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The Willows at Fritz Farm
Nursing Home, Assisted Living & Skilled Nursing · Lexington, KY
CMS overall rating
3/5
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.
Nursing Home, Assisted Living & Skilled Nursing · Lexington, KY
CMS overall rating
3/5
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.
The Willows at Fritz Farm accepts Medicare, Medicaid, and private pay.
The Willows at Fritz Farm accepts Medicare, Medicaid, and private pay.
Overview of The Willows at Fritz Farm
The Willows at Fritz Farm offers assisted living and skilled nursing care in Lexington, KY. Assisted living includes help with dressing, bathing, and medication while the resident lives in a private studio, while skilled nursing provides licensed nursing care on site around the clock.
Having both care levels under one roof may suit a resident whose needs could grow over time without requiring a move to another community. The home has 30 beds, creating a smaller setting where staff and residents can get to know each other.
Total nurse staffing is 3 hours and 42 minutes per resident each day. That figure represents the daily nursing time allocated to each resident, which matters when a family is comparing how much nursing attention the staffing model provides.
The community accepts Medicare, Medicaid, and private pay. Medicare can cover short term skilled care after a hospital stay, Medicaid may help when savings do not cover a long stay, and private pay allows a family to pay directly. A Walk Score of 69 places the area in the somewhat walkable band, so some errands can be done on foot and a resident who no longer drives may have an option for short outings without a car. Pets are allowed, enabling residents to keep a pet with them.
Measured by Centers for Medicare & Medicaid Services (CMS)
Overall ratingThe 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.
Health InspectionBased 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.
StaffingMeasures 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.
Quality MeasuresBased 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.
StaffingData period: Q4 2025 (October 1 – December 31, 2025).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Jun 2026).
Total nursing care per resident / day
This nursing home is ranked 52nd out of 193 nursing homes we track 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.
This facility
KY avg 3h 43m
↓ 1% · KY 3h 43mThis facility: 3h 42m per resident per day, 1% below the Kentucky average of 3h 43m (among Kentucky facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Rank#52 / 193Nurse hours — State benchmarkedThis nursing home is ranked 52nd out of 193 nursing homes we track in Kentucky for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Kentucky average, with a ranking across 193 Kentucky facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.Nurse hours — State benchmarkedThis nursing home is ranked 52nd out of 193 nursing homes we track in Kentucky for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Kentucky average, with a ranking across 193 Kentucky facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
3h 42m
Standout metric: Physical therapist is +102% above Kentucky average
3 of 6 metrics below Kentucky average
Daily care time per resident, by role
KY average · US = national average
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. All 9 are the facility's own employees; no agency contractors work in this role.9 staff · 8.2-hour shifts
1h 0m↑ 31% · KY 46mThis facility: 1h 0m per resident per day, 31% above the Kentucky average of 46m (among Kentucky facilities reporting a recent figure).
US average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US 41m
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. All 10 are the facility's own employees; no agency contractors work in this role.10 staff · 10.3-hour shifts
45m↓ 8% · KY 49mThis facility: 45m per resident per day, 8% below the Kentucky average of 49m (among Kentucky facilities reporting a recent figure).
US average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US 52m
Certified nursing assistant 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. All 43 are the facility's own employees; no agency contractors work in this role.43 staff · 7.2-hour shifts
1h 57m↓ 20% · KY 2h 26mThis facility: 1h 57m per resident per day, 20% below the Kentucky average of 2h 26m (among Kentucky facilities reporting a recent figure).
US average: 2h 20m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US 2h 20m
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.
8m↑ 102% · KY 4mThis facility: 8m per resident per day, 102% above the Kentucky average of 4m (among Kentucky facilities reporting a recent figure).
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US 4m
Total nursing, weekends 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.RN + LPN + aide · Sat–Sun
3h 28m↓ 1% · KY 3h 30mThis facility: 3h 28m per resident per day, 1% below the Kentucky average of 3h 30m (among Kentucky facilities reporting a recent figure).
US average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US 3h 26m
RN, weekends 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.Sat–Sun
44m↑ 41% · KY 31mThis facility: 44m per resident per day, 41% above the Kentucky average of 31m (among Kentucky facilities reporting a recent figure).
