Willowbrook Healthcare
2323 Concrete Road, Carlisle, KY 40311
Willowbrook Healthcare is a nursing home in Carlisle, Kentucky. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
CMS star ratings
- 2 of 5CMS overall star rating
- 2 of 5CMS health inspection star rating
- 4 of 5CMS staffing star rating
- 3 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (859) 651-2400
- Last standard health inspection
- May 28, 2026 (5 months ago)
- Certified beds
- 71
- Residents per day, on average
- 47.4
- Ownership type
- For profit - Corporation
- Legal business name
- Willowbrook Healthcare Group LLC
- Chain
- Not listed by CMS
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Kentucky average (8 vs 12).
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
Staffing
Total nurse staffing reported to CMS went from 5.9 to 5.2 hours per resident per day.
CMS update of October 8, 2026
Star rating
The CMS overall star rating changed from not rated by CMS to 2 of 5.
Star rating
The CMS health inspection star rating changed from not rated by CMS to 2 of 5.
Star rating
The CMS staffing star rating changed from not rated by CMS to 4 of 5.
Star rating
The CMS quality measures star rating changed from not rated by CMS to 4 of 5.
8 citations
Health inspection on May 28, 2026
CMS lists this as a standard inspection.
Citation F0604. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
CMS lists it as corrected on June 30, 2026.
Citation F0761. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure 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.
CMS lists it as corrected on June 30, 2026.
Citation F0628. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
CMS lists it as corrected on June 30, 2026.
Citation F0641. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on June 30, 2026.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on June 30, 2026.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on June 30, 2026.
Citation F0812. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on June 30, 2026.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on June 30, 2026.
10 citations
Fire safety inspection on May 28, 2026
CMS lists this as a standard inspection.
Citation E0004. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Develop and maintain an Emergency Preparedness Program (EP).
CMS lists it as corrected on June 22, 2026.
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on June 22, 2026.
Citation K0761. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
CMS lists it as corrected on June 22, 2026.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on June 22, 2026.
Citation K0921. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure that testing and maintenance of electrical equipment is performed.
CMS lists it as corrected on June 22, 2026.
Citation K0321. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on June 22, 2026.
Citation K0324. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on June 22, 2026.
Citation K0712. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on June 22, 2026.
Citation K0355. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Properly select, install, inspect, or maintain portable fire extinguishes.
CMS lists it as corrected on June 22, 2026.
Citation K0920. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure proper usage of power strips and extension cords.
CMS lists it as corrected on June 22, 2026.
CMS update of April 29, 2026
Staffing
Total nurse staffing reported to CMS went from 9.3 to 5.4 hours per resident per day.
CMS update of November 20, 2025
Listing
This home now appears in CMS data.
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- FRANCES, JAY5% or greater direct ownership interest · 50% · since 02/01/2025
- FRANCES, MOLLYANNE5% or greater direct ownership interest · 50% · since 02/01/2025
- LEGACY HEALTH SERVICES INCOperational/managerial control · not applicable · since 02/01/2025
- BABER, ROYOperational/managerial control · not applicable · since 02/01/2025
Questions
When was Willowbrook Healthcare last inspected?
CMS lists May 28, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Willowbrook Healthcare have?
CMS lists 8 health citations since May 28, 2026. CMS also calls these deficiencies.
Has Willowbrook Healthcare been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Willowbrook Healthcare?
Its CMS overall star rating is 2 of 5.
Is Willowbrook Healthcare a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.