Best Assisted Living in Kentucky

Nazareth Home is a faith-based community in Louisville that has been a guiding light for those in need since 1976. From personal care to specialized memory care, long-term care, and recovery to home programs, their comprehensive services are designed with compassion and dignity in mind. Its team of dedicated in-house physicians and therapists provide not only medical care, but emotional support and understanding as well.
Pastoral care and engaging activities also form an integral part of the healing ministry at Nazareth Home. Modern amenities further enhance the convenience of residents, with iPads for staying connected, a salon for pampering, and full-service dining rooms offering delicious and nutritious meals. At Nazareth Home, care does not only mean addressing physical ailments, but it is also about creating an environment where elders can receive genuine care.

Overview of Lifeline Health Care of Pulaski

Situated in Somerset, Kentucky, Lifeline Health Care of Pulaski caters to the unique needs of seniors. Not only does it offer cost-effective services, but it also boasts a team of highly competent staff capable of delivering the level of care typically associated with skilled nursing facilities or hospitals. This person-centered and quality-focused senior care provider specializes in an array of services, ranging from skilled nursing to physical, speech, and occupational therapy.

The home goes beyond conventional offerings, providing essential care specialties such as medication management, transitions, Alzheimer’s, dementia care, wound care, ostomy care, and continence nursing. With a holistic approach that includes homes with memory care, nursing home facilities, and senior living services, Lifeline Health Care of Pulaski ensures comprehensive and attentive healthcare tailored to the individual needs of each senior resident.

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.

Central Kentucky Recovery Center, Unit 2, is an outstanding community in Lexington, KY, offering assisted living. With a compassionate and well-trained team available around the clock, residents receive exceptional care for their unique needs. A hassle-free lifestyle is also guaranteed, as housekeeping and laundry are taken care of.

Residents are encouraged to live actively and make new friends with a thoughtfully curated calendar of enriching activities and stimulating programs. Catering to special diets, delightful and nutritious meals are served for a worry-free dining experience. The community is a good option for those needing assistance to live comfortably in retirement, especially with its top-tier services and well-maintained amenities.

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.

Parkwood Health & Rehabilitation is a 120-bed facility at 900 Gagel Avenue in Louisville, Kentucky. Serving Jefferson County, the center is operated by Parkwood SNF Operations LLC and accepts Medicare and Medicaid.

MeasuresTotal nursing hours are 2 hours and 48 minutes per resident per day, which is below the Kentucky average of 3 hours and 31 minutes. RN coverage is 43 minutes per day, and weekend RN presence is 17 minutes, 45% below the state weekend benchmark. Quality measures are mixed: long-stay outcomes for hospitalizations align with state averages, but short-stay residents experience a 26.6% re-hospitalization rate and a 4% rate of falls with major injury, which is significantly higher than the Kentucky average of 0.8%. Inspection and Compliance Record

The Kentucky Cabinet for Health and Family Services oversees inspections. Parkwood Health & Rehabilitation maintains a citations-per-inspection rate of zero based on its most recent standard survey. A July 2024 report previously cited five deficiencies, including an infection control violation, resulting in a $10,209 fine. Current occupancy aligns with the state average of 81.3%.

Service programs include specialized tracheostomy care, wound care, and orthopedic rehabilitation alongside standard physical, occupational, and speech therapies. The facility also provides bariatric and oncology care. Amenities include 24-hour staffing and respite services. Since specific monthly pricing and ancillary fees are not provided in public records, families should request a current fee schedule during a facility tour.

Those seeking specialized clinical programs and stable long-term care outcomes may find this environment appropriate. Due to the high rate of major injury falls for short-stay residents and significant RN staffing gaps, an in-person visit is recommended to evaluate current fall prevention protocols and clinical oversight before making a placement decision.

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.

Hartland Park Health & Rehabilitation is a 150-bed facility at 1500 Trent Boulevard in Lexington, Kentucky. Serving Fayette County, the center is operated by Northpoint SNF Operations LLC and accepts Medicare and Medicaid.

