The Willows at Fritz Farm

In the surveyor’s words

From the most serious findings on record at The Willows at Fritz Farm, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF584Apr 4, 2025

  Based on observation, interview, and review of the facility's document and policy, the facility failed to provide a clean, sanitary, comfortable, and homelike environment for 1 of 4 hallways, the 100 Hall. The findings include: Review of the facility's document Trilogy - Kentucky HC Admission Packet 10.28.24_Combined, undated, revealed under the Resident Rights section, the resident had the right to a dignified existence, self-determination, and communication with and access to persons and services inside and outside of the facility. Review of the facility's policy titled, Urinary Catheter Care, dated 12/16/2024, revealed the facility's staff ensured there was no disconnection or leaking of urine from the catheter system. […]

• No harm, potential for more than minimal, patternF812Apr 4, 2025

  Based on observation, interview, and review of the facility's document and policies, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 2 nourishment refrigerators, near the 300 Hallway. The findings include: Review of the facility's policy titled, Food Labeling and Dating Policy, dated 04/26/2022, revealed it was the purpose of the policy to provide education and direction on the facility's food labeling and dating guidelines. Further review found it was the facility's policy and procedure to place a printed or handwritten label for any food item brought to the facility. Per the policy, this food product label should have the received on date, production date, and the use by date for the product. […]

• No harm, potential for more than minimal, isolatedF657May 15, 2026

  Based on observation, interview, record review, review of a job description, and review of the facility's policy, the facility failed to revise the comprehensive care plan for 1 of 13 sampled residents (R), R20. R20 had a Velcro lap belt ordered on 12/01/2025 which was discontinued on 12/27/2025. Per an observation and interview, the lap belt was no longer utilized for R20. However, review of R20's Care Plan revealed it was not revised to discontinue the lap belt and was still an active intervention. […]

• No harm, potential for more than minimal, isolatedF761May 15, 2026

  Based on observation, interview, and review of the facility's policy, the facility failed to ensure that medications and biologicals were stored safely, securely, and properly according to manufacturers' recommendations for medications that belonged to 2 of 33 sampled residents (R), R48 and R32. In addition, two unopened vials of heparin, with no resident identification or directions for use, were observed in the same compartment as the ophthalmic solutions. The findings include:Review of the facility's policy titled, Medication Storage in The Facility, revised 11/2018, revealed medications and biologics are stored at their appropriate temperature and humidity and medications that require refrigeration or a cool place were refrigerated unless otherwise directed. […]

• No harm, potential for more than minimal, isolatedF880May 15, 2026

  Based on observation, interview, record review, and review of the facility's policy, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 3 of 8 residents reviewed for meal service, Resident (R) 23, R39, and R52.Observation of the meal service on 05/13/2026 at 12:10 PM revealed Licensed Practical Nurse (LPN) 1 did not sanitize her hands between giving trays to residents and the residents' meal setup. In addition, she provided feeding assistance to R23, R39, and R52 using the same, unsanitized hands between each resident. […]