CCN 185470 · Fayette County, Kentucky
The Willows at Hamburg
2531 Old Rosebud Road, Lexington, KY 40509
The Willows at Hamburg is a 64-bed for-profit nursing home in Lexington, Kentucky, first certified for Medicare or Medicaid in 2012. CMS rates it 2 out of 5 stars overall in its September 2026 data, and it averaged 58.1 residents a day, about 91% of its certified beds. It has an active FHA-insured Section 232 loan: $12.2 million originally, at 3.31%, with $10.6 million outstanding as of September 30, 2026 and maturity in October 2053.
Facility facts
- Certified beds
- 64
- Average residents per day
- 58.1 (90.8% of beds)
- Ownership type
- For profit - Individual
- Certification
- Medicare and Medicaid
- Legal business name
- Trilogy Healthcare of Fayette I LLC
- Certified since
- Dec 14, 2012
- Chain or affiliated group
- Trilogy Health Services (127 facilities, chain average 4.2 stars)
- Location
- Urban, part of a continuing care retirement community
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Kentucky median | US median |
|---|---|---|---|
| Overall rating | 2 of 5 | State spread: 59 at 1, 45 at 2, 55 at 3, 55 at 4, 52 at 5 | |
| Health inspections | 1 of 5 | ||
| Quality measures | 4 of 5 | ||
| Staffing | 5 of 5 | ||
| Total nurse hours per resident per day | 5.24 | 3.75 | 3.68 |
| RN hours per resident per day | 1.05 | 0.67 | 0.58 |
| Weekend nurse hours per resident per day | 5.37 | ||
| Nursing staff turnover | 43.4% | 45.0% | 44.9% |
| Occupancy (residents / beds) | 90.8% | 90.3% | 85.7% |
| Fines reported by CMS | 1 totaling $61,627 | ||
| Health deficiencies, latest standard survey | 4 (Jul 10, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). The Willows at Hamburg does not meet it today: health inspection rating 1. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Continental Merger Sub LLCOrganization | Indirect Ownership Interest | n/a | 10/01/2021 |
| Northstar Healthcare Income IncOrganization | Indirect Ownership Interest | n/a | 10/01/2021 |
| Northstar Healthcare Income Operating Partnership LPOrganization | Indirect Ownership Interest | n/a | 10/01/2021 |
| Trilogy Holdings Nt-Hci, LLCOrganization | Indirect Ownership Interest | n/a | 10/01/2021 |
| Keybank National AssociationOrganization | Mortgage Interest | n/a | 09/11/2018 |
| Trilogy Management Services LLCOrganization | Operational / Managerial Control | n/a | 10/01/2021 |
| Frazier, SamuelIndividual | Operational / Managerial Control | n/a | 03/06/2017 |
Holders of a 5% or greater mortgage interest reported in the enrollment record: Keybank National Association.
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Sep 11, 2018 | 223(f) refinance or purchaseHUD project name: Trilogy - The Willows at Hamburg, 128 beds. Lender at endorsement: Keybank National Association | $12,160,000 | Active: 3.31%, $10,558,565 balanceMatures Oct 1, 2053. Servicer: Keybank National Association | 08322055 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.