Best Assisted Living in Kentucky

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.

Overview of Oakwood Icf/iid, Unit 1

Oakwood ICF/IID, Unit 1 is a 57-bed state-operated facility at 2441 South Highway 27 in Somerset, Kentucky. Owned by the Commonwealth of Kentucky and opened in 1972, this campus serves individuals with intellectual and developmental disabilities through residential care and habilitative training.

As an Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID), Oakwood operates under a distinct regulatory framework and does not carry a CMS nursing home star rating. The Kentucky Cabinet for Health and Family Services oversees inspections. For its most recent focused infection control survey, the facility maintained a citations-per-inspection rate of zero. This setting focuses on long-term residential support rather than the elder care or post-acute rehabilitation models typical of standard nursing homes.

The facility provides a life-span support model that includes specialized residential housing, day services, and supported employment. Therapeutic resources encompass on-site rehabilitation, psychology, and occupational therapy. Programs are designed to foster self-determination and maximize opportunities for choice and goal-setting. Medicaid is the primary funding source for these services.

Residents have access to community integration programming and 24-hour nursing oversight. The campus model includes structured habilitation to assist individuals in achieving self-management and vocational milestones. Since residential placement and per diem rates for state-operated facilities are managed through the Department for Behavioral Health, Developmental and Intellectual Disabilities (DBHDID), specific monthly fee schedules should be requested directly from the administration.

Those evaluating residential options for intellectual or developmental disabilities should contact the facility and the Kentucky DBHDID to discuss eligibility, current unit availability, and community-based waiver alternatives before making a placement decision.

Mayfield Health and Rehabilitation is a 100-bed facility at 401 Indiana Avenue in Mayfield, Kentucky. Serving Graves County, the center is operated by Mayfield, KY Opco, LLC and accepts Medicare and Medicaid.

While a full CMS star rating breakdown is not currently displayed, total nursing hours run approximately 2% above the Kentucky average, suggesting staffing levels align with state peers. The facility provides 24-hour staffing to support its skilled nursing, memory care, and respite services. Specific quality measures data for short-stay and long-stay residents are not publicly reported at this time.

The Kentucky Cabinet for Health and Family Services oversees inspections. Mayfield Health and Rehabilitation maintains a citations-per-inspection rate of zero. There have been no civil money penalties or enforcement actions recorded against the facility in the past three years, which serves as a positive compliance indicator for families evaluating care options.

Service programs include skilled nursing, memory care, and respite care. The facility’s central location provides proximity to local medical services and city-center amenities. Since specific monthly pricing and ancillary fees are not included in public records, request a current fee schedule during a facility tour.

Directly contacting the administrator to request the most recent CMS staffing figures and quality measures data is recommended, given the limited public reporting. An in-person visit remains essential to assess the current care environment and speak with the clinical leadership before making a placement decision.

In Louisville’s Audubon neighborhood, Little Sisters of the Poor operates as a 50-bed Catholic nonprofit nursing facility licensed in April 2025. The Medicaid-focused community (97% of census) serves 32 residents with an average stay of six months. Administrator Linda Deardeuff leads a mission-oriented operation. The location ranks very walkable (Walk Score 74, ranked 36th statewide) and sits 2.7 miles from downtown Louisville.

Residents access memory care, respite services, volunteer programming, pastoral care, and a complimentary Senior Day Center.

Staffing intensity defines the operation. Little Sisters invests 97.7% of revenue into payroll, the second-highest proportion in Kentucky, fielding 125 personnel (56 employees, 69 contractors) for 32 residents. The staff-to-resident ratio of 3.91:1 exceeds the state average by 127%. Total nursing hours clock in at 6h 31m daily per resident, ranking 5th statewide and 89% above Kentucky’s median.

The CMS staffing rating reflects this commitment at 4 stars; the overall rating lands at 3 stars.

Inspection data reveals rapid-scale challenges. January’s renewal survey found zero deficiencies when the facility held 8 residents. Four months later, following expansion to 32 residents, a May 2025 re-inspection identified four moderate-severity deficiencies: failed discharge notifications (1 of 1 resident sampled), expired medications in 3 of 6 medication carts, lapsed expiration-date checks before administration, and gaps in infection prevention protocols (hand hygiene, food service).

No critical or serious citations exist in the record. Zero fines, payment denials, or substantiated complaints appear over three years.

Quality outcomes split markedly. Walking ability decline (33.5%) and functional decline (28.8) run 71 and 52% worse than state benchmarks, respectively; antipsychotic use runs 27% higher. Pressure ulcers (3.0%, 48% better), weight loss (3.4%, 50% better), and depressive symptoms (9.4%, 34% better) outperform state averages. Vaccine coverage, influenza 100%, pneumococcal 93%, aligns with state norms.

The facility is brand-new, mission-driven, and heavily staffed.

