The Willows at Citation
The Willows at Citation
4.3 (33 reviews)
Skilled Nursing Facility • 54 Licensed Beds
1376 Silver Springs Drive, Lexington, KY
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
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The Willows at Citation

Skilled Nursing Facility • 54 Licensed Beds
1376 Silver Springs Drive,
Lexington, KY
CMS Medicare Ratings
Overall
Inspection
Staffing
Quality
View details →
About

The Willows at Citation – Medicare Certified Since 2014

The Willows at Citation is a Medicare and Medicaid certified skilled nursing facility located in Lexington, Kentucky. This facility has been serving the community for 12 years. A Medicare-certified skilled nursing facility provides 24-hour nursing care, rehabilitation services, and assistance with activities of daily living for patients who need skilled nursing or rehabilitation services on a daily basis.

This facility has 54 certified beds with a current occupancy rate of 92% (averaging 50 residents per day), which is high. Skilled nursing facilities provide 24-hour nursing care for patients who need rehabilitation services after a hospital stay or ongoing care for chronic conditions. Services include skilled nursing, physical therapy, occupational therapy, speech therapy, and assistance with daily activities.

Staffing Levels: Based on CMS payroll data, this facility provides approximately 4.01 hours of total nursing care per resident per day (1.97 hours from CNAs, 1.02 hours from LPNs, 1.02 hours from RNs). Physical therapy staffing is 0.09 hours per resident per day. This staffing level meets research-recommended quality thresholds.

Medicare Quality Ratings: According to CMS, The Willows at Citation has an overall quality rating of 4 out of 5 stars, which is above average compared to other nursing homes nationwide. Individual category ratings are: health inspection: 3 stars, staffing: 4 stars, quality measures: 5 stars.

Medicare Coverage: Medicare covers skilled nursing facility care for up to 100 days following a qualifying hospital stay of at least 3 days. Days 1-20 are fully covered by Medicare, days 21-100 require a daily coinsurance payment. Many residents also use Medicaid, private insurance, or pay privately for long-term stays.

Questions to Ask: When visiting a nursing home, ask about: staff-to-resident ratios and RN coverage around the clock, how they handle medical emergencies, activities and therapy programs, how they communicate with families, their approach to falls prevention, and policies for managing resident complaints.

Visit Medicare Care Compare to view detailed ratings, inspection reports, staffing data, and compare this facility with others in the area.

Quality ratings and facility data are updated periodically by CMS. We recommend verifying current information at Medicare Care Compare.

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Local Comparison Snapshot

How The Willows at Citation compares to 21 facilities in Lexington-Fayette, KY

Click a measure name to jump to details • Hover over for definitions

Measure
This Facility
Area Avg
Comparison
Overall Rating
Medicare 5-star rating
4
2.5
Quality Measures
Clinical outcomes & safety
5
3.4
Health Inspections
State survey results
3
2.5
Staffing
Nurse-to-resident ratio
4
2.8
Staffing Hours (per resident/day)
RN Hours
Registered nurses
1.02 hrs
0.75 hrs
LPN/LVN Hours
Licensed practical nurses
1.02 hrs
0.90 hrs
CNA Hours
Certified nursing assistants
1.97 hrs
2.42 hrs
Total Nursing Hours
CNA + LPN + RN combined
4.01 hrs
4.07 hrs
Agency/Contractor Usage
Lower agency use often indicates more stable, consistent care
RN Agency Use
% of RN hours from contractors
0 %
7.4 %
LPN/LVN Agency Use
% of LPN hours from contractors
0 %
9.4 %
CNA Agency Use
% of CNA hours from contractors
0 %
8.6 %
Staff Stability & Occupancy
Staff Turnover
Annual nursing staff turnover
33 %
49 %
Occupancy Rate
Percentage of beds filled
92 %
85 %
Financial Estimate
Based on CMS Cost Report data (for reference only)
Est. Daily Rate
Average cost per day
$398
$372
Estimate Only: This figure is calculated from cost reports and is for informational purposes only. Actual rates vary significantly. See details or contact the facility.
Better than Area
Near Average
Below Area Average

Data from CMS Medicare Compare and Payroll-Based Journal. Area averages based on 21 facilities in Lexington-Fayette, KY.
Ratings and staffing data typically reflect the most recent quarterly reporting period available.

