Nursing Home

The Willows at Hamburg

Overview of 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.
(859) 543-0337

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
3/5
Kentucky average: 2.8/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
2/5
Kentucky average: 2.9/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
4/5
Kentucky average: 2.4/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
5/5
Kentucky average: 2.9/5

Nursing care per resident

Info Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
4h 3m per day

This home provides 17% more nursing time per resident than the Kentucky average.

Kentucky average: 3h 27m per day

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.

Lower demand than the Kentucky average
Occupancy rate 78.8%
Residents per day (avg) 58
Occupancy rate
78.8%
Residents per day (avg)
58

Who this home usually serves

TYPE OF STAY

Mix 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.

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
$13,467,361.00
Profit
$517,561.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$5.9M
43.7% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$7.1M
Total costs $12.9M
Bed community size
103-bed community
A larger shared setting that may offer more common spaces and organized community services.

About this community

Occupancy

Occupancy rate
79%
In line with Kentucky average
Occupied beds
81 / 103
Average residents 80 per day

License details

Facility type
Long Term Care (nursing Facility, Nursing Home, Personal Care)
Status Active
Issuance December 1, 2025
Expiration November 30, 2026
County: FAYETTE

Additional licensing details

License number: 101136
CMS Certification Number: 185470

Ownership & operating entity

The Willows at Hamburg is administrated by SAMUEL FRAZIER.

Owner name: TRILOGY HEALTHCARE OF FAYETTE 1, LLC

Safety & Compliance

Care Services

Accepts Medicare
Nursing Services
Rehabilitation Services
Memory Care
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehab

All Levels of Care

Personal Care
Memory Care
Skilled Services

Amenities & Lifestyle

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

Programs & Activities

Activities
Residents enjoy more than 100 programs every single month.
Specific Programs
Personal Care, Memory Care, Skilled Services, Culinary & Lifestyle, Life Enrichment, Dining, Family Resources, Photos & Pricing

Dining & Nutrition

Food Description
Chef-prepared breakfast, lunch, and dinner are provided.
Meals Included
Yes

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.

Payment & Funding Options

Medicare

Health Inspection History

Inspections
Total health inspections 4

Kentucky average 2.9


Last Health inspection on Aug 2025

Total health citations 7
Citations per inspection
1.75

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 More info 2
82% worse than Kentucky average

Kentucky average: 1.1


Serious Health citations More info 0
100% better than Kentucky average

Kentucky average: 0.6

2 critical citations More info Kentucky average: 1.1

0 serious citations More info Kentucky average: 0.6

5 moderate citations More info Kentucky average: 11.6

0 minor citations More info Kentucky average: 0.1
Citations history (last 3 years)
Nutrition moderate citation Aug 08, 2025
Corrected

Pharmacy moderate citation Aug 08, 2025
Corrected

Abuse/Neglect critical citation Jul 03, 2024
Corrected

Abuse/Neglect critical citation Jul 03, 2024
Corrected

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The information below is reported by the Kentucky Cabinet for Health and Family Services, Office of Inspector General.
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The Willows at Hamburg
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

KY 40509
128
-
-
FRAZIER, SAMUEL
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$13,369,202.00
$5,887,358.00
44%
58
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Bluegrass Care & Rehabilitation
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-
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Places of interest near The Willows at Hamburg

