Occupancy rate
84%
In line with Kentucky averageMix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
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Assisted Living in Lexington
CMS overall rating
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.
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.
The Willows at Citation
Assisted Living in Lexington
CMS overall rating
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.
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.
The Willows at Citation
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.
Quality ratings
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
19
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
83.5%
Residents per day (avg)
50
Occupancy rate
83.5%
Residents per day (avg)
50
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
40% of new residents, usually for short-term rehab.
Typical stay
29 days
Private pay
57% of new residents, often for short stays.
Typical stay
3 - 4 months
Medicaid
4% of new residents, often for long-term daily care.
Typical stay
10 - 11 months
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$10.7M
Operating loss
-$625.5K
Privately-owned community
Operated by a business corporation.
Home revenue
$10.7M
Operating loss
-$625.5K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.6M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$6.8M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$11.4M
19-bed community
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
Walk Score: 7 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.
About this community
Occupancy
In line with Kentucky averageOccupied beds
16 / 19
Average residents
80 per day
Facility TypeAssisted Living Community - Behavioral Health
StatusActive
CountyFAYETTE
License Number101215PC
CMS Certification Number185474
What does this home offer?
Pets Allowed: Yes, Pets Allowed
Room Sizes: 140 - 355 / 14 - 477 sq. ft
Housing Options: Studio
Building Type: Single-storey
Transportation Services
Fitness and Recreation
Types of Care at The Willows at Citation
Assisted Living
Memory Care
Nursing Home
Health Inspection History
Inspections
Total health inspections
2
Kentucky average 2.9
Last Health inspection on Jun 2025
Total health citations
9
Kentucky average 13.5
Citations per inspection
4.5
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.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Kentucky averageKentucky average: 1.1
Serious Health citations
0
0
100% better than Kentucky averageKentucky average: 0.6
0 critical citations
0 serious citations
9 moderate citations
0 minor citations
Citations history (last 3 years)
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Jun 26, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Jun 26, 2025
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Jun 26, 2025
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Jun 26, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Nov 04, 2021
Issues related to food quality, meal service, and resident's nutritional needs.
Nov 04, 2021
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Nov 04, 2021
Issues related to medication management, including how drugs are stored, administered, and monitored.
Nov 04, 2021
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Assisted Living around Lexington The information below is reported by the Kentucky Cabinet for Health and Family Services, Office of Inspector General.
Filter by care type
Lexington Country Place
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.
Lexington (Headley Green)
133
Yes
35
Studio
2
The Willows at Citation
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Lexington (Griffin Gate)
88
Yes
7
Studio
0
Cedarhurst of Beaumont
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Lexington
72
No
-
Studio
0
Central Kentucky Recovery Center, Unit 1
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Lexington (Oakwood Estates)
16
No
9
Studio
0
Central Kentucky Recovery Center, Unit 2
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Lexington
16
No
11
Studio
0
Living Spaces & Floor Plans
The Willows At Citation Studio C
The Willows At Citation Studio B
The Willows At Citation Studio
The Willows At Citation Studio D
Places of interest near The Willows at Citation
4.1 miles from city center — 4 miles to nearest hospital (Lexington VA Health Care System - Troy Bowling Campus)
Calculate Travel Distance to The Willows at Citation
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
107
Employees
94
Contractors
13
Staff to resident ratio
2.28:1
30% better than Kentucky averageKentucky average ratio: 1.75:1
Avg staff/day
33
Average shift
8 hours
6% worse than Kentucky averageKentucky average: 8.5 hours
Total staff hours (quarter)
23,966
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
8
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
14
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
35
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
9.6%
