| Frazier, Samuel | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/06/2017 |
| Keybank National Association | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 09/11/2018 |
| Prosky, Danny | Individual | Corporate Officer | NOT APPLICABLE | 12/01/2015 |
| Streiff, Mathieu | Individual | Corporate Officer | NOT APPLICABLE | 12/01/2015 |
| Trilogy Management Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/01/2021 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Lexington Premier Nursing & Rehab | 1.5 mi | Lexington, KY | ★☆☆☆☆ | 1/5 | |
| Bluegrass Care & Rehabilitation Center | 4.0 mi | Lexington, KY | ★★★★☆ | 4/5 | |
| Mayfair Manor | 4.1 mi | Lexington, KY | ★☆☆☆☆ | 1/5 | |
| The Willows at Citation | 4.7 mi | Lexington, KY | ★★★★☆ | 3/5 | |
| Hartland Park Health & Rehabilitation | 4.9 mi | Lexington, KY | ★☆☆☆☆ | 1/5 | |
| Lexington Country Place | 5.4 mi | Lexington, KY | ★☆☆☆☆ | 1/5 | |
| Sayre Christian Village Nursing Home | 5.6 mi | Lexington, KY | ★☆☆☆☆ | 2/5 | |
| Homestead Post Acute | 5.7 mi | Lexington, KY | ★★★★☆ | 3/5 | |
| Pine Meadows Post Acute | 5.8 mi | Lexington, KY | ★★☆☆☆ | 3/5 | |
| The Willows at Fritz Farm | 6.4 mi | Lexington, KY | ★★★☆☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 185470.