Occupancy rate
79%
In line with Kentucky averageMix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
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Nursing Home in Lexington
CMS overall rating
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.
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.
The Willows at Hamburg
Nursing Home in Lexington
CMS overall rating
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.
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.
The Willows at Hamburg
The Willows at Hamburg is a senior living community located in Lexington, Kentucky. It offers Personal Care, Memory Care, and Skilled Services. Residents can enjoy a variety of programs and amenities designed to enhance their quality of life.
Quality ratings
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
103
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
78.8%
Residents per day (avg)
58
Occupancy rate
78.8%
Residents per day (avg)
58
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
43% of new residents, usually for short-term rehab.
Typical stay
23 days
Private pay
54% of new residents, often for short stays.
Typical stay
5 - 6 months
Medicaid
3% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$13.5M
Profit
$517.6K
Privately-owned community
Operated by a business corporation.
Home revenue
$13.5M
Profit
$517.6K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$5.9M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$7.1M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$12.9M
103-bed community
A larger shared setting that may offer more common spaces and organized community services.
About this community
Occupancy
In line with Kentucky averageOccupied beds
81 / 103
Average residents
80 per day
Facility TypeLong Term Care (nursing Facility, Nursing Home, Personal Care)
StatusActive
IssuanceDecember 1, 2025
ExpirationNovember 30, 2026
CountyFAYETTE
License Number101136
CMS Certification Number185470
The Willows at Hamburg is administrated by Samuel Frazier.
Owner NameTRILOGY HEALTHCARE OF FAYETTE 1, LLC
Accept Medicare
Rehabilitation Services
Short-Term Rehab
Skilled Nursing
24-Hour Staffing
Personal Care
Skilled Services
Fitness Center/Gym
Beautiful Views
Private Dining Room
Walking Paths
Onsite Laundry
Resident Garden
Chef-Prepared Meals
Salon
Indoor Common Areas
Daily Programming
Transportation Services
Handicap Parking
Outdoor Seating & Common Areas
ActivitiesResidents enjoy more than 100 programs every single month.
Specific ProgramsPersonal Care, Memory Care, Skilled Services, Culinary & Lifestyle, Life Enrichment, Dining, Family Resources, Photos & Pricing
Food DescriptionChef-prepared breakfast, lunch, and dinner are provided.
Meals IncludedYes
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicare Accepted
This facility is certified for eligible Medicare services.
Health Inspection History
Inspections
Total health inspections
4
Kentucky average 2.9
Last Health inspection on Aug 2025
Total health citations
7
Kentucky average 13.5
Citations per inspection
1.75
Kentucky average 4.4
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
5 of 7 citations resulted from standard inspections; and 2 of 7 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
2
2
82% worse than Kentucky averageKentucky average: 1.1
Serious Health citations
0
0
100% better than Kentucky averageKentucky average: 0.6
2 critical citations
0 serious citations
5 moderate citations
0 minor citations
Citations history (last 3 years)
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 08, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 08, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Aug 08, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Aug 08, 2025
Corrected
Abuse/Neglect critical citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jul 03, 2024
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jul 03, 2024
Corrected
Abuse/Neglect critical citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jul 03, 2024
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jul 03, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Lexington The information below is reported by the Kentucky Cabinet for Health and Family Services, Office of Inspector General.
Filter by care type
Cambridge Nursing & Rehabilitation Center
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Lexington
108
86.9%
+7%
2.88
-23%
0
9
3.0
0
104
A+
55
Cambridge Operations Holdco Llc
$8.2M
$3.3M
40.9%
185444
Homestead Post Acute
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Lexington
136
87.7%
+8%
2.24
-40%
0
7
1.8
0
125
-
38
Providence Group Of Kentucky Llc
$23.7M
$6.9M
29.1%
185144
The Willows at Hamburg
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Lexington
128
78.8%
-3%
4.05
+8%
1
7
1.8
2
58
-
-
Frazier, Samuel
$13.4M
$5.9M
44%
185470
Bluegrass Care & Rehabilitation
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Lexington
-
-
-
-
-
0
0
0.0
0
-
-
11
-
-
-
-
-
Hartland Park Health & Rehabilitation
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Lexington
150
-
-
-
-
0
0
0.0
0
-
-
-
-
-
-
-
-
Places of interest near The Willows at Hamburg
8.3 miles from city center
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
115
Employees
102
Contractors
13
Staff to resident ratio
2.02:1
15% better than Kentucky averageKentucky average ratio: 1.75:1
Avg staff/day
41
Average shift
8.4 hours
0% compared with Kentucky averageKentucky average: 8.5 hours
Total staff hours (quarter)
31,382
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
8
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.1 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
15
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.3 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
37
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
7.5%
2,345 contractor hours this quarter
Physical Therapy Assistant: 4
Speech Language Pathologist: 3
