Average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at The Willows At Hamburg during CMS and state inspections, most recent first.
A cook in the Memory Care kitchen was observed using a cleaning cloth during food prep without keeping it in the sanitizer bucket. The cloth was left on the counter near food being prepared and continued to be used to wipe the production area, contrary to ServSafe guidance on cleaning and sanitizing food-contact surfaces. The DM, DHS, and ED stated the cloth should have remained in sanitizer water during the food prep session to prevent cross contamination.
Medication storage and labeling were not maintained according to facility procedures and accepted practice for several residents. Surveyors found opened and undated liquid meds on medication carts, medications mixed together instead of separated by route, and expired supplies in the med room; an LPN and the DON stated nurses were responsible for dating opened items, checking expiration dates, and ensuring proper storage and labeling.
A resident with severe cognitive impairment was involved in an incident with a CRMA, where the CRMA allegedly smacked the resident after the resident knocked the CRMA's glasses off. Witnesses reported hearing the resident's head hit the wall, although no visible marks were documented. The facility's investigation found inconsistencies in witness statements, and the CRMA was terminated for not following service standards. The facility's failure to protect the resident from abuse was identified as a deficiency.
A facility failed to implement its abuse policy when a CRMA was physically aggressive with a resident, slapping them and not being immediately removed from the premises. The incident was reported to the DHS 30 minutes later, and the CRMA remained in the facility for about 50 minutes post-incident. The facility's policy lacked guidance on coordinating abuse situations with the QAPI program, leading to a deficiency identified by surveyors.
Improper Use of Cleaning Cloth During Food Preparation
Penalty
Summary
Food was not served and stored in sanitary conditions in the Memory Care kitchen. On 08/06/2025 at 8:55 AM, the cook was observed using a cleaning cloth in the production area without keeping it in the sanitizer bucket during food preparation. The cloth was left lying on the counter surface near the food being prepared, and the cook continued to wipe the production area with the same cloth. The deficiency was identified during review of ServSafe guidance stating that food-contact surfaces must be cleaned and sanitized correctly and that wiping cloths must be stored in a sanitizer solution between uses. In interviews on 08/08/2025, the Dietary Manager, Director of Health Services, and Executive Director each stated that cleaning cloths needed to be kept in the sanitizer bucket during food preparation to prevent cross contamination with food.
Medication Storage and Labeling Deficiencies
Penalty
Summary
The facility failed to store medications according to its document and regulatory guidelines for 3 of 22 sampled residents, including R10, R39, and R61. Review of the facility’s policies showed the medication storage and labeling procedures provided to the SSA surveyor were pharmacy standard operating procedures intended for pharmacy staff, not floor staff. The facility’s Nurse New Hire Checklist dated 02/21/2018 included competency items for signing and dating medications upon opening and arranging the medication cart drawer by route of administration. Observation of the Thoroughbred medication cart revealed R39’s opened and undated bottles of liquid protein and Milk of Magnesia, as well as an opened and undated bottle of Liquid DM cough medication for R10. Medications were not separated by route of administration, with eye, ear, and topical ointments combined and organized by resident name instead of route. Observation of the Thoroughbred medication room revealed multiple expired supplies, including an irrigation tray with piston syringe, FloQ Swab, Accuprism Control Solution, MeSalt Cleansing Dressing, and two opened and undated bottles of plain packing strips. On the Calumet medication cart, a bottle of liquid chest congestion medication for R61 had no opened date, and on the Calumet medication room treatment cart, a half bottle of Dermal Wound Cleanser had no date or resident name. Staff interviews confirmed that nurses were expected to date opened items, check expiration dates, and ensure proper labeling and storage, and the contracted pharmacy account manager stated the pharmacy reviewed carts and medication rooms quarterly but did not manage medical supplies.
Resident Abuse by CRMA in LTC Facility
Penalty
Summary
The facility failed to protect a resident from physical and verbal abuse by a Certified Registered Medication Aide (CRMA). The incident involved a resident with severe cognitive impairment, who was admitted with diagnoses including unspecified dementia, pain, and abnormalities in gait and mobility. On the day of the incident, the resident was observed by staff to be agitated and attempting to leave the facility, which led to a confrontation with CRMA7. Witnesses reported that CRMA7 smacked the resident across the face after the resident knocked CRMA7's glasses off, and the sound of the resident's head hitting the wall was heard, although no visible marks were documented. The facility's investigation into the incident revealed inconsistencies in witness statements. Some staff members reported seeing CRMA7 restrain the resident and hearing the resident's head hit the wall, while others were unsure if CRMA7 had hit the resident intentionally. The CRMA involved claimed that any contact with the resident was accidental and occurred while trying to defend herself. Despite the inconclusive findings, CRMA7 was terminated for not adhering to the facility's service standards. The facility's policies on abuse and resident rights were reviewed, highlighting that residents have the right to be free from physical and verbal abuse. The incident was reported to the Office of Inspector General/State Survey Agency on the same day it occurred. The facility's failure to have an effective system to protect residents from abuse was identified as a deficiency, with Immediate Jeopardy and Substandard Quality of Care determined to exist.
Failure to Implement Abuse Policy and Ensure Resident Safety
Penalty
Summary
The facility failed to implement its abuse policy effectively when a resident alleged physical and verbal abuse by a staff member. The incident involved a Certified Resident Medication Aide (CRMA) who became argumentative and physically aggressive with a resident, including slapping the resident's face. The incident was witnessed by two Certified Resident Care Aides (CRCA), who reported the event to the Director of Health Services (DHS) approximately 30 minutes later. However, the CRMA was not immediately removed from the facility and remained on the premises for about 50 minutes after the incident. The facility's policy required immediate action to ensure the safety of residents by suspending the suspected employee pending investigation. However, the policy did not provide guidance on how staff should communicate and coordinate situations of abuse with the Quality Assurance and Performance Improvement (QAPI) program. The policy's inadequacy was highlighted by the fact that the CRMA continued to interact with other staff and residents after the incident, which could have compromised the safety of the resident involved. Interviews with staff revealed that there was a delay in reporting the incident to the DHS, and the CRMA was observed engaging in routine activities after the incident. The facility's initial investigation report did not indicate any immediate physical injury to the resident, although the resident was upset and unable to recall the event. The facility's failure to have an effective system to protect residents from abuse was identified as a deficiency, with Immediate Jeopardy and Substandard Quality of Care being determined by surveyors.
What surveyors are citing around you — mapped
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Illustrative
What surveyors actually found near you
We read the 63 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Lexington
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Lexington Premier Nursing & Rehab | 1.5 mi | ★★★★★ | 0 | 0 |
| Bluegrass Care & Rehabilitation Center | 4 mi | ★★★★★ | 0 | 0 |
| Mayfair Manor | 4.1 mi | ★★★★★ | 7 | 0 |
| The Willows At Citation | 4.7 mi | ★★★★★ | 0 | 0 |
| Hartland Park Health & Rehabilitation | 4.9 mi | ★★★★★ | 4 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.