3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Opened in 2024 as part of a Continuing Care Retirement Community, The Willows at Harrodsburg is an 81-bed facility that specializes in short-term post-acute care, personal care, and skilled nursing. The property manages brief rehabilitation placements, resulting in a 79-day average length of stay for its primarily Medicare and private-pay clientele. Financial records show a steady upward trajectory, with its profit margin narrowing to negative 2.4% in 2023 from a negative 28.1% deficit in 2018. Management allocates a stable 56.2% of its revenue to direct payroll, which funds campus features like a fitness studio, resident garden, private dining space, library, and salon.
Public health databases document solid physical rehabilitation outcomes and strong nurse staffing ratios alongside minor, corrected administrative citations. Direct nursing care lines provide 3 hours and 20 minutes of daily care per resident, maintaining a favorable 2.27:1 staff-to-resident ratio with registered nurse hours running 20% ahead of the Kentucky average. This personnel depth corresponds with high short-term performance marks, including a 65.8% successful community discharge rate and zero reported major injury falls during rehabilitation.
Permanent resident charts mirror this baseline, logging zero cases of urinary tract infections and a 91% lower rate of pressure ulcers, though recorded depression scores trend higher than the state baseline. Regulatory logs note two inspections since 2018 that generated eight total citations, with a December 2024 review flagging seven moderate items and one serious violation regarding infection control, nutrition, and pharmacy tracking. The facility carries a low historical fine total of $13,000 and zero admission payment blocks.
Interested individuals looking into regional short-stay physical therapy or continuing care senior campuses can study these state monitoring logs to evaluate the property’s clinical baseline. Because the public records verify excellent post-acute recovery metrics, strong daily nurse staffing numbers, and a low overall financial penalty count alongside a few moderate, corrected inspection findings, the documentation details a highly capable rehabilitation environment.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 54m per day | ▲ 17% State avg: 46m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 55m per day | ▲ 12% State avg: 49m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 33m per day | ▲ 5% State avg: 2h 26m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 0m per day | ▲ 14% State avg: 3h 30m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 9m per day | ▲ 117% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 35m per day | ▲ 12% State avg: 31m per day · National avg: 28m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
The Willows at Harrodsburg is administered by Rachel Dadisman.
In Kentucky, the Cabinet for Health and Family Services, Office of Inspector General is the regulatory authority that conducts inspections and investigates complaints in all long-term care homes.
This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Kentucky state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | KY Average | vs. KY Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 8 | 6 | This facility has 33% more total deficiencies than a typical Kentucky assisted living residence (8 vs. KY avg 6).↑ 33% worse |
|
Deficiencies per year
Average deficiencies per year since 2018.
| 1 | 0.8 | This facility has 25% more deficiencies per year than a typical Kentucky assisted living residence (1 vs. KY avg 0.8).↑ 25% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 2.7 | 1.5 | This facility has 80% more deficiencies per inspection than a typical Kentucky assisted living residence (2.7 vs. KY avg 1.5).↑ 80% worse |
Inspections
| This Facility | KY Average | vs. KY Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 3 | 4 | This facility has had 25% fewer total inspections than the Kentucky average (3 vs. KY avg 4). More inspections can mean more regulatory scrutiny rather than worse care.↓ 25% fewer |
State average N/A
Last Health inspection on Dec 2024
State average N/A
State average N/A
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 8 citations resulted from standard inspections.
In line with State averageState average: N/A
In line with State averageState average: N/A
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with State averageState average ratio: 0 : 0
0% compared with State averageState average: 0 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 10 RN Staff are full-time employees. No contractors work on this role.
10
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hoursAssists with medical care and medications.
All 13 LPN Staff are full-time employees. No contractors work on this role.
13
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursHelps with daily care and mobility.
All 36 CNA Staff are full-time employees. No contractors work on this role.
