SeniorHomeViolations
B-
70/100

Willowbrook Healthcare Inspection Report, Violations & Safety Grade (Carlisle, Kentucky)

2323 Concrete Road, Carlisle, Kentucky 40311

Phone: 8596512400

CMS Overall:2/5

Overview & Bed Count

Certified Beds
71
Avg Residents/Day
47.4
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
Nicholas
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall2/5
Health2/5
Staffing4/5
Quality3/5

Nurse Staffing Check

MetricThis FacilityKentucky AvgDifference
RN Hours per Resident per Day0.630.80-0.17
Total Nurse Hours per Resident per Day5.243.99+1.25
CMS Staffing Rating4/52.8/5-
Nursing Staff TurnoverN/A45.4%-

Health Citation History

8 health citations on record

DateCategoryDescriptionSeverity
2026-05-28Freedom from Abuse, Neglect, and Exploitation DeficienciesEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.E – Moderate Harm Potential
2026-05-28Pharmacy Service DeficienciesEnsure 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.E – Moderate Harm Potential
2026-05-28Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D – Moderate Harm Potential
2026-05-28Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2026-05-28Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2026-05-28Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2026-05-28Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D – Moderate Harm Potential
2026-05-28Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential

Fire Safety Citation History

10 fire safety citations on record

DateCategoryDescriptionSeverity
2026-05-28Emergency Preparedness DeficienciesDevelop and maintain an Emergency Preparedness Program (EP).F – Moderate Harm Potential
2026-05-28Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2026-05-28Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.F – Moderate Harm Potential
2026-05-28Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2026-05-28Gas, Vacuum, and Electrical Systems DeficienciesEnsure that testing and maintenance of electrical equipment is performed.F – Moderate Harm Potential
2026-05-28Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.E – Moderate Harm Potential
2026-05-28Smoke DeficienciesProvide properly protected cooking facilities.E – Moderate Harm Potential
2026-05-28Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.E – Moderate Harm Potential
2026-05-28Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.D – Moderate Harm Potential
2026-05-28Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.D – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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