Best Assisted Living in Lexington, KY

Why trust this guide? Our editorial team analyzed 26 assisted living communities in Lexington, KY using KY Cabinet for Health & Family Services (CHFS) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in KY
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Last updated
We analyzed These are the facilities in Lexington, KY our team has analyzed — not a count of every assisted living provider in Lexington, KY.
26 homes
Other senior care options in Lexington:

Compare Assisted Living around Lexington (Metro Area)

Info below is compiled from the KY Cabinet for Health & Family Services (CHFS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest-ranked to lowest-ranked based on our methodology.

Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. CCRC (Continuing Care Retirement Community): A campus with multiple care levels so residents can age in place without moving.
City and state of the facility. Used for mapping and state-average comparisons.
Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
Indicates whether residents are allowed to have pets in the facility.
Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
Description of bed or unit types offered (e.g. assisted living, memory care), as reported in state or facility disclosures.
Number of years the company has been in operation.
Better Business Bureau grade for the operating company. Reflects complaint handling and business practices, not clinical care quality.
Count of regulatory inspections in the reporting window. Higher volume can reflect more oversight visits, complaint-driven surveys, or routine licensure cycles.
Sayre Christian Village
AL
CCRC
IL
MC
NH
RC
SNF
Lexington
164
Facility 164
KY AVG 63
Rank #2 / 166
No
43
Facility 43
KY AVG 40
Rank #90 / 193
1 Bed / 2 Bed
1
Facility 1
KY AVG 17
Rank #37 / 50
-5
Mayfair Village Retirement Community
AL
IL
Lexington (Lansdowne Merrick)
24
Facility 24
KY AVG 63
Rank #147 / 166
No
59
Facility 59
KY AVG 40
Rank #44 / 193
Private Rooms
41
Facility 41
KY AVG 17
Rank #4 / 50
A+-
The Willows at Fritz Farm
AL
NH
SNF
Lexington (Pickway Korner)
30
Facility 30
KY AVG 63
Rank #139 / 166
Yes
69
Facility 69
KY AVG 40
Rank #24 / 193
Studio--5
Liberty Ridge
AL
IL
MC
Lexington (Danby Corners)
12
Facility 12
KY AVG 63
Rank #166 / 166
Yes
8
Facility 8
KY AVG 40
Rank #174 / 193
Studio / 1 Bed / 2 Bed
27
Facility 27
KY AVG 17
Rank #14 / 50
A+-
Lexington Country Place
AL
NH
RC
SNF
Lexington (Headley Green)
22
Facility 22
KY AVG 63
Rank #151 / 166
Yes
35
Facility 35
KY AVG 40
Rank #109 / 193
Studio--5
Preston Greens Senior Living
AL
MC
Lexington
124
Facility 124
KY AVG 63
Rank #7 / 166
Yes
26
Facility 26
KY AVG 40
Rank #135 / 193
Studio / 1 Bed / 2 Bed-A-
Highgrove at Tates Creek
AL
IL
MC
Lexington (Pinnacle)
89
Facility 89
KY AVG 63
Rank #32 / 166
No
66
Facility 66
KY AVG 40
Rank #30 / 193
Behavioral Health (59), Dementia Care (30)---
Morning Pointe of Lexington
AL
MC
Lexington-Fayette
80
Facility 80
KY AVG 63
Rank #51 / 166
Yes
51
Facility 51
KY AVG 40
Rank #65 / 193
Studio / Alcove / 1 Bed / 2 Bed---
Friendship Towers
AL
IL
MC
NH
RC
SNF
Lexington (Belleau Woods)
117
Facility 117
KY AVG 63
Rank #11 / 166
Yes
21
Facility 21
KY AVG 40
Rank #144 / 193
1 Bed / 2 Bed---
Legacy Reserve at Fritz Farm
AL
IL
MC
Lexington
38
Facility 38
KY AVG 63
Rank #125 / 166
No
71
Facility 71
KY AVG 40
Rank #20 / 193
Studio / 1 Bed / 2 Bed---

Rank badges are statewide and care-type specific: each assisted living community is ranked against every other KY assisted living community we track that reports that metric, not just the 26 analyzed for Lexington. See how we rank facilities

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Overview of Sayre Christian Village

Sayre Christian Village offers nursing home, assisted living, continuing care retirement community, independent living, memory care, respite care, and skilled nursing in Lexington, KY. Assisted living supports daily tasks such as bathing, dressing, and medication management while a resident keeps a private living space, while independent living provides private living without daily care. Memory care provides a secured setting with supervision for someone at risk of wandering, and skilled nursing provides licensed nursing care on site around the clock.