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Medicare Star Ratings

Official CMS ratings based on health inspections, staffing, and quality measures

Data as of December 2025

What do Medicare star ratings measure?
Medicare rates nursing homes on a 1-5 star scale based on three key areas: health inspection results, staffing levels, and quality measures like falls and infections.
How often are ratings updated?
CMS updates nursing home ratings monthly. Ratings can change based on new inspection results, staffing data from payroll records, and clinical quality outcomes.
Overall Rating
4/5
Quality Measures
5/5
Health Inspections
3/5
Staffing
4/5

Star Ratings History

Quarterly performance from 2013-2026

View on Medicare.gov
Overall
Health Inspections
Quality
Staffing
Source: Centers for Medicare & Medicaid Services

How Does This Facility Compare?

Compared to 21 other nursing homes in Lexington-Fayette, KY

Why compare to local facilities?
Local comparisons account for regional staffing markets and demographics. A facility performing above local averages often indicates strong management and quality care relative to area standards.
The Willows at Citation
Lexington-Fayette, KY Average

Based on CMS Medicare star ratings. Higher ratings indicate better performance.

Staffing Hours per Resident Day

The Willows at Citation
Lexington-Fayette, KY Average

Staffing data from CMS Payroll-Based Journal. Higher hours generally indicate more direct care time.

Staff Turnover Rate

The Willows at Citation
Lexington-Fayette, KY Average

Lower turnover rates generally indicate a more stable workforce and better continuity of care.

Agency/Contract Staff Usage

The Willows at Citation
Lexington-Fayette, KY Average

Lower agency usage often indicates better staff retention. High agency rates (>30%) may suggest staffing challenges.

Agency Staff Trends

Historical agency/contract staff usage by role

What does agency usage indicate?
Agency/contract staff fill temporary staffing gaps. Lower percentages typically indicate a stable, permanent workforce. Facilities with consistently high agency usage (>30%) may face staff retention challenges, though temporary spikes can occur during seasonal illness or transitions.
CNA
LPN
RN

Data from CMS Payroll-Based Journal (PBJ). Agency % = contractor hours / total hours.

Direct Care Staffing

Average minutes of direct nursing care per resident per day

Data as of December 2025

Understanding staffing levels: Higher staffing is associated with better quality outcomes. Research suggests around 4.1 hours of total nursing care per resident per day as a quality benchmark. Compare this facility's staffing to local averages to assess relative care levels.
118
minutes/day
CNAs
Certified Nursing Assistants
61
minutes/day
LPNs
Licensed Practical Nurses
61
minutes/day
RNs
Registered Nurses
5
minutes/day
PTs
Physical Therapists

Staffing Trends

Direct care minutes per resident per day

CNAs
LPNs
RNs
PTs
Source: Centers for Medicare & Medicaid Services

Occupancy Rate History

Average daily residents as a percentage of certified beds

Understanding occupancy: Higher occupancy can indicate strong community reputation and demand. Very low occupancy may affect financial stability, while extremely high occupancy could mean limited bed availability.
The Willows at Citation
Lexington-Fayette, KY Average (85.3%)

Data from CMS Provider Info files. Occupancy = Average Residents per Day / Certified Beds.

Staff Turnover History

Annual percentage of nursing staff who left the facility

Data as of December 2025

Understanding turnover: Lower turnover rates generally indicate a more stable workforce and better continuity of care. High turnover can affect care quality and resident relationships. The national average for nursing homes is around 50-60%.
All Nursing Staff
Registered Nurses (RN)
Area Average

Data from CMS Payroll-Based Journal. Turnover = staff who left during the year / total staff.

Average Daily Rate

Average daily charge for care at this facility

Based on CMS Cost Report data (inpatient revenue ÷ total patient days)

FY 2023 Daily Rate
$398
per resident per day
Compared to 20 facilities in your area
Above local median ($372)
Daily Rate Trend (2018-2023)
Contact Facility for Actual Rates
This figure is an average calculated from cost reports and is for informational purposes only. Actual rates vary significantly based on level of care needed, room type, payer source (Medicare, Medicaid, private pay), and other factors. Please contact the facility directly for current pricing and availability.
How This Is Calculated
This average daily rate is calculated from CMS Cost Reports by dividing total inpatient revenue by total patient days. It represents an average across all payers and care levels. Higher rates may indicate more intensive care, specialized services, or regional cost factors.

