The Willows at Hamburg

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Jul 3, 2024

  Based on interview, record review, review of the facility's investigation report, and review of the facility's policies, the facility failed to protect 1 of 8 sampled residents (Resident 7 (R7)) from physical and verbal abuse by Certified Registered Medication Aide (CRMA) 7. Review of the facility's initial Investigation Report and the witness statements from Certified Registered Care Aide 6 (CRCA6), CRCA10, and Licensed Practical Nurse (LPN) 2, revealed that on 06/07/2024 at 5:50 PM, CRCA6 and CRNA10 observed CRMA7 smack R7 across the face, after R7 had knocked CRMA7's glassess off her face. CRCA6's and CRCA10's statements revealed they both heard what sounded like R7's head hitting the wall at the same time as the smack; however, no visible marks were reported or documented. […]

• Immediate jeopardy, isolatedF607Jul 3, 2024

  Based on interview, record review, review of the facility's investigation reports, and review of the facility's policy, the facility failed to ensure its staff implemented the facility's abuse policy regarding immediately providing for the safety of the resident after her allegations of physical and verbal abuse by staff for 1 of 8 sampled residents (Resident #7(R7)). Additionally, review of the facility's policy revealed the policy failed to include guidance to equip staff with the knowledge to be able to communicate and coordinate situations of abuse with the facility's Quality Assurance and Performance Improvement (QAPI) program. […]

• No harm, potential for more than minimal, widespreadF812May 6, 2022

  Based on observation, interview, record review, and the facility's job descriptions, it was determined the facility failed to store, prepare, and distribute food in a safe and sanitary manner in accordance with professional standards. Observations, on 05/04/2022 and 05/05/2022, revealed the industrial can opener stem to be in the dish-machine and the base had a build-up of dark, gummy residue. The spice shelf on the preparation table was dusty and the legs of the preparation table had areas of gummy residue. Additional observations revealed the sanitation solution of the red bucket did not attain sufficient sanitation levels of at least two hundred (200) parts per million (PPM), when tested , as recommended by the manufacturer. […]

• No harm, potential for more than minimal, patternF812Aug 8, 2025

  Based on observation, interview, and review of the document from the website www.servsafe.com, the facility failed to ensure food was served and stored properly in sanitary conditions. Observation on 08/06/2025 of 1 of 2 kitchens revealed the cook continued to use the cleaning cloth in the production area and did not keep it in the sanitizer bucket during food production. The findings include: Review of the document from the website servsafe.com, Serve Safe National Safety Month titled, Cleaning and Sanitizing Practices that will Prevent Cross-Contamination, dated 09/2012, revealed food-contact surfaces must be both cleaned and sanitized correctly. Per the document, whereas cleaning removed food and other dirt from a surface, sanitizing reduced pathogens on a surface to safe levels. […]

• No harm, potential for more than minimal, patternF880May 6, 2022

  Based on observation, interview, record review, review of the manufacturer's directions for use, and review of the facility's policies and procedures, it was determined 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 and control the development and transmission of communicable diseases and to implement interventions per the Centers for Medicare and Medicaid Services (CMS), the Centers for Disease Control and Prevention (CDC), and the Kentucky Department for Public Health (Health Department) state guidelines for COVID-19. […]