Elder Care Record

Kentucky › Fayette County › Lexington

The Willows At Citation

1376 Silver Springs Drive, Lexington, KY 40511

CCN 185474 · For-profit, limited liability company · 54 certified beds · chain Trilogy Health Services

Continuing care retirement community
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

The Willows At Citation is a For-profit, limited liability company nursing home in Lexington, Kentucky, certified for 54 beds and caring for about 51 residents a day.

CMS gives it 4 of 5 stars overall, above the Kentucky median of 3; the health inspection rating is 3, staffing 4 and quality measures 5.

Inspectors recorded 9 health deficiencies across the three most recent survey cycles (2, 7, 0 by cycle, most recent first), none at the actual-harm level. That is 16.7 per 100 beds, more than the state median of 12.1.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 4.0 hours per resident per day (1.2 RN), close to the Kentucky median of 3.7; nursing staff turnover is 38.5%.

9health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
4.0nurse hours per resident per daystate median 3.7
95%occupancy (residents ÷ beds)51 residents a day

Compared with county, state and nation

MeasureThis facilityFayette Co. medianKentucky medianUS average
Overall star rating4233.0
Health citations, 3 cycles9111028.7
Citations per 100 beds16.713.312.126.8
Total nurse hours per resident day4.03.73.73.9
RN hours per resident day1.20.60.70.7
Nursing staff turnover38.5%48.5%45.1%45.8%
Fines listed$0$7,901$0—

County and state figures are medians across facilities (12 in the county, 267 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)2
Cycle 27
Cycle 30

Dark bar: this facility. Grey bar: Kentucky average per facility for the same cycle, as published by CMS. Standard health survey dates: 26 Jun 2025, 4 Nov 2021.

Severity mix: D ×6 E ×3

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
26 Jun 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey17 Jul 2025
26 Jun 2025F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DStandard survey17 Jul 2025
4 Nov 2021F0761Ensure 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.EStandard survey15 Dec 2021
4 Nov 2021F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey15 Dec 2021
4 Nov 2021F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey15 Dec 2021
4 Nov 2021F0679Provide activities to meet all resident's needs.DStandard survey15 Dec 2021
4 Nov 2021F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey15 Dec 2021
4 Nov 2021F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey15 Dec 2021
4 Nov 2021F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey15 Dec 2021

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing4.04 h
Nurse aides1.87 h
LPN0.96 h
RN1.22 h
Weekend total3.88 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Kentucky average. Turnover: nursing staff 38.5%, RNs 46.2%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityKentucky medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay9.1%13.0%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.5%0.2%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%1.0%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay5.0%3.5%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%1.1%1.0%
Percentage of long-stay residents with pressure ulcersLong Stay1.4%4.3%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay7.9%15.0%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. Chain: Trilogy Health Services (123 facilities).

OrganisationRole in the CMS recordInterestSince
Trilogy Management Services LLC5% or greater direct ownership interest100%06/01/2026
Trilogy Management Services LLCOperational/managerial controlNOT APPLICABLE06/03/2026

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Fayette County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Bluegrass Care & Rehabilitation CenterLexington124443118.9—25 Jul 2025
Homestead Post AcuteLexington13643296.6—17 Jul 2025
The Willows At Fritz FarmLexington54334916.7—15 May 2026
The Willows At HamburgLexington64325710.9$62K8 Aug 2025
Cambridge Nursing & Rehabilitation CenterLexington108221109.3—19 Feb 2026
Pine Meadows Post AcuteLexington1202311613.3—5 Sep 2025
Hartland Park Health & RehabilitationLexington1501113322.0$13K24 Apr 2026
Lexington Country PlaceLexington11111298.1$27K1 May 2026

All 12 facilities in Fayette County

Questions and answers

How many deficiencies has The Willows At Citation been cited for?

9 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Kentucky median is 10 per facility.

Has The Willows At Citation been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at The Willows At Citation compare?

Reported total nurse staffing is 4.0 hours per resident per day against a Kentucky median of 3.7 and a national average of 3.9.

Who operates The Willows At Citation?

It is part of the Trilogy Health Services chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Trilogy Management Services LLC and Trilogy Management Services LLC. Individual owners and managers are not listed on this site.

When was The Willows At Citation last inspected?

The most recent survey or investigation in the CMS record is dated 26 Jun 2025; the most recent standard health survey was 26 Jun 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.