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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.
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.
Operating at a 79% occupancy rate, The Willows at Hamburg is a 103-bed skilled nursing facility focused on short-term recovery, memory care, and personal care services. The campus coordinates a mixed admission demographic that averages a 61-day length of stay, drawing from private-pay sources (54%), Medicare (43%), and Medicaid (3%). Financial ledgers verify stable commercial foundations, with the business reporting a $517.6 thousand net operating profit and a 3.1% margin.
Public health department data highlights considerable front-line staffing depth and excellent preventive wellness metrics alongside localized regulatory corrections. Daily direct care lines supply 4 hours and 3 minutes of nursing time per resident to rank 28th highest across Kentucky, driven by licensed practical nurse hours that run 49% ahead of the state baseline. These numbers correspond with high long-term clinical marks, including zero documented cases of urinary tract infections or skin pressure ulcers, as well as low permanent-resident injury falls.
Conversely, short-term charts reveal an elevated 1.4% rate for major injury falls during active rehabilitation and below-average self-care independence marks at discharge. Oversight registries note seven total citations since 2019, establishing a low average of 1.75 citations per inspection. The facility carries a single $62,000 historical federal fine tied to two corrected July 2024 abuse and neglect citations, while its most recent August 2025 standard review flagged two minor, subsequently resolved pharmacy and nutritional paperwork errors.
Prospective residents evaluating local post-acute rehabilitation programs or dedicated memory support spaces can check these state monitoring logs to verify the operator’s clinical track record. While the public files note minor short-stay safety risks and past high-severity regulatory corrections, the underlying documentation shows a stable facility backed by heavy daily direct nurse coverage and strong long-term preventative wellness logs.
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.
This home is ranked 28th out of 184 homes in Kentucky for nurse hours. 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.
| 56m per day | ▲ 23% 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.
| 1h 10m per day | ▲ 42% 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.
| 3h 4m per day | ▲ 26% 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.
| 5h 8m per day | ▲ 47% 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.
| 4m per day | ■ Avg 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.
| 44m per day | ▲ 42% State avg: 31m per day · National avg: 28m per day |
Lower than the Kentucky average: 81.3%The Willows at Hamburg is administrated by Samuel Frazier.
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, citation, 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.
| 7 | 6 | This facility has 17% more total deficiencies than a typical Kentucky nursing home (7 vs. KY avg 6).↑ 17% worse |
|
Deficiencies per year
Average deficiencies per year since 2019.
| 1 | 0.9 | This facility has 11% more deficiencies per year than a typical Kentucky nursing home (1 vs. KY avg 0.9).↑ 11% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 1.8 | 2 | This facility has 10% fewer deficiencies per inspection than a typical Kentucky nursing home (1.8 vs. KY avg 2).↓ 10% better |
Inspections
| This Facility | KY Average | vs. KY Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 4 | 3 | This facility has 33% more total inspections than a typical Kentucky nursing home (4 vs. KY avg 3).↑ 33% worse |
Kentucky average 2.9
Last Health inspection on Aug 2025
Kentucky average 13.5
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.
82% worse than Kentucky averageKentucky average: 1.1
100% better than Kentucky averageKentucky average: 0.6
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
18% more staff per resident than Kentucky average
0% compared with Kentucky average
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.
10.5 hoursAssists with medical care and medications.
All 18 LPN Staff are full-time employees. No contractors work on this role.
18
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.4 hoursHelps with daily care and mobility.
All 37 CNA Staff are full-time employees. No contractors work on this role.
37
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,232 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 37 | 0 | 37 | 11,765 | 92 | 100% | 9.1 |
| Licensed Practical Nurse | 18 | 0 | 18 | 6,073 | 92 | 100% | 10.4 |
| Medication Aide/Technician | 15 | 0 | 15 | 4,265 | 92 | 100% | 9 |
| Registered Nurse | 10 | 0 | 10 | 2,826 | 90 | 98% | 10.5 |
| Clinical Nurse Specialist | 6 | 0 | 6 | 1,717 | 89 | 97% | 8.6 |
| Other Dietary Services Staff | 5 | 0 | 5 | 1,659 | 89 | 97% | 8.1 |
| Physical Therapy Assistant | 0 | 4 | 4 | 911 | 68 | 74% | 7 |
| Speech Language Pathologist | 0 | 5 | 5 | 640 | 66 | 72% | 5.2 |
| Dietitian | 1 | 0 | 1 | 512 | 66 | 72% | 7.8 |
| Administrator | 1 | 0 | 1 | 472 | 59 | 64% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 468 | 59 | 64% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 368 | 48 | 52% | 7.7 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 344 | 64 | 70% | 5.1 |
| Qualified Social Worker | 0 | 2 | 2 | 336 | 65 | 71% | 5.2 |
| Occupational Therapy Assistant | 5 | 0 | 5 | 33 | 54 | 59% | 0.6 |
| Nurse Aide in Training | 1 | 0 | 1 | 17 | 3 | 3% | 5.8 |
| Physical Therapy Aide | 0 | 1 | 1 | 1 | 1 | 1% | 1 |
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)
In line with Kentucky averageKentucky average: $63K
57% fewer fines than Kentucky averageKentucky 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 Kentucky averageKentucky average: 0.3
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jul 3, 2024 · $62K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 3, 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.
