With a score of 78/100 and a B grade, The Willows At Citation is a well-regarded option in Lexington, Kentucky. The facility performs above average in most CMS categories, placing it in the 81th percentile statewide.
Staffing at The Willows At Citation is near the national average, with 4.07 total nursing hours per resident per day (national average: 3.8 hours).
Recent inspections identified 9 deficiencies at The Willows At Citation. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.07 | 3.8 | Average |
| Registered Nurses (RN) | 1.08 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.99 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.00 | 2.4 | Below Average |
| Weekend Total Nursing | 3.76 | 3.8 | Average |
| Weekend RN Hours | 0.87 | 0.7 | Above Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0812 Severity EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Jun 25, 2025 · Nutrition and Dietary Deficiencies
- Tag 0628 Severity DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Jun 25, 2025 · Resident Rights Deficiencies
- Tag 0761 Severity EEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiNov 3, 2021 · Pharmacy Service Deficiencies
- Tag 0812 Severity EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nov 3, 2021 · Nutrition and Dietary Deficiencies
- Tag 0656 Severity DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Nov 3, 2021 · Resident Assessment and Care Planning Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 2.1% | 4.5% | Better |
| Falls with major injury | 3.2% | 3.0% | Average |
| On antipsychotic medication | 9.0% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 7.4% | 14.0% | Better |
| Excessive weight loss | 1.0% | 7.5% | Better |
| New/worsened incontinence | 17.3% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of B is based on a score of 78 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 4★ → 32 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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