The Willows At Hamburg

    2531 Old Rosebud Road, Lexington, KY, 40509
    3.6 · 8 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    3.0

    Nice facility, unstable management, costly

    I toured this facility and liked the hotel-like, very clean grounds, friendly staff, good food and activities - the community felt welcoming and the private rooms were nice. My enthusiasm was tempered by management instability (frequent director turnover), high/unexplained annual price hikes and being misled about one-bedroom availability/size. I also heard concerns about weekend staffing, communication with families, the wall-only call/TV system (no wearable alarms), and occasional care/hygiene issues. Overall I think it's a lovely place if you can afford it, but insist on written guarantees about pricing, staffing and the exact unit before committing.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Coordination with health care providers
    • Hospice waiver
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Memory care community services

    • Dementia waiver
    • Mild cognitive impairment
    • Specialized memory care programming

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (medical)
    • Transportation arrangement (non-medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    3.63 · 8 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.8
    • Staff

      3.7
    • Meals

      3.3
    • Amenities

      2.5
    • Value

      3.0

    Pros

    • Friendly, welcoming staff
    • New, attractive facility
    • Clean facilities (many mentions)
    • Pleasant, hotel-like grounds and ambiance
    • Private rooms available
    • Active programming and events (musical event, activities)
    • Good menu with many meal choices
    • Meals liked by some residents/families
    • Supportive, sociable resident community
    • Reports of improving care quality
    • Individual director/staff members praised as wonderful
    • Perceived good value and recommendations from some families

    Cons

    • Poor patient care reported by some reviewers
    • Poor communication with families
    • Serious hygiene/unsanitary issues reported (feces under fingernails)
    • Smell in some private rooms
    • No bed alarms
    • Wall-only call system with no wearable call option
    • TV-based communication system may be hard to learn
    • Weekend care described as minimal or nominal
    • Low nurse-to-patient ratio / perceived understaffing
    • Poor food quality reported by some reviewers
    • Frequent director turnover and management instability
    • Misleading information about one-bedroom availability and unit size shown
    • Price increases not communicated; facility described as expensive with annual hikes
    • Management challenged by violent resident behavior
    • Inconsistent care quality across different reports

    Summary review

    Overall sentiment is mixed and polarized: many reviewers praise the facility’s physical attributes, some staff members, and the social atmosphere, while other reviewers report serious concerns about clinical care, hygiene, safety systems, communication, and management stability. Positive comments concentrate on the building, grounds, activities, and particular staff or events; negative comments focus on care quality, cleanliness, staffing, alarm/call systems, and unexpected costs.

    Care quality and safety: Reviews about clinical care are inconsistent. Several reviewers say care is poor — specifically mentioning low nurse-to-patient ratios, nominal weekend coverage, lack of bed alarms, and instances of inadequate attention to resident needs. These concerns are contrasted by other reports that explicitly say care is good or improving. A small but critical set of comments allege severe hygiene and safety lapses, including unsanitary conditions and a claim of feces under fingernails. Such allegations, if accurate, are serious red flags. There are also notes that management has struggled with violent resident behavior, which may affect staff ability to provide consistent, safe care.

    Staff and management: Frontline staff receive much positive feedback: many reviewers describe staff as friendly, welcoming, and helpful (welcome cake, explained things). Some individual leaders (a director) are singled out as wonderful. However, there is a recurring pattern of management instability — frequent director turnover and general management challenges — which appears to produce inconsistency in resident experience and in operational practices. Communication with families is a frequent complaint: families report poor communication, being misled about unit availability and size, and not being informed about price increases. That mix — personable direct-care staff but unstable or opaque management — helps explain the variability in reported experiences.

    Facilities, systems, and cleanliness: The facility itself is repeatedly described as new, nice, and often very clean, with a hotel-like ambiance and pleasant grounds. Private rooms are available and some families liked the overall look and feel. At the same time, reviewers note problematic specifics: a wall-mounted call system with no wearable option, a TV-based communication system that may be difficult to learn, and the absence of bed alarms. There are also occasional reports of smells in private rooms and isolated but serious unsanitary allegations (see above). These details suggest the physical environment is appealing but that operational/safety systems and some cleanliness practices may be uneven.

    Dining, activities, and community: Dining impressions are mixed. Multiple reviewers praise the menu, report many choices, and say meals are enjoyed and good value. Conversely, some reviews explicitly call the food poor. Activities and social programming receive generally positive mentions — e.g., musical events, available activities, and a positive resident community — contributing to a welcoming social environment for many residents.

    Cost and transparency: Several reviewers raise financial concerns: price increases that were not communicated upfront, annual hikes, and the facility being considered expensive by some families. These financial transparency issues are a distinct theme separate from clinical and operational concerns and have prompted some families to look for cheaper or more capable alternatives.

    Patterns and takeaways: The overall picture is one of a facility with strong physical amenities, friendly frontline staff, and active programming, but with inconsistent operational execution. Positive and negative reports coexist: some families feel the place offers great care and community, while others report serious lapses in hygiene, safety systems, staffing coverage, and communication. Management turnover and unclear financial communication are recurring issues tied to variability in resident experience.