Respiratory Therapy Technician: 3
Qualified Social Worker: 1
Medical Director: 1
Physical Therapy Aide: 1
Staff by category
| Certified Nursing Assistant | 37 | 0 | 37 | 9,622 | 91 | 100% | 8.9 |
| Licensed Practical Nurse | 15 | 0 | 15 | 6,259 | 91 | 100% | 10.3 |
| Medication Aide/Technician | 16 | 0 | 16 | 4,437 | 91 | 100% | 8.7 |
| Registered Nurse | 8 | 0 | 8 | 2,967 | 90 | 99% | 10.1 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,833 | 90 | 99% | 8.1 |
| Administrator | 2 | 0 | 2 | 928 | 64 | 70% | 8 |
| Physical Therapy Assistant | 0 | 4 | 4 | 869 | 65 | 71% | 7.4 |
| Clinical Nurse Specialist | 8 | 0 | 8 | 809 | 65 | 71% | 7.7 |
| Speech Language Pathologist | 0 | 3 | 3 | 672 | 66 | 73% | 5.5 |
| Nurse Aide in Training | 3 | 0 | 3 | 558 | 41 | 45% | 11 |
| Mental Health Service Worker | 1 | 0 | 1 | 539 | 62 | 68% | 8.7 |
| Dietitian | 2 | 0 | 2 | 531 | 67 | 74% | 7.5 |
| Nurse Practitioner | 2 | 0 | 2 | 518 | 62 | 68% | 7.6 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 401 | 62 | 68% | 6.2 |
| Qualified Social Worker | 0 | 1 | 1 | 349 | 64 | 70% | 5.5 |
| Medical Director | 0 | 1 | 1 | 49 | 58 | 64% | 0.9 |
| Occupational Therapy Assistant | 4 | 0 | 4 | 38 | 64 | 70% | 0.5 |
| Physical Therapy Aide | 0 | 1 | 1 | 4 | 3 | 3% | 1.3 |
37 Certified Nursing Assistant
% of Days
100%
15 Licensed Practical Nurse
% of Days
100%
16 Medication Aide/Technician
% of Days
100%
8 Registered Nurse
% of Days
99%
4 Other Dietary Services Staff
% of Days
99%
2 Administrator
% of Days
70%
4 Physical Therapy Assistant
% of Days
71%
8 Clinical Nurse Specialist
% of Days
71%
3 Speech Language Pathologist
% of Days
73%
3 Nurse Aide in Training
% of Days
45%
1 Mental Health Service Worker
% of Days
68%
2 Dietitian
% of Days
74%
2 Nurse Practitioner
% of Days
68%
3 Respiratory Therapy Technician
% of Days
68%
1 Qualified Social Worker
% of Days
70%
1 Medical Director
% of Days
64%
4 Occupational Therapy Assistant
% of Days
70%
1 Physical Therapy Aide
% of Days
3%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
57 residents
Residents by payment source
Medicare
18 residents (31.6%)
Medicaid
13 residents (22.8%)
Private pay or other
26 residents (45.6%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
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.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.4
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.4
20% better than Kentucky averageKentucky average: 10.5
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.7
In line with Kentucky averageKentucky average: 18.9
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
14.6%
Percent of long-stay residents whose need for help with daily activities has increased
14.6%
13% better than Kentucky averageKentucky average: 16.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
19.1%
Percent of long-stay residents whose ability to move independently worsened
19.1%
In line with Kentucky averageKentucky average: 19.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.5%
24% worse than Kentucky averageKentucky average: 20.5%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.0%
Percent of long-stay residents experiencing one or more falls with major injury
2.0%
46% better than Kentucky averageKentucky average: 3.8%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
0.0%
Percent of long-stay high risk residents with pressure ulcers
0.0%
100% better than Kentucky averageKentucky average: 5.8%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Kentucky averageKentucky average: 1.9%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
6.0%
Percent of long-stay residents who lose too much weight
6.0%
11% better than Kentucky averageKentucky average: 6.8%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
12.7%
Percent of long-stay residents who have depressive symptoms
12.7%
11% better than Kentucky averageKentucky average: 14.3%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
15.5%
Percent of long-stay residents who received an antipsychotic medication
15.5%
In line with Kentucky averageKentucky average: 15.6%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.3%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.3%
6% better than Kentucky averageKentucky average: 93.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Kentucky averageKentucky average: 96.2%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
92.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
92.3%
10% better than Kentucky averageKentucky average: 83.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.2%
Percent of short-stay residents who newly received an antipsychotic medication
0.2%
88% better than Kentucky averageKentucky average: 1.9%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
89.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
89.3%
7% better than Kentucky averageKentucky average: 83.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
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)
Total fines amount
$62K
In line with Kentucky averageKentucky average: $63K
Number of fines
1
57% fewer fines than Kentucky averageKentucky average: 2.3
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Kentucky averageKentucky average: 0.3
Fines amount comparison
Fines amount comparison
This facility
$62K
Kentucky average
$63K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 3, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 3, 2024
$62K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for The Willows at Hamburg based on CMS SNF Cost Reports.
Occupancy Rate
78.8%
↑ 2.0pp vs 2022
Net Income
$517.6K
↑ ~$551.2K vs 2022
Total Payroll
$7.7M
↑ ~$883.1K vs 2022
Profit Margin
3.9%
↑ 4.2pp vs 2022
Loading trend charts...
Guides for Better Senior Living
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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
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