36
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,596 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 36 | 0 | 36 | 8,911 | 92 | 100% | 8.7 |
| Licensed Practical Nurse | 13 | 0 | 13 | 3,572 | 92 | 100% | 8.7 |
| Registered Nurse | 10 | 0 | 10 | 2,115 | 91 | 99% | 10 |
| Other Dietary Services Staff | 5 | 0 | 5 | 1,212 | 89 | 97% | 7.6 |
| Medication Aide/Technician | 4 | 0 | 4 | 1,059 | 77 | 84% | 9.2 |
| Clinical Nurse Specialist | 6 | 0 | 6 | 959 | 72 | 78% | 7.9 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 565 | 67 | 73% | 5 |
| Dietitian | 1 | 0 | 1 | 457 | 55 | 60% | 8.3 |
| Administrator | 1 | 0 | 1 | 432 | 54 | 59% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 432 | 55 | 60% | 7.9 |
| Physical Therapy Assistant | 0 | 4 | 4 | 392 | 57 | 62% | 5.3 |
| Speech Language Pathologist | 0 | 3 | 3 | 361 | 66 | 72% | 5.2 |
| Qualified Social Worker | 0 | 2 | 2 | 278 | 66 | 72% | 3.7 |
| Occupational Therapy Assistant | 3 | 0 | 3 | 21 | 45 | 49% | 0.4 |
Includes penalties issued in 2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
80% lower than State averageState average: $63K
13% fewer fines than State averageState average: 2.3
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than State averageState average: 0.3
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 18, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 18, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
3.2
69% better than State averageState average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
6.4
66% better than State averageState average: 18.9
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
7.4%
56% better than State averageState average: 16.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
5.4%
73% better than State averageState average: 20.5%
Percent of long-stay residents experiencing one or more falls with major injury
2.7%
29% better than State averageState average: 3.8%
Percent of long-stay high risk residents with pressure ulcers
0.5%
91% better than State averageState average: 5.8%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than State averageState average: 1.9%
Percent of long-stay residents who lose too much weight
2.2%
67% better than State averageState average: 6.8%
Percent of long-stay residents who have depressive symptoms
38.5%
170% worse than State averageState average: 14.3%
Percent of long-stay residents who received an antipsychotic medication
11.6%
25% better than State averageState average: 15.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% better than State averageState average: 93.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.8%
In line with State averageState average: 96.2%
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.7%
18% better than State averageState average: 83.7%
Percent of short-stay residents who newly received an antipsychotic medication
2.1%
8% worse than State averageState average: 1.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
99.0%
18% better than State averageState average: 83.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
24.5%
In line with State averageState average: 24.5%
Percentage of short-stay residents who had an outpatient emergency department visit.
11.5%
17% better than State averageState average: 13.9%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than State averageState average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
66.2%
23% better than State averageState average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
65.8%
30% better than State averageState average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
47% of new residents, usually for short-term rehab.
50% of new residents, often for short stays.
3% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
41Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for The Willows at Harrodsburg from 2017–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #98 / 194Payroll — State benchmarkedThis home is ranked 98th out of 194 homes in Kentucky for Payroll. Shows total annual staff payroll benchmarked to the Kentucky average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #47 / 194Payroll % — State benchmarkedThis home is ranked 47th out of 194 homes in Kentucky for Payroll %. Shows payroll as a percentage of revenue versus the Kentucky average. Well-run Kentucky facilities typically land around 50–61% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Pets Allowed
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Most new residents arrive under private pay (50% of admissions), and a typical private pay stay runs around 6 - 7 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Harrodsburg's city center to The Willows at Harrodsburg's address, calculated via Google Maps.
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The information below is reported by the Kentucky Cabinet for Health and Family Services, Office of Inspector General.
| Thomson-Hood Veterans Center | NH | Wilmore | - | 285 | - | 61 | - |
| Redbanks Colonial Terrace | NH IL MC SNF | Sebree | - | 87 | A+ | 41 | - |
| Middlesboro Nursing and Rehabilitation Facility | NH SNF | Middlesboro | - | 95 | - | 62 | - |
| Signature Healthcare of Monroe County Rehab and Well | NH HOS PC RC SNF | Tompkinsville | - | 104 | - | 53 | - |
| The Willows at Harrodsburg | NH AL IL RC SNF | Harrodsburg | - | 81 | - | 67 | - |
The Willows at Harrodsburg is legally operated by Trilogy Healthcare Of Mercer, LLC, and administered by Rachel Dadisman.
The Willows at Harrodsburg has a walk score of 67. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to KY state health department records, The Willows at Harrodsburg's license number is 100762.
According to KY state health department records, The Willows at Harrodsburg's license expires on February 28, 2026.
The Willows at Harrodsburg's occupancy is 83.0%.
Yes, The Willows at Harrodsburg allows residents to bring their pets.
The Willows at Harrodsburg is registered as a for-profit in KY.
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