4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
A member of the Trilogy Health Services group, The Willows at Citation is a trusted community where families and seniors know they made the right choice to live in the senior living community. The senior living community ensures that residents have a wonderful experience in the community. Management emphasizes the importance of connections, which is why they promote socialization for everyone in the community. The Willows at Citation is a vibrant community that is excellent at satisfying the wellness needs of every resident.
The Willows is an independent living, assisted living, and memory care community with skilled nursing and short-term stay. They ensure that, as a senior living community, they deeply emphasize and guarantee that independence is maintained for their residents. Residents can rest easy knowing that they are placed first with the list of services and amenities provided for them: ADLs, transportation, library, and private dining rooms. Skilled nursing and personalized care are also offered to the residents.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 46th out of 191 homes in Kentucky for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 1h 15m per day | ▲ 63% State avg: 46m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 54m per day | ▲ 10% State avg: 49m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 2m per day | ▼ 16% State avg: 2h 26m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 57m per day | ▲ 13% State avg: 3h 30m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 5m per day | ▲ 36% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 1h 7m per day | ▲ 117% State avg: 31m per day · National avg: 28m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
In Kentucky, the Cabinet for Health and Family Services, Office of Inspector General is the regulatory authority that conducts inspections and investigates complaints in all long-term care homes.
This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Kentucky state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | KY Average | vs. KY Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 9 | 6 | This facility has 50% more total deficiencies than a typical Kentucky nursing home (9 vs. KY avg 6).↑ 50% worse |
|
Deficiencies per year
Average deficiencies per year since 2019.
| 1.3 | 0.9 | This facility has 44% more deficiencies per year than a typical Kentucky nursing home (1.3 vs. KY avg 0.9).↑ 44% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 3 | 1.5 | This facility has 100% more deficiencies per inspection than a typical Kentucky nursing home (3 vs. KY avg 1.5).↑ 100% worse |
Inspections
| This Facility | KY Average | vs. KY Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 3 | 4 | This facility has had 25% fewer total inspections than the Kentucky average (3 vs. KY avg 4). More inspections can mean more regulatory scrutiny rather than worse care.↓ 25% fewer |
Kentucky average 2.9
Last Health inspection on Jun 2025
Kentucky average 13.5
Kentucky average 4.4
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 9 citations resulted from standard inspections.
100% better than Kentucky averageKentucky average: 1.1
100% better than Kentucky averageKentucky average: 0.6
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
30% more staff per resident than Kentucky average
0% compared with Kentucky average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 10 RN Staff are full-time employees. No contractors work on this role.
10
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hoursAssists with medical care and medications.
All 13 LPN Staff are full-time employees. No contractors work on this role.
13
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hoursHelps with daily care and mobility.
All 34 CNA Staff are full-time employees. No contractors work on this role.
34
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,465 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 34 | 0 | 34 | 6,397 | 92 | 100% | 8.5 |
| Registered Nurse | 10 | 0 | 10 | 3,649 | 92 | 100% | 9.8 |
| Licensed Practical Nurse | 13 | 0 | 13 | 3,595 | 92 | 100% | 10 |
| Medication Aide/Technician | 10 | 0 | 10 | 2,803 | 92 | 100% | 8.8 |
| Other Dietary Services Staff | 11 | 0 | 11 | 2,201 | 92 | 100% | 7.6 |
| Clinical Nurse Specialist | 6 | 0 | 6 | 1,555 | 89 | 97% | 8.5 |
| Speech Language Pathologist | 0 | 3 | 3 | 745 | 67 | 73% | 6.2 |
| Physical Therapy Assistant | 0 | 4 | 4 | 558 | 71 | 77% | 7.1 |
| Administrator | 1 | 0 | 1 | 481 | 62 | 67% | 7.8 |
| Dietitian | 1 | 0 | 1 | 457 | 60 | 65% | 7.6 |
| RN Director of Nursing | 1 | 0 | 1 | 441 | 52 | 57% | 8.5 |
| Mental Health Service Worker | 1 | 0 | 1 | 440 | 61 | 66% | 7.2 |
| Nurse Practitioner | 1 | 0 | 1 | 433 | 55 | 60% | 7.9 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 408 | 70 | 76% | 5.6 |
| Qualified Social Worker | 0 | 2 | 2 | 391 | 67 | 73% | 5.8 |
| Physical Therapy Aide | 0 | 1 | 1 | 363 | 61 | 66% | 6 |
| Occupational Therapy Assistant | 3 | 0 | 3 | 31 | 55 | 60% | 0.5 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
2.8
73% better than Kentucky averageKentucky average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
11.7
38% better than Kentucky averageKentucky average: 18.9
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
5.4%
68% better than Kentucky averageKentucky average: 16.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
18.0%
12% better than Kentucky averageKentucky average: 20.5%
Percent of long-stay residents experiencing one or more falls with major injury
3.2%
16% better than Kentucky averageKentucky average: 3.8%
Percent of long-stay high risk residents with pressure ulcers
1.6%
73% better than Kentucky averageKentucky average: 5.8%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Kentucky averageKentucky average: 1.9%
Percent of long-stay residents who lose too much weight
1.0%
85% better than Kentucky averageKentucky average: 6.8%
Percent of long-stay residents who have depressive symptoms
6.6%
54% better than Kentucky averageKentucky average: 14.3%
Percent of long-stay residents who received an antipsychotic medication
11.1%
29% better than Kentucky averageKentucky average: 15.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% better than Kentucky averageKentucky average: 93.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.7%
In line with Kentucky averageKentucky average: 96.2%
Number of hospitalizations per 1,000 long-stay resident days.