The May deficiencies coincided with rapid census growth from 8 to 32 residents in four months, suggesting operational scaling challenges in medication management and infection control rather than baseline capacity issues.

Overview of Lake Way Rehabilitation and Healthcare Center

Lake Way Rehabilitation and Healthcare Center is a 96-bed facility at 2607 Main Street in Benton, Kentucky. Serving Marshall County, the center is operated by Lake Way SNF Operations LLC and accepts Medicare and Medicaid.

Total nursing hours run approximately 2% above the Kentucky average, though the distribution is uneven. RN coverage is 51 minutes per resident per day (11% above average), and weekend RN hours are 16% above the state benchmark. However, nurse aide hours are 1 hour and 40 minutes per day, which is 32% below the state average, and LPN hours are 24% below. No CMS overall star rating or quality measures data are currently displayed.

The Kentucky Cabinet for Health and Family Services oversees inspections. Lake Way maintains a citations-per-inspection rate of 2.0. Two July 2025 reports cited a deficiency for failing to designate a qualified Infection Preventionist, a recurring structural requirement. Four concurrent complaint investigations were found to be unsubstantiated. There have been no recorded fines or Immediate Jeopardy findings in the past three years. Current occupancy is 88%, exceeding the Kentucky average of 81.3%.

Service programs include skilled nursing, long-term care, and memory care, with a focus on short-term rehabilitation. Amenities include a therapy gym, physician services, and 24-hour staffing. The facility provides housekeeping, laundry, and WiFi for residents. Since specific monthly pricing is not provided in public records, request a current fee schedule during a facility tour.

Those seeking a high-occupancy facility with strong RN oversight and broad rehabilitation services may find this environment appropriate. It is recommended that individuals inquire about the current status of the infection control program and evaluate the nurse aide staffing levels during an in-person visit before making a placement decision.

Overview of Hazelwood Center

Hazelwood Center is a 201-bed state-operated facility located at 1800 Bluegrass Avenue in Louisville, Kentucky. Opened in 1971 and owned by the Commonwealth of Kentucky, this large-scale campus provides comprehensive residential support for individuals with intellectual and developmental disabilities.

As an Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID), Hazelwood operates under a distinct regulatory framework and does not carry a CMS nursing home star rating. The Kentucky Cabinet for Health and Family Services oversees inspections. For its most recent focused survey, the facility maintained a citations-per-inspection rate of zero. This setting focuses on long-term habilitation and active treatment rather than the elder care or post-acute models typical of standard nursing homes.

The program is organized around four core domains: wellness, community living, work, and leisure. Services include 24-hour residential care, day services, and vocational training designed to foster independence. The campus provides a structured environment for “active treatment,” which includes social, behavioral, and therapeutic services tailored to individual goals. Medicaid is the primary funding mechanism for these placements.

The center emphasizes community integration, offering supported employment opportunities both on and off campus. Residents benefit from proximity to Louisville’s urban resources, healthcare providers, and employment centers. The facility also features an on-site specialty clinic to support the complex medical and dental needs of its population. Since residential placement and per diem rates are managed through state administrative channels, families should request current cost details directly from the facility.

Individuals evaluating residential options for intellectual or developmental disabilities in the Louisville area should contact the administration and the Kentucky Department for Behavioral Health, Developmental and Intellectual Disabilities (DBHDID) to discuss eligibility, current unit availability, and community-based waiver alternatives.

Overview of Eastern Star Home in Ky

Eastern Star Home in Kentucky is a 42-bed nonprofit facility at 923 Eastern Star Court in Louisville, Kentucky. Affiliated with the Order of the Eastern Star, this community provides skilled nursing, memory care, and rehabilitation within a secure residential setting.

The facility emphasizes a low staff-to-resident ratio, a feature supported by its 42-bed scale. While a full CMS star rating breakdown is not currently displayed in recent public reports, its nonprofit model often aligns with mission-driven staffing levels. The center provides 24-hour nursing coverage and a secured perimeter for residents with cognitive impairments. Specific clinical quality outcomes for short-stay and long-stay residents are not publicly reported at this time.

The Kentucky Cabinet for Health and Family Services oversees inspections. Eastern Star Home maintains a citations-per-inspection rate of zero based on its most recent regulatory filings. No civil money penalties, payment denials, or license actions have been recorded in the past three years, reflecting a consistent history of regulatory compliance.

Service programs include 24-hour staffing, memory care, and rehabilitation services. Amenities feature fully air-conditioned rooms, a chapel, and a garden courtyard. Residents have access to a beauty salon, wireless internet, and regular social events. Since specific monthly pricing is often managed through nonprofit or fraternal administrative channels, request a current fee schedule during a facility tour.

