SNF
THE WILLOWS AT CITATION
CCN: 185474 · LEXINGTON, KY 40511 · Fayette County
CCRC
Overview
- Address
- 1376 SILVER SPRINGS DRIVE, LEXINGTON, KY 40511
- Phone
- 8592770320
- Certified beds
- 54
- Avg daily residents
- 49 (91% of beds filled)
- Ownership
- For-profit LLC
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 2014-06-04
- Setting
- Urban
4 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 4.07 | 4.22 | 3.72 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 1.08 | 0.74 | 0.99 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.99 | 0.94 | 0.91 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.00 | 2.54 | 1.83 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 2.07 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.08 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
3.76
hrs / resident / day
RN (weekend)
0.87
hrs / resident / day
Total nurse (adjusted, weekend)
3.44
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
32.1%
annual
RN turnover
33.3%
annual
Administrators departed
0
last 12 months
Resident acuity
Nursing Case-Mix Index
1.49
higher acuity than avg
Case-Mix Index Ratio
1.08
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-06-26 | 2 | 2 | 0 | 12 | 1 | 12 |
| Cycle 2/3 (prior) | 2021-11-04 | 7 | 7 | 0 | 36 | 1 | 36 |
Total weighted health score
18.0
lower is better
Deficiencies (9)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
9 D/E/F Actual harm — potential for minor
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2025-06-26 | 2025-07-17 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-06-26 | 2025-07-17 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2021-11-04 | 2021-12-15 |
| 0679 | Provide activities to meet all resident's needs. | D | 2021-11-04 | 2021-12-15 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2021-11-04 | 2021-12-15 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2021-11-04 | 2021-12-15 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2021-11-04 | 2021-12-15 |
| 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. | E | 2021-11-04 | 2021-12-15 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2021-11-04 | 2021-12-15 |
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 12.9% Medicaid 14.2% Other 73.0%
Operating performance
Operating Margin
-7.6%
Total Margin
-6.7%
Occupancy Rate
83.5%
Cost per Resident Day
$46
Revenue & costs
Net Patient Revenue
$9.3M
Total Costs
$1.2M
Net Income
-$625K
Balance sheet
Total Assets
$9.0M
Total Liabilities
$15.0M
Fund Balance
-$6.0M
Current Ratio
7.66
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: TRILOGY HEALTH SERVICES
- Chain ID
524- Facilities in chain
- 125
- Legal business name
- TRILOGY HEALTHCARE OF FAYETTE III LLC
Chain-average star ratings (for peer context)
Overall
4.0
Health
3.4
Staffing
3.2
QM
4.8
Owner / manager organizations (11)
| Organization | Role | Association |
|---|---|---|
| TRILOGY OPCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 07/07/2021 |
| AMERICAN HEALTHCARE REIT HOLDINGS LP | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 10/01/2021 |
| AMERICAN HEALTHCARE REIT INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 07/07/2021 |
| CONTINENTAL MERGER SUB LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 10/01/2021 |
| GAHC3 TRILOGY JV LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 07/07/2021 |
| GAHC4 TRILOGY JV LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 07/07/2021 |
| TRILOGY HEALTHCARE HOLDINGS INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 07/07/2021 |
| TRILOGY INVESTORS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 07/07/2021 |
| TRILOGY REAL ESTATE INVESTMENT TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 07/07/2021 |
| TRILOGY REIT HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 07/07/2021 |
| TRILOGY MANAGEMENT SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | since 07/07/2021 |
Owner / manager individuals (5)
| Name | Role | Association |
|---|---|---|
| BAILEY, ADAM | OPERATIONAL/MANAGERIAL CONTROL | since 02/27/2023 |
| CORBIN, KATHY | OPERATIONAL/MANAGERIAL CONTROL | since 11/01/2023 |
| FIGHTMASTER, LISA | OPERATIONAL/MANAGERIAL CONTROL | since 11/01/2023 |
| PIETROWSKI, CRISTINA | OPERATIONAL/MANAGERIAL CONTROL | since 01/31/2022 |
| WIEMANN, CHARLOTTE | OPERATIONAL/MANAGERIAL CONTROL | since 10/01/2025 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- Yes
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $46 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 7.66 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 14.2% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 12.9% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-625,473 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $9,269,098 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 83.5% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -7.6% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $9,045,504 | metrics.total_assets |
| Cost Report | Total Costs ($) | $1,230,519 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $-5,998,783 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $15,044,287 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -6.7% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.90567 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 1.83098 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.98759 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.72424 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.43687 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 49.2 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.93621 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.54441 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.73794 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 4.21856 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.71822 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 3.4 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 4.0 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 4.8 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 3.2 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 524 | Chain ID |
| Provider Information | Chain Name | TRILOGY HEALTH SERVICES | Chain Name |
| Provider Information | City/Town | LEXINGTON | City/Town |
| Provider Information | CMS Certification Number (CCN) | 185474 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | Y | Continuing Care Retirement Community |
| Provider Information | County/Parish | Fayette | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 2014-06-04 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 3 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 38.0826 | Latitude |
| Provider Information | Legal Business Name | TRILOGY HEALTHCARE OF FAYETTE III LLC | Legal Business Name |
| Provider Information | Location | 1376 SILVER SPRINGS DRIVE,LEXINGTON,KY,40511 | Location |
| Provider Information | Long-Stay QM Rating | 4 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -84.484 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 0 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 54 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 125 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.49445 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.08478 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 4 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Limited Liability company | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 1376 SILVER SPRINGS DRIVE | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | THE WILLOWS AT CITATION | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 330 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 5 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 12 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 0 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 2 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-06-26 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 12 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 2 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 7 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2021-11-04 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 36 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 0 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 36 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 7 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.87170 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 33.3 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 2.06863 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.98956 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.00058 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.08203 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 1.07907 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 4.06922 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 5 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 4 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | KY | State |
| Provider Information | Telephone Number | 8592770320 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.75522 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 32.1 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 18.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 40511 | ZIP Code |