Respite care is available for a short stay when a usual caregiver needs time to travel or recover. The range of care levels may suit a resident whose needs change over time, because moving to another level of care may not require leaving the community. Sayre Christian Village has 164 beds, with 99% occupancy, meaning nearly all beds are occupied at the stated occupancy level. One bed and two bed housing options can suit an individual or a couple moving together.

Short term rehab and rehabilitation services support temporary recovery without making rehabilitation the resident’s permanent care arrangement. Skilled Memory Care provides the community’s memory focused program, while worship services give residents an on site way to attend religious services and guest suites provide visiting family members with a place to stay. Sayre Christian Village nursing home operates the community. Payment options are Medicare, Medicaid, and private pay: Medicare applies to short term skilled care after a qualifying hospital stay, Medicaid can help cover a longer stay when savings are limited, and private pay means the resident or family pays directly.

Total nurse staffing is 4 hours 21 minutes per resident per day, representing the daily nurse staffing time allocated per resident. A Walk Score of 43 places the area in a car dependent setting, where most errands require a car or a ride, so a resident who no longer drives would generally need transportation for errands.

Contact Sayre Christian Village

Overview of Mayfair Village Retirement Community

Mayfair Village Retirement Community is a classic senior living community in Lexington, Kentucky, offering independent living and personal care. The community features a variety of spacious floor plans designed with residents’ diverse needs and comfort in mind. At Mayfair Village, residents enjoy the highlights of living independently without the hassles and worries of home ownership, along with 24-hour support from the community’s team of compassionate professionals.

With a brimming social calendar, programs for wellness and fitness, chef-prepared meals, personalized transportation, and an overall engaging atmosphere, residents are guaranteed to live a fulfilled and worry-free lifestyle. The community also provides excellent amenities aimed at keeping residents’ lives easy and comfortable, including housekeeping, laundry service, apartment maintenance, and round-the-clock surveillance, along with an all-inclusive pricing structure.

Starting Price $1,000/Month

Contact Mayfair Village Retirement Community

The Willows at Fritz Farm

2710 Man O War Blvd, Lexington, KY 40515
Overview of The Willows at Fritz Farm

The Willows at Fritz Farm offers assisted living and skilled nursing care in Lexington, KY. Assisted living includes help with dressing, bathing, and medication while the resident lives in a private studio, while skilled nursing provides licensed nursing care on site around the clock.

Having both care levels under one roof may suit a resident whose needs could grow over time without requiring a move to another community. The home has 30 beds, creating a smaller setting where staff and residents can get to know each other.

Total nurse staffing is 3 hours and 42 minutes per resident each day. That figure represents the daily nursing time allocated to each resident, which matters when a family is comparing how much nursing attention the staffing model provides.

The community accepts Medicare, Medicaid, and private pay. Medicare can cover short term skilled care after a hospital stay, Medicaid may help when savings do not cover a long stay, and private pay allows a family to pay directly. A Walk Score of 69 places the area in the somewhat walkable band, so some errands can be done on foot and a resident who no longer drives may have an option for short outings without a car. Pets are allowed, enabling residents to keep a pet with them.

Starting Price $6,659/Month

Contact The Willows at Fritz Farm

Liberty Ridge

701 Liberty Ridge Ln, Lexington, KY 40509
Overview of Liberty Ridge

Tucked in Frankfurt, Kentucky, Liberty Ridge Senior Living offers seniors an elevated lifestyle through its array of living options, including independent living floor plans and assisted living homes. The community is distinguished by its commitment to tailoring services to the unique preferences of each resident, allowing for personalized recovery and a life lived to the fullest. Their offerings encompass daily wellness checks, assistance with medication management, incontinence care, and specialized memory care.

Positioned across 30 acres of picturesque bluegrass country, Liberty Ridge presents an array of features to enrich residents’ lives. With hiking trails and a fitness room, the community encourages an active lifestyle. Amenities such as resident transportation, a beauty and barber shop, a library, a general store, and more create a comfortable and convenient environment. Furthermore, a range of services, from guest parking and housekeeping to private cleaning services, complement an abundance of activities like yoga, arts and crafts, and cooking classes. Liberty Ridge stands as a testament to quality living in the heart of Kentucky.

Contact Liberty Ridge

Overview of Lexington Country Place

Overseen by Tina Whitt, Lexington Country Place is a nursing home and assisted living community in the Headley Green neighborhood of Lexington, KY. It offers skilled nursing and respite care. Residents have access to a variety of services at all times with 24-hour staffing. Short-term stays are also welcome, providing temporary relief to family caregivers.

