Average — CMS composite of the measures below.
The next survey window likely opens around December 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 Harrodsburg during CMS and state inspections, most recent first.
Unrestrained Hair Observed in Food Service Area: Dietary staff were observed in the kitchen with hair not fully covered, including a DSA with loose hair hanging from the back of her head and the DFS with the back of her hair uncovered. The facility's hair restraint policy required food employees to wear effective hair restraints, but staff interviews showed inconsistent understanding of the requirement, and the Divisional VP stated that two inches of the back of the hair could be left uncovered.
Failure to Obtain Follow-Up Dental Services: A resident with hemiplegia, hemiparesis, cirrhosis, and mild cognitive impairment was seen by dental services, and the DDM recommended oral surgery follow-up, but the resident was never seen by an oral surgeon. The resident had several missing teeth, most remaining teeth were broken at the gum line, and he reported tooth sensitivity and inability to chew, relying on soft foods. SSD said a family member wanted to pursue oral surgery, while the DHS could not provide documentation of nurse notes showing attempts to contact the family member about the needed dental care.
Improper Disinfection of Shared Glucometer: An LPN used a shared glucometer for a resident's blood glucose checks and disinfected it for less than the wipe's required 2-minute contact time on two occasions. The LPN wiped all sides of the device but then placed it on a paper towel to air dry, and stated she did not know how long it needed to stay wet. The DON/IC nurse said glucometers were cleaned with wipes and then wrapped in the wipe for the time on the container, and most residents shared a glucometer.
A resident with a history of myocardial infarction, hemiplegia, and obesity was inadequately supervised during bed mobility, resulting in a fall and bilateral femur fractures. The care plan required only one assist for bed mobility, which was insufficient given the resident's condition. The incident highlighted the need for appropriate care plan interventions to prevent accidents and injuries.
The facility failed to store food according to policy, with bananas left on the floor, risking contamination. Additionally, expired TwoCal supplements were found in the medication room, highlighting a lack of clarity in responsibility for checking expiration dates. The Director of Food Services and Executive Director acknowledged these issues, emphasizing the importance of proper storage and timely removal of expired items.
The facility failed to implement effective infection control practices, including improper handling of medication by a nurse, lack of enhanced barrier precautions for a resident with a feeding tube, and improper storage of flu vaccines with nutritional supplements. Staff interviews revealed confusion about responsibilities for infection control measures, and the Executive Director acknowledged the risk of cross-contamination.
A facility failed to implement a comprehensive care plan for a hospice resident with moderate cognitive impairment, resulting in unmet needs for bathing, oral care, repositioning, and restorative dining. Observations and interviews revealed the resident was not assisted with meals and remained in the same clothing without receiving necessary care. The facility cited insufficient staffing as a reason for not following the care plan.
A hospice resident did not receive necessary assistance with dining, bathing, and oral care as per her care plan. Observations and interviews revealed that meals were left untouched, and the resident reported not receiving baths or oral care. Facility staff acknowledged the failure to meet care standards, citing an inability to attend to all residents needing assistance.
Unrestrained Hair Observed in Food Service Area
Penalty
Summary
The facility failed to serve food in a sanitary manner because dietary staff were observed with unrestrained hair in the kitchen. During the initial tour, a Dietary Service Aide was observed wearing a ballcap with approximately three inches of hair hanging loose on the back of her head. Later, the Director of Food Service was observed wearing a scarf, but the back of her hair was put up and not covered. These observations were made in the kitchen where food was being prepared and served for the facility's residents. The facility's Hair Restraint Policy, reviewed on 07/09/2025, required all Dining Service employees to wear hair restraints as required by the FDA Food Code, including hats, hair coverings or nets, beard restraints, and clothing designed to keep hair from contacting food, equipment, utensils, linens, and single-service articles. Interviews with dietary staff showed differing understandings of the policy, including statements that hair should be kept back with a hat, scarf, or hair net, and that hair could fall into food if not covered. The Divisional Vice-President stated that although the policy said hair must be covered, it was permissible for two inches of the back of the hair to be uncovered.
