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Best Assisted Living in Kentucky

Why trust this guide? Our editorial team analyzed 198 assisted living communities in Kentucky using Kentucky Cabinet for Health and Family Services (CHFS) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in KY
Reviewed by
Last updated
Jun 2026
We analyzed
198 homes
Other senior care options in Kentucky:
Avg Monthly Cost: $5,202The average monthly cost across facilities in Kentucky. 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: 41/ 100The average Walk Score across facilities in Kentucky. 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: 82The average licensed bed capacity across facilities in Kentucky. Individual facilities can vary widely from this average.
National Average: 90

Compare Assisted Living around Kentucky

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

Sunrise of Louisville
AL
MC
Louisville (Manor Creek)
94
Facility 94
KY AVG 82
Rank #120 / 341
Yes
21
Facility 21
KY AVG 41
Rank #329 / 423
Studio / Suite / 1 Bed
45
Facility 45
KY AVG 9
Rank #3 / 149
A-
Brookdale Murray
AL
Murray
83
Facility 83
KY AVG 82
Rank #158 / 341
Yes
48
Facility 48
KY AVG 41
Rank #176 / 423
Studio / 1 Bed / 2 Bed
48
Facility 48
KY AVG 9
Rank #2 / 149
A+
Harmony at Tucker Station
AL
IL
MC
Louisville
92
Facility 92
KY AVG 82
Rank #128 / 341
Yes
44
Facility 44
KY AVG 41
Rank #200 / 423
Studio / 1 Bed / 2 Bed
6
Facility 6
KY AVG 9
Rank #49 / 149
-
Arcadia Senior Living Louisville
AL
IL
MC
RC
Louisville
127
Facility 127
KY AVG 82
Rank #40 / 341
No
39
Facility 39
KY AVG 41
Rank #224 / 423
Studio / 1 Bed / 2 Bed
5
Facility 5
KY AVG 9
Rank #51 / 149
-
Vitality Living St. Matthews
AL
IL
MC
NC
Louisville
70
Facility 70
KY AVG 82
Rank #189 / 341
Yes
72
Facility 72
KY AVG 41
Rank #42 / 423
Studio / 1 Bed / 2 Bed
28
Facility 28
KY AVG 9
Rank #15 / 149
A+
Brookdale Stonestreet
AL
NH
Louisville (Prairie Village)
60
Facility 60
KY AVG 82
Rank #223 / 341
Yes
7
Facility 7
KY AVG 41
Rank #382 / 423
Studio / Alcove / 1 Bed
11
Facility 11
KY AVG 9
Rank #42 / 149
A+
Sayre Christian Village
AL
IL
MC
NH
RC
Lexington (Belleau Wood)
164
Facility 164
KY AVG 82
Rank #15 / 341
No
43
Facility 43
KY AVG 41
Rank #206 / 423
1 Bed / 2 Bed
1
Facility 1
KY AVG 9
Rank #53 / 149
-
The Grand Senior Living
AL
IL
MC
Louisville (Civic Way)
84
Facility 84
KY AVG 82
Rank #153 / 341
No
62
Facility 62
KY AVG 41
Rank #88 / 423
Studio / 1 Bed / 2 Bed
7
Facility 7
KY AVG 9
Rank #48 / 149
A+
Morning Pointe of Russell
AL
MC
Russell (Ashland)
68
Facility 68
KY AVG 82
Rank #194 / 341
Yes
8
Facility 8
KY AVG 41
Rank #377 / 423
Alcove / 1 Bed
20
Facility 20
KY AVG 9
Rank #25 / 149
-
Carespring – Barrington of Fort Thomas
AL
IL
NH
RC
Fort Thomas
110
Facility 110
KY AVG 82
Rank #70 / 341
No
48
Facility 48
KY AVG 41
Rank #176 / 423
Studio / 1 Bed / 2 Bed
19
Facility 19
KY AVG 9
Rank #26 / 149
A+
Charter Senior Living of Bowling Green
AL
IL
RC
Bowling Green
137
Facility 137
KY AVG 82
Rank #31 / 341
No
39
Facility 39
KY AVG 41
Rank #224 / 423
Studio / 1 Bed / 2 Bed
37
Facility 37
KY AVG 9
Rank #12 / 149
A+
Forest Hills Commons
AL
MC
RC
Louisville
119
Facility 119
KY AVG 82
Rank #60 / 341
No
73
Facility 73
KY AVG 41
Rank #40 / 423
Studio / 1 Bed / 2 Bed
12
Facility 12
KY AVG 9
Rank #42 / 149
-
The Willows at Springhurst
AL
IL
MC
NH
RC
Louisville
62
Facility 62
KY AVG 82
Rank #218 / 341
Yes
34
Facility 34
KY AVG 41
Rank #261 / 423
Studio / 1 Bed / 2 Bed
4
Facility 4
KY AVG 9
Rank #52 / 149
A+
Arcadian Cove Senior Living
AL
RC
Richmond
49
Facility 49
KY AVG 82
Rank #264 / 341
No
0
Facility 0
KY AVG 41
Rank #407 / 423
1 Bed
16
Facility 16
KY AVG 9
Rank #34 / 149
A+
Carrollton Manor
AL
Carrollton
32
Facility 32
KY AVG 82
Rank #304 / 341
No
38
Facility 38
KY AVG 41
Rank #231 / 423
Private / Shared Rooms
41
Facility 41
KY AVG 9
Rank #7 / 149
-
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Overview of Chandler Park Assisted Living