2.76
48% worse than Kentucky averageKentucky average: 1.87
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.78
19% better than Kentucky averageKentucky average: 2.19
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.9%
18% better than Kentucky averageKentucky average: 83.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Kentucky averageKentucky average: 1.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.4%
14% better than Kentucky averageKentucky average: 83.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
28.7%
17% worse than Kentucky averageKentucky average: 24.5%
Percentage of short-stay residents who had an outpatient emergency department visit.
3.0%
78% better than Kentucky averageKentucky average: 13.9%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Kentucky averageKentucky average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
77.6%
44% better than Kentucky averageKentucky average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
71.6%
42% better than Kentucky averageKentucky average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
40% of new residents, usually for short-term rehab.
57% of new residents, often for short stays.
4% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
47Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for The Willows at Citation from 2015–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #54 / 194Payroll — State benchmarkedThis home is ranked 54th out of 194 homes in Kentucky for Payroll. Shows total annual staff payroll benchmarked to the Kentucky average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #37 / 194Payroll % — State benchmarkedThis home is ranked 37th out of 194 homes in Kentucky for Payroll %. Shows payroll as a percentage of revenue versus the Kentucky average. Well-run Kentucky facilities typically land around 50–61% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Pets Allowed
Room Sizes: 140 - 355 / 14 - 477 sq. ft
Housing Options: Studio
Building Type: Single-storey
Transportation Services
Fitness and Recreation
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Most new residents arrive under private pay (57% of admissions), and a typical private pay stay runs around 3 - 4 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
4.1 miles from city center
Estimated distance in miles from Lexington's city center to The Willows at Citation's address, calculated via Google Maps.
Add your location
The information below is reported by the Kentucky Cabinet for Health and Family Services, Office of Inspector General.
| The Willows at Fritz Farm | NH AL SNF | Lexington (Pickway Korner) | 30
Facility
30
KY AVG
82
Rank
#310 / 341 | - | - | 3.60
Facility
3.60
KY AVG
3.75
Rank
#54 / 191 | -18% | -4% | $0
Facility
$0
KY AVG
$65.4k
Rank
#1 / 197 | 8
Facility
8
KY AVG
13.5
Rank
#48 / 193 | 2.7
Facility
2.7
KY AVG
4.4
Rank
#37 / 193 | - | 45 | - |
69
Facility
69
KY AVG
41
Rank
#58 / 423 | Elizabeth Blair | $9.7MFiscal year ending 12/2023
Facility
$9.7MFiscal year ending 12/2023
KY AVG
$10.5M
Rank
#87 / 194 | $5.2MFiscal year ending 12/2023
Facility
$5.2MFiscal year ending 12/2023
KY AVG
$4.0M
Rank
#60 / 194 | 53.4%Fiscal year ending 12/2023
Facility
53.4%Fiscal year ending 12/2023
KY AVG
40.7%
Rank
#60 / 194 | 185482 | ||||
| The Willows at Citation | NH AL MC SNF | Lexington (Griffin Gate) | 19
Facility
19
KY AVG
82
Rank
#331 / 341 | - | - | 3.69
Facility
3.69
KY AVG
3.75
Rank
#46 / 191 | -12% | -2% | $0