Data Source: Financial data from CMS Skilled Nursing Facility Cost Reports. Data typically lags 1-2 years. This information is for educational purposes only and should not be the sole basis for financial or care decisions. CareListings does not guarantee accuracy.

Financial Health

Comprehensive financial indicators from CMS Cost Reports

Data from fiscal year 2023 (most recent available - cost report data lags ~2 years)

For-Profit Facility

Financial Summary

Metric This Facility Local Median Comparison
Operating Margin
Profitability ratio
-8% -2% Below
Net Income
Annual profit or loss
$-625,473 $-217,141 Below
Staff Cost per Resident
Daily salary expense per resident
$172/day $138/day Higher
Occupancy Rate
Bed utilization percentage
92% 89% Higher
Est. Daily Rate
Average revenue per patient day
$398/day $372/day Higher
Total Beds
Licensed bed capacity
54 105 Smaller

Local comparisons based on 20 skilled nursing facilities in the Lexington-Fayette, KY metro area

Revenue & Expenses

Net Patient Revenue
After adjustments & allowances
$9,269,098
Operating Expenses
Total operating costs
$9,970,051
Total Salaries
Staff compensation
$4,607,592
Contract Labor
Agency & temp staff
$591,345

Payer Mix

Medicare
13%
Medicaid
14%
Private Pay & Other
73%

Operating Margin Trend (2018-2023)

Understanding Financial Health
Operating Margin: Percentage of revenue remaining after operating costs. Positive = profitable operations.
Staff Investment: Higher spending per resident often correlates with better care quality.
Payer Mix: Shows revenue sources. Higher Medicare % typically means more post-acute/rehab care; higher Medicaid % indicates more long-term care residents.
Nonprofit/Government: May operate with lower margins while still providing quality care due to community mission.

Data Source: All financial data on this page comes from CMS Skilled Nursing Facility Cost Reports submitted by the facility to the Centers for Medicare & Medicaid Services. This information is provided for educational purposes only and should not be the sole basis for any financial or care decisions. Cost report data typically lags 1-2 years. CareListings does not guarantee the accuracy of this data.

Who Stays Here

Breakdown of residents by payment type

Based on fiscal year 2023 cost report data

Total Days
26,810
Medicare
Short-term skilled nursing
13%
Medicaid
Long-term care residents
14%
Private Pay / Other
Self-pay, insurance, VA
73%
Higher Medicare %
Indicates more short-term rehabilitation residents. Medicare typically covers up to 100 days of skilled nursing care after a hospital stay.
Higher Medicaid %
Indicates more long-term care residents. Medicaid covers nursing home care for those who qualify financially.

Average Length of Stay

How long residents typically stay at this facility

Based on fiscal year 2023 cost report data

Overall Average
55.40
days
Medicare Stays
33.21
days
Medicaid Stays
210.89
days
Total Admissions
300
Total Discharges
367
Medicare (Short-Term)
Medicare covers skilled nursing for rehabilitation after a hospital stay. Typical stays are 20-30 days for recovery from surgery, stroke, or illness.
Medicaid (Long-Term)
Medicaid covers long-term nursing home care for those who qualify. Many residents stay months or years, receiving ongoing daily care and support.

Services

Comprehensive skilled nursing services, rehabilitation programs, and medical care in LEXINGTON

Join Our Caring Team

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LEXINGTON, KY
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Reviews

4.3 (33 reviews)
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Diane Boyer's profile photo
Diane Boyer 6 months ago

I have nothing but positive things to say about The Willows! The facility is very clean, bright and inviting and the staff are accessible and go above and beyond everyday. I left each evening knowing my sister in law was in good hands 😊

Josh Gruneisen's profile photo
Josh Gruneisen 7 months ago

Beautiful facility who treat residents as family! Food is great and there is always something going on. Happy Hour on Fridays is fun!

