The Willows at Springhurst
3001 N. Hurstbourne Parkway, Louisville, KY 40241 · Jefferson County · (502) 412-3775
52 certified beds, about 49 residents a day · For profit - Corporation · Medicare and Medicaid since 1991
Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 185305 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on December 3, 2025, inspectors cited 4 health deficiencies (the Kentucky average is 2.9, the national average 9.2).
None of its 11 health citations since March 2021 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 4.32 hours per resident per day, against 3.95 across Kentucky and 3.86 nationally. Registered nurses accounted for 1.28 of those hours.
38.6% 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.
203/21
509/21
412/25
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 11 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
8D
1E
2F
Potential for minimal harm
0A
0B
0C
December 3, 2025Standard inspection · 4 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview and review of facility policy, the facility failed to prepare, store, and serve food under sanitary conditions for 51 of 52 residents who received food from the kitchen.
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on interview and record review, the facility failed to refer residents with newly evident or possible serious mental disorder, intellectual disability, or a related condition for Level II Pre-admission screening and resident review (PASRR) evaluation for 1 of 1 sampled resident (Resident (R) 5).
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to ensure residents were free of any significant medication errors and that medications were received at the right time for 1 of 8 sampled residents (Resident (R) 6).
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, record review, and review of facility policies, the facility failed to follow infection prevention and control practices to help prevent the development and transmission of communicable diseases and infection for 1 of 1 resident observed for subcutaneous injection administration. (Resident (R) 6.
September 3, 2021Standard inspection · 5 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, record review, and review of the facility's policy, it was determined the facility failed to store, prepare, and distribute food under sanitary conditions and in accordance with professional standards for food safety. Initial tour of the facility revealed undated and opened containers of salad dressing, and in the freezer unopened vegan trays, and meat and cheese packages. Additional observation of the freezer revealed a container of strawberries covered with a gray substance. Further observations revealed the freezer temperature log was incomplete for the dates of 08/20/2021 through 08/30/2021.
- E Observe each nurse aide's job performance and give regular training.
Inspectors wroteBased on interview, record review, and review of the facility policy, it was determined the facility failed to ensure performance reviews were completed every twelve (12) months, for six (6) of six (6) nurse aides personnel files reviewed.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, interview, record review and facility policy review it was determined the facility failed to ensure resident care plans were implemented for one (1) of nineteen (19) sampled residents, Resident #14, related to use of a palm guard. Observations from 08/30/3031 through 09/03/2021, revealed no palm guard in place to the resident's right hand as per the Comprehensive Care Plan.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview, record review, and facility policy review it was determined the facility failed to ensure quality of care for one (1) of nineteen (19) sampled residents, Resident #14, related to use of a palm guard. Observations each day of the survey revealed no palm guard present on the resident per care plan intervention and therapy recommendation.
- D Dispose of garbage and refuse properly.
Inspectors wroteBased on observation, interview, and review of the facility's policy, the facility failed to ensure unused kitchen equipment was removed and disposed of when no longer in use. Observation revealed the outside delivery area of the facility contained six (6) commercial coffee makers/dispensers, two (2) commercial beverage dispensers, an ice chest, a commercial toaster, a countertop microwave, three (3) empty milk crates, a portable gate, a mop and bucket full of liquid, and a wood pallet.
March 5, 2021Standard inspection · 2 citations
- D Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Inspectors wroteBased on interview, record review, review of the facility-wide assessment, CMS Form 672, and policy review it was determined the facility failed to accurately determine the number of residents in the facility with respiratory diagnoses or care needs. Review of the facility's resident population included three (3) residents with tracheostomy care and ten (10) resident who required a closed unit and isolation for COVID-19 care. Review of the facility's assessment found the facility failed to include the residents for the determination of the competent care to meet the needs of the resident population.
- D Keep all essential equipment working safely.
Inspectors wroteBased on observation, interview and policy review, it was determined the facility failed to ensure safe, operating conditions of the fryer and freezer in the kitchen. Observation on 03/02/2021 at 8:28 AM, revealed two (2) boxes in close proximity to the ceiling of the walk-in freezer. Observation on 03/03/2021 at 1:35 PM, revealed liquid substance on the floor under fryer and four (4) boxes in the walk in freezer within close proximity to the ceiling.
Fire safety inspections
4 fire safety citations on file: 1 on September 3, 2021, 3 on March 5, 2021.
Every fire safety citation4 citations
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Install corridor and hallway doors that block smoke.