The community’s 22-bed capacity is currently fully occupied. Residents also receive a total of 4 hours of nursing care daily. Moreover, Medicare, Medicaid, and private pay are accepted, so families can use public coverage when eligible or pay directly.

Residents can use the full-service salon, arts and crafts studio, and bistro, along with non-denominational church services. Transportation for group activities allows residents to attend those outings without arranging separate travel. Meanwhile, a Walk Score of 35 places the area in a car-dependent setting, meaning most errands require a car or a ride. Pets are allowed.

Contact Lexington Country Place

Preston Greens Senior Living

1825 Little Herb Wy, Lexington, KY 40509
Overview of Preston Greens Senior Living

Located 6.5 miles south of the city center, Preston Greens Senior Living is a 124-bed assisted living and memory care community whose operations are overseen by administrator Tammy Muffley in the Hamburg Area of Lexington. It sits at 1825 Little Herb Way and offers apartment-style living with studio, one-bedroom, and two-bedroom floor plans spanning 344 to 911 square feet. Pets are welcome, so it’s a practical choice for residents wanting to keep animal companions during their senior living years.

The community serves two care populations: 100 residents in assisted living support and 24 occupants in a dedicated memory care unit for those living with dementia. Assisted living residents benefit from 24/7 staffing, dining services, full housekeeping, on-site transportation, and recreational programming. Memory care residents access the same base services, plus structured dementia-focused activities and more supervision tailored to their needs. The Hamburg Area location has a Walk Score of 26. This means some services are walkable, but most errands need a car. Nearby, Club MD urgent care is about 1.2 miles away, giving families quick access to unscheduled medical needs. Daily life comprises dining services and recreational programming as core features. Preston Greens Senior Living handles transportation, so occupants and visiting family members can rely on it for errands and outings.

The surrounding neighborhood is calmer and more car-dependent than Lexington’s downtown, which fits residents and families preferring a residential feel over a walkable urban setting.

Contact Preston Greens Senior Living

Overview of Highgrove at Tates Creek

Located among the rolling hills and mature trees of southeast Lexington, KY, Highgrove at Tates Creek offers unparalleled amenities and a personalized experience for all its residents, including independent living, assisted living, and memory care services. This community features classical revival architecture and open-concept common areas that radiate a warm and welcoming ambiance.

Experience resort-style amenities, exceptional hospitality, and an array of social, recreational, and educational programs and outings. This is a place where residents can feel safe and comfortable, free to enjoy their passions and connect with others who share the same interests. Engage the mind, body, and spirit with fitness classes, or enjoy lively moments during daily happy hours. Highgrove at Tates Creek provides seniors with scenic views, chef-prepared meals, invigorating entertainment options, and a continuum of care services.

Starting Price $1,950/Month

Contact Highgrove at Tates Creek

Overview of Morning Pointe of Lexington

Warm and inviting, Morning Pointe of Lexington is a senior living community based in Lexington, KY, offering exceptional assisted living and memory care. Residents can relax comfortably in their well-appointed apartments with 24-hour nursing care and personal care services. The community offers specialized memory care services to support residents dealing with the difficulty of Alzheimer’s or other forms of memory loss.

The community features programs and activities that focus on individual interests, life experiences, and personal strengths to ensure each resident benefits from personalized support. Residents are free to participate in daily exercise classes, volunteer programs or life-long learning programs. The community also provides plenty of desirable amenities, such as a beauty/barbershop, walking trails, screened in patios and courtyards, and deliciously prepared meals that cater to residents’ unique dietary requirements and preferences.

Contact Morning Pointe of Lexington

Overview of Friendship Towers

Create unforgettable moments at Friendship Towers, an idyllic retreat in Lexington, KY, offering independent living and assisted living. The community features cozy and purposely built one- and two-bedroom accommodations, dedicated to residents’ comfort and safety. Residents also have a worry-free lifestyle with laundry spaces on-site and weekly housekeeping.

Here, residents will not run out of things to do with a jam-packed calendar of engaging activities and wellness opportunities. All-day dining is also provided, ensuring residents have a delightful dining experience that caters to their dietary needs and preferences. The community is a great option for those seeking independence in retirement, especially with its vibrant and welcoming setting.