Those seeking a small, mission-driven community with a secure environment and a clean compliance record may find this environment appropriate. Contacting the administrator to request the most recent internal quality reports and observing the staff-to-resident interactions during an in-person visit is recommended before making a placement decision.

Overview of Wendell Foster’s Campus for Developmental Disabili

Wendell Foster’s Campus for Developmental Disabilities is a 64-bed Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID) at 815 Triplett Street in Owensboro, Kentucky. Serving Daviess County for nearly 80 years, the nonprofit organization specializes in individualized supports and therapeutic training for residents.

As an ICF/IID, the facility operates under a distinct regulatory framework from standard nursing homes and does not carry a CMS star rating. A significant compliance indicator is its record of no civil money penalties or payment denials over the past three years. The facility maintains a citations-per-inspection rate of 0.0 based on its most recent COVID-19 Focused Emergency Preparedness survey.

The campus supports individuals through a person-centered model, consisting of residential homes that emphasize community integration and active treatment. Services include 24/7 nursing support, physical, occupational, and speech therapies, and behavior supports. The campus also offers community training, transportation, and assistive technology resources.

Activities are designed to foster social inclusion, featuring the Aktion Club—a Kiwanis-affiliated social program, and various community outings. The campus operates within the Kentucky Medicaid Home and Community Based Waiver framework, offering alternatives to traditional residential placement. Since specific residential fee structures are often individualized under Medicaid, families should request current program eligibility and cost details directly from the administration.

Families seeking long-standing, mission-driven support for intellectual and developmental disabilities may find this environment appropriate. Those evaluating the campus should contact the point of entry directly to discuss residential availability and the range of community-based support services before making a placement decision.

Overview of Jordan Rehabilitation and Healthcare Center

Jordan Rehabilitation and Healthcare Center is a 110-bed facility located at 270 E. Clayton Lane in Louisa, Kentucky. Serving Lawrence County, the center is operated by Jordan SNF Operations LLC and accepts Medicare and Medicaid.

The facility currently has no displayed CMS star rating. Clinical data show a varied performance profile: long-stay hospitalization rates are 20% higher than the Kentucky average, and emergency department visits for long-stay residents are 148% above the state benchmark. Conversely, the short-stay re-hospitalization rate of 18.4% is 25% better than the state average, and the facility maintains a 0.0% rate for falls with major injury.

The Kentucky Cabinet for Health and Family Services oversees inspections. Jordan Rehabilitation maintains a citations-per-inspection rate of 1.0. A significant compliance indicator is the absence of any civil money penalties over the past three years. The facility is situated in a central area with a Walk Score of 47, providing some accessibility to local services.

Service programs include short-term and long-term rehabilitation, memory care, and respite care. Amenities feature a spacious therapy gym, on-site physician services, and religious programming. Residents have access to WiFi and an active activities department. Since specific monthly pricing is not included in public records, families should request a current fee schedule during a facility tour.

Families seeking a facility with a strong short-stay safety record and a history of zero recorded penalties may find this environment appropriate. Those evaluating the center should weigh the above-average long-stay hospitalization and emergency department visit rates and discuss current clinical initiatives with the administrator before making a placement decision.

Pineville Community Hospital is a hospital-based facility at 850 Riverview Avenue in Pineville, Kentucky. Serving Bell County as a full-service medical center, it provides 30 licensed long-term care beds alongside its acute care and outpatient divisions. The facility accepts Medicare and Medicaid.

As a hospital-integrated provider, the facility operates under acute care regulatory standards rather than the standard CMS nursing home star rating system. Direct nurse staffing data shows that 89% of surveyed patients reported their nurses communicated well—higher than the Kentucky hospital average of 82%. While the facility maintains 24-hour nursing coverage, specific CMS-adjusted nursing hours for the long-term care unit are not publicly reported in the standard format for freestanding homes.

The Kentucky Cabinet for Health and Family Services oversees facility inspections. Pineville Community Hospital maintains a citations-per-inspection rate of 1.0. Recent performance data from 2026 indicates successful implementation of bedside medication scanning protocols, though monitoring for hand hygiene and medication bedside scanning compliance remains an area for improvement. The facility has 16 swing beds and 30 long-term care beds, with recent surveys confirming an active license status.

The facility offers a comprehensive continuum of hospital-integrated services, including emergency care, respiratory therapy, and diagnostic imaging (CT, MRI, and ultrasound). Specialty resources include a rural health clinic, surgery suites, and geriatric psychiatric services. Amenities include on-site pharmacy services, nutritional counseling, and laboratory access. Since specific monthly rates for long-term care are often individualized, families should request a current fee schedule during a facility tour.

Families seeking skilled nursing within a hospital-integrated setting may find this environment appropriate, particularly if access to immediate diagnostic and emergency services is a priority. Those evaluating the facility should contact the administration directly to discuss current bed availability and admission criteria before making a placement decision.