The Willows at Citation: Staffing, Turnover, and Inspection Record
The Willows at Citation is a 54-bed for-profit nursing home in Lexington, Kentucky, part of Trilogy Health Services. In the CMS August 2026 release it reported 1.87 nurse aide hours per resident per day, 21% below the Kentucky average of 2.36, and 38.5% nursing staff turnover (Kentucky average 46.4%).
The Willows at Citation
1376 Silver Springs DriveLexington, KY 40511
Fayette County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At The Willows at Citation, nurse aides logged 1.87 hours per resident per day, 21% below the Kentucky average. With about 51 residents a day, that works out to roughly 96 aide hours a day, or about 12 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 4% below the all-days figure.
| Hours per resident per day | This home | Kentucky avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.87 | 2.36 | 2.32 |
| Licensed practical nurses | 0.96 | 0.80 | 0.86 |
| Registered nurses | 1.22 | 0.79 | 0.69 |
| All nursing staff | 4.04 | 3.95 | 3.86 |
| All nursing staff, weekends | 3.88 | 3.48 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
38.5% of nursing staff at The Willows at Citation left over the year CMS measured, against a Kentucky average of 46.4% and a US average of 45.8%. Registered nurse turnover was 46.2%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jun 26, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 2 health deficiencies (Kentucky average 2.9). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. The Willows at Citation holds 4 of 5 overall; the Kentucky average is 3.0.
About The Willows at Citation
- Ownership: For profit - Limited Liability company
- Chain: Trilogy Health Services, 123 homes
- Legal name: Trilogy Healthcare of Fayette III LLC
- Medicare and Medicaid certified since: Jun 4, 2014
- Part of a continuing care retirement community
- Councils: resident council
- Area: urban
Nursing homes near The Willows at Citation
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Homestead Post Acute Lexington | 3.5 | 136 | 2.06 | 3.53 | 48.5% | 4 | None |
| Pine Meadows Post Acute Lexington | 3.7 | 120 | 2.16 | 3.62 | 48.8% | 2 | None |
| Lexington Country Place Lexington | 4.1 | 111 | 2.64 | 3.88 | 56.8% | 1 | $27,378 |
| Cambridge Nursing & Rehabilitation Center Lexington | 4.1 | 108 | 2.27 | 3.64 | 48.7% | 2 | None |
| The Willows at Hamburg Lexington | 4.7 | 64 | 3.06 | 5.24 | 43.4% | 3 | $61,627 |
| Lexington Premier Nursing & Rehab Lexington | 5.8 | 120 | 2.22 | 3.54 | 53.2% | 1 | $240,331 |
| Mayfair Manor Lexington | 5.9 | 98 | 2.06 | 3.67 | 48.2% | 1 | $33,602 |
| Bluegrass Care & Rehabilitation Center Lexington | 7.1 | 124 | 1.86 | 3.34 | 43.0% | 4 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.