What is The Willows at Hamburg's Medicare star rating?

CMS rates The Willows at Hamburg 2 out of 5 stars overall, with 1 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did The Willows at Hamburg get at its last inspection?

4 health deficiencies at the standard inspection on July 10, 2026. The Kentucky average is 2.9.

Does The Willows at Hamburg 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 Hamburg?

CMS lists 16 owners and managers, and links the home to Trilogy Health Services. Legal business name: TRILOGY HEALTHCARE OF FAYETTE I LLC.

The Willows at Hamburg: Inspections, Staffing & Ratings

The record in brief

At its most recent standard inspection, on July 10, 2026, inspectors cited 4 health deficiencies (the Kentucky average is 2.9, the national average 9.2).

Of 10 health citations since May 2022, 2 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).

CMS lists 1 fine totaling $61,627 in the last three years; the largest was $61,627, and the latest is dated July 3, 2024.

Nurses and nurse aides worked 5.24 hours per resident per day, against 3.95 across Kentucky and 3.86 nationally. Registered nurses accounted for 1.05 of those hours.

43.4% 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.

205/22

207/24

208/25

407/26

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 10 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

July 10, 2026Standard inspection, Complaint inspection · 4 citations

D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 14, 2026

Inspectors wroteBased on interview, record review, and review of the facility's policy, the facility failed to promptly inform the resident's representative following a fall for 1 of 5 residents sampled for falls, Resident (R) 93.
D

Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.

F620 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 14, 2026

Inspectors wroteBased on interview, record review, and review of the facility's policy, the facility failed to implement their admissions policy for 1 of 5 residents sampled for admissions, Resident (R) 93.
D

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, isolated · Corrected (the home has a date of correction) August 14, 2026

Inspectors wroteBased on observation, interview, and review of the facility's policy, the facility failed to store food in a safe manner for 1 of 3 nourishment refrigerators. Observation on 07/10/2026 at 12:00 PM revealed staff stored personal food items in the 200-unit nourishment refrigerator.
D

Keep all essential equipment working safely.

F908 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 14, 2026

Inspectors wroteBased on observation, interview, record review, and review of the facility's documents and policy, the facility failed to maintain essential equipment in safe operating condition, including crash cart supplies and a lock on the storage closet containing oxygen tanks. Observations on [DATE] revealed 1 of 1 crash carts located in the Legacy Memory Care Unit contained an empty oxygen tank, and the Legacy Memory Care Unit oxygen supply room could not be immediately accessed by the Director of the unit due to a faulty keypad lock and the absence of a key to the room on the unit.

August 8, 2025Standard inspection · 2 citations

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) September 12, 2025

Inspectors wroteBased on observation, interview, and review of the document from the website www.servsafe.com, the facility failed to ensure food was served and stored properly in sanitary conditions. Observation on 08/06/2025 of 1 of 2 kitchens revealed the cook continued to use the cleaning cloth in the production area and did not keep it in the sanitizer bucket during food production.
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) September 12, 2025

Inspectors wroteBased on observation, interview, and review of the facility's document, the facility failed to store medications according to the facility's document and regulatory guidelines for 3 of 22 sampled residents, Resident (R) 10, R39, and R61.

July 3, 2024Complaint inspection · 2 citations

J

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

F600 · Freedom from Abuse, Neglect, and Exploitation · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 11, 2024

Inspectors wroteBased on interview, record review, review of the facility's investigation report, and review of the facility's policies, the facility failed to protect 1 of 8 sampled residents (Resident 7 (R7)) from physical and verbal abuse by Certified Registered Medication Aide (CRMA) 7. Review of the facility's initial Investigation Report and the witness statements from Certified Registered Care Aide 6 (CRCA6), CRCA10, and Licensed Practical Nurse (LPN) 2, revealed that on 06/07/2024 at 5:50 PM, CRCA6 and CRNA10 observed CRMA7 smack R7 across the face, after R7 had knocked CRMA7's glassess off her face. CRCA6's and CRCA10's statements revealed they both heard what sounded like R7's head hitting the wall at the same time as the smack; however, no visible marks were reported or documented. [...]
J

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

F607 · Freedom from Abuse, Neglect, and Exploitation · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 11, 2024