US average: 28m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US 28m
Headcount
Total staffEvery person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.102
92 employees · 10 contractors · 34 on an average day Staff per resident102 total staff / 50 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.2.04 : 1↑ 22% · KY 1.67This facility: 2.04 staff per resident, 22% above the Kentucky average of 1.67 (among Kentucky facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
102 staff ÷ 50 residents See full Kentucky ranking →Average shiftAverage hours one staff member works on a day they are on shift, across every role.7.4 h↓ 13% · KY 8.5 hThis facility: 7.4 h, 13% below the Kentucky average of 8.5 h (among Kentucky facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
23,075 staff hours this quarter See full Kentucky ranking →
90%
of staff hours were worked by the facility's own employees
Kentucky average: 92.7% · Contractors this quarter: Physical Therapy Assistant (4), Qualified Social Worker (3), Respiratory Therapy Technician (2), Speech Language Pathologist (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
Bed count
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.30Rank#190 / 195Bed count — State benchmarkedThis nursing home is ranked 190th out of 195 nursing homes we track in Kentucky for bed count. Shows this facility's certified or reported bed count compared to other Kentucky facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.Bed count — State benchmarkedThis nursing home is ranked 190th out of 195 nursing homes we track in Kentucky for bed count. Shows this facility's certified or reported bed count compared to other Kentucky facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Smaller home
· May offer a more intimate, personalized care environment.
Walk Score
Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.Rank#32 / 208Walk Score — State benchmarkedThis nursing home is ranked 32nd out of 208 nursing homes we track in Kentucky for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Kentucky facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.Walk Score — State benchmarkedThis nursing home is ranked 32nd out of 208 nursing homes we track in Kentucky for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Kentucky facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
69/ 100
Occupancy rate
Occupancy higher than 95% suggests steady demand, but availability may be limited.Rank#1 / 163Occupancy rate — State benchmarkedThis nursing home is ranked 1st out of 163 nursing homes we track in Kentucky for occupancy. Shows this facility's occupancy rate versus the Kentucky average, with its Statewide rank out of 163. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.Occupancy rate — State benchmarkedThis nursing home is ranked 1st out of 163 nursing homes we track in Kentucky for occupancy. Shows this facility's occupancy rate versus the Kentucky average, with its Statewide rank out of 163. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
100%This home is often near full
Higher than the Kentucky average: 85%
Avg. Length of Stay
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.
44days
About This Community
Pricing & Financial Information
The below pricing was updated on
Starting Price
$6,659/Month
License Details
StatusActive
CountyFayette
License Number101286
CMS Certification Number185482
Therapy & Rehabilitation
4 services
Short-Term Rehabilitation
Physical Therapy
Occupational Therapy
Speech Therapy
Staffing & Medical
6 services
RN On-Site 8 Hours a Day
Pharmacy and Laboratory Services
Wound Care ManagementClinical care for preventing, assessing, and treating wounds, including pressure injuries and surgical wounds. It can support healing and reduce complications.
Diabetes Management
Medication ManagementSupport with organizing, administering, and monitoring medicines can help prevent missed or incorrect doses.
Dietitian
Additional Services
7 services
Respite CareRespite care provides families and unpaid caregivers with short-term relief from caregiving duties. Care can range from a few hours to a few weeks.
Daily Living Assistance
Discharge Planning
Housekeeping
Laundry & Linen
MaintenanceListed as: Maintenance of apartment, community, and grounds
Transportation
Additional Policies & Features
Pets Allowed
Amenities & Lifestyle
Fitness Center
Beauty Salon
Walking Paths
Laundry
Garden
Cable Tv
Wi-Fi
Outdoor Seating
Wheelchair Accessible
Private Dining Room
Emergency Call System
Activities
Live a Dream ProgramA Trilogy Health Services Foundation program that helps residents fulfill lifelong or bucket-list wishes through financial support and coordinated experiences. Families may value the chance to honor a parent’s meaningful goals.
Happy Hour
Faith & Spiritual Life
Inspirations Program (Bible Study, Hymn Sing, Meditation, Devotions, Rosary, Grief Bereavement Support Groups)A faith-centered life-enrichment program offering activities such as Bible study, hymn singing, meditation, devotions, rosary, and grief support. It can help residents maintain spiritual connection and find comfort.
Dining & Nutrition
Sourced directly from the team at The Willows at Fritz Farm.
Texture-modified diets.
Private dining room for family events.
