2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Masonic Homes Kentucky is a home care service provider at 3701 Frankfort Avenue, Louisville, Jefferson County, Kentucky 40207, offering personal care, companion care, and live-in support for seniors who wish to remain in their own homes. Operated by Masonic Homes Kentucky, a nonprofit with 150 years of organizational history, the service is not currently CMS-certified by the Kentucky Cabinet for Health and Family Services’ Office of Inspector General, which means families need to verify Medicare and Medicaid coverage separately.
The home care division operates under the FirstLight Home Care brand and provides nonmedical assistance with daily activities, medication reminders, housekeeping, meal preparation, and companionship. Caregivers are direct employees of Masonic Homes, not independent contractors. Service can be arranged hourly or on a live-in basis, with flexibility to match individual needs and care intensity. The company also operates a much larger continuum of care campus on 82 acres, offering independent living, assisted living, memory care, skilled nursing, rehabilitation services, dialysis treatment, and an on-site medical clinic. This integration means home care clients who need escalating levels of care may have priority access to other Masonic services on the same campus, though families should verify terms directly.
The location has a Walk Score of 72 (very walkable), with shopping, dining, and cultural activities within walking distance and close proximity to healthcare resources including University of Louisville Medical Center. One documented family account on record reveals substantive concerns about operational quality and financial transparency. A family member reported that a mother who lived in Mira Lea (a Masonic residential community) from 2013 to 2023 experienced marked food quality decline after 2018, and after the resident’s death, an apartment purchase agreement was never resolved despite three years of contact attempts, legal involvement, and requests for escalation. The reviewer stated the facility’s “Contract of Care” structure provided no recourse and expressed frustration with the organization’s response to the complaint. This documented experience directly raises questions about contract clarity, post-care financial obligations, and the company’s willingness to address family concerns.
Masonic Homes Kentucky accepts application through Kentucky Medicaid Home and Community Based Waiver, Kentucky Homecare Program, and veteran benefits programs (VA Aid and Attendance).
Families should ask directly about contract terms, financial arrangements, dispute resolution processes, and how concerns are escalated before enrollment.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 12th out of 193 homes in Kentucky for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 39m per day | ▼ 15% State avg: 46m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 22m per day | ▲ 70% State avg: 48m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 3h 1m per day | ▲ 26% State avg: 2h 24m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 32m per day | ▲ 28% State avg: 3h 32m per day · National avg: 3h 27m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 7m per day | ▲ 72% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 31m per day | ■ Avg State avg: 31m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with Kentucky average
0% compared with Kentucky average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 26 RN Staff are full-time employees. No contractors work on this role.
26
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursAssists with medical care and medications.
All 37 LPN Staff are full-time employees. No contractors work on this role.
37
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursHelps with daily care and mobility.
All 101 CNA Staff are full-time employees. No contractors work on this role.
101
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,023 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 101 | 0 | 101 | 36,113 | 92 | 100% | 9.5 |
| Licensed Practical Nurse | 37 | 0 | 37 | 12,337 | 92 | 100% | 9.7 |
