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Best Assisted Living in Lexington, KY

Reviewed by Dr. Jordan Weiss
Updated May 2026
We analyzed 13 homes in Lexington, KY

Sources: CMS Centers for Medicare and Medicaid Services, and Kentucky Department of Health, Office of Aging and Long Term Care.

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Video Tour: Top-rated Assisted Living facilities in Lexington, Kentucky.

Watch this Video to see Lexington's Top-rated Senior Communities
Avg. Monthly cost: $5,000
National average: $5,600
Monthly cost range: $4,500–$7,100
National average: $3,400 – $8,200
Avg. Staff-to-Resident ratio: 1:6 to 1:12
National average: 1:6

Compare Assisted Living around Lexington (Metro Area)

The information below is reported by the Kentucky Cabinet for Health and Family Services, Office of Inspector General.

Click column headers to sort
Preston Greens Senior Living
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Lexington (Hamburg Area)
100
Facility 100
KY AVG 101
Rank #96 / 341
Yes
26
Facility 26
KY AVG 44
Rank #309 / 424
Studio / 1 Bed / 2 BedB+
Morning Pointe of Lexington
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Lexington-Fayette (Ruccio Way)
80
Facility 80
KY AVG 101
Rank #158 / 341
Yes
51
Facility 51
KY AVG 44
Rank #158 / 424
Studio / Alcove / 1 Bed / 2 Bed-
Magnolia Springs Lexington
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Lexington (Masterson Station)
25
Facility 25
KY AVG 101
Rank #322 / 341
Yes
1
Facility 1
KY AVG 44
Rank #405 / 424
Studio / 1 Bed / 2 Bed-
The Willows at Fritz Farm
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Lexington (Pickway Korner)
30
Facility 30
KY AVG 101
Rank #310 / 341
Yes
69
Facility 69
KY AVG 44
Rank #58 / 424
Studio-
The Willows at Citation
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Lexington (Griffin Gate)
19
Facility 19
KY AVG 101
Rank #334 / 341
Yes
7
Facility 7
KY AVG 44
Rank #383 / 424
Studio-
Lexington Country Place
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Lexington (Headley Green)
22
Facility 22
KY AVG 101
Rank #327 / 341
Yes
35
Facility 35
KY AVG 44
Rank #254 / 424
Studio-
Meadowthorpe Assisted Living and Memory Care
MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Lexington
-
Facility -
KY AVG 101
No
23
Facility 23
KY AVG 44
Rank #324 / 424
--
Highgrove at Tates Creek
IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Lexington (Pinnacle)
-
Facility -
KY AVG 101
No
66
Facility 66
KY AVG 44
Rank #73 / 424
--
Chevy Chase Gardens
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Lexington (Chevy Chase)
-
Facility -
KY AVG 101
No
62
Facility 62
KY AVG 44
Rank #88 / 424
Studio / 1 Bed / 2 Bed-
Central Kentucky Recovery Center, Unit 1
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Lexington (Oakwood Estates)
16
Facility 16
KY AVG 101
Rank #337 / 341
No
9
Facility 9
KY AVG 44
Rank #371 / 424
Single / Double Rooms-
Central Kentucky Recovery Center, Unit 2
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Lexington
16
Facility 16
KY AVG 101
Rank #337 / 341
No
11
Facility 11
KY AVG 44
Rank #363 / 424
Single / Double Rooms-
Cedarhurst of Beaumont
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Lexington
72
Facility 72
KY AVG 101
Rank #172 / 341
No
0
Facility 0
KY AVG 44
Rank #408 / 424
--
Highgrove at Tates Creek
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Lexington
56
Facility 56
KY AVG 101
Rank #238 / 341
No
0
Facility 0
KY AVG 44
Rank #408 / 424
--

Preston Greens Senior Living

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

Preston Greens is an elegant community considered one of the premier independent living communities in Lexington. It’s a comprehensive community that presents an upscale lifestyle with its resort-like hospitality and professional service– striking a balance between Southern charm and luxury for its modern senior living approach. Their modern approach provides a trusted and dignified experience for residents of the community. Preston Greens is the perfect retirement home waiting for you to call home.

The Preston Greens lifestyle is filled with premium amenities and unmatched services. They had thought of every big and little detail of the community: five-star dining experience, housekeeping services, and cozy apartments– Everlan will elevate and enhance your meaning of senior living.  

Contact Preston Greens Senior Living

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 Magnolia Springs Lexington

An assisted living in Lexington, Magnolia Spring Lexington has been awarded as the #1 in Customer Satisfaction for 4 years in a row– a testament to its quality service. The assisted living home is an inviting community that ensures that everyone is treated with respect and compassion. Life in the assisted living community means a life of convenience and flexibility. Magnolia Springs Lexington is an excellent community that has proven to be an exemplary resident-centered community where seniors can thrive while living a lovely life.

A senior living community that aims to let its residents live a worry-free lifestyle. They ensure that they are able to do many daily activities, such as medication management, bathing, dressing, and housekeeping. The goal of the professional care staff is to ensure that residents are receiving holistic wellness. 