Inspectors wroteBased on interview, record review, review of the facility's investigation reports, and review of the facility's policy, the facility failed to ensure its staff implemented the facility's abuse policy regarding immediately providing for the safety of the resident after her allegations of physical and verbal abuse by staff for 1 of 8 sampled residents (Resident #7(R7)). Additionally, review of the facility's policy revealed the policy failed to include guidance to equip staff with the knowledge to be able to communicate and coordinate situations of abuse with the facility's Quality Assurance and Performance Improvement (QAPI) program. On 06/07/2024 at approximately 5:50 PM Certified Resident Care Aide (CRCA) 6 and CRCA10 observed Certified Resident Medication Aide (CRMA) 7 become argumentative and physically aggressive with R7 including, but not limited to, a slap on R7's face. [...]

May 6, 2022Standard inspection · 2 citations

F

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, widespread · Corrected (the home has a date of correction) June 5, 2022

Inspectors wroteBased on observation, interview, record review, and the facility's job descriptions, it was determined the facility failed to store, prepare, and distribute food in a safe and sanitary manner in accordance with professional standards. Observations, on 05/04/2022 and 05/05/2022, revealed the industrial can opener stem to be in the dish-machine and the base had a build-up of dark, gummy residue. The spice shelf on the preparation table was dusty and the legs of the preparation table had areas of gummy residue. Additional observations revealed the sanitation solution of the red bucket did not attain sufficient sanitation levels of at least two hundred (200) parts per million (PPM), when tested, as recommended by the manufacturer.
E

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 5, 2022

Inspectors wroteBased on observation, interview, record review, review of the manufacturer's directions for use, and review of the facility's policies and procedures, it was determined 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 and control the development and transmission of communicable diseases and to implement interventions per the Centers for Medicare and Medicaid Services (CMS), the Centers for Disease Control and Prevention (CDC), and the Kentucky Department for Public Health (Health Department) state guidelines for COVID-19. Observation of medication administration for Resident #8, on 05/03/2022, with Kentucky Medication Aide (KMA) #1 revealed improper handling of medication before administration, per mouth (PO). [...]

Fire safety inspections

7 fire safety citations on file: 6 on July 10, 2026, 1 on May 6, 2022.

Every fire safety citation7 citations

F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

K 521 · July 10, 2026 · Corrected (the home has a date of correction)
F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

K 914 · July 10, 2026 · Corrected (the home has a date of correction)
F
Ensure that testing and maintenance of electrical equipment is performed.

K 921 · July 10, 2026 · Corrected (the home has a date of correction)
E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.

K 761 · July 10, 2026 · Corrected (the home has a date of correction)
D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

K 372 · July 10, 2026 · Corrected (the home has a date of correction)
D
Ensure proper usage of power strips and extension cords.

K 920 · July 10, 2026 · Corrected (the home has a date of correction)
D
Have proper medical gas storage and administration areas.

K 923 · May 6, 2022 · Corrected (the home has a date of correction)

Fines and payment denials

Date	Penalty	Amount or length
July 3, 2024	Fine	$61,627

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

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

Measure	This home	Kentucky	United States
All nursing staff (RN, LPN and aides)	5.24	3.95	3.86
Registered nurses	1.05	0.79	0.69
All nursing staff on weekends	5.37	3.49	3.42
Nurse aides	3.06
Licensed practical nurses	1.14
Nursing staff turnover (share who left in a year)	43.4%	46.4%	45.8%
Registered nurse turnover	33.3%	41.8%	42.9%
Administrators who left	1

CMS expects 4.18 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 5.19 on weekdays and 5.37 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 4.77 in April to June 2025 to 5.24 in January to March 2026.

Quarter	All nursing staff	Registered nurses	Weekdays	Weekends	Contract staff share	Days with no RN hours	Residents a day
Jan to Mar 2026	5.24	1.05	5.19	5.37	0.0%	0 of 90	58
Oct to Dec 2025	5.18	0.94	5.20	5.13	0.0%	0 of 92	57
Jul to Sep 2025	4.90	0.69	5.00	4.65	0.0%	0 of 92	57
Apr to Jun 2025	4.77	0.81	4.89	4.49	0.0%	0 of 91	58
United States, Jan to Mar 2026	3.75	0.62	3.92	3.33	5.3%	0.5% of days
Kentucky, Jan to Mar 2026	3.85	0.71	4.04	3.40	3.2%	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.