Victoria Martin's profile photo
Victoria Martin 2 years ago

If you are looking for a place for your loved one this place is not it! My mom went to The Willows for rehab after a stay at the hospital. Her health has gone downhill since she has been there. She can not walk or do general daily hygiene care without help. My mom has not been eating well during her stay nor have they addressed the issue with proper nutrition for her. They just say “ yeah she eats like a bird” and nothing no consultation with trying to improve this. She is so week now due to this she can not walk on her own. And mind you she was able to stand and walk before entering the facility. I received a call on August 1, 2023 at 1:35 pm that therapy was going to release her now mind you it is Labor Day weekend. They said that they would send referrals out to all the nursing homes for a long-term bed. And on September 5, 2023 if she was not on private pay, that she would have to find another facility. So think about that for a moment, I had no time to plan on trying to find my mother another facility. Just in my opinion, it would appear that they are not concerned with caring for the elderly. It’s all about the money and not about trying to help families secure a more permanent location for their loved ones. And to top it off giving my family one business day to do this is appalling to me. Shame on you Willows

Nota Securesire's profile photo

First the bad experience with the 2nd shift Charge nurse, she's been there ten years! Ms. Stacey is rude & aggressive. She's Hot Tempered, unpleasant & is Quick to throw insults to whomever. One evening I was getting a drink for my family member (resident) & the nursing station is about 25' feet away from where I was, Ms Stacey started asking me what time I was leaving, (nursing homes by law can NOT restrict visiting hours) I said as soon as my relative is settled in for the night, & I finished getting the drink & when & I turned around she was STARING a hole thru me & wouldn't turn away, so I asked her if she had said something to me. Which she replied when are you leaving? I repeated as soon as my relative is settled in. This bullying technique is TOTALLY UNCALLED for. (They were on oxygen & REPEATEDLY it would get out of place so they weren't receiving oxygen) & had a catheter in place & unable to walk or get up or reach ANYTHING that wasn't secured close by & at the time was disoriented from the recent move from hospital & had requested for me to be there. On TWO Separate occasions one day after the Next during Ms. Stacy's night shift my relative's oxygen level was checked by the First shift nurse & was found to be 70, & next day 76. They are by law REQUIRED to check on EVERY resident Every TWO hours. Had this been done this EXTREMELY LOW oxygen level would NOT have happened! For the Most part they do NOT even check residents during the day time every two hours. My relative said the first two or three nights he did NOT see one person. When Ms. Stacey is working on the wing where you are NONE Of the nurse aids ect smile or are friendly when she's on duty. However when she's NOT there those SAME employees smile & are friendly when she doesn't work with them. Ms. Stacey asked me to step outside of the room & as I was waiting I heard her say "I don't know if she has short term memory loss" referring to me. Another instance I was asking an aide if they had a label so I could place it on a jar of ointment for my relative & later Ms. Stacey stopped me in the hall & accused me of stopping & looking at her cart. Btw the cart was near the room where her & the aide were in (I stood about 3-4' back from the cart waiting for someone to come out of the room to ask for a label) after she accused me of stopping & looking at her cart I said no I didn't, she said it again, I repeated no I didn't, she stated that THREE Times & I repeated No I didn't & then told her she was a Liar & she can go watch the video, she then walked off & was talking as she went & said you're just after that .... money. *This is a PARTIAL list of the things Ms. Stacey did & said while I was visiting. The next day, (I was visiting daily) I was going to file a formal complaint against her and I hadn't been there 15 minits & the Administrator over the facility & another female employee came to the room entrance & requested to speak with me a few minutes. Ms. Stacey had written up a complaint on me & in it she said I had been "shuffling" around IN her cart. *(Note her change of story) It's the law to keep medicine & their cabinets LOCKED at ALL times. If this was true she FAILED to SECURE it & was DERELICT in her duties & I Have to ask was Ms. Stacey reprimanded for this? Also Was she trying to use me as a cover for missing medicines or lost paperwork? I told them go watch the video you will see that I had NOT been looking at her cart nor had I been in it. The administrator said that wasn't very professional of her. I told them I give respect & expect it in return & I'm glad they came 1) because it saved me the trouble of finding them 2) accusations of someone getting into the nurses cart (which stays in the hall) SHOULD be checked into. MOST of the employees ARE Friendly & kind towards the residents & the rehabilitation staff are good, friendly & patient. The food is GOOD! They have multiple things residents can do so they're not confined to a room & television which is AWESOME! Administrator was friendly & kind towards me.

Lindsey Prebble's profile photo

Terrible place for your family if they need care. My mother was there for rehab in December-January. Staffs answer when she needed them was "I'll be right back" and she wouldn't see them again for hours. The on-site laundry lost, accidently threw away according to staff, 3 new pair of pajamas costing about $200. I presented the Willows with a receipt for the pajamas in February but have not heard from them about the pajamas although they did send another bill in May 2024 wanting more money after we had already paid the original bill. It is only about MAKING money with this place while avoiding responsibility.

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