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CMS Nursing Home Compare · March 2026

The Willows at Hamburg

2531 Old Rosebud Road, Lexington, KY 40509 · All homes in Lexington

The Willows at Hamburg, a 64-bed for profit - individual nursing facility in Lexington, KY, holds a 3-star CMS overall rating - right around the 3.0-star national average, with nurse staffing above the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 8595430337

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3 / 5
Average · CMS overall · nat'l 3.0
4.90
Well above average · nurse hrs/day · nat'l 3.89
7
Inspection findings · 2 serious
$62K
Federal penalties (1)

Health Inspection

2/5

Staffing

4/5

Quality Measures

5/5

Long-Stay Quality

4/5

Facility Information

Provider Number
185470
Ownership
For profit - Individual
Provider Type
Medicare and Medicaid
Beds
64
Residents
57
In Hospital
No
County
Fayette
Last Inspection
Aug 8, 2025

Staffing Data

How the 4.90 total nursing hours per resident-day are staffed:

RN Hours
0.69 (nat'l avg: 0.68)
LPN Hours
1.22
CNA Hours
2.98
Total Nursing Hours
4.90 (nat'l avg: 3.89)
PT Hours
0.07
Nursing Turnover
30.3%
RN Turnover
18.2%

What the CMS Record Reveals About The Willows at Hamburg

The Willows at Hamburg operates 64 certified beds in Lexington, KY with approximately 57 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (2★), staffing levels (4★), and quality measures (5★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 7 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $62K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 4.90 total nursing hours per resident day (national average 3.89), with RN coverage at 0.69 per resident day, the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Individual" ownership and operating as a "Medicare and Medicaid" provider, The Willows at Hamburg falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 30.3%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (7 most recent)

E - Pattern - Minimal harm Aug 8, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Sep 12, 2025

D - Isolated - Minimal harm Aug 8, 2025 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Sep 12, 2025

J - Isolated - Jeopardy Jul 3, 2024 Tag: 0607

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 11, 2024

J - Isolated - Jeopardy Jul 3, 2024 Tag: 0600

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 11, 2024

E - Pattern - Minimal harm May 6, 2022 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jun 5, 2022

F - Widespread - Minimal harm May 6, 2022 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Jun 5, 2022

E - Pattern - Minimal harm Aug 22, 2019 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Sep 20, 2019

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 18.5% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.4% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 17.6% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 0.0% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 16.7% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 3.8% No
Percentage of long-stay residents who have depressive symptoms Long Stay 14.9% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 98.6% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 34.3% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 27.4% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 91.8% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 89.3% No

Penalty History 1 penalties totaling $62K

Date Type Amount
Jul 3, 2024 Fine $62K

Frequently Asked Questions

What is the overall CMS rating for The Willows at Hamburg?
The Willows at Hamburg has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (2★), staffing levels (4★), and quality measures (5★).
What are the staffing levels at The Willows at Hamburg?
The Willows at Hamburg reports 4.90 total nursing hours per resident day (national average: 3.89). RN hours are 0.69 per resident day (national average: 0.68). Nursing staff turnover is 30.3%.
How many beds does The Willows at Hamburg have?
The Willows at Hamburg has 64 certified beds with approximately 57 residents. The facility is located at 2531 Old Rosebud Road, Lexington, KY 40509.
Does The Willows at Hamburg have any deficiencies on record?
Yes, The Willows at Hamburg has 7 deficiencies on record from recent inspections. Of these, 2 are classified as causing actual harm or jeopardy.
Has The Willows at Hamburg received any fines or penalties?
Yes, The Willows at Hamburg has received 1 penalties totaling $62K.
Who owns The Willows at Hamburg?
The Willows at Hamburg is classified as "For profit - Individual" ownership. The facility type is "Medicare and Medicaid".
When was The Willows at Hamburg last inspected?
The most recent health inspection for The Willows at Hamburg was on Aug 8, 2025. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for The Willows at Hamburg?
The Willows at Hamburg is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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