# Willowbrook Healthcare Willowbrook Healthcare is a Medicare/Medicaid-certified nursing home (Nursing home · SNF / NF) in Carlisle, KY, CMS Certification Number 185489, with 71 certified beds and about 47 residents per day. CMS rates it 2/5 overall (health inspections 2/5, staffing 4/5, quality measures 3/5). ## Key facts - Status: Active CMS certification - Address: 2323 Concrete Road, Carlisle, KY 40311 (Nicholas County) - Ownership type: For profit - Corporation - State license: Kentucky Cabinet for Health and Family Services, Office of Inspector General; license 100349 (facility ID 100349), active, 104 licensed beds, licensee WILLOWBROOK HEALTHCARE GROUP, LLC, as of 2026-10-30 - Operator (legal business name): [Willowbrook Healthcare Group LLC](https://carefield.site/operator/op-willowbrook-healthcare-group-llc) - CMS chain: not part of a CMS-reported chain - Phone: 8596512400 - Medicare Care Compare: https://www.medicare.gov/care-compare/details/nursing-home/185489 ## Inspection record 4 inspections in the CMS window (latest 2026-05-28); 18 citations (8 health, 10 fire safety); 0 at actual harm and 0 at immediate jeopardy; 0 without a verified correction at last report. CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years; no citation in that window is not proof of a clean history. - 2026-05-28 — [E-0004](https://carefield.site/deficiency/cms-e0004) Develop and maintain an Emergency Preparedness Program (EP). — scope/severity F (No actual harm, potential for more than minimal harm); Corrected - 2026-05-28 — [K-0321](https://carefield.site/deficiency/cms-k0321) Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected - 2026-05-28 — [K-0324](https://carefield.site/deficiency/cms-k0324) Provide properly protected cooking facilities. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected - 2026-05-28 — [K-0353](https://carefield.site/deficiency/cms-k0353) Inspect, test, and maintain automatic sprinkler systems. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected - 2026-05-28 — [K-0355](https://carefield.site/deficiency/cms-k0355) Properly select, install, inspect, or maintain portable fire extinguishes. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2026-05-28 — [K-0712](https://carefield.site/deficiency/cms-k0712) Have simulated fire drills held at unexpected times. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected - 2026-05-28 — [K-0761](https://carefield.site/deficiency/cms-k0761) To conduct inspection, testing and maintenance of fire doors by qualified individuals. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected - 2026-05-28 — [K-0918](https://carefield.site/deficiency/cms-k0918) Have generator or other power source capable of supplying service within 10 seconds. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected - 2026-05-28 — [K-0920](https://carefield.site/deficiency/cms-k0920) Ensure proper usage of power strips and extension cords. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2026-05-28 — [K-0921](https://carefield.site/deficiency/cms-k0921) Ensure that testing and maintenance of electrical equipment is performed. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected - 2026-05-28 — [F-0604](https://carefield.site/deficiency/cms-f0604) Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected - 2026-05-28 — [F-0628](https://carefield.site/deficiency/cms-f0628) Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2026-05-28 — [F-0641](https://carefield.site/deficiency/cms-f0641) Ensure each resident receives an accurate assessment. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2026-05-28 — [F-0656](https://carefield.site/deficiency/cms-f0656) Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2026-05-28 — [F-0695](https://carefield.site/deficiency/cms-f0695) Provide safe and appropriate respiratory care for a resident when needed. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2026-05-28 — [F-0761](https://carefield.site/deficiency/cms-f0761) 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. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected - 2026-05-28 — [F-0812](https://carefield.site/deficiency/cms-f0812) Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2026-05-28 — [F-0880](https://carefield.site/deficiency/cms-f0880) Provide and implement an infection prevention and control program. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected ## Penalties No fines or payment denials in the CMS penalties file (about the last three years). ## Staffing (PBJ, hours per resident per day) - Total nurse: 5.23828 (state avg 3.99112, US 3.90085) - RN: 0.62885 - Nursing staff turnover: n/a% ## Owners and managers of record (CMS disclosures) - Jay Frances — Direct owner, 50%, since 2025-02-01 - Mollyanne Frances — Direct owner, 50%, since 2025-02-01 - Jay Frances — Operational / managerial control, since 2025-02-01 - Mollyanne Frances — Operational / managerial control, since 2025-02-01 - [Legacy Health Services Inc](https://carefield.site/owner/org-legacy-health-services-inc) — Operational / managerial control, since 2025-02-01 - Roy Baber — Operational / managerial control, since 2025-02-01 ## Sources - cms_provider_info: https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=185489&conditions%5B0%5D%5Boperator%5D=%3D - cms_ownership: https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=185489&conditions%5B0%5D%5Boperator%5D=%3D - cms_health_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=185489&conditions%5B0%5D%5Boperator%5D=%3D - cms_fire_safety_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=185489&conditions%5B0%5D%5Boperator%5D=%3D - cms_penalties: https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=185489&conditions%5B0%5D%5Boperator%5D=%3D - cms_inspection_dates: https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=185489&conditions%5B0%5D%5Boperator%5D=%3D --- Source page: https://carefield.site/facility/cms-185489 · Carefield — Senior Care Intelligence. Facts come from the CMS Provider Data Catalog (Medicare/Medicaid-certified nursing homes). Missing data never means no issue exists.