Find a nursing home

Home / Kentucky / Lexington

The Willows at Fritz Farm

2710 Man O War Boulevard, Lexington, KY 40515 · Fayette County · (859) 273-0088

54 certified beds, about 50 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2017

Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 185482 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on May 15, 2026, inspectors cited 3 health deficiencies (the Kentucky average is 2.9, the national average 9.2).

None of its 9 health citations since January 2020 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.98 hours per resident per day, against 3.95 across Kentucky and 3.86 nationally. Registered nurses accounted for 1.08 of those hours.

52.0% of nursing staff left within the year CMS measured (Kentucky average 46.4%).

CMS links it to Trilogy Health Services, an affiliated group of 127 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 9 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
6D
3E
0F
Potential for minimal harm
0A
0B
0C
May 15, 2026Standard inspection · 3 citations
  1. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 18, 2026
    Inspectors wroteBased on observation, interview, record review, review of a job description, and review of the facility's policy, the facility failed to revise the comprehensive care plan for 1 of 13 sampled residents (R), R20. R20 had a Velcro lap belt ordered on 12/01/2025 which was discontinued on 12/27/2025. Per an observation and interview, the lap belt was no longer utilized for R20. However, review of R20's Care Plan revealed it was not revised to discontinue the lap belt and was still an active intervention.
  2. D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 18, 2026
    Inspectors wroteBased on observation, interview, and review of the facility's policy, the facility failed to ensure that medications and biologicals were stored safely, securely, and properly according to manufacturers' recommendations for medications that belonged to 2 of 33 sampled residents (R), R48 and R32. In addition, two unopened vials of heparin, with no resident identification or directions for use, were observed in the same compartment as the ophthalmic solutions.
  3. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 18, 2026
    Inspectors wroteBased on observation, interview, record review, and review of the facility's policy, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 3 of 8 residents reviewed for meal service, Resident (R) 23, R39, and R52. Observation of the meal service on 05/13/2026 at 12:10 PM revealed Licensed Practical Nurse (LPN) 1 did not sanitize her hands between giving trays to residents and the residents' meal setup. In addition, she provided feeding assistance to R23, R39, and R52 using the same, unsanitized hands between each resident. Further observation revealed LPN1 had a personal drink at the table that she drank while providing meal assistance to the three residents.
April 4, 2025Standard inspection · 5 citations
  1. E
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 7, 2025
    Inspectors wroteBased on observation, interview, and review of the facility's document and policy, the facility failed to provide a clean, sanitary, comfortable, and homelike environment for 1 of 4 hallways, the 100 Hall.
  2. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 7, 2025
    Inspectors wroteBased on observation, interview, and review of the facility's document and policies, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 2 nourishment refrigerators, near the 300 Hallway.
  3. D
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 7, 2025
    Inspectors wroteBased on interview, record review, and facility policy review, the facility failed to inform and provide written information to all adult residents concerning the right to accept or refuse medical or surgical treatment and, at the resident's option, formulate an advance directive for 3 of 6 residents reviewed for advance directives, Resident (R) 5, R36, and R42.
  4. D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 7, 2025
    Inspectors wroteBased on interview, record review, and facility policy review, the facility failed to notify the resident and the resident's representative(s) of the transfer or discharge and the reasons for the move in writing and in a language and manner they understood. The facility further failed to send a copy of the notice to a representative of the Office of the State Long-Term Care Ombudsman for 2 of 2 residents investigated for hospitalizations, Resident (R) 5 and R10.
  5. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 7, 2025
    Inspectors wroteBased on observation, interview, record review, review of the enhanced barrier precaution (EBP) signage from the Centers for Disease Control and Prevention (CDC), and review of the facility's policies, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 2 out of 6 sampled residents, Resident (R) 31 and R36. 1. Licensed Practical Nurse (LPN) 1 with the aid of Nursing Student (NS) 1 was observed pulling up R36 in bed prior to giving her medications. R36 had signage posted on her door that stated she was on Enhanced Barrier Precautions (EBP) for a pressure ulcer. LPN1 and NS1 only had on gloves when pulling up R36 and did not have on a gown. 2. [...]
January 16, 2020Standard inspection · 1 citation
  1. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 10, 2020
    Inspectors wroteBased on interview, record review, and review of the Manufacturer's Recommendation for the Stander Be Independent Security Pole, it was determined the facility failed to take appropriate precautions to ensure a safe environment to prevent avoidable accidents for six (6) of thirteen (13) sampled residents (Resident's #5, #6, #9, #11, #25 & #44). Residents #5, #6, #9, #11, #25 & #44 had a transfer pole device installed in their room. The facility failed to ensure the transfer device was installed per the manufacturer's recommendations for safety. The facility failed to adhere to the Manufacturer's Recommendations for the Stander Be Independent Security Pole related to WARNING ENTRAPMENT AND FALLING HAZARD. [...]