Room Accommodations
Building TypeTwo-storey
Studio Floor plans as listed by the community: Studio (140–355 sq ft) · Deluxe Studio (140–355 sq ft) · Studio - Short-Term Stay (140–355 sq ft)Floor plans: Deluxe, Short-Term Stay140–355 sq ft
1 Bedroom
Private Room Floor plans as listed by the community: Private Studio (140–477 sq ft) · Deluxe Private Studio (140–477 sq ft)Floor plans: Deluxe140–477 sq ft
Semi-Private / Shared Room 140–477 sq ft
In-Room Features
In-Unit Private Suite With Shower And Kitchen Or KitchenetteIndividual Heating & Air Conditioning
This profile shows two inspection records, and their totals often differ.
Inspection History and the Inspection Scorecard below are state data — the
figures the state publishes and the state inspection reports we hold on file —
covering the entire facility. CMS Health Inspection History covers only this
home's Medicare and Medicaid-certified nursing beds, from federal certification
surveys.
Inspection History
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.
Since 2019 · 7 years of dataThese figures come from state-published data and the state inspection reports we hold on file. The period covered can vary depending on document availability. Includes all inspection records for this property, which could include management/ownership changes.13 deficiencies5 inspections
Inspection Scorecard
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.
Since 2019 vs. Kentucky state average
Overall vs. KY average
0 Worse
No metrics in this bucket.
1 At Avg
Metrics at Kentucky average:
• Total deficiencies (at KY avg)
1 Better
Metrics better than Kentucky average:
• Deficiencies per inspection (26% below)
Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.
This Facility
KY Average
vs. KY Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.
13
13.0
This facility has total deficiencies in line with the Kentucky average (13 vs. KY avg 13).— At avg
Deficiencies per inspection Average deficiencies per inspection.
2.6
3.5
This facility has 26% fewer deficiencies per inspection than a typical Kentucky nursing home (2.6 vs. KY avg 3.5).↓ 26% better
Inspections State inspections evaluate whether the facility meets health and safety standards.
This Facility
KY Average
vs. KY Avg
Total inspections Combined count of all inspections conducted at this facility.
5
4.0
This facility has had 25% more total inspections than the Kentucky average (5 vs. KY avg 4). More inspections can mean more regulatory scrutiny rather than worse care.↑ 25% more
Since 2020 · 6 years of data · Last health inspection May 2026
Federal inspection data published by CMS, covering this home's Medicare and/or
Medicaid-certified skilled-nursing/nursing beds only.
Total health inspections3Kentucky avg 2.9
Total health citations
9Rank#76 / 194Health citations — State benchmarkedThis nursing home is ranked 76th out of 194 nursing homes we track in Kentucky for health citations. Shows this facility's total health deficiency citations benchmarked to the Kentucky State average, with a ranking across all 194 KY facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.Health citations — State benchmarkedThis nursing home is ranked 76th out of 194 nursing homes we track in Kentucky for health citations. Shows this facility's total health deficiency citations benchmarked to the Kentucky State average, with a ranking across all 194 KY facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Kentucky avg 12.5 (28% better than Kentucky average)
Citations per inspection
3Rank#52 / 194Citations per inspection — State benchmarkedThis nursing home is ranked 52nd out of 194 nursing homes we track in Kentucky for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Kentucky mean across 194 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.Citations per inspection — State benchmarkedThis nursing home is ranked 52nd out of 194 nursing homes we track in Kentucky for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Kentucky mean across 194 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Kentucky avg 4.18 (28% better than Kentucky average)
Citation severity
100% corrected
9 of 9 citations corrected
Bar = mix of this home's 9 citations, not a state comparison
Lighter shade = corrected
CriticalJ–L
0Kentucky avg 1 (100% better than Kentucky average)
Immediate jeopardy
SeriousG–I
0Kentucky avg 0.6 (100% better than Kentucky average)
Actual harm
ModerateD–F
9Kentucky avg 10.8 (17% better than Kentucky average)
No harm, more than minimal risk
MinorA–C
0Kentucky avg 0.1 (100% better than Kentucky average)
No harm, minimal risk
Citations history
Most recent first
May 15, 20263 citations
Infection Control moderate citation
Corrected
Pharmacy moderate citation
Corrected
Care Planning moderate citation
Corrected
Apr 04, 20255 citations
Infection Control moderate citation
Corrected
Nutrition moderate citation
Corrected
Resident Rights moderate citation
Corrected
Resident Rights moderate citation
Corrected
Resident Rights moderate citation
Corrected
Jan 16, 20201 citation
Quality of Care moderate citation
Corrected
Top deficiency categories
Share of 9 citations
Resident Rights3 deficiencies (33%)
Infection Control2 deficiencies (22%)
Resident Assessment & Care Planning1 deficiency (11%)
Quality of Life & Care1 deficiency (11%)
Nutrition & Dietary1 deficiency (11%)
Pharmacy Services1 deficiency (11%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 9 citations resulted from standard inspections.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. 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.
