Provider Name: THE WILLOWS AT HAMBURG
Address: 2531 OLD ROSEBUD ROAD, LEXINGTON, KY 40509
Phone: (859) 543-0337
County: Fayette (330)
Ownership Type: For profit - Individual
Certified Beds: 64
Average Residents Per Day: 60.0 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: TRILOGY HEALTHCARE OF FAYETTE I LLC
First Approved Date: December 14, 2012
Affiliated Entity: TRILOGY HEALTH SERVICES (524)
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 4 ()
QM Rating: 5 ()
Long Stay QM Rating: 4 ()
Short Stay QM Rating: 5 ()
Staffing Rating: 4 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.44649, LPN Staff Hours Per Day: 1.3132, RN Staff Hours Per Day: 0.5957, Licensed Staff Hours Per Day: 1.9089
Total Nurse Staff Hours Per Day, per resident: 4.35543
Weekend Nurse Staff Hours: 3.97953, Weekend RN Staff Hours: 0.3786
PT Staff Hours Per Day, per resident: 0.0701
Nurse Staff Turnover: 41.7, Nurse Turnover Note:
RN Turnover: 25.0, RN Turnover Note:
Admin Left Number: , Admin Turnover Note: 6
Case Mix Nurse Aide Hours Per Day, per resident: 2.2862, Case Mix LPN Hours Per Day: 0.7563, Case Mix RN Hours Per Day: 0.3689
Adjusted Nurse Aide Hours Per Day, per resident: 2.18008, Adjusted LPN Hours Per Day: 1.2812, Adjusted RN Hours Per Day: 0.6084
Total Adjusted Nurse Hours Per Day, per resident: 4.02416
Adjusted Weekend Nurse Hours Per Day, per resident: 3.67685
Health Survey Dates and Scores: Cycle 1: 2022-05-06 (Score: 24), Cycle 2: 2019-08-22 (Score: 8), Cycle 3: 2018-08-02 (Score: 8)
Total Weighted Health Score: 16.000
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations:
Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0
Location and GPS: 2531 OLD ROSEBUD ROAD,LEXINGTON,KY,40509 (38.0282, -84.431)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-06-05
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-06-05
Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-09-20
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2018-09-07
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Fire Safety, Tag: 0923, Version: New
Description: Have proper medical gas storage and administration areas.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-06-03
Type: Fire Safety, Tag: 0353, Version: New
Description: Inspect, test, and maintain automatic sprinkler systems.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2018-08-17