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The Willows At Hamburg

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About The Willows At Hamburg

General Information

Legal Business NameTrilogy Healthcare Of Fayette I LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareDecember 14, 2012 (4 years)
Capacity80
Residents67
Percent Occupied84%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for The Willows At Hamburg

The Willows At Hamburg
was reviewed by Medicare to have a rating of 3 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Kentucky Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

August 13, 2015 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintPost nurse staffing information/data on a daily basis.
ESomePotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

July 16, 2015 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmHealth InspectionProvide medically-related social services to help each resident achieve the highest possible quality of life.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionProvide activities to meet the interests and needs of each resident.

July 15, 2015 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmFire Safety InspectionProper fire barriers, ventilation and signs for the transfilling of oxygen.
DFewPotential for HarmFire Safety InspectionOther fire safety features required by fire safety codes.
DFewPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.

April 24, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaintAllow residents the right to participate in the planning or revision of care and treatment.

December 23, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProvide timely notification to the resident before transfer or discharge.
DFewPotential for HarmComplaintProvide written records when a resident is transferred or discharged.

October 22, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

August 15, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
CManyPotential for Minimal HarmHealth InspectionPost nurse staffing information/data on a daily basis.
DFewPotential for HarmHealth InspectionEnsure that residents are safe from serious medication errors.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmHealth InspectionKeep each resident free from physical restraints, unless needed for medical treatment.

March 11, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintMake sure that doctors visit residents regularly, as required.

February 15, 2013 - 4 years ago

 Residents AffectedSeveritySource/TypeDescription
---Payment DenialPayment denial for 1 days
---Fine$30,160 fine

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of The Willows At Hamburg require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 20min
2hr 30min
ReportedExpected
CNA
1hr 35min
40min
ReportedExpected
LPN
1hr 10min
1hr 5min
ReportedExpected
RN
5hr 5min
4hr 10min
ReportedExpected
Total Nursing

This facility also provides approximately 35min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
100.0%
100.0%
96.0%
Q1 2015Q2 2015Q3 2015KY
Assessed and Appropriately Given the Seasonal Influenza Vaccine
95.9%
93.8%
90.6%
96.0%
Q1 2015Q2 2015Q3 2015KY
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
49.2%
Q1 2015Q2 2015Q3 2015KY
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
38.8%
45.8%
48.1%
20.6%
Q1 2015Q2 2015Q3 2015KY
Received an Antipsychotic Medication
14.3%
19.6%
9.8%
16.8%
Q1 2015Q2 2015Q3 2015KY
Need for Help with ADLs has Increased
5.9%
2.6%
2.6%
9.5%
Q1 2015Q2 2015Q3 2015KY
Self Report Moderate to Severe Pain
4.1%
8.3%
5.7%
8.3%
Q1 2015Q2 2015Q3 2015KY
Lose Too Much Weight
7.5%
0.0%
4.7%
6.6%
Q1 2015Q2 2015Q3 2015KY
High Risk Residents With Pressure Ulcers
0.0%
0.0%
0.0%
3.4%
Q1 2015Q2 2015Q3 2015KY
Have Depressive Symptoms
4.1%
8.3%
7.5%
6.3%
Q1 2015Q2 2015Q3 2015KY
With a Urinary Tract Infection
0.0%
0.0%
1.9%
3.5%
Q1 2015Q2 2015Q3 2015KY
Experiencing One or More Falls with Major Injury
1.4%
6.7%
8.3%
3.8%
Q1 2015Q2 2015Q3 2015KY
With a Catheter Inserted and Left in Their Bladder
0.0%
2.1%
1.9%
1.7%
Q1 2015Q2 2015Q3 2015KY
Were Physically Restrained

Quality Measures for Short Stay Residents

81.9%
79.7%
74.0%
85.6%
Q1 2015Q2 2015Q3 2015KY
Assessed and Appropriately Given the Pneumococcal Vaccine
92.7%
89.7%
89.7%
85.3%
Q1 2015Q2 2015Q3 2015KY
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
13.5%
2.0%
7.4%
20.2%
Q1 2015Q2 2015Q3 2015KY
Self Report Moderate to Severe Pain
5.7%
3.3%
1.2%
3.2%
Q1 2015Q2 2015Q3 2015KY
Newly Received an Antipsychotic Medication
1.0%
1.4%
2.0%
1.2%
Q1 2015Q2 2015Q3 2015KY
With Pressure Ulcers That Are New or Worsened