Penalties and fines
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.
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 scoreA composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.9.8
14% worse than Kentucky average
Kentucky average: 8.6
Functional decline scoreA composite score based on activities of daily living decline, walking ability decline, and incontinence.21.2
35% worse than Kentucky average
Kentucky average: 15.6
Long-stay resident measures
AverageKentucky avg: 3.5CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Percent of long-stay residents whose need for help with daily activities has increased13.0%
6% better than Kentucky average
Kentucky average: 13.8%
Walking Ability Worsened Percent of long-stay residents whose ability to move independently worsened26.5%
89% worse than Kentucky average
Kentucky average: 14.0%
Low Risk Residents with Bowel/Bladder Incontinence Percent of low risk long-stay residents who lose control of their bowels or bladder24.0%
26% worse than Kentucky average
Kentucky average: 19.0%
Falls with Major Injury Percent of long-stay residents experiencing one or more falls with major injury2.5%
35% better than Kentucky average
Kentucky average: 3.9%
High Risk Residents with Pressure Ulcers Percent of long-stay high risk residents with pressure ulcers4.1%
15% better than Kentucky average
Kentucky average: 4.8%
Urinary Tract Infection Percent of long-stay residents with a urinary tract infection0.0%
100% better than Kentucky average
Kentucky average: 1.6%
Lost Too Much Weight Percent of long-stay residents who lose too much weight2.9%
57% better than Kentucky average
Kentucky average: 6.6%
Depressive Symptoms Percent of long-stay residents who have depressive symptoms2.7%
85% better than Kentucky average
Kentucky average: 17.7%
Antipsychotic Use Percent of long-stay residents who received an antipsychotic medication7.1%
56% better than Kentucky average
Kentucky average: 16.1%
Pneumococcal Vaccine Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine96.6%
In line with Kentucky average
Kentucky average: 94.3%
Influenza Vaccine Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine100.0%
In line with Kentucky average
Kentucky average: 96.2%
Hospitalizations per 1,000 days Number of hospitalizations per 1,000 long-stay resident days.1.66
11% better than Kentucky average
Kentucky average: 1.87
ED visits per 1,000 days Number of outpatient emergency department visits per 1,000 long-stay resident days.2.54
16% worse than Kentucky average
Kentucky average: 2.19
Short-stay resident measures
Significantly above averageKentucky avg: 2.2CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal VaccinePercent of short-stay residents assessed and appropriately given the pneumococcal vaccine97.0%
15% better than Kentucky average
Kentucky average: 84.0%
Antipsychotic medication increasePercent of short-stay residents who newly received an antipsychotic medication2.3%
33% worse than Kentucky average
Kentucky average: 1.7%
Influenza VaccinePercent of short-stay residents assessed and appropriately given the seasonal influenza vaccine96.0%
15% better than Kentucky average
Kentucky average: 83.5%
Re-hospitalized after SNF stayPercentage of short-stay residents who were re-hospitalized after their nursing home admission.27.3%
11% worse than Kentucky average
Kentucky average: 24.5%
Emergency department visitsPercentage of short-stay residents who had an outpatient emergency department visit.11.2%
19% better than Kentucky average
Kentucky average: 13.9%
Falls with major injuryPercentage of SNF residents who experience falls with major injury during their stay.0.0%
100% better than Kentucky average
Kentucky average: 0.8%
Ability to care for self at dischargePercentage of residents at or above expected ability to care for themselves at discharge.65.4%
22% better than Kentucky average
Kentucky average: 53.7%
Successful return to home or communityRate of successful return to home or community from a skilled nursing facility.73.3%
45% better than Kentucky average
Kentucky average: 50.6%
Breakdown by payment type
Medicare
42% of new residents, usually for short-term rehab.
Typical stay24 days
Private pay
56% of new residents, often for short stays.
Typical stay2 - 3 months
Medicaid
2% of new residents, often for long-term daily care.
Typical stay10 - 11 months
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics
(Data as of Jun 2026)
Total residents50
Medicare
22
44% of residents
Medicaid
8
16% of residents
Private pay or other
20
40% of residents
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.
