The Willows At Citation
For profit - Corporation · 1376 Silver Springs Drive, Lexington, KY 40511 · See home’s Medicare page
Inspections Delayed
The most recent standard inspection occurred more than two years ago. Inspections are supposed to occur every 9 to 15 months.
Affiliated With Trilogy Health Services
People or companies with an ownership interest in or managerial control of this home, according to CMS data.
4.01
Nurse hours/resident/day
Reported total nurse staffing hours per resident per day.
State Average: 3.9
44.6%
Nurse turnover
The percentage of nursing staff who stopped working at the home over a 12-month period.
State Average: 50.1%
54
Certified beds
Qualifying beds in the certified provider or supplier facility.
49
Average residents/day
Average number of residents based on daily census.
Direct owners are the layer of ownership closest to the nursing home while indirect owners have a stake in the nursing home but are further removed, like a company that owns the direct owner of a home. All owners listed below are people or companies who have at least a 5% stake in the nursing home. Entities with “managerial control” are those who conduct the day-to-day operations of the nursing home.
Direct owners
Trilogy Opco, Llc (100%)
Indirect owners
American Healthcare Reit Holdings Lp
American Healthcare Reit, Inc.
Continental Merger Sub, Llc
Gahc3 Trilogy Jv, Llc
Gahc4 Trilogy Jv, Llc
Northstar Healthcare Income Inc
Northstar Healthcare Income Operating Partnership Lp
Trilogy Healthcare Holdings, Inc.
Trilogy Holdings Nt Hci, Llc
Trilogy Investors, Llc
Trilogy Real Estate Investment Trust
Trilogy Reit Holdings, Llc
American Healthcare Reit, Inc.
Continental Merger Sub, Llc
Gahc3 Trilogy Jv, Llc
Gahc4 Trilogy Jv, Llc
Northstar Healthcare Income Inc
Northstar Healthcare Income Operating Partnership Lp
Trilogy Healthcare Holdings, Inc.
Trilogy Holdings Nt Hci, Llc
Trilogy Investors, Llc
Trilogy Real Estate Investment Trust
Trilogy Reit Holdings, Llc
Managerial control
Trilogy Management Services, Llc since Oct, 2021
Renee Moore since Nov, 2021
Renee Moore since Nov, 2021
Managing employee(s)
Kathy Corbin since Jan, 2011
Lisa Fightmaster since Dec, 2015
Lisa Fightmaster since Dec, 2015
Inspection Reports
14
total deficiencies
Inspection reports document deficiencies, which are nursing homes’ failures to meet care requirements. The Centers for Medicare and Medicaid Services releases the last three standard inspection reports, as well as the last 36 months of complaint and infection-control reports.
Pharmacy Service Deficiency — F0761
Failure to:
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.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Some people affected
Seriousness
Nutrition and Dietary Deficiency — F0812
Failure to:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Some people affected
Seriousness
Resident Assessment and Care Planning Deficiency — F0656
Failure to:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Quality of Life and Care Deficiency — F0679
Failure to:
Provide activities to meet all resident's needs.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Quality of Life and Care Deficiency — F0684
Failure to:
Provide appropriate treatment and care according to orders, resident's preferences and goals.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Quality of Life and Care Deficiency — F0689
Failure to:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Quality of Life and Care Deficiency — F0695
Failure to:
Provide safe and appropriate respiratory care for a resident when needed.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Resident Assessment and Care Planning Deficiency — F0657
Failure to:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Some people affected
Seriousness
Resident Rights Deficiency — F0578
Failure to:
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Resident Rights Deficiency — F0580
Failure to:
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Resident Assessment and Care Planning Deficiency — F0641
Failure to:
Ensure each resident receives an accurate assessment.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Resident Assessment and Care Planning Deficiency — F0656
Failure to:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Quality of Life and Care Deficiency — F0688
Failure to:
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Pharmacy Service Deficiency — F0761
Failure to:
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.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
Penalties
This home has no record of fines or payment suspensions for the past three years.