MeasuresTotal adjusted nursing hours are 3 hours and 22 minutes per resident per day, which is below the Kentucky average of 3 hours and 31 minutes. RN coverage is 18 minutes per day, 60% below the state average, while weekend RN presence is 16 minutes per day. Quality measures show a mixed profile: long-stay hospitalization rates are 7% better than the state average, but only 34.8% of short-stay residents successfully return home or to the community, which is 31% below the Kentucky average.

The Kentucky Cabinet for Health and Family Services oversees inspections. Hartland Park maintains a citations-per-inspection rate of 4.5. A June 2025 recertification survey cited nine deficiencies, including failures to maintain resident privacy during insulin administration, inadequate hand hygiene, and the omission of 12 prescribed respiratory treatments for one resident. No civil money penalties or payment denials have been recorded in the past three years. Current occupancy is 93%, significantly higher than the state average of 81.3%.

The facility provides a wide range of clinical services, including tracheostomy care, bariatric care, and orthopedic rehabilitation. Specialized programs are also available for pulmonary and oncology care. Amenities include 24-hour staffing and various therapy options. Since specific monthly pricing and ancillary fees are not included in public reports, families should request a current fee schedule during a facility tour.

Mountain Ridge Health and Rehabilitation is a 60-bed facility at 1901 West Highway 90 in Monticello, Kentucky. Serving Wayne County, the center is operated by Monticello, KY Opco LLC and accepts Medicare and Medicaid.

The facility currently has no displayed CMS star rating. Staffing levels show significant gaps: RN hours are 18 minutes per resident per day (61% below the state average), and physical therapy hours are 75% below the Kentucky benchmark. While LPN hours are a relative strength at 14% above the state average, weekend RN coverage drops to 13 minutes per day. Long-stay quality measures indicate an emergency department visit rate of 4.86 per 1,000 resident days, which is 122% higher than the Kentucky average.

The Kentucky Cabinet for Health and Family Services oversees inspections. Mountain Ridge maintains a citations-per-inspection rate of zero based on its most recent abbreviated complaint survey in January 2025. No civil money penalties or license suspensions have been recorded in the past three years. Current occupancy aligns with the Kentucky average of 81.3%.

Service programs include short-term and long-term rehabilitation, memory care, and respiratory care. The facility provides 24/7 therapy evaluations, wound care, and psychiatric services. Amenities include private rehabilitation suites, a communal courtyard, and WiFi. Since specific monthly pricing is not provided in public records, families should request a current fee schedule during a facility tour.

Those seeking a smaller facility with a broad clinical menu and strong LPN presence may find this environment appropriate. Due to the high long-stay emergency department visit rate and significant RN staffing gaps, an in-person visit is recommended to evaluate clinical oversight and emergency protocols before making a placement decision.

Maysville Nursing and Rehabilitation Facility is a 130-bed facility at 620 Parker Road in Maysville, Kentucky. Serving Mason County, the center is operated by Maysville Operations, LLC and accepts Medicare and Medicaid.

Direct care staffing is a relative strength; nurse aide hours are 2 hours and 40 minutes per resident per day, 10% above the Kentucky average, and LPN hours also exceed state benchmarks by 10%. However, RN coverage is 28 minutes per day, which is 39% below the state average. While 53.2% of short-stay residents successfully return to the community, both long-stay and short-stay emergency department visit rates run significantly above Kentucky averages.

The Kentucky Cabinet for Health and Family Services oversees inspections. Maysville Nursing and Rehabilitation maintains a citations-per-inspection rate of zero. The most recent relicensure survey, completed in June 2025, found the facility in full substantial compliance with no deficiencies cited. This consistent pattern of regulatory adherence is reflected in the absence of fines or enforcement actions over the past three years. Current occupancy is 88%, which is higher than the state average of 81.3%.

Service programs include skilled nursing, memory care, and respite services, alongside short-term and long-term rehabilitation. The facility is located in a walkable city-center area, providing residents with proximity to local services. Amenities include an activity center, outdoor areas, and 24-hour nursing support. Since specific monthly pricing and ancillary fees are not included in public records, request a current fee schedule during a facility tour.

Strong direct care staffing and a consistent record of regulatory compliance make this a notable option for those requiring long-term care or rehabilitation. Reviewing the clinical oversight gaps for RNs and discussing emergency department visit trends with the administrator is recommended during an in-person visit.