Failure to Obtain Follow-Up Dental Services
Penalty
Summary
The facility failed to obtain dental services for 1 of 5 residents assessed for dental services, Resident 43. The resident was seen by dental services and the Doctor of Dental Medicine recommended follow-up with an oral maxillofacial surgeon, but the resident had not been seen by an oral surgeon. The facility policy stated it would ensure emergency dental services to meet resident needs, including treatment for acute pain, broken or damaged teeth, or other oral cavity problems requiring immediate attention. Resident 43 was admitted with diagnoses including hemiplegia and hemiparesis following cerebral infarction, alcoholic cirrhosis with ascites, and mild cognitive impairment, and had a BIMS score of 11 of 15. Observation showed several missing teeth and most remaining teeth broken off at the gum line. The resident stated his top teeth were very sensitive, he could not chew, and he had been eating soft foods such as cottage cheese because he could not eat steak, roast, or chicken. The Social Services Director stated the resident was supposed to see oral surgery and that a family member wanted to pursue it, but the Director of Health Services stated she did not know how long it had been and could not provide documentation of nurse progress notes showing attempts to contact the family member about the needed dental care.
Improper Disinfection of Shared Glucometer
Penalty
Summary
The facility failed to ensure staff cleaned and disinfected a shared glucometer according to the manufacturer's instructions after use on a resident. The facility's infection prevention and control policy stated it was intended to maintain a safe, sanitary, and comfortable environment to help prevent the development and transmission of communicable disease and infections. The glucometer manufacturer's instructions required the device, after cleaning and disinfection, to remain wet with the disinfectant for the appropriate contact time, and identified Super Sani-Cloth Germicidal Disinfectant Wipe as an approved disinfectant. The wipe container stated the contact time was two minutes. On two observations of blood glucose checks on the same resident, an LPN used the shared glucometer and then disinfected it for less time than required. After the first glucose check, the LPN wiped the glucometer for 22 seconds and placed it on a paper towel to air dry. After the second glucose check, the LPN wiped all four sides of the glucometer for 48 seconds, then used another wipe for an additional 9 seconds, and placed the glucometer on a paper towel. During interview, the LPN stated she was taught to wipe the glucometer on all four sides but did not know how long it needed to stay wet. The DON/Infection Control Nurse stated glucometers were cleaned with the wipes and then wrapped in the wipe for the time on the container, and that most residents shared a glucometer.
Inadequate Supervision Leads to Resident Injury
Penalty
Summary
The facility failed to adequately supervise and ensure protection from accidents and injuries for a resident, identified as R20, who was assisted to bed using a mechanical lift by two Certified Resident Care Assistants (CRCA). After being placed in bed, R20 was repositioned by one CRCA, which resulted in the resident being rolled off the bed and onto the floor. This incident led to R20 sustaining bilateral femur fractures. The facility's policy required care plan interventions to address the resident's risk factors, but R20's care plan prior to the fall only required one assist for bed mobility, which was insufficient given her condition. R20 had a history of non-ST elevation myocardial infarction, hemiplegia and hemiparesis following a cerebral infarction, osteoarthritis in bilateral knees, and morbid obesity. She was nonambulatory and required substantial assistance for mobility, including the use of a mechanical lift for transfers. Despite these needs, the care plan did not initially require two-person assistance for bed mobility, which contributed to the incident. The resident's cognitive status was intact, with a BIMS score of 15, indicating she was aware of her surroundings and could communicate her needs. The incident report and subsequent interviews revealed that after the fall, R20 experienced significant pain, which worsened over time, leading to her request to be sent to the hospital. The initial assessment by the RN noted a laceration on R20's toe, but no immediate signs of fractures were identified. It was only after R20's pain increased and she was sent to the hospital that the bilateral femur fractures were diagnosed. The facility's failure to implement adequate supervision and appropriate care plan interventions directly led to the resident's fall and subsequent injuries.
Deficiencies in Food Storage and Expired Supplements Management
Penalty
Summary
The facility failed to adhere to its Serve Safe policy regarding food storage, as observed during a kitchen tour where a case of bananas was left on the floor. Staff were seen walking around the case, and the Director of Food Services acknowledged the potential for cross-contamination. Both the Director of Health Services and the Executive Director confirmed that storing food on the floor was unacceptable and against the facility's policy, which requires food to be stored at least six inches off the floor to prevent contamination. Additionally, the facility did not properly manage the expiration of nutritional supplements in the medication storage room on the 200 Hall. An open case of TwoCal supplements was found with an expired use-by date. Interviews revealed a lack of clarity regarding responsibility for checking expiration dates, with the Assistant Director of Health Services stating that nurses were responsible for rotating stock. However, the Director of Health Services and the Executive Director emphasized the importance of using supplements within their expiration dates for resident safety. Despite periodic checks, the expired supplements were not identified or removed in a timely manner.