8.4
20% better than Kentucky averageKentucky average: 10.5
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
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
14.6%
13% better than Kentucky averageKentucky average: 16.8%
Percent of long-stay residents whose ability to move independently worsened
19.1%
In line with Kentucky averageKentucky average: 19.6%
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%
Percent of long-stay residents experiencing one or more falls with major injury
2.0%
46% better than Kentucky averageKentucky average: 3.8%
Percent of long-stay high risk residents with pressure ulcers
0.0%
100% better than Kentucky averageKentucky average: 5.8%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Kentucky averageKentucky average: 1.9%
Percent of long-stay residents who lose too much weight
6.0%
11% better than Kentucky averageKentucky average: 6.8%
Percent of long-stay residents who have depressive symptoms
12.7%
11% better than Kentucky averageKentucky average: 14.3%
Percent of long-stay residents who received an antipsychotic medication
15.5%
In line with Kentucky averageKentucky average: 15.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.3%
6% better than Kentucky averageKentucky average: 93.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Kentucky averageKentucky average: 96.2%
Number of hospitalizations per 1,000 long-stay resident days.
2.25
20% worse than Kentucky averageKentucky average: 1.87
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.65
25% better than Kentucky averageKentucky average: 2.19
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
92.3%
10% better than Kentucky averageKentucky average: 83.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.2%
88% better than Kentucky averageKentucky average: 1.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
89.3%
7% better than Kentucky averageKentucky average: 83.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.7%
16% better than Kentucky averageKentucky average: 24.5%
Percentage of short-stay residents who had an outpatient emergency department visit.
16.7%
20% worse than Kentucky averageKentucky average: 13.9%
Percentage of SNF residents who experience falls with major injury during their stay.
1.4%
83% worse than Kentucky averageKentucky average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
40.5%
24% worse than Kentucky averageKentucky average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
69.0%
36% better than Kentucky averageKentucky average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
43% of new residents, usually for short-term rehab.
54% 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
57Residents meet regularly to discuss policies, care quality, and activities
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 Hamburg based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #29 / 188Payroll — State benchmarkedThis home is ranked 29th out of 188 homes in Kentucky. 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
8.3 miles from city center
Estimated distance in miles from Lexington's city center to The Willows at Hamburg's address, calculated via Google Maps.
Add your location
The Willows at Hamburg is located in LEXINGTON, Kentucky.
Here are the financial assistance programs available to residents in Kentucky.
The information below is reported by the Kentucky Cabinet for Health and Family Services, Office of Inspector General.
| The Willows at Citation |
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.