Chandler Park Assisted Living is a 61-bed community at 2643 Chandler Drive in Bowling Green, Kentucky. Managed by Triple Crown Senior Living under Kentucky license number 101426, the facility serves Warren County and maintains an active license status through June 30, 2026.

As a licensed assisted living and memory care provider rather than a Medicare-certified nursing home, Chandler Park operates under a state regulatory framework and does not carry a CMS star rating. Licensure and inspections are overseen by the Kentucky Cabinet for Health and Family Services; based on current focused filings, the community maintains a citations-per-inspection rate of zero. The care model provides 24-hour staffing and oversight for residents who require support with daily tasks but do not need continuous hospital-level nursing care.

The campus manages an integrated care ladder that includes traditional assisted living, specialized memory care, and respite stays. Assisted living residents receive personalized assistance with activities of daily living (ADLs), such as bathing, dressing, and grooming, supported by an emergency response system for 24-hour safety. The memory care program supports individuals living with Alzheimer’s or other forms of dementia through specialized staff training and a dedicated neighborhood designed for cognitive safety. Additionally, the community coordinates on-site clinical services, including medication management and access to visiting medical specialists.

Residents live in spacious private apartments with a variety of floor plans that feature senior-friendly layouts and maintenance-free living. The all-inclusive service model covers restaurant-style dining, weekly housekeeping, and personal laundry. Notable campus amenities include an old-fashioned soda and ice cream shop, a movie theater, a fitness room, and a library. Outdoor living spaces feature a landscaped courtyard with a gazebo and fountain. Scheduled transportation is provided for medical appointments and community outings, which is a key service given the facility’s car-dependent location.

Those seeking a professionally managed community with a broad amenity set and specialized memory care may find this environment appropriate. Prospective residents should contact the administration directly to discuss current unit pricing, which typically starts at approximately $3,800 per month, and schedule an in-person tour to evaluate the social atmosphere and residential wings firsthand.

Contact Chandler Park Assisted Living

Overview of The Willows at Harrodsburg

Opened in 2024 as part of a Continuing Care Retirement Community, The Willows at Harrodsburg is an 81-bed facility that specializes in short-term post-acute care, personal care, and skilled nursing. The property manages brief rehabilitation placements, resulting in a 79-day average length of stay for its primarily Medicare and private-pay clientele. Financial records show a steady upward trajectory, with its profit margin narrowing to negative 2.4% in 2023 from a negative 28.1% deficit in 2018. Management allocates a stable 56.2% of its revenue to direct payroll, which funds campus features like a fitness studio, resident garden, private dining space, library, and salon.

Public health databases document solid physical rehabilitation outcomes and strong nurse staffing ratios alongside minor, corrected administrative citations. Direct nursing care lines provide 3 hours and 20 minutes of daily care per resident, maintaining a favorable 2.27:1 staff-to-resident ratio with registered nurse hours running 20% ahead of the Kentucky average. This personnel depth corresponds with high short-term performance marks, including a 65.8% successful community discharge rate and zero reported major injury falls during rehabilitation.

