GoodStanding

Nursing home report

The Willows at Citation

Lexington, KY · Medicare-certified · 54 beds

In good standing
For-profitChain member
4 of 5 overall

The Willows at Citation in Lexington, KY has a 4-star overall rating, with strong quality measures (5 stars) and staffing (4 stars); reported nurse staffing is 4.18 hours per resident per day, slightly above the 4.1 federal benchmark. Its health inspection rating is 3 stars, there were no fines in the last 24 months, and recent inspection issues included food handling, medication storage, and required resident documentation.

Facility ratings

Health inspections

Staffing

4.1827 hrs/resident/day

Quality measures

Last inspection: June 26, 2025Penalties, last 24 months: $0

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.1827.

Staffing detail

Registered nurses
1.25
Licensed practical nurses
0.89
Nurse aides
2.04
Weekend nursing
3.96

Hours per resident per day.

Total staff turnover: 31%
Registered nurse turnover: 46%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

10%14.3%Worsening

Residents with a fall causing major injury

3.6%6.7%Worsening

Residents with pressure ulcers (bedsores)

2.8%1.6%Improving

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

0%4.5%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

0%5%Worsening

Long-stay residents on antianxiety or sleep medication

26.1%31.8%Worsening

Short-stay residents newly given an antipsychotic

0%0%No change

Residents with a long-term catheter

0%3%Worsening

Residents with new or worsening incontinence

15.2%7.6%Improving

Residents with depressive symptoms

8%3.6%Improving

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

96.7%

Long-stay residents given the pneumonia vaccine

100%100%No change

Short-stay residents given the seasonal flu vaccine

95.4%

Short-stay residents given the pneumonia vaccine

98.8%90.1%Worsening

What the inspectors found

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: E

The home failed to properly label and securely store medications and biologicals. Cited November 2021 — limited pattern, potential for harm.

View the original federal record

F-Tag 761 — 42 CFR §483.45(g) — S/S: E

The nursing home failed to provide the required notice or documentation about a resident’s needs, appeal rights, or bed-hold policy. Cited June 2025 — isolated incident, potential for harm.

View the original federal record

F-Tag 628 — 42 CFR §483.15(c)(2) — S/S: D

The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited November 2021 — isolated incident, potential for harm.

View the original federal record

F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: D

The home failed to provide activities that met all residents’ needs. Cited November 2021 — isolated incident, potential for harm.

View the original federal record

F-Tag 679 — 42 CFR §483.24 — S/S: D

Recent history

  1. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  2. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 7 health deficiencies.

    See what inspectors found

Operator & ownership

Ownership
For profit - Limited Liability company
Chain
Part of TRILOGY HEALTH SERVICES · 124 homes · 4.2 stars avg
Occupancy
49 residents on an average day (91% of 54 beds)
Resident voice
Resident council
Medicare history
Certified for 12 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.