| Registered Nurse | 26 | 0 | 26 | 6,883 | 92 | 100% | 9.2 |
| RN Director of Nursing | 8 | 0 | 8 | 4,000 | 75 | 82% | 8.3 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,747 | 80 | 87% | 6.8 |
| Respiratory Therapy Technician | 7 | 0 | 7 | 1,324 | 79 | 86% | 6.4 |
| Speech Language Pathologist | 8 | 0 | 8 | 1,316 | 80 | 87% | 6.5 |
| Dental Services Staff | 2 | 0 | 2 | 992 | 65 | 71% | 8 |
| Physical Therapy Assistant | 5 | 0 | 5 | 933 | 71 | 77% | 7.1 |
| Feeding Assistant | 0 | 2 | 2 | 811 | 63 | 68% | 7.6 |
| Qualified Social Worker | 3 | 0 | 3 | 732 | 67 | 73% | 5.9 |
| Physical Therapy Aide | 5 | 0 | 5 | 727 | 70 | 76% | 7.2 |
| Occupational Therapy Aide | 2 | 0 | 2 | 617 | 62 | 67% | 7 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Dietitian | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 360 | 46 | 50% | 7.8 |
| Medical Director | 0 | 1 | 1 | 93 | 26 | 28% | 3.6 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 65 | 60 | 65% | 1.1 |
| Other Physician | 0 | 1 | 1 | 54 | 31 | 34% | 1.7 |
Includes penalties issued in 2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
76% lower than Kentucky averageKentucky average: $63K
13% fewer fines than Kentucky averageKentucky average: 2.3
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Kentucky averageKentucky average: 0.3
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 16, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 16, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.1
22% better than Kentucky averageKentucky average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.2
20% better than Kentucky averageKentucky average: 18.9
Percent of long-stay residents whose need for help with daily activities has increased
11.4%
32% better than Kentucky averageKentucky average: 16.8%
Percent of long-stay residents whose ability to move independently worsened
14.9%
24% better than Kentucky averageKentucky average: 19.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.1%
7% better than Kentucky averageKentucky average: 20.5%
Percent of long-stay residents experiencing one or more falls with major injury
3.9%
In line with Kentucky averageKentucky average: 3.8%
Percent of long-stay high risk residents with pressure ulcers
5.0%
13% better than Kentucky averageKentucky average: 5.8%
Percent of long-stay residents with a urinary tract infection
2.0%
6% worse than Kentucky averageKentucky average: 1.9%
Percent of long-stay residents who lose too much weight
5.5%
19% better than Kentucky averageKentucky average: 6.8%
Percent of long-stay residents who have depressive symptoms
2.9%
80% better than Kentucky averageKentucky average: 14.3%
Percent of long-stay residents who received an antipsychotic medication
9.1%
42% better than Kentucky averageKentucky average: 15.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.9%
In line with Kentucky averageKentucky average: 93.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.1%
In line with Kentucky averageKentucky average: 96.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
96.9%
16% better than Kentucky averageKentucky average: 83.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.5%
74% better than Kentucky averageKentucky average: 1.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
99.6%
19% better than Kentucky averageKentucky average: 83.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
58% of new residents, usually for short-term rehab.
41% of new residents, often for short stays.
1% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
133Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Masonic Homes Kentucky from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #3 / 197Payroll — State benchmarkedThis home is ranked 3rd out of 197 homes in Kentucky. Shows total annual staff payroll benchmarked to the Kentucky average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #70 / 197Payroll % — State benchmarkedThis home is ranked 70th out of 197 homes in Kentucky. Shows payroll as a percentage of revenue versus the Kentucky average. Well-run Kentucky facilities typically land around 51–61% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Pets Allowed
Building Type: Two-story