Infection Control Deficiencies in Resident Care and Medication Storage
Penalty
Summary
The facility failed to implement effective infection control practices for two residents and in one medication room refrigerator. Observations revealed that a nurse touched a resident's medication with bare hands, and there was no enhanced barrier precautions signage or personal protective equipment (PPE) cart at a resident's room. Additionally, a resident's gastrostomy tube dressing change was completed without using enhanced barrier precautions, and flu vaccines were stored on the same shelf with nutritional supplements and yogurt in the medication room refrigerator. Resident 1, who had a feeding tube, did not have the required enhanced barrier precautions signage or PPE cart in their room. The nurse and certified resident care assistant who performed the dressing change did not wear gowns, as required by the facility's policy. Interviews revealed that staff were unsure of the responsibilities for placing signage and PPE carts, and the Assistant Director of Health Services was surprised to find the signage and cart missing, despite having placed them personally. During medication administration, a registered nurse was observed handling medication with bare hands, which is against the facility's policy to prevent contamination. The nurse acknowledged the mistake, and the Assistant Director of Health Services confirmed that gloves should be worn during medication administration. Furthermore, the medication room refrigerator contained flu vaccines stored alongside nutritional supplements and yogurt, which staff acknowledged could lead to cross-contamination. The Executive Director stated that food supplements and injectable medications should not be stored together, aligning with CDC guidelines.
Failure to Implement Comprehensive Care Plan for Hospice Resident
Penalty
Summary
The facility failed to implement a comprehensive person-centered care plan for a resident receiving hospice care, identified as Resident 30. The resident was admitted with diagnoses including senile degeneration of the brain, unspecified dementia, and anxiety, and was assessed as having moderate cognitive impairment. The resident was dependent on staff for activities of daily living (ADLs) such as bathing, oral care, repositioning, and restorative dining. Despite these needs being documented in the resident's comprehensive care plan, observations and interviews revealed that the resident did not receive the necessary assistance. The resident's breakfast tray was left untouched due to her inability to feed herself, and she was observed wearing the same clothing over consecutive days without receiving a bath or oral care. Interviews with the resident, her family, and hospice social services confirmed the lack of care provided, with reports of the resident not being bathed, repositioned, or assisted with meals. The Director of Health Services acknowledged the failure to follow the care plan, citing insufficient staffing as a reason for the oversight. The Executive Director also noted the staffing issue and expressed an intention to investigate the lack of care provided to the resident. The deficiency highlights a significant lapse in meeting the resident's care needs as outlined in her care plan.
Failure to Provide Assistance with ADLs for Hospice Resident
Penalty
Summary
The facility failed to provide necessary assistance with activities of daily living for a resident receiving hospice care, identified as Resident 30 (R30). Observations and interviews revealed that R30 did not receive the required assistance with restorative dining services, partial bathing, and oral care as outlined in her Comprehensive Care Plan (CCP). On multiple occasions, R30's meals were left untouched on her bedside table, indicating a lack of assistance with eating. Additionally, R30 reported not receiving a bath or oral care, and was observed wearing the same clothing over consecutive days. The facility's policies, including the Resident Rights Guidelines and the Comprehensive Care Plan Guideline, were not adhered to, as they mandate the provision of appropriate services to meet residents' needs. The Hospice Services Agreement also specified that the facility should assist with activities of daily living, including bathing and dining. Despite these guidelines, R30's care needs were not met, as confirmed by interviews with family members and hospice staff, who noted the resident's unmet needs and lack of improvement in care provision. Interviews with facility staff, including the Director of Health Services and the Executive Director, acknowledged the failure to provide the standard of care required for R30. The staff admitted to being aware of the deficiencies in care, particularly the lack of restorative dining services, which they attributed to an inability to attend to all residents requiring assistance. The Executive Director expressed uncertainty about the cause of the oversight but committed to investigating the issue further.
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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.
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Nursing homes near Harrodsburg
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Harrodsburg Health & Rehabilitation Center | 2.7 mi | ★★★★★ | 4 | 0 |
| Danville Centre For Health & Rehabilitation | 10.5 mi | ★★★★★ | 4 | 0 |
| Henson Park Health & Rehabilitation | 11.5 mi | ★★★★★ | 0 | 0 |
| Thomson-hood Veterans Center | 13.2 mi | ★★★★★ | 3 | 0 |
| Signature Healthcare At Heritage Hall Rehab & Well | 16.8 mi | ★★★★★ | 0 | 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.