Contact Magnolia Springs Lexington

The Willows at Fritz Farm

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

A member of the Trilogy Health Services group, The Willows at Fritz Farm is a trusted community where families and seniors know they made the right choice to live in the senior living community. The senior living community ensures that residents have a wonderful experience in the community. Management emphasizes the importance of connections, which is why they promote socialization for everyone in the community. The Willows at Fritz Farm is a vibrant community that is excellent at satisfying the wellness needs of every resident.

The Willows is an independent living, assisted living, and memory care community with skilled nursing and short-term stay. They ensure that, as a senior living community, they deeply emphasize and guarantee that independence is maintained for their residents. Residents can rest easy knowing that they are placed first with the list of services and amenities provided for them: ADLs, transportation, library, and private dining rooms. Skilled nursing and personalized care are also offered to the residents. 

Contact The Willows at Fritz Farm

The Willows at Citation

1376 Silver Springs Dr, Lexington, KY 40511
Overview of The Willows at Citation

A member of the Trilogy Health Services group, The Willows at Citation is a trusted community where families and seniors know they made the right choice to live in the senior living community. The senior living community ensures that residents have a wonderful experience in the community. Management emphasizes the importance of connections, which is why they promote socialization for everyone in the community. The Willows at Citation is a vibrant community that is excellent at satisfying the wellness needs of every resident.

The Willows is an independent living, assisted living, and memory care community with skilled nursing and short-term stay. They ensure that, as a senior living community, they deeply emphasize and guarantee that independence is maintained for their residents. Residents can rest easy knowing that they are placed first with the list of services and amenities provided for them: ADLs, transportation, library, and private dining rooms. Skilled nursing and personalized care are also offered to the residents. 

Contact The Willows at Citation

Overview of Lexington Country Place

Lexington Country Place is an assisted living and skilled nursing community in the city. The community programs and activities are designed to help individuals develop an active lifestyle and hassle-free living while maintaining independence through a personalized-style approach and luxury setting. The assisted living home creates an environment that promotes holistic wellness. There is a vibrant home-like atmosphere with world-class service that elevates their daily living.  As a proud member of the Phoenix Senior Living Community, Lexington Country Place is the ideal home where seniors thrive in a nurturing environment.

Lexington aims to enhance the quality of life for its residents by ensuring that seniors are able to satisfy their holistic wellness. They house licensed physicians and professionals, offer a list of social and stimulating activities, nutritional programs, and specialized training for residents for an enriching experience. 

Contact Lexington Country Place

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.

Contact Highgrove at Tates Creek

Overview of Meadowthorpe Assisted Living and Memory Care

Discover a maintenance-free and relaxing lifestyle with the welcoming senior living community of Meadowthorpe Assisted Living and Memory Care at Lexington, KY that offers assisted living, memory care, and respite care services. This vibrant community features a charming five-cottage campus with private one-bedroom apartments designed for safety and comfort.

With its unwavering dedication and passion to improving seniors’ quality of life, the community creates a wealth of opportunities to enrich lives through social, emotional, spiritual, physical, educational, and occupational pursuits. The community also serves three meals daily and snacks including a full range of home-style entrees and homemade desserts. With a caregiver-to-resident ratio of 1 to 8 and strong security measures, Meadowthorpe Assisted Living and Memory Care ensures a secure and supportive environment. Here, residents can embrace a fulfilling retirement filled with care, connection, and comfort.

Contact Meadowthorpe Assisted Living and Memory Care

Overview of Chevy Chase Gardens

Chevy Chase Gardens is a well-regarded assisted living community in Lexington, KY, offering personal care. Promoting a nurturing, home-like environment, the community ensures older adults can live comfortably in retirement. Housekeeping, laundry, well-balanced meals, and medication management are among the exceptional services provided to improve residents’ quality of life. Through personalized care plans, residents also receive exceptional care tailored to their unique needs and habits.

Light exercises and social gatherings ensure residents can maintain their holistic wellness and make friends. With cozy living spaces and lively communal areas, residents can rest and move around comfortably. Residents also experience a stress-free retirement, as it is conveniently located in the quiet residential area of Lexington. As one of the trusted options for senior living in Kentucky, this assisted living community is committed to helping older adults thrive in retirement.

Contact Chevy Chase Gardens

Overview of Central Kentucky Recovery Center, Unit 1

Ideally situated in the harmonious setting of Lexington, KY, Central Kentucky Recovery Center, Unit 1 is a blissful retreat that offers assisted living. Residents do not have to worry about their daily living activities and personal needs with a kind and highly skilled team available around the clock. Housekeeping and laundry are also taken care of, ensuring residents have more time to do the things they love.

A carefully curated calendar of engaging activities and enriching programs is conducted, encouraging residents to live actively and make new friends. Delicious and healthy meals are served to meet residents’ nutritional needs and tastes. Transfer assistance is also provided for convenience and safety. The community’s nurturing and welcoming environment makes it an ideal retirement option.

Contact Central Kentucky Recovery Center, Unit 1

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
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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.

How many licensed assisted living facilities are there in Lexington, KY?

According to state licensing records, there are approximately ~40–50 licensed assisted living facilities in Lexington, KY.

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.