Permanent resident charts mirror this baseline, logging zero cases of urinary tract infections and a 91% lower rate of pressure ulcers, though recorded depression scores trend higher than the state baseline. Regulatory logs note two inspections since 2018 that generated eight total citations, with a December 2024 review flagging seven moderate items and one serious violation regarding infection control, nutrition, and pharmacy tracking. The facility carries a low historical fine total of $13,000 and zero admission payment blocks.

Interested individuals looking into regional short-stay physical therapy or continuing care senior campuses can study these state monitoring logs to evaluate the property’s clinical baseline. Because the public records verify excellent post-acute recovery metrics, strong daily nurse staffing numbers, and a low overall financial penalty count alongside a few moderate, corrected inspection findings, the documentation details a highly capable rehabilitation environment.

Contact The Willows at Harrodsburg

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

Overview of The Springs at Oldham Reserve

Opened in 2024 by Trilogy Healthcare, The Springs at Oldham Reserve is a 103-bed skilled nursing facility that provides short-term rehabilitation, memory care, and assisted living within a highly walkable neighborhood layout. Admissions primarily feature a mix of short-stay Medicare post-acute clients (53%) averaging 23 days and private-pay individuals staying roughly four months. Financial records indicate notable initial operational hurdles, including a low 52% building occupancy rate and a 2023 operating deficit of $1.6 million. Despite these commercial challenges, the operator channels 62.8% of its total revenue directly into staffing payroll, supporting a campus model equipped with a movie theater, fitness center, and active community programming.

Public records display daily nursing resources and positive short-term recovery outcomes alongside an unusual cluster of initial regulatory fines. Direct care lines feature licensed practical nurse hours that run 82% ahead of the Kentucky baseline, while dedicated physical therapy volumes track 50% above the state average. This staffing investment matches high short-term performance charts, which note a 60.9% successful community discharge rate and very low emergency room visit frequencies, though permanent resident tracking logs higher-than-average rates for physical functional decline.

On the compliance side, because of the property’s recent opening, it carries a brief public monitoring footprint containing a single April 2023 inspection report. However, state files show the facility incurred seven small federal financial penalties totaling $19,000 during its first year of operation, with zero admission payment blocks on record.

Families investigating regional post-acute rehabilitation programs or multi-level retirement communities can use these state registry summaries to evaluate the building’s early track record. A look through the official data confirms heavy daily nurse staffing presence and strong post-acute recovery numbers alongside low initial building utilization, business losses, and frequent early administrative fines.

Contact The Springs at Oldham Reserve

Overview of The Seasons at Alexandria

Managing 16 dementia units and 50 behavioral health units, The Seasons at Alexandria is a 66-bed nonprofit senior community that integrates skilled nursing, assisted living, and physical rehabilitation. The property serves a patient base that averages a 102-day length of stay, relying heavily on a combination of private-pay admissions (65%) and Medicare coverage (34%). While local building utilization stays stable at an 87% occupancy rate, commercial data points to immense operational stress. The business recorded a $3.7 million net operating loss in 2023 despite pulling in a high $35.7 million in gross revenue, with management keeping its payroll allocation down to just 36.1% of overall funding.

Critical front-line staffing shortages and serious historical regulatory fines stand out in public health databases, alongside mixed clinical outcomes. Daily direct nursing care lines average 1 hour and 11 minutes per resident, ranking the facility last out of 184 homes statewide across Kentucky, while weekend registered nurse hours drop slightly to 1 hour and 10 minutes. On the compliance side, state records note 17 total citations since 2019, featuring five critical and two serious deficiencies alongside a massive $226,000 federal financial penalty issued in June 2024.

A more recent August 2025 inspection logged four moderate, subsequently resolved points involving infection protocols, nutrition, and pharmacy tracking. While permanent resident files show solid skin care management, short-term post-acute recovery charts flag an elevated 1.7% major injury fall rate during active rehabilitation.

Prospective residents evaluating regional behavioral health options or short-term physical therapy placements can examine these state monitoring logs to weigh the provider’s current workloads. Since the public paperwork documents substantial historical financial penalties, low permanent-resident mobility preservation, and the thinnest daily nursing hours in the state alongside stable local building occupancy, the files outline a facility facing acute structural and care delivery challenges.

Contact The Seasons at Alexandria

Overview of Emerald Trace
Emerald Trace is a senior care facility located in Elsmere, Kentucky. It offers a range of services including short-term rehabilitation, long-term care, and outpatient therapy. The community is dedicated to providing compassionate care that supports recovery and promotes independence.

