Best Assisted Living in Lexington, KY

Why trust this guide? Our editorial team analyzed 25 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.
25 homes
Other senior care options in Lexington:
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: 38/ 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

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 to lowest based on our ranking 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.
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.
The Willows at Citation
AL
MC
NH
SNF
Lexington (Griffin Gate)
19
Facility 19
KY AVG 83
Rank #330 / 340
Yes
7
Facility 7
KY AVG 43
Rank #381 / 402
Studio--3
The Willows at Fritz Farm
AL
NH
SNF
Lexington (Pickway Korner)
30
Facility 30
KY AVG 83
Rank #310 / 340
Yes
69
Facility 69
KY AVG 43
Rank #58 / 402
Studio--5
Lexington Country Place
AL
NH
RC
SNF
Lexington (Headley Green)
22
Facility 22
KY AVG 83
Rank #324 / 340
Yes
35
Facility 35
KY AVG 43
Rank #252 / 402
Studio--5
Liberty Ridge
AL
IL
MC
Lexington (Danby Corners)
12
Facility 12
KY AVG 83
Rank #340 / 340
Yes
8
Facility 8
KY AVG 43
Rank #376 / 402
Studio / 1 Bed / 2 Bed
27
Facility 27
KY AVG 8
Rank #20 / 167
A+-
The Willows at Hamburg
AL
MC
NH
SNF
Lexington
103
Facility 103
KY AVG 83
Rank #91 / 340
Yes----4
Preston Greens Senior Living
AL
MC
Lexington
124
Facility 124
KY AVG 83
Rank #44 / 340
Yes
26
Facility 26
KY AVG 43
Rank #307 / 402
Studio / 1 Bed / 2 Bed-A--
Sayre Christian Village
AL
IL
MC
NH
RC
SNF
Lexington
164
Facility 164
KY AVG 83
Rank #15 / 340
No
43
Facility 43
KY AVG 43
Rank #205 / 402
1 Bed / 2 Bed
1
Facility 1
KY AVG 8
Rank #55 / 167
-5
Highgrove at Tates Creek
AL
IL
MC
Lexington (Pinnacle)
89
Facility 89
KY AVG 83
Rank #141 / 340
No
66
Facility 66
KY AVG 43
Rank #73 / 402
Behavioral Health (59), Dementia Care (30)---
Legacy Reserve at Fritz Farm
AL
IL
MC
Lexington
38
Facility 38
KY AVG 83
Rank #293 / 340
No
71
Facility 71
KY AVG 43
Rank #47 / 402
Studio / 1 Bed / 2 Bed---
Friendship Towers
AL
IL
MC
NH
RC
SNF
Lexington (Belleau Woods)
117
Facility 117
KY AVG 83
Rank #62 / 340
Yes
21
Facility 21
KY AVG 43
Rank #328 / 402
1 Bed / 2 Bed---

Rank badges are statewide: each community is ranked against every KY community we track that reports that metric, not just the 25 analyzed for Lexington.

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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

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

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

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 The Willows at Hamburg

Operating at a 79% occupancy rate, The Willows at Hamburg is a 103-bed skilled nursing facility focused on short-term recovery, memory care, and personal care services. The campus coordinates a mixed admission demographic that averages a 61-day length of stay, drawing from private-pay sources (54%), Medicare (43%), and Medicaid (3%). Financial ledgers verify stable commercial foundations, with the business reporting a $517.6 thousand net operating profit and a 3.1% margin.

Public health department data highlights considerable front-line staffing depth and excellent preventive wellness metrics alongside localized regulatory corrections. Daily direct care lines supply 4 hours and 3 minutes of nursing time per resident to rank 28th highest across Kentucky, driven by licensed practical nurse hours that run 49% ahead of the state baseline. These numbers correspond with high long-term clinical marks, including zero documented cases of urinary tract infections or skin pressure ulcers, as well as low permanent-resident injury falls.

Conversely, short-term charts reveal an elevated 1.4% rate for major injury falls during active rehabilitation and below-average self-care independence marks at discharge. Oversight registries note seven total citations since 2019, establishing a low average of 1.75 citations per inspection. The facility carries a single $62,000 historical federal fine tied to two corrected July 2024 abuse and neglect citations, while its most recent August 2025 standard review flagged two minor, subsequently resolved pharmacy and nutritional paperwork errors.

Prospective residents evaluating local post-acute rehabilitation programs or dedicated memory support spaces can check these state monitoring logs to verify the operator’s clinical track record. While the public files note minor short-stay safety risks and past high-severity regulatory corrections, the underlying documentation shows a stable facility backed by heavy daily direct nurse coverage and strong long-term preventative wellness logs.

Contact The Willows at Hamburg

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 Sayre Christian Village

Sayre Christian Village distinguishes itself as a standout residence, offering a unique blend of qualities that set it apart from the ordinary. This nonprofit, continuing care retirement community presents an exceptional living environment where residents can thrive, underpinned by a trio of diverse housing options, a comprehensive spectrum of care levels, and an abundance of enriching amenities and activities. 

Rooted in Christian compassion and values, this community places a premium on providing quality housing, rehabilitation services, and long-term nursing care that exceeds expectations. The presence of highly skilled and experienced staff ensures that residents experience a level of care that truly stands out. With both independent living, assisted living, and senior living housing options available, Sayre Christian Village offers an effortlessly rewarding lifestyle that resonates with its residents.

Contact Sayre Christian Village

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 Legacy Reserve at Fritz Farm

A proud member of the Atlas Senior Living Group, Legacy Reserve at Fritz Farm is one of the trusted assisted living and memory care communities in the city. The  assisted living and memory community is simply beautiful and timeless, providing an ideal environment for seniors to age with purpose. They try to get to know each resident as an individual and treat them like family members so they can offer more authentic and attentive personalized care. Legacy Reserve is where seniors can find a sense of belonging and purpose, surrounded by caring staff who are dedicated to making their golden years special.
As an Atlas Senior Living community, Legacy Ridge provides a supportive environment that fosters growth, independence, and dignity. Seniors here can stay active and engaged with popular amenities like mental games, dancing, and socializing.

Contact Legacy Reserve at Fritz Farm

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

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.