Provider Name: THE WILLOWS AT FRITZ FARM
Address: 2710 MAN O' WAR BOULEVARD, LEXINGTON, KY 40515
Phone: (859) 273-0088
County: Fayette (330)
Ownership Type: For profit - Corporation
Certified Beds: 54
Average Residents Per Day: 49.9 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: TRILOGY HEALTHCARE OF FAYETTE II, LLC
First Approved Date: March 8, 2017
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: 5 ()
Short Stay QM Rating: 5 ()
Staffing Rating: 4 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.09376, LPN Staff Hours Per Day: 0.6540, RN Staff Hours Per Day: 1.1578, Licensed Staff Hours Per Day: 1.8118
Total Nurse Staff Hours Per Day, per resident: 3.90560
Weekend Nurse Staff Hours: 3.81987, Weekend RN Staff Hours: 1.0196
PT Staff Hours Per Day, per resident: 0.1441
Nurse Staff Turnover: 34.0, Nurse Turnover Note:
RN Turnover: 7.1, RN Turnover Note:
Admin Left Number: , Admin Turnover Note: 6
Case Mix Nurse Aide Hours Per Day, per resident: 2.1297, Case Mix LPN Hours Per Day: 0.7891, Case Mix RN Hours Per Day: 0.3898
Adjusted Nurse Aide Hours Per Day, per resident: 2.00283, Adjusted LPN Hours Per Day: 0.6115, Adjusted RN Hours Per Day: 1.1190
Total Adjusted Nurse Hours Per Day, per resident: 3.72059
Adjusted Weekend Nurse Hours Per Day, per resident: 3.63892
Health Survey Dates and Scores: Cycle 1: 2020-01-16 (Score: 8), Cycle 2: 2019-02-07 (Score: 12), Cycle 3: 2018-04-26 (Score: 0)
Total Weighted Health Score: 8.000
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: 2710 MAN O' WAR BOULEVARD,LEXINGTON,KY,40515 (37.9759, -84.529)
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: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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 2020-02-10
Type: Health, Deficiency: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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 2019-03-23
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 2019-03-22
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: 0372, Version: New
Description: Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
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 2019-02-22