Contact Friendship Towers

Overview of Legacy Reserve at Fritz Farm

Legacy Reserve at Fritz Farm’s care in Lexington, KY, spans independent living, assisted living, and memory care. Independent living provides a private home and community services without daily care. Moving into assisted living, a resident stays in an apartment and gets help with bathing, dressing, medication, and the rest of the daily tasks. Memory care, supervised and secure, is for those who may wander.

With 38 beds, the community is intimate, and a change of level as needs grow happens inside the same community. That suits a person hoping to have all three levels in one place.

Amenities include a pool, spa, salon, fitness center, theater, and bar. With a 71 from Walk Score, the neighborhood rates as very walkable, and nearby errands stay reachable for anyone who has handed over the car keys. Mallory McCulloch leads the community as administrator.

Starting Price $3,100/Month

Contact Legacy Reserve at Fritz Farm

Weighting overview

  • 35%
    Resident Experience
  • 25%
    Regulatory
  • 15%
    Visual Media
  • 10%
    Website
  • 10%
    Stability
  • 5%
    Environment
01

Resident & Family Experience 35%

The single largest share of every ranking. Aggregated review sentiment and volume from major platforms — the closest signal to real resident experience.

  • Includes
  • Review Sentiment
  • Review Volume
02

Regulatory & Safety Record 25%

State inspection records, citations, and complaint visits. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • State Inspections
  • Citations/Inspection
  • % Inspections w/ Citations
  • Complaint Visits
  • Accreditations
  • BBB Rating
03

Visual Media & Transparency 15%

Communities that publish high-quality visuals give families a real preview. No photos or tours = a negative transparency signal.

  • Includes
  • Video Tours
  • Virtual Walkthroughs
  • Photo Quantity
  • Photo Quality
04

Website & Operator Transparency 10%

Site quality and whether the operator publishes basic accountability information — staff names, contact details, ownership.

  • Includes
  • Website Content
  • Mobile Usability
  • Staff Info Available
  • Owner Info Available
05

Community Stability 10%

Operational signals indicating whether a community is well-run and meeting demand.

  • Includes
  • Occupancy Rate
  • Bed Options
06

Environment & Pricing 5%

Walkability and pricing transparency. Walk Score is weighted higher for Independent Living than for Memory Care, where most residents do not leave unaccompanied.

  • Includes
  • Walk Score
  • Pricing Transparency
No paid rankings Communities cannot pay to influence placement.
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Frequently Asked Questions about Assisted Living in Lexington, KY

What is the average cost of assisted living in Lexington, KY?

The average monthly cost of assisted living in Lexington, KY is approximately $5,000. Actual rates vary by community, level of care, and floorplan.

What is the price range for assisted living in Lexington, KY?

Assisted living in Lexington, KY typically ranges from $4,500–$7,100 per month, depending on the community, room type, and care needs.

What is the typical staff-to-resident ratio at assisted living facilities in Lexington, KY?

Assisted living facilities in Lexington, KY typically operate with a staff-to-resident ratio in the range of 1:6 to 1:12.

What's the difference between assisted living and memory care in Kentucky?

Assisted living in Kentucky supports residents with daily activities (bathing, dressing, medication management) while preserving independence. Memory care is a specialized form of assisted living for residents living with Alzheimer's or dementia, and adds 24/7 secured environments, dementia-trained staff, and structured routines designed to reduce confusion and wandering.

What's the difference between assisted living and a nursing home in Kentucky?

Assisted living in Kentucky is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does Kentucky Medicaid cover assisted living?

Kentucky Medicaid does not directly pay room-and-board for assisted living, but most states (including Kentucky) offer Home and Community-Based Services (HCBS) waivers that can offset the cost of care services delivered inside a licensed community. Eligibility, waitlists, and covered services vary — check directly with the state Medicaid agency.

What is assisted living?

Assisted living combines private or semi-private apartments with help on activities of daily living (meals, bathing, dressing, medication management) and a social calendar — for residents who need some support but do not need 24/7 medical care.

Assisted Living in Lexington at a glance

Avg Monthly Cost: $6,489The average monthly cost across facilities in Lexington, KY. Reflects published or estimated base rates and can vary with care level, room type, and amenities. Individual facilities can vary widely from this average.
National Average: $5,600
Avg Walk Score: 37/ 100The average Walk Score across facilities in Lexington, KY. A third-party neighborhood walkability score (0–100) measuring convenience and context, not healthcare quality. Individual facilities can vary widely from this average.
National Average: 50/ 100
Avg No. of Beds: 62The average licensed bed capacity across facilities in Lexington, KY. Individual facilities can vary widely from this average.
National Average: 90