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. | Lexington (Griffin Gate) | 19
Facility
19
KY AVG
82
Rank
#331 / 341 |
83.5%
Facility
83.5%
KY AVG
81.3%
Rank
#119 / 202 | +3% | 3.69
Facility
3.69
KY AVG
3.75
Rank
#44 / 184 | -12% | -2% | $0
Facility
$0
KY AVG
$65.4k
Rank
#1 / 190 | 9
Facility
9
KY AVG
13.5
Rank
#64 / 186 | 4.5
Facility
4.5
KY AVG
4.4
Rank
#108 / 186 | - | 49 | - |
7
Facility
7
KY AVG
41
Rank
#382 / 423 | Renee Moore | $10.7M
Facility
$10.7M
KY AVG
$10.5M
Rank
#90 / 188 | $6.2M
Facility
$6.2M
KY AVG
$4.0M
Rank
#51 / 188 | 58.2%
Facility
58.2%
KY AVG
40.7%
Rank
#34 / 188 | 185474 | ||||
| The Willows at Fritz Farm |
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 (Pickway Korner) | 30
Facility
30
KY AVG
82
Rank
#310 / 341 |
100.0%
Facility
100.0%
KY AVG
81.3%
Rank
#1 / 202 | +23% | 3.60
Facility
3.60
KY AVG
3.75
Rank
#52 / 184 | -18% | -4% | $0
Facility
$0
KY AVG
$65.4k
Rank
#1 / 190 | 8
Facility
8
KY AVG
13.5
Rank
#48 / 186 | 2.7
Facility
2.7
KY AVG
4.4
Rank
#36 / 186 | - | 50 | - |
69
Facility
69
KY AVG
41
Rank
#58 / 423 | Elizabeth Blair | $11.2M
Facility
$11.2M
KY AVG
$10.5M
Rank
#85 / 188 | $6.0M
Facility
$6.0M
KY AVG
$4.0M
Rank
#57 / 188 | 53.3%
Facility
53.3%
KY AVG
40.7%
Rank
#56 / 188 | 185482 | ||||
| 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 | 103
Facility
103
KY AVG
82
Rank
#91 / 341 |
31.1%
Facility
31.1%
KY AVG
81.3%
Rank
#200 / 202 | -62% | 4.05
Facility
4.05
KY AVG
3.75
Rank
#28 / 184 | -20% | +8% | $61.6k
Facility
$61.6k
KY AVG
$65.4k
Rank
#178 / 190 | 7
Facility
7
KY AVG
13.5
Rank
#38 / 186 | 1.8
Facility
1.8
KY AVG
4.4
Rank
#14 / 186 | 2 | 32 | - |
0
Facility
0
KY AVG
41
Rank
#407 / 423 | Samuel Frazier | $13.5M
Facility
$13.5M
KY AVG
$10.5M
Rank
#51 / 188 | $7.7M
Facility
$7.7M
KY AVG
$4.0M
Rank
#29 / 188 | 57.1%
Facility
57.1%
KY AVG
40.7%
Rank
#39 / 188 | 185470 | ||||
| Cambridge Nursing & Rehabilitation Center |
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.
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. | Lexington (Cardinal Valley) | 108
Facility
108
KY AVG
82
Rank
#76 / 341 | - | - | 2.88
Facility
2.88
KY AVG
3.75
Rank
#153 / 184 | -30% | -23% | $0
Facility
$0
KY AVG
$65.4k
Rank
#1 / 190 | 9
Facility
9
KY AVG
13.5
Rank
#64 / 186 | 3.0
Facility
3.0
KY AVG
4.4
Rank
#46 / 186 | - | 106 | A+ |
55
Facility
55
KY AVG
41
Rank
#126 / 423 | Cambridge Operations Holdco LLC | $8.2M
Facility
$8.2M
KY AVG
$10.5M
Rank
#132 / 188 | $3.8M
Facility
$3.8M
KY AVG
$4.0M
Rank
#125 / 188 | 46.7%
Facility
46.7%
KY AVG
40.7%
Rank
#85 / 188 | 185444 | ||||
| Mayfair Village Retirement Community |
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.
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. | Lexington (Lansdowne Merrick) | 24
Facility
24
KY AVG
82
Rank
#321 / 341 | - | - | 3.81
Facility
3.81
KY AVG
3.75
Rank
#38 / 184 | -67% | +2% | $33.6k
Facility
$33.6k
KY AVG
$65.4k
Rank
#169 / 190 | 27
Facility
27
KY AVG
13.5
Rank
#167 / 186 | 5.4
Facility
5.4
KY AVG
4.4
Rank
#139 / 186 | 3 | 85 | A+ |
59
Facility
59
KY AVG
41
Rank
#104 / 423 | LP O Holdings LLC | $12.1M
Facility
$12.1M
KY AVG
$10.5M
Rank
#69 / 188 | $5.1M
Facility
$5.1M
KY AVG
$4.0M
Rank
#76 / 188 | 42%
Facility
42%
KY AVG
40.7%
Rank
#112 / 188 | 185069 |
The legal owner and operator of The Willows at Hamburg is Trilogy Healthcare Of Fayette 1, Llc.
According to KY state health department records, The Willows at Hamburg's license number is 101136.
According to KY state health department records, The Willows at Hamburg's license expires on November 30, 2026.
The Willows at Hamburg's occupancy is 31%.
Samuel Frazier is the administrator of The Willows at Hamburg.
The Willows at Hamburg has 103 beds.
Yes — there are 11 photos of The Willows at Hamburg in the photo gallery on this page.
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