The Willows at Citation

Nursing home in Lexington, KY

Medicare & Medicaid certified4★ overall (CMS)

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Public-record details

Address: 1376 Silver Springs Drive, Lexington, KY 40511
Phone: (859) 277-0320
Listed under: For-profit, 4–5 star overall rating, No fines in 3 years, Part of a retirement community
Medicare CCN: 185474
Overall star rating: 4 of 5 ★★★★☆
Health inspection rating: 3 of 5
Staffing rating: 4 of 5
Quality measures rating: 5 of 5
Certified beds: 54
Average residents per day: 51
Ownership: For-profit, limited Liability company
Legal business name: Trilogy Healthcare of Fayette III LLC
Chain: Trilogy Health Services (123 facilities)
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Jun 4, 2014
Changed ownership in last 12 months: No
Continuing care retirement community: Yes
Located inside a hospital: No
Resident or family council: Resident council
Sprinklers in all required areas: Yes

CMS certification number 185474. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jun 26, 2025. CMS lists 9 health citations for this facility across its last three standard inspection cycles and complaint inspections (Nov 4, 2021 to Jun 26, 2025): 0 from complaint inspections, 0 at the “actual harm” level or higher.

Inspection	Citation	Severity
Jun 26, 2025	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights	D Potential for more than minimal harm, isolated
Jun 26, 2025	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary	E Potential for more than minimal harm, pattern
Nov 4, 2021	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated
Nov 4, 2021	Provide activities to meet all resident's needs. Quality of Life and Care	D Potential for more than minimal harm, isolated
Nov 4, 2021	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care	D Potential for more than minimal harm, isolated
Nov 4, 2021	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care	D Potential for more than minimal harm, isolated
Nov 4, 2021	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care	D Potential for more than minimal harm, isolated
Nov 4, 2021	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… Pharmacy Service	E Potential for more than minimal harm, pattern
Nov 4, 2021	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary	E Potential for more than minimal harm, pattern

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day: 4.04 hours
Registered nurse (RN) time per resident per day: 1.22 hours
Nurse aide time per resident per day: 1.87 hours
Total nurse staffing on weekends: 3.88 hours
Nursing staff turnover (yearly): 39%
RN turnover (yearly): 46%
Administrators who left in the past year: 0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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