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CMS Nursing Home Compare · March 2026

The Willows at Citation

1376 Silver Springs Drive, Lexington, KY 40511 · All homes in Lexington

The Willows at Citation, a 54-bed for profit - limited liability company nursing facility in Lexington, KY, holds a 4-star CMS overall rating - well above the 3.0-star national average, with nurse staffing above the national norm. No recent finding reached the actual-harm level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 8592770320

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4 / 5
Above average · CMS overall · nat'l 3.0
4.07
About average · nurse hrs/day · nat'l 3.89
9
Inspection findings
$0
Federal penalties (0)

Health Inspection

3/5

Staffing

4/5

Quality Measures

5/5

Long-Stay Quality

4/5

Facility Information

Provider Number
185474
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
54
Residents
49
In Hospital
No
County
Fayette
Last Inspection
Jun 26, 2025

Staffing Data

How the 4.07 total nursing hours per resident-day are staffed:

RN Hours
1.08 (nat'l avg: 0.68)
LPN Hours
0.99
CNA Hours
2.00
Total Nursing Hours
4.07 (nat'l avg: 3.89)
PT Hours
0.08
Nursing Turnover
32.1%
RN Turnover
33.3%

What the CMS Record Reveals About The Willows at Citation

The Willows at Citation operates 54 certified beds in Lexington, KY with approximately 49 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (3★), staffing levels (4★), and quality measures (5★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 9 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues, if any, did not rise to the enforcement threshold. Staffing is reported at 4.07 total nursing hours per resident day (national average 3.89), with RN coverage at 1.08 per resident day, the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, The Willows at Citation falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 32.1%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (9 most recent)

E - Pattern - Minimal harm Jun 26, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 17, 2025

D - Isolated - Minimal harm Jun 26, 2025 Tag: 0628

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Category: Resident Rights Deficiencies

Corrected: Jul 17, 2025

E - Pattern - Minimal harm Nov 4, 2021 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 15, 2021

E - Pattern - Minimal harm Nov 4, 2021 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: Dec 15, 2021

D - Isolated - Minimal harm Nov 4, 2021 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 15, 2021

D - Isolated - Minimal harm Nov 4, 2021 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 15, 2021

D - Isolated - Minimal harm Nov 4, 2021 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 15, 2021

D - Isolated - Minimal harm Nov 4, 2021 Tag: 0679

Provide activities to meet all resident's needs.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 15, 2021

D - Isolated - Minimal harm Nov 4, 2021 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 15, 2021

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 7.4% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.7% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.2% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay N/A Yes
Percentage of long-stay residents with pressure ulcers Long Stay 2.1% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 9.0% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 1.0% No
Percentage of long-stay residents who have depressive symptoms Long Stay 5.1% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 26.5% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 96.7% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 17.3% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 98.3% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 95.4% No

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for The Willows at Citation?
The Willows at Citation has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (3★), staffing levels (4★), and quality measures (5★).
What are the staffing levels at The Willows at Citation?
The Willows at Citation reports 4.07 total nursing hours per resident day (national average: 3.89). RN hours are 1.08 per resident day (national average: 0.68). Nursing staff turnover is 32.1%.
How many beds does The Willows at Citation have?
The Willows at Citation has 54 certified beds with approximately 49 residents. The facility is located at 1376 Silver Springs Drive, Lexington, KY 40511.
Does The Willows at Citation have any deficiencies on record?
Yes, The Willows at Citation has 9 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has The Willows at Citation received any fines or penalties?
No, The Willows at Citation has no fines or penalties on record.
Who owns The Willows at Citation?
The Willows at Citation is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was The Willows at Citation last inspected?
The most recent health inspection for The Willows at Citation was on Jun 26, 2025. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for The Willows at Citation?
The Willows at Citation is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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