Contact Emerald Trace

Overview of Breckinridge Place
Breckinridge Place is a non-profit continuing care retirement community located in Morganfield, KY. It provides skilled nursing, short-term rehabilitation, assisted living, and independent living services. Residents can enjoy a home-like environment with personalized care and various daily activities.

Contact Breckinridge Place

Westminster Terrace

2116 Buechel Bank Road, Louisville, KY 40218
Overview of Westminster Terrace

Serving Jefferson County for 16 years, Westminster Terrace is a skilled nursing community in Louisville, Kentucky, operated by Presbyterian Homes and Services of KY. The 112-bed facility offers skilled nursing care, memory care programming, and respite stays. Administrator Gary Preece oversees the nonprofit’s daily operations, with 24-hour staffing.

The community has not received federal civil money penalties in the past three years, which shows a clean enforcement record for a skilled nursing facility of this size.

Westminster Terrace offers several care-relevant features, including an emergency call system, a secure environment for residents who need it, religious services, and a pet-friendly policy. Residents receive freshly prepared meals from the facility’s dining centers thrice a day. Snacks and refreshments are available all day.

The payer mix reflects the facility’s main focus. Around two-thirds of new admissions come through Medicare for short-stay rehabilitation, with an average length of stay of around 27 days. Private-pay and Medicaid residents make up the rest, with some Medicaid residents staying up to a decade or more for long-term care needs.

Westminster Terrace is best suited for residents seeking short-term post-acute rehabilitation or longer-term skilled nursing in a nonprofit, faith-affiliated setting in Louisville’s Jefferson County.

Contact Westminster Terrace

Sansbury Care Center

2625 Bardstown Road, Saint Catharine, KY 40061
Overview of Sansbury Care Center

You can find the Sansbury Care Center situated on Bardstown Road in Saint Catharine, Kentucky. This 59-bed home maintains an occupancy rate of about 78 percent and works with standard financial setups like private pay, Medicare, and Medicaid. Because the surrounding rural Marion County area has a Walk Score of 5, visitors and family members will need to rely on a car to get back and forth to the building.

Most people who live here remain in the facility for roughly 764 days. This extended timeline shifts the daily operational focus toward long-term residential support rather than short-term post-hospital therapy. The floor staff covers the building around the clock, providing an average of 6 hours and 11 minutes of direct nursing care for each resident daily, with nurse aides contributing an additional 4 hours and 9 minutes of hands-on help.

The daily routine centers on consistent personal attention, room maintenance, and medical monitoring. Having a lower overall bed count allows the staff to distribute their time directly across a smaller group of residents, while the countryside setting offers a quiet environment. The indoor spaces are arranged to keep individual bedrooms within a short distance of the primary nursing desks for quick communication.

Prospective representatives can see how the team manages its direct nursing hours, permanent residential schedules, and hands-on floor tracking. The community coordinates these clinical hours with regular amenities, including continuous medical supervision, personal care programs, room upkeep, and a quiet rural layout.

Contact Sansbury Care Center

Overview of Vanceburg Hills

Vanceburg Hills is situated on Eastham Street in Lewis County, within Vanceburg, Kentucky. This newly opened 94-bed home works with standard payment options like private pay, Medicare, and Medicaid. The surrounding neighborhood has a walkability score of 37, which means visitors and families will need a personal vehicle to manage most errands and travel throughout this rural northern Kentucky area.

A stay here lasts around 292 days on average. This timeline means the daily workload covers a balanced mix of short-term recovery after a hospital visit and steady long-term residential care. To keep up with daily medical needs, the 24-hour floor staff provides an average of 2 hours and 58 minutes of direct nursing care for each resident per day, splitting duties between registered nurses, practical nurses, and nurse aides.

As a newly established operation, the team focuses on building a steady daily routine for its residents. The staff coordinates standard services like room cleaning, personal care plans, and meals, while adapting their schedules to support clinical rehab and medical supervision. The building layout is designed to group administrative, therapeutic, and residential areas together for straightforward daily access.

Families can evaluate how the new facility coordinates its everyday clinical resources, like the continuous nursing schedules, short-term rehab plans, and long-term care tracking.

Contact Vanceburg Hills

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 Kentucky

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.

How many assisted living facilities are listed on this page?

This page features 198 assisted living facilities in Kentucky. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right assisted living facility in Kentucky?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Kentucky, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting assisted living facilities in Kentucky?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.