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (58% of admissions), and a typical Medicare stay runs around 23 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
5.6 miles from city center
Estimated distance in miles from Louisville's city center to Masonic Homes Kentucky's address, calculated via Google Maps.
Add your location
The information below is reported by the Kentucky Cabinet for Health and Family Services, Office of Inspector General.
| Nazareth Home Clifton | NH IL MC | Louisville (Clifton Heights) | 144
Facility
144
KY AVG
82
Rank
#24 / 341 |
69.9%
Facility
69.9%
KY AVG
81.3%
Rank
#180 / 209 | -14% | 4.23
Facility
4.23
KY AVG
3.75
Rank
#26 / 193 | +1% | +13% | $0
Facility
$0
KY AVG
$65.4k
Rank
#1 / 199 | 17
Facility
17
KY AVG
13.5
Rank
#135 / 195 | 5.7
Facility
5.7
KY AVG
4.4
Rank
#148 / 195 | - | 105 | A+ |
36
Facility
36
KY AVG
41
Rank
#244 / 423 | Greg Cobb | $13.3M
Facility
$13.3M
KY AVG
$10.5M
Rank
#25 / 197 | $8.0M
Facility
$8.0M
KY AVG
$4.0M
Rank
#27 / 197 | 59.8%
Facility
59.8%
KY AVG
40.7%
Rank
#88 / 197 | 185442 | ||||
| The Springs at Stony Brook | NH ADC AL IL MC | Louisville | 106
Facility
106
KY AVG
82
Rank
#79 / 341 |
72.4%
Facility
72.4%
KY AVG
81.3%
Rank
#172 / 209 | -11% | 3.30
Facility
3.30
KY AVG
3.75
Rank
#94 / 193 | -27% | -12% | $0
Facility
$0
KY AVG
$65.4k
Rank
#1 / 199 | 3
Facility
3
KY AVG
13.5
Rank
#7 / 195 | 3.0
Facility
3.0
KY AVG
4.4
Rank
#48 / 195 | - | 66 | - |
28
Facility
28
KY AVG
41
Rank
#292 / 423 | Hurstbourne Healthcare, LLC | $11.1M
Facility
$11.1M
KY AVG
$10.5M
Rank
#70 / 197 | $6.4M
Facility
$6.4M
KY AVG
$4.0M
Rank
#42 / 197 | 57.2%
Facility
57.2%
KY AVG
40.7%
Rank
#45 / 197 | 185485 | ||||
| Essex Nursing and Rehabilitation Center | NH AL | Louisville (Lamborne Boulevard) | 128
Facility
128
KY AVG
82
Rank
#38 / 341 |
88.8%
Facility
88.8%
KY AVG
81.3%
Rank
#82 / 209 | +9% | 3.62
Facility
3.62
KY AVG
3.75
Rank
#55 / 193 | -50% | -3% | $0
Facility
$0
KY AVG
$65.4k
Rank
#1 / 199 | 10
Facility
10
KY AVG
13.5
Rank
#80 / 195 | 3.3
Facility
3.3
KY AVG
4.4
Rank
#66 / 195 | - | 118 | - |
12
Facility
12
KY AVG
41
Rank
#358 / 423 | Joseph Flatt | $13.2M
Facility
$13.2M
KY AVG
$10.5M
Rank
#47 / 197 | $6.0M
Facility
$6.0M
KY AVG
$4.0M
Rank
#23 / 197 | 45.8%
Facility
45.8%
KY AVG
40.7%
Rank
#24 / 197 | 185288 | ||||
| The Willows at Springhurst | NH AL IL MC RC | Louisville | 62
Facility
62
KY AVG
82
Rank
#218 / 341 |
83.7%
Facility
83.7%
KY AVG
81.3%
Rank
#120 / 209 | +3% | 3.32
Facility
3.32
KY AVG
3.75
Rank
#94 / 193 | -24% | -12% | $0
Facility
$0
KY AVG
$65.4k
Rank
#1 / 199 | 17
Facility
17
KY AVG
13.5
Rank
#135 / 195 | 5.7
Facility
5.7
KY AVG
4.4
Rank
#148 / 195 | - | 48 | A+ |
34
Facility
34
KY AVG
41
Rank
#261 / 423 | Carla Sieckert | $13.3M
Facility
$13.3M
KY AVG
$10.5M
Rank
#41 / 197 | $7.7M
Facility
$7.7M
KY AVG
$4.0M
Rank
#24 / 197 | 57.8%
Facility
57.8%
KY AVG
40.7%
Rank
#43 / 197 | 185305 | ||||
| Masonic Homes Kentucky | NH AL HC IL MC | Louisville (Crescent Hill) | 136
Facility
136
KY AVG
82
Rank
#33 / 341 |
71.5%
Facility
71.5%
KY AVG
81.3%
Rank
#174 / 209 | -12% | 5.19
Facility
5.19
KY AVG
3.75
Rank
#12 / 193 | +11% | +38% | $14.9k
Facility
$14.9k
KY AVG
$65.4k
Rank
#160 / 199 | 19
Facility
19
KY AVG
13.5
Rank
#152 / 195 | 6.3
Facility
6.3
KY AVG
4.4
Rank
#159 / 195 | 4 | 130 | - |
72
Facility
72
KY AVG
41
Rank
#42 / 423 | Harold Armstrong | $23.8M
Facility
$23.8M
KY AVG
$10.5M
Rank
#5 / 197 | $13.8M
Facility
$13.8M
KY AVG
$4.0M
Rank
#3 / 197 | 58.1%
Facility
58.1%
KY AVG
40.7%
Rank
#70 / 197 | 185388 |
Masonic Homes Kentucky is located in Louisville, Kentucky.
Here are the financial assistance programs available to residents in Kentucky.
Masonic Homes Kentucky is in the Crescent Hill neighborhood.
Masonic Homes Kentucky has a walk score of 72. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Masonic Homes Kentucky's occupancy is 71.5%.
Masonic Homes Kentucky is registered as a non-profit.
Yes — there are 4 photos of Masonic Homes Kentucky in the photo gallery on this page.
Masonic Homes Kentucky is located at 3701 Frankfort Ave, Louisville, KY 40207.
(502) 259-9627 will put you in contact with the team at Masonic Homes Kentucky.
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