Financial Trends
Historical financial and operational data for The Willows at Fritz Farm from 2018–2024, based on CMS SNF Cost Reports.
Includes all financial data for this property, which could include management/ownership changes.
Key figures below are for fiscal year ending in 12/2024.
Net Patient Income$799.8K↑ ~$286.5K vs 2023
Payroll Costs$5.3M↑ ~$112.3K vs 2023
Operating Margin7.9%↑ 2.6pp vs 2023
Financial Performance
Net patient revenueOperating expensesNet patient income
Payroll & Labor Costs
SalariesStaff salaries from the home's own payroll records.Wage CostsWage-related costs — benefits such as payroll taxes, health insurance and retirement. Together with salaries, these make up payroll.Contract LaborPay for temporary or agency staff. Counted under other operating costs, not payroll.
Payer Mix (percentage)
MedicareMedicaidPrivate Pay/Other
Metric
2018
2019
2020
2021
2022
2023
2024
Occupancy %
76.7%
79.7%
74.0%
78.0%
81.4%
82.7%
82.4%
Beds
85
85
85
85
84
84
77
Net Income
-$444,654
-$241,438
$464,277
$766,012
$663,562
$576,088
$877,681
Gross Revenue
$10,176,514
$10,238,247
$8,945,788
$9,929,849
$10,180,428
$11,165,695
$11,643,634
Operating Expenses
$8,167,062
$8,572,359
$7,813,966
$7,981,345
$8,435,534
$9,182,520
$9,386,856
Net Patient Income
-$470,154
-$291,586
-$119,706
$561,830
$542,214
$513,323
$799,801
Net Patient Revenue
$7,696,908
$8,280,773
$7,694,260
$8,543,175
$8,977,748
$9,695,843
$10,186,657
Payroll Costs
$3,636,024
$3,853,954
$4,207,433
$4,263,847
$4,729,648
$5,178,481
$5,290,737
Operating Margin %
-6.1%
-3.5%
-1.6%
6.6%
6.0%
5.3%
7.9%
Medicare %
22.3%
19.8%
16.5%
17.0%
16.0%
16.6%
15.1%
Medicaid %
13.8%
12.7%
13.1%
13.3%
13.5%
13.2%
9.8%
Private %
63.9%
67.5%
70.4%
69.7%
70.5%
70.2%
75.1%
Net Patient Revenue/Day
$323
$335
$334
$353
$356
$383
$414
Cost/Day
$343
$347
$339
$330
$335
$362
$381
Avg Length of Stay
40.9 days
41.7 days
62.8 days
64.9 days
59.1 days
46.8 days
44.1 days
Finances and operations
Based on CMS SNF Cost Report for fiscal year ending in 12/2024.
For-profit
Operated by a limited liability company.
Net patient revenueNet 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."
$10.2MFiscal year ending 12/2024
Net patient incomeNet 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."
$799.8KFiscal year ending 12/2024
For-profit Operated by a limited liability company.
Net patient revenueNet 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."
$10.2MFiscal year ending 12/2024Rank#81 / 186Net patient revenue — State benchmarkedThis nursing home is ranked 81st out of 186 nursing homes we track in Kentucky. Shows this facility's net patient revenue compared to the Kentucky average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Net patient revenue — State benchmarkedThis nursing home is ranked 81st out of 186 nursing homes we track in Kentucky. Shows this facility's net patient revenue compared to the Kentucky average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Net patient incomeNet 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."
$799.8KFiscal year ending 12/2024
Other incomeMoney 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.
$77.9KFiscal year ending 12/2024
Payroll costsStaff 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#62 / 186Payroll costs — State benchmarkedThis nursing home is ranked 62nd out of 186 nursing homes we track in Kentucky. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Kentucky average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Payroll costs — State benchmarkedThis nursing home is ranked 62nd out of 186 nursing homes we track in Kentucky. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Kentucky average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
$5.3MFiscal year ending 12/2024
51.9% of net patient revenue
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#43 / 186Payroll % of net patient revenue — State benchmarkedThis nursing home is ranked 43rd out of 186 nursing homes we track in Kentucky. Shows payroll as a percentage of net patient revenue versus the Kentucky average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Payroll % of net patient revenue — State benchmarkedThis nursing home is ranked 43rd out of 186 nursing homes we track in Kentucky. Shows payroll as a percentage of net patient revenue versus the Kentucky average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Other operating costsEverything 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).