Address 8.3 miles from city center

Address LEXINGTON, KY 40509

Calculate Travel Distance to The Willows at Hamburg

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Address

Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

115
Total Staff
102
Employees
13
Contractors
31,382
Total Hours (Quarter)
41
Avg Staff/Day
8.4
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse810.1 No
Licensed Practical Nurse1510.3 No
Certified Nursing Assistant378.9 No
Staff by Category
Administration
3 staff
5.6hs shift avg
Nursing Staff
79 staff
9.4hs shift avg
Physicians & Practitioners
10 staff
7.6hs shift avg
Therapy Services
15 staff
5.2hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
1 staff
5.5hs shift avg
Dietary Services
6 staff
8hs shift avg
Other Services
1 staff
8.7hs shift avg
Contractor Analysis
7.5%
of total hours from contractors
2,345 contractor hours this quarter
Speech Language Pathologist: 3 Qualified Social Worker: 1 Physical Therapy Assistant: 4 Medical Director: 1 Respiratory Therapy Technician: 3 Physical Therapy Aide: 1
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant370379,62291100%8.9
Licensed Practical Nurse150156,25991100%10.3
Medication Aide/Technician160164,43791100%8.7
Registered Nurse8082,9679099%10.1
Other Dietary Services Staff4041,8339099%8.1
Administrator2029286470%8
Physical Therapy Assistant0448696571%7.4
Clinical Nurse Specialist8088096571%7.7
Speech Language Pathologist0336726673%5.5
Nurse Aide in Training3035584145%11
Mental Health Service Worker1015396268%8.7
Dietitian2025316774%7.5
Nurse Practitioner2025186268%7.6
Respiratory Therapy Technician0334016268%6.2
Qualified Social Worker0113496470%5.5
Medical Director011495864%0.9
Occupational Therapy Assistant404386470%0.5
Physical Therapy Aide011433%1.3

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.

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 Info 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 average

Kentucky average: 10.5

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 19.7
In line with Kentucky average

Kentucky average: 18.9

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 14.6%
13% better than Kentucky average

Kentucky average: 16.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 19.1%
In line with Kentucky average

Kentucky average: 19.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 25.5%
24% worse than Kentucky average

Kentucky average: 20.5%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 2.0%
46% better than Kentucky average

Kentucky average: 3.8%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 0.0%
100% better than Kentucky average

Kentucky average: 5.8%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than Kentucky average

Kentucky average: 1.9%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 6.0%
11% better than Kentucky average

Kentucky average: 6.8%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 12.7%
11% better than Kentucky average

Kentucky average: 14.3%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 15.5%
In line with Kentucky average

Kentucky average: 15.6%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.3%
6% better than Kentucky average

Kentucky average: 93.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with Kentucky average

Kentucky average: 96.2%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 92.3%
10% better than Kentucky average

Kentucky average: 83.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.2%
88% better than Kentucky average

Kentucky average: 1.9%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 89.3%
7% better than Kentucky average

Kentucky average: 83.6%

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 average

Kentucky average: $63K

Number of fines 1
57% fewer fines than Kentucky average

Kentucky average: 2.3

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Kentucky average

Kentucky 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 Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jul 3, 2024
$62K

Last updated: Jan 2026

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Financial Aid for Kentucky Seniors

Get financial aid guidance

Home and Community Based Waiver

Kentucky Medicaid HCB Waiver

Age 65+ or disabled, Kentucky resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Rural focus; waitlists possible.

Hart-Supported Living Program

KY Hart-Supported Living

Age 65+ or disabled, Kentucky resident.

No strict limit; prioritizes low-income.

Not applicable.

Competitive grants; limited availability.

Kentucky Homecare Program

Kentucky Homecare Program

Age 60+, Kentucky resident, at risk of nursing home placement, not eligible for Medicaid waivers.

No strict limit; prioritizes low-income (~$24,980/year individual).

Not assessed; need-based focus.

15 AAAs; rural focus; not in nursing homes.

Medicare Savings Program (MSP)

Kentucky Medicare Savings Program

Age 65+ or disabled, Kentucky resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist; auto Extra Help for Part D.

National Family Caregiver Support Program (NFCSP) Respite

Kentucky NFCSP Respite Care

Caregivers of 60+ needing care or 55+ caregivers of others; Kentucky resident; functional needs (2+ ADLs).

Prioritizes ~$24,980/year (individual); no strict cap.

Not assessed; need-based.

15 AAAs; prioritizes low-income, rural caregivers.

Kentucky Family Caregiver Program

Kentucky Family Caregiver Program

Grandparents (often 55+) as primary caregivers to grandchildren under 18, Kentucky resident, not on Kinship Care.

~$31,225/year (individual); varies by AAA.

Not strictly assessed; need-based.

Max $1,500/year; statewide via AAAs.

Senior Community Service Employment Program (SCSEP)

Kentucky SCSEP

Age 55+, unemployed, low-income, Kentucky resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents.

VA Aid and Attendance (A&A) and Housebound Benefits

Kentucky VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Kentucky resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural areas.

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