- D Have restrictions on the use of portable space heaters.
- D Meet requirements for the installation and maintenance of electrical systems.
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.
| Measure | This home | Kentucky | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.32 | 3.95 | 3.86 |
| Registered nurses | 1.28 | 0.79 | 0.69 |
| All nursing staff on weekends | 3.78 | 3.49 | 3.42 |
| Nurse aides | 2.45 | ||
| Licensed practical nurses | 0.58 | ||
| Nursing staff turnover (share who left in a year) | 38.6% | 46.4% | 45.8% |
| Registered nurse turnover | 42.9% | 41.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.42 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 4.53 on weekdays and 3.78 on weekends, 17% 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 3.96 in April to June 2025 to 4.32 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 | 4.32 | 1.28 | 4.53 | 3.78 | 0.0% | 0 of 90 | 49 |
| Oct to Dec 2025 | 4.40 | 1.28 | 4.62 | 3.85 | 0.0% | 0 of 92 | 48 |
| Jul to Sep 2025 | 4.13 | 1.13 | 4.41 | 3.41 | 0.0% | 0 of 92 | 48 |
| Apr to Jun 2025 | 3.96 | 0.95 | 4.19 | 3.38 | 0.0% | 0 of 91 | 49 |
| 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 | 12.0 | 13.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.8 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 4.6 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.9 | 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 with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.5 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.7 | 16.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 23.5 | 24.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.2 | 13.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.9 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.7 | 2.1 | 1.8 |
Owners and operators
Legal business name: WILLOWS OF SPRINGHURST OPCO LLC. CMS links this home to Trilogy Health Services, a group of 127 nursing homes averaging 4.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Continental Merger Sub LLC | 5% or greater indirect ownership interest | Organization | 01/03/2022 | |
| Northstar Healthcare Income Inc | 5% or greater indirect ownership interest | Organization | 01/03/2022 | |
| Northstar Healthcare Income Operating Partnership LP | 5% or greater indirect ownership interest | Organization | 01/03/2022 | |
| Trilogy Holdings Nt-Hci, LLC | 5% or greater indirect ownership interest | Organization | 01/03/2022 | |
| Corbin, Kathy | W-2 managing employee | Individual | 01/10/2011 | |
| Fightmaster, Lisa | W-2 managing employee | Individual | 12/01/2015 | |
| Sieckert, Carla | W-2 managing employee | Individual | 01/03/2021 | |
| Bufford, Randall | Corporate director | Individual | 12/01/1997 | |
| Barney, Leigh | Corporate officer | Individual | 11/01/2019 | |
| Bryant, William | Corporate officer | Individual | 01/05/2016 | |
| Bufford, Randall | Corporate officer | Individual | 12/01/1997 | |
| 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 | 01/03/2022 |
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 December 3, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on December 3, 2025: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on December 3, 2025: "Ensure that residents are free from significant medication errors."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on December 3, 2025: "Provide and implement an infection prevention and control program."
Other nursing homes nearby
- Signature Healthcare at Jefferson Manor Rehab & We Louisville, 2.5 mi · 5 of 5 stars · 14 citations
- The Episcopal Church Home Louisville, 2.5 mi · 4 of 5 stars · 7 citations
- Lyndon Crossing, LLC Louisville, 2.5 mi · not rated · 19 citations
- Signature Healthcare at Jefferson Place Rehab & We Louisville, 2.7 mi · 4 of 5 stars · 12 citations
- Forest Springs Health Campus Louisville, 3.6 mi · 4 of 5 stars · 7 citations
- Westport Place Health Campus Louisville, 3.9 mi · 5 of 5 stars · 8 citations
- Rivers Edge Rehabilitation and Healthcare Center Prospect, 5.1 mi · 3 of 5 stars · 13 citations
- The Springs at Stony Brook Louisville, 5.3 mi · 5 of 5 stars · 3 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 Springhurst's Medicare star rating?
- CMS rates The Willows at Springhurst 3 out of 5 stars overall, with 2 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did The Willows at Springhurst get at its last inspection?
- 4 health deficiencies at the standard inspection on December 3, 2025. The Kentucky average is 2.9.
- Has The Willows at Springhurst been fined?
- CMS lists no fines in the last three years.
- Does The Willows at Springhurst 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 Springhurst?
- CMS lists 16 owners and managers, and links the home to Trilogy Health Services. Legal business name: WILLOWS OF SPRINGHURST OPCO 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.