$4.1MFiscal year ending 12/2024
Total costsThe home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$9.4MFiscal year ending 12/2024
Certification details
License Number:185482
Owner Name:Elizabeth Blair
Rural vs. Urban:Urban
County:Fayette
Type of Control:For-profit — Operated by a limited liability company.
Source: Centers for Medicare & Medicaid Services (CMS) and State data
How we calculate these figures
We use the home's most recent CMS SNF Cost Report — the annual financial statement every Medicare- and Medicaid-certified nursing home is required to file — to show how it earns and spends on resident care.
This includes
Net patient revenue — what the home collects for resident care after contractual allowances, bad debt and discounts.
Payroll — staff salaries plus wage-related benefits. Contract and agency labor is counted separately, under other operating costs.
Net patient income — what's left after the home's total operating expenses.
How we calculate net patient income and payroll %
Net patient income is net patient revenue minus the home's total operating expenses. Payroll % is payroll divided by net patient revenue — the share of each revenue dollar that goes to staff pay.
Net patient revenue vs. other income
Net patient revenue is money earned from resident care only. Anything the home earns outside of care — investments, grants, rentals and other non-operating sources — is reported separately as other income. Other income is not part of net patient revenue, and it is not included in net patient income.
Who this home usually serves
TYPE OF STAY
Mix 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.
Most new residents arrive under private pay (56% of admissions), and a typical private pay stay runs around 2 - 3 months.
Admissions
368 total
Coverage residents most often arrive under.
Medicare42%
Private pay56%
Medicaid2%
Discharges
489 total
Coverage residents most often leave under.
Medicare32%
Private pay63%
Medicaid5%
How we assess these insights
We analyze official CMS data on admissions and discharges to understand the types of residents a nursing home most often serves.
This includes
Medicare, Medicaid, and private-pay admissions and discharges
Number of nights covered by each payment type
Typical length of stay
How length of stay is calculated
Average length of stay comes from the facility's Medicare cost report: total resident days in the year divided by total discharges, across all residents and payment types. Homes that mostly provide long-term care show long averages, because few residents leave in a given year.
Living Spaces & Floor Plans for The Willows at Fritz Farm
Places of interest near The Willows at Fritz Farm
5.2 miles from city center Estimated distance in miles from Lexington's city center to The Willows at Fritz Farm's address, calculated via Google Maps.
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Info below is compiled from CMS reports & the KY Cabinet for Health & Family Services (CHFS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This TableAL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Kentucky average is: 48.8% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Rank badges are statewide and care-type specific: each nursing home is ranked against every other KY nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Respite (4-6 hours/week or 5 days/year)Adult day care ($55/day)Caregiver trainingSupplies (~$500/year)
Kentucky Family Caregiver Program
Kentucky Family Caregiver Program
Age—
GeneralGrandparents (often 55+) as primary caregivers to grandchildren under 18, Kentucky resident, not on Kinship Care.
Income Limits (2025)~$31,225/year (individual); varies by AAA.
Asset LimitsNot strictly assessed; need-based.
KY
Max $1,500/year; statewide via AAAs.
Benefits
Grants (~$500-$1,500/year) for respiteSuppliesCare costs; counselingTraining
VA Aid and Attendance (A&A) and Housebound Benefits
Kentucky VA Aid and Attendance/Housebound
Age65+ or disabled veteran/spouse
GeneralKentucky resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025)Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits~$155,356net worth limit
KY
High veteran demand in rural areas.
Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)
Frequently Asked Questions about The Willows at Fritz Farm
What neighborhood is The Willows at Fritz Farm in?
The Willows at Fritz Farm is in the Pickway Korner neighborhood of Lexington.
Is The Willows at Fritz Farm in a walkable area?
The Willows at Fritz Farm has a walk score of 69. Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
What is the license number of The Willows at Fritz Farm?
According to KY state health department records, The Willows at Fritz Farm's license number is 101286.
What is the occupancy rate at The Willows at Fritz Farm?
The Willows at Fritz Farm's occupancy is 100%.
Are pets allowed at The Willows at Fritz Farm?
Yes, The Willows at Fritz Farm allows residents to bring their pets.
Does The Willows at Fritz Farm operate as a for-profit or non-profit?
The Willows at Fritz Farm is registered as a for-profit in KY.
What is the overall rating for The Willows at Fritz Farm?
The Willows at Fritz Farm received a 3-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
102
92 employees · 10 contractors · 34 on an average day 