Facility
$0
KY AVG
$65.4k
Rank
#1 / 197 | 9
Facility
9
KY AVG
13.5
Rank
#66 / 193 | 4.5
Facility
4.5
KY AVG
4.4
Rank
#110 / 193 | - | 49 | - |
7
Facility
7
KY AVG
41
Rank
#382 / 423 | Renee Moore | $9.3MFiscal year ending 12/2023
Facility
$9.3MFiscal year ending 12/2023
KY AVG
$10.5M
Rank
#92 / 194 | $5.7MFiscal year ending 12/2023
Facility
$5.7MFiscal year ending 12/2023
KY AVG
$4.0M
Rank
#54 / 194 | 61%Fiscal year ending 12/2023
Facility
61%Fiscal year ending 12/2023
KY AVG
40.7%
Rank
#37 / 194 | 185474 | ||||
| Homestead Post Acute | NH HOS MC PC RC SNF | Lexington (Cardinal Hill) | 136
Facility
136
KY AVG
82
Rank
#33 / 341 |
89.7%
Facility
89.7%
KY AVG
84.3
Rank
#78 / 168 | +6% | 2.24
Facility
2.24
KY AVG
3.75
Rank
#187 / 191 | +110% | -40% | $0
Facility
$0
KY AVG
$65.4k
Rank
#1 / 197 | 7
Facility
7
KY AVG
13.5
Rank
#37 / 193 | 1.8
Facility
1.8
KY AVG
4.4
Rank
#14 / 193 | - | 122 | - |
38
Facility
38
KY AVG
41
Rank
#231 / 423 | Providence Group Of Kentucky LLC | $16.7MFiscal year ending 12/2023
Facility
$16.7MFiscal year ending 12/2023
KY AVG
$10.5M
Rank
#8 / 194 | $7.9MFiscal year ending 12/2023
Facility
$7.9MFiscal year ending 12/2023
KY AVG
$4.0M
Rank
#15 / 194 | 47.2%Fiscal year ending 12/2023
Facility
47.2%Fiscal year ending 12/2023
KY AVG
40.7%
Rank
#144 / 194 | 185144 | ||||
| Lexington Country Place | NH AL RC SNF | Lexington (Headley Green) | 22
Facility
22
KY AVG
82
Rank
#325 / 341 | - | - | 3.52
Facility
3.52
KY AVG
3.75
Rank
#68 / 191 | 0% | -6% | $0
Facility
$0
KY AVG
$65.4k
Rank
#1 / 197 | 10
Facility
10
KY AVG
13.5
Rank
#79 / 193 | 5.0
Facility
5.0
KY AVG
4.4
Rank
#127 / 193 | - | 85 | - |
35
Facility
35
KY AVG
41
Rank
#253 / 423 | Phoenix Senior Living LLC | $10.8MFiscal year ending 12/2023
Facility
$10.8MFiscal year ending 12/2023
KY AVG
$10.5M
Rank
#81 / 194 | $5.4MFiscal year ending 12/2023
Facility
$5.4MFiscal year ending 12/2023
KY AVG
$4.0M
Rank
#47 / 194 | 50.6%Fiscal year ending 12/2023
Facility
50.6%Fiscal year ending 12/2023
KY AVG
40.7%
Rank
#45 / 194 | 185160 | ||||
| The Willows at Hamburg | NH AL MC SNF | Lexington | 103
Facility
103
KY AVG
82
Rank
#91 / 341 |
31.1%
Facility
31.1%
KY AVG
84.3
Rank
#167 / 168 | -63% | 4.05
Facility
4.05
KY AVG
3.75
Rank
#30 / 191 | -20% | +8% | $61.6k
Facility
$61.6k
KY AVG
$65.4k
Rank
#182 / 197 | 7
Facility
7
KY AVG
13.5
Rank
#37 / 193 | 1.8
Facility
1.8
KY AVG
4.4
Rank
#14 / 193 | 2 | 32 | - |
0
Facility
0
KY AVG
41
Rank
#407 / 423 | Samuel Frazier | $12.3MFiscal year ending 12/2023
Facility
$12.3MFiscal year ending 12/2023
KY AVG
$10.5M
Rank
#54 / 194 | $7.2MFiscal year ending 12/2023
Facility
$7.2MFiscal year ending 12/2023
KY AVG
$4.0M
Rank
#33 / 194 | 58.4%Fiscal year ending 12/2023
Facility
58.4%Fiscal year ending 12/2023
KY AVG
40.7%
Rank
#43 / 194 | 185470 |
The Willows at Citation is located in Lexington, Kentucky.
Here are the financial assistance programs available to residents in Kentucky.
The Willows at Citation is in the Griffin Gate neighborhood of Lexington.
The Willows at Citation has a walk score of 7. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to KY state health department records, The Willows at Citation's license number is 101215PC.
The Willows at Citation's occupancy is 83.5%.
Yes, The Willows at Citation allows residents to bring their pets.
The Willows at Citation is registered as a for-profit in KY.
The Willows at Citation has 19 beds.
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