2,293 contractor hours this quarter
Speech Language Pathologist: 3
Physical Therapy Assistant: 3
Respiratory Therapy Technician: 3
Qualified Social Worker: 2
Medical Director: 1
Physical Therapy Aide: 1
Staff by category
| Certified Nursing Assistant | 35 | 0 | 35 | 6,471 | 91 | 100% | 8.4 |
| Licensed Practical Nurse | 14 | 0 | 14 | 4,121 | 91 | 100% | 9.5 |
| Registered Nurse | 8 | 0 | 8 | 2,642 | 90 | 99% | 9.7 |
| Medication Aide/Technician | 11 | 0 | 11 | 2,424 | 90 | 99% | 9.2 |
| Other Dietary Services Staff | 10 | 0 | 10 | 2,189 | 91 | 100% | 7.5 |
| Clinical Nurse Specialist | 6 | 0 | 6 | 1,545 | 87 | 96% | 8.5 |
| Speech Language Pathologist | 0 | 3 | 3 | 704 | 66 | 73% | 6.1 |
| Physical Therapy Assistant | 0 | 3 | 3 | 485 | 68 | 75% | 7.1 |
| RN Director of Nursing | 1 | 0 | 1 | 479 | 56 | 62% | 8.6 |
| Mental Health Service Worker | 1 | 0 | 1 | 464 | 66 | 73% | 7 |
| Administrator | 1 | 0 | 1 | 448 | 56 | 62% | 8 |
| Nurse Practitioner | 2 | 0 | 2 | 432 | 54 | 59% | 7.8 |
| Dietitian | 1 | 0 | 1 | 419 | 54 | 59% | 7.8 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 409 | 67 | 74% | 6 |
| Physical Therapy Aide | 0 | 1 | 1 | 334 | 61 | 67% | 5.5 |
| Qualified Social Worker | 0 | 2 | 2 | 313 | 65 | 71% | 4.7 |
| Medical Director | 0 | 1 | 1 | 49 | 57 | 63% | 0.9 |
| Occupational Therapy Assistant | 4 | 0 | 4 | 39 | 59 | 65% | 0.6 |
35 Certified Nursing Assistant
% of Days
100%
14 Licensed Practical Nurse
% of Days
100%
8 Registered Nurse
% of Days
99%
11 Medication Aide/Technician
% of Days
99%
10 Other Dietary Services Staff
% of Days
100%
6 Clinical Nurse Specialist
% of Days
96%
3 Speech Language Pathologist
% of Days
73%
3 Physical Therapy Assistant
% of Days
75%
1 RN Director of Nursing
% of Days
62%
1 Mental Health Service Worker
% of Days
73%
1 Administrator
% of Days
62%
2 Nurse Practitioner
% of Days
59%
1 Dietitian
% of Days
59%
3 Respiratory Therapy Technician
% of Days
74%
1 Physical Therapy Aide
% of Days
67%
2 Qualified Social Worker
% of Days
71%
1 Medical Director
% of Days
63%
4 Occupational Therapy Assistant
% of Days
65%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
47 residents
Residents by payment source
Medicare
11 residents (23.4%)
Medicaid
10 residents (21.3%)
Private pay or other
26 residents (55.3%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
CCRC
Part of a Continuing Care Retirement Community offering multiple care levels
Active Resident Council
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.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
2.8
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
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
11.7
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
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
5.4%
Percent of long-stay residents whose need for help with daily activities has increased
5.4%
68% better than Kentucky averageKentucky average: 16.8%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
18.0%
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%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.2%
Percent of long-stay residents experiencing one or more falls with major injury
3.2%
16% better than Kentucky averageKentucky average: 3.8%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
1.6%
Percent of long-stay high risk residents with pressure ulcers
1.6%
73% better than Kentucky averageKentucky average: 5.8%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Kentucky averageKentucky average: 1.9%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
1.0%
Percent of long-stay residents who lose too much weight
1.0%
85% better than Kentucky averageKentucky average: 6.8%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
6.6%
Percent of long-stay residents who have depressive symptoms
6.6%
54% better than Kentucky averageKentucky average: 14.3%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
11.1%
Percent of long-stay residents who received an antipsychotic medication
11.1%
29% better than Kentucky averageKentucky average: 15.6%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% better than Kentucky averageKentucky average: 93.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.7%
In line with Kentucky averageKentucky average: 96.2%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.9%
18% better than Kentucky averageKentucky average: 83.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Kentucky averageKentucky average: 1.9%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.4%
14% better than Kentucky averageKentucky average: 83.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for The Willows at Citation based on CMS SNF Cost Reports.
Occupancy Rate
83.5%
↓ 0.4pp vs 2022
Net Income
-$625.5K
↓ ~$250.7K vs 2022
Total Payroll
$6.2M
↑ ~$667.5K vs 2022
Profit Margin
-5.9%
↓ 2.0pp vs 2022
Loading trend charts...
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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
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