Fire safety inspections

1 fire safety citation on file: 1 on April 4, 2025.

Every fire safety citation1 citation
  1. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · April 4, 2025 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeKentuckyUnited States
All nursing staff (RN, LPN and aides)3.983.953.86
Registered nurses1.080.790.69
All nursing staff on weekends3.743.493.42
Nurse aides2.10
Licensed practical nurses0.81
Nursing staff turnover (share who left in a year)52.0%46.4%45.8%
Registered nurse turnover35.3%41.8%42.9%
Administrators who left1

CMS expects 4.13 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.08 on weekdays and 3.74 on weekends, 8% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.90 in April to June 2025 to 3.98 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.981.084.083.74 0.0%0 of 9050
Oct to Dec 20253.941.114.033.69 0.0%0 of 9250
Jul to Sep 20253.961.184.073.70 0.0%0 of 9249
Apr to Jun 20253.901.254.083.45 0.0%0 of 9150
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Kentucky, Jan to Mar 20263.850.714.043.403.2%0.1% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeKentuckyUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
13.013.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.70.50.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.01.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.53.93.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
2.31.71.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
26.514.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
4.14.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
7.116.115.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
29.524.223.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
8.813.712.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.81.91.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.52.11.8

Owners and operators

Legal business name: TRILOGY HEALTHCARE OF FAYETTE II, LLC. CMS links this home to Trilogy Health Services, a group of 127 nursing homes averaging 4.2 stars overall.

NameRoleTypeShareSince
Continental Merger Sub LLC5% or greater indirect ownership interestOrganization10/01/2021
Northstar Healthcare Income Inc5% or greater indirect ownership interestOrganization10/01/2021
Northstar Healthcare Income Operating Partnership LP5% or greater indirect ownership interestOrganization10/01/2021
Trilogy Holdings Nt-Hci, LLC5% or greater indirect ownership interestOrganization10/01/2021
Regions Bank5% or greater mortgage interestOrganization07/20/2018
Corbin, KathyW-2 managing employeeIndividual11/01/2016
Fightmaster, LisaW-2 managing employeeIndividual12/01/2015
Barney, LeighCorporate officerIndividual11/01/2019
Bryant, WilliamCorporate officerIndividual01/05/2016
Bufford, RandallCorporate officerIndividual11/01/2019
Conner, GregoryCorporate officerIndividual06/03/2021
Davis, DavidCorporate officerIndividual08/21/2017
Mehaffey, ToddCorporate officerIndividual01/31/2022
Pietrowski, CristinaCorporate officerIndividual01/31/2022
Prosky, DannyCorporate officerIndividual12/01/2015
Streiff, MathieuCorporate officerIndividual12/01/2015
Trilogy Management Services LLCOperational/managerial controlOrganization10/01/2021
Blair, ElizabethOperational/managerial controlIndividual09/03/2019

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on April 4, 2025: "Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely."
  2. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on May 15, 2026: "Provide and implement an infection prevention and control program."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on May 15, 2026: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on May 15, 2026: "Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs."
  5. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Kentucky contacts for a concern about a nursing home

These are the official offices in Kentucky. NursingHomeClear cannot take or act on complaints.

Common questions

What is The Willows at Fritz Farm's Medicare star rating?
CMS rates The Willows at Fritz Farm 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did The Willows at Fritz Farm get at its last inspection?
3 health deficiencies at the standard inspection on May 15, 2026. The Kentucky average is 2.9.
Has The Willows at Fritz Farm been fined?
CMS lists no fines in the last three years.
Does The Willows at Fritz Farm accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns The Willows at Fritz Farm?
CMS lists 18 owners and managers, and links the home to Trilogy Health Services. Legal business name: TRILOGY HEALTHCARE OF FAYETTE II, LLC.

Sources

Find a nursing home Read an inspection