Measure	This home	Kentucky	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	19.7	13.8	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.0	0.5	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	0.0	1.6	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	7.1	3.9	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	0.0	1.7	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	13.7	14.0	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	0.4	4.8	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	9.4	16.1	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	21.9	24.2	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	17.1	13.7	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	3.0	1.9	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	3.0	2.1	1.8

Owners and operators

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

Name	Role	Type	Since
Continental Merger Sub LLC	5% or greater indirect ownership interest	Organization	10/01/2021
Northstar Healthcare Income Inc	5% or greater indirect ownership interest	Organization	10/01/2021
Northstar Healthcare Income Operating Partnership LP	5% or greater indirect ownership interest	Organization	10/01/2021
Trilogy Holdings Nt-Hci, LLC	5% or greater indirect ownership interest	Organization	10/01/2021
Keybank National Association	5% or greater mortgage interest	Organization	09/11/2018
Corbin, Kathy	W-2 managing employee	Individual	01/10/2011
Fightmaster, Lisa	W-2 managing employee	Individual	12/01/2015
Barney, Leigh	Corporate officer	Individual	11/01/2019
Bryant, William	Corporate officer	Individual	01/05/2016
Bufford, Randall	Corporate officer	Individual	11/01/2019
Conner, Gregory	Corporate officer	Individual	06/03/2021
Davis, David	Corporate officer	Individual	08/21/2017
Prosky, Danny	Corporate officer	Individual	12/01/2015
Streiff, Mathieu	Corporate officer	Individual	12/01/2015
Trilogy Management Services LLC	Operational/managerial control	Organization	10/01/2021
Frazier, Samuel	Operational/managerial control	Individual	03/06/2017

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.

Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on July 10, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on July 10, 2026: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on July 3, 2024: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 1 problem in this area, most recently on July 10, 2026: "Keep all essential equipment working safely."
How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Lexington Premier Nursing & Rehab
Lexington, 1.5 mi · 1 of 5 stars · 42 citations
Bluegrass Care & Rehabilitation Center
Lexington, 4 mi · 3 of 5 stars · 12 citations
Mayfair Manor
Lexington, 4.1 mi · 1 of 5 stars · 27 citations
The Willows at Citation
Lexington, 4.7 mi · 5 of 5 stars · 9 citations
Hartland Park Health & Rehabilitation
Lexington, 4.9 mi · 1 of 5 stars · 28 citations
Lexington Country Place
Lexington, 5.4 mi · 1 of 5 stars · 9 citations
Sayre Christian Village Nursing Home
Lexington, 5.6 mi · 1 of 5 stars · 14 citations
Homestead Post Acute
Lexington, 5.7 mi · 3 of 5 stars · 8 citations

Kentucky contacts for a concern about a nursing home

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

Inspections and complaints: Kentucky Office of Inspector General, Division of Health Care, the state agency that inspects nursing homes for CMS and takes complaints about care.
Resident advocate: Kentucky State Long-Term Care Ombudsman Program, Nursing Home Ombudsman Agency of the Bluegrass, (800) 372-2991. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
State inspection reports: Kentucky OIG Nursing Home Inspection Findings, where Kentucky publishes its own records on licensed homes.

Common questions

What is The Willows at Hamburg's Medicare star rating?: CMS rates The Willows at Hamburg 2 out of 5 stars overall, with 1 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did The Willows at Hamburg get at its last inspection?: 4 health deficiencies at the standard inspection on July 10, 2026. The Kentucky average is 2.9.
Has The Willows at Hamburg been fined?: Yes. CMS lists 1 fine totaling $61,627 in the last three years.
Does The Willows at Hamburg 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 Hamburg?: CMS lists 16 owners and managers, and links the home to Trilogy Health Services. Legal business name: TRILOGY HEALTHCARE OF FAYETTE I LLC.

Sources

Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
Owners: CMS Ownership. Penalties: CMS Penalties.
Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.