    If you are evaluating this community, investigate the specific concerns raised here: ask for recent staffing ratios and weekend coverage policies; request documentation on infection control and cleaning protocols; tour private units and confirm actual sizes and availability in writing; review the call/alert systems and whether wearable or bed-alarm options are available; get written details of fee schedules and historical rate increases; and inquire how management handles aggressive resident behavior and staff training. These targeted checks will help determine whether the positive aspects (facility, staff warmth, activities) are consistent and whether the serious negative issues reported have been addressed.

    Location

    Map showing location of The Willows At Hamburg

    About The Willows At Hamburg

    The Willows at Hamburg is a senior living community that offers assisted living, memory care, and skilled nursing care, so residents get the support they need as their health changes over time, and there's also respite care if someone needs a short stay within assisted living. The place is set on well-kept grounds with landscaped lawns, trees, and bluegrass, and there are nice views, walking paths, and a resident garden where people can spend time outside, plus there's parking for residents and it's pet friendly, which is good for folks who want to keep their pets with them. Inside, there are several living options, including independent living, assisted living, memory care for Alzheimer's or other dementia, and skilled nursing, which means people who need more care can stay in the same community rather than moving, and the whole place is a continuing care retirement community.

    The staff, including a nurse and an aide for every 30 assisted living residents, gives help with daily tasks like medication management, diabetic care, incontinence care, and mobility help, and there are call lights in rooms and bathrooms for safety, as well as wander guards if needed, and locked doors at night. Dr. Wyman visits several times a week to check on residents, and the social services department handles resident concerns, making sure families stay in the loop through regular emails or phone calls. Cameron is the contact person for anyone who wants to talk about moving in or has questions about admissions.

    Meals come in separate dining rooms for assisted living and skilled nursing residents, and they use a restaurant-style system, with new menus each week and a salad bar available several times-there's also a private dining room for special family gatherings, and the staff invites families for monthly events like brunch, trying to bring everyone together. There's a salon and a fitness center or gym on-site, and the whole community includes life enrichment programs so seniors have things to do and can stay active. Some beds may not always look perfectly made, but if something's wrong, the staff steps in fast to help. Residents can get a ride to doctor's appointments through community transportation, though sometimes staff may need to lift someone into bed by hand to make sure they're safe.

    The place is accessible for wheelchairs, offers Wi-Fi, has laundry on-site, and lets people keep pets, and there's information about paying with insurance, savings, Medicaid, Medicare, veterans benefits, or tax benefits. The Willows at Hamburg also has resources for caregivers and families, with materials available to help answer questions about funding and services, and they offer home care, hospice, and respite care when it's needed. The focus here is on keeping people as independent as possible, staying connected with families, and addressing the many needs that come up as people get older, so everyone can live with dignity and support in a safe, comfortable environment.

    About Trilogy Senior Living

    The Willows At Hamburg is managed by Trilogy Senior Living.

    Trilogy Health Services, founded in December 1997 by Randy Bufford and headquartered in Louisville, Kentucky, has grown from its first four communities to operate more than 130 senior living campuses across five Midwestern states: Ohio, Kentucky, Indiana, Michigan, and Wisconsin. Now owned by American Healthcare REIT (NYSE: AHR), Trilogy employs over 14,000 team members who provide world-class clinical support to more than 10,000 seniors. The company offers a full continuum of care including independent living, assisted living, memory care, skilled nursing, and rehabilitative services, with facilities ranging from independent living patio homes to comprehensive healthcare campuses.

    Trilogy's mission centers on exceeding customer expectations through their Service Standards, emphasizing that "the right employees make the difference" and that "a servant's heart is the key to success." The company's philosophy is rooted in the Trilogy Advantage—family values of compassion, honesty, respect, and service to others. They serve with humility, putting seniors at the forefront of everything they do. Their culture is built on the belief that employees who feel cared for will provide the best care to others, leading to innovative benefits including weekly pay, free meals, registered apprenticeship programs, paid parental leave, and support through the Trilogy Health Services Foundation for scholarships and emergency assistance.

    The company's specialized programs demonstrate their commitment to comprehensive, innovative care. Their Best Friends Approach to memory care provides residents with companions who understand their life stories while offering activities that stimulate the mind and encourage socialization. Trilogy offers state-of-the-art dialysis services using Ascent medical recliners with healing and massage options, and partners with Synchrony Health Services to deliver pharmacy and rehabilitative care directly to residents. Their unique lifestyle programs and hospitality-focused services distinguish them in the senior living industry, combining clinical excellence with compassionate, personalized attention.

    Trilogy's dedication to quality has earned significant recognition, including being named a Fortune Best Places to Work in Aging Services, a certified Great Place to Work, and one of Glassdoor's Top 100 Best Companies to Work. In 2023, 56 Trilogy communities received the Bronze Commitment to Quality Award from the American Health Care Association and National Center for Assisted Living (AHCA/NCAL), with 34 communities earning the Achievement In Quality Award. These accolades reflect Trilogy's unwavering commitment to their goal of becoming the best healthcare company in the Midwest, achieved through their team approach philosophy that "Together Everyone Achieves More" and meticulous attention to the details that separate winners from the rest.

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