THE WILLOWS AT CITATION Nursing Home


THE WILLOWS AT CITATION (CCN: 185474) is a For profit - Corporation facility located in LEXINGTON, KY (40511). The facility has an overall rating of 5/5, health inspection rating of 3/5, and a staffing rating of 5/5. It offers 54 certified beds and maintains an average of 48.3 residents per day. The nursing staff includes Nurse Aides, LPNs, and RNs working 4.08503 total hours per resident per day. It has been certified since June 4, 2014 and the last listed health inspection was on November 4, 2021, The facility is located in Fayette county and provides senior and nursing home care.

THE WILLOWS AT CITATION Summary


Patient Ratings
Please rate how you felt your loved one or yourself have been treated at The Willows At Citation below to help others make a more informed decision. Thank you.
Current Rating: Loading...

Provider Name: THE WILLOWS AT CITATION

Address: 1376 SILVER SPRINGS DRIVE, LEXINGTON, KY 40511

Phone: (859) 277-0320

County: Fayette (330)

Ownership Type: For profit - Corporation

Certified Beds: 54

Average Residents Per Day: 48.3 ()

Provider Type: Medicare and Medicaid, Resides in Hospital: No

Legal Business Name: TRILOGY HEALTHCARE OF FAYETTE III LLC

First Approved Date: June 4, 2014

Affiliated Entity: TRILOGY HEALTH SERVICES (524)

Retirement Community: Y, Special Focus Status:

Ownership Change in Last 12 Months: N

Resident Family Council: Resident

Sprinkler System Status: Yes

Overall Rating: 5 ()

Health Inspection Rating: 3 ()

QM Rating: 5 ()

Long Stay QM Rating: 3 ()

Short Stay QM Rating: 5 ()

Staffing Rating: 5 ()

Staffing Report Note:

PT Staffing Note:

Nurse Aide Staff Hours Per Day, per resident: 2.04550, LPN Staff Hours Per Day: 1.0745, RN Staff Hours Per Day: 0.9649, Licensed Staff Hours Per Day: 2.0395

Total Nurse Staff Hours Per Day, per resident: 4.08503

Weekend Nurse Staff Hours: 3.94054, Weekend RN Staff Hours: 0.6651

PT Staff Hours Per Day, per resident: 0.0845

Nurse Staff Turnover: 34.0, Nurse Turnover Note:

RN Turnover: 10.0, RN Turnover Note:

Admin Left Number: , Admin Turnover Note: 6

Case Mix Nurse Aide Hours Per Day, per resident: 2.1073, Case Mix LPN Hours Per Day: 0.7121, Case Mix RN Hours Per Day: 0.3412

Adjusted Nurse Aide Hours Per Day, per resident: 1.97748, Adjusted LPN Hours Per Day: 1.1134, Adjusted RN Hours Per Day: 1.0656

Total Adjusted Nurse Hours Per Day, per resident: 4.07380

Adjusted Weekend Nurse Hours Per Day, per resident: 3.92970

Health Survey Dates and Scores: Cycle 1: 2021-11-04 (Score: 36), Cycle 2: 2019-05-09 (Score: 0), Cycle 3: 2018-05-10 (Score: 32)

Total Weighted Health Score: 23.333

Reported Incidents: 0, Substantiated Complaints: 0

Infection Control Citations: 0

Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0

Location and GPS: 1376 SILVER SPRINGS DRIVE,LEXINGTON,KY,40511 (38.0827, -84.484)

Process Date: 2024-03-01


Health Inspection Citations Details

Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:

Citation on 2021-11-04

Type: Health, Deficiency: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-12-15

Citation on 2021-11-04

Type: Health, Deficiency: Provide activities to meet all resident's needs.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-12-15

Citation on 2021-11-04

Type: Health, Deficiency: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-12-15

Citation on 2021-11-04

Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-12-15

Citation on 2021-11-04

Type: Health, Deficiency: Provide safe and appropriate respiratory care for a resident when needed.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-12-15

Citation on 2021-11-04

Type: Health, Deficiency: 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: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-12-15

Citation on 2021-11-04

Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-12-15

Citation on 2018-05-10

Type: Health, Deficiency: 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: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2018-06-09

Citation on 2018-05-10

Type: Health, Deficiency: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2018-07-13

Citation on 2018-05-10

Type: Health, Deficiency: Ensure each resident receives an accurate assessment.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2018-07-13

Citation on 2018-05-10

Type: Health, Deficiency: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2018-07-13

Citation on 2018-05-10

Type: Health, Deficiency: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2018-07-13

Citation on 2018-05-10

Type: Health, Deficiency: 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: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2018-07-18

Citation on 2018-05-10

Type: Health, Deficiency: 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: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2018-06-09


Fire Safety Citations Details

Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications: