Best Assisted Living in Kentucky

Christian Heights Nursing and Rehabilitation Center is a 60-bed facility at 124 West Nashville Street in Pembroke, Kentucky. Operated by Pembroke Operating Company, LLC (License #100069), the center serves Christian County and the Hopkinsville area, accepting both Medicare and Medicaid.

The facility reports direct care staffing levels that exceed state averages in some categories, though clinical oversight remains below par. LPN hours are 58 minutes per resident per day (18% above the Kentucky average) and nurse aide hours are 2 hours and 33 minutes (5% above average). However, RN hours are 24 minutes per day—48% below the state average of 46 minutes—and weekend RN hours are 13 minutes, 58% below the state benchmark. Physical therapy hours are recorded at 1 minute per day, which is 75% below the state average.

Quality measures indicate significant clinical concerns regarding acute care utilization. Long-stay hospitalizations are 3.73 per 1,000 resident days—99% worse than the Kentucky average of 1.87. Long-stay emergency department (ED) visits are 4.70 per 1,000 days, 115% worse than the state average of 2.19. These figures represent residents being hospitalized or sent to the ED at approximately double the state rate.

The Kentucky Cabinet for Health and Family Services oversees inspections. Christian Heights maintains a citations-per-inspection rate of 2.0, which is 57% better than the Kentucky average of 4.7. A February 21, 2025, recertification survey identified two deficiencies involving food storage safety and physical environment issues, such as peeling paint and malfunctioning toilets. A November 25, 2025 survey found the facility in full compliance with zero deficiencies, indicating these issues were resolved. No civil money penalties or enforcement actions have been recorded for the 2024–2026 period. Occupancy is 93%, well above the state average of 81.3%.

Service programs include short-term and long-term rehabilitation, memory care, wound care, and medication management. Amenities feature activities programming and 24-hour staffing in a city-center location with a Walk Score of 31. Since specific monthly pricing for nursing care is not provided in public records, request a current fee schedule during a facility tour.

Prospective residents seeking high-occupancy care with an improving compliance record should carefully weigh the severely elevated hospitalization and emergency department visit rates. It is recommended that individuals ask the administrator directly about clinical initiatives to reduce acute care utilization and observe the physical plant repairs during an in-person visit before making a placement decision.

Chestnut Ridge Health & Rehabilitation is a 92-bed facility at 1015 West Magazine Street in Louisville, Kentucky. Located in the Old Louisville neighborhood, the center is operated by Chestnut SNF Operations LLC and accepts Medicare and Medicaid.

The facility currently has no displayed CMS star rating, consistent with its newer status. Staffing levels show gaps across several categories: RN hours are 31 minutes per resident per day (33% below the Kentucky average), and nurse aide hours are 1 hour and 55 minutes (21% below average). Weekend total nursing coverage is 2 hours and 52 minutes, which is 18% below the state benchmark.

Quality measures for long-stay residents align with state peers, with hospitalizations at 1.94 per 1,000 resident days and emergency department (ED) visits at 2.17. A positive safety signal is the zero percent rate of falls with major injury among short-stay residents, which is 100% better than the Kentucky average.

The Kentucky Cabinet for Health and Family Services oversees inspections. Chestnut Ridge maintains a citations-per-inspection rate of zero based on its current reporting cycle. No civil money penalties, payment denials, or license actions have been recorded in the past three years. Occupancy is described as in line with the Kentucky average of 81.3%.

The clinical program includes specialized wound care, tracheostomy care, bariatric care, and orthopedic rehabilitation. Amenities feature three daily meals with 24-hour snacks, concierge services, and a beauty salon. The campus includes a library, walking paths, and garden courtyards. Since specific monthly pricing is not provided in public records, request a current fee schedule during a facility tour.

Prospective residents seeking a central location and a broad specialty clinical menu may find this environment appropriate. Individuals should weigh the staffing figures against the complexity of care needs and request a current inspection history from the administrator during an in-person visit before making a placement decision.

Calvert City Convalescent Center is a 95-bed facility at 1201 Fifth Avenue in Calvert City, Kentucky. Owned by Kem Cothran, the center serves Marshall County and accepts Medicare, Medicaid, and private pay, with Medicare accounting for 55% of new admissions.

The facility reports total adjusted nursing hours of 5 hours and 50 minutes per resident per day, which is 69% above the Kentucky average and ranks 6th among 170 state facilities. Nurse aide hours are a significant strength at 4 hours and 4 minutes per day (67% above average). However, RN hours are 37 minutes per day—20% below the state average—and weekend RN coverage drops to 10 minutes per day, which is 68% below the state benchmark of 31 minutes.

While the facility holds a 4-star overall rating, CMS quality measures run 65.5% below the Kentucky average. Short-stay residents experience a re-hospitalization rate of 36.0%, which is 47% worse than the Kentucky average of 24.5%. Long-stay hospitalizations are 2.20 per 1,000 resident days (18% above average), and falls with major injury run 34% worse than the state average at 1.0%.

The Kentucky Cabinet for Health and Family Services oversees inspections. Calvert City Convalescent Center maintains a citations-per-inspection rate of 3.0, with a health inspection score that is 43.4% better than the Kentucky average. Its current occupancy is 95%, significantly higher than the state average of 81.3%. No civil money penalties or enforcement actions have been recorded for the current 2024–2026 cycle.

Service programs include physical rehabilitation, memory care, and respite services. Amenities feature a full-service beauty salon and barbershop, a community clubhouse, a library, and landscaped courtyards. The facility provides religious services, social enrichment programming, and housekeeping. Since specific monthly pricing for long-term care is not provided in public records, request a current fee schedule during a facility tour.

Prospective residents seeking a facility with high direct-care staffing and a solid health inspection record may find this environment appropriate. Because of the significantly below-average quality measures and the high re-hospitalization rate for short-stay patients, individuals should ask the administrator directly about clinical initiatives to improve hospital-transfer outcomes and confirm weekend RN coverage levels during an in-person visit.

Willowbrook Healthcare is a 104-bed, privately owned skilled nursing and memory care facility at 2323 Concrete Road in Carlisle, Kentucky. Serving Nicholas County, the facility is operated by Willowbrook Healthcare Group, LLC, and accepts Medicare and Medicaid.

The facility reports direct care staffing levels significantly higher than state benchmarks. Nurse aide hours are 5 hours and 7 minutes per resident per day—110% above the Kentucky average, and LPN hours are 2 hours and 19 minutes per day, which is 184% above the state average. RN hours are recorded at 1 hour and 50 minutes per day. While these figures indicate high hands-on care capacity, a current CMS star rating was not available in recent public reports.

The Kentucky Cabinet for Health and Family Services oversees inspections. Based on available records, the facility maintains a citations-per-inspection rate of 1.0. Occupancy data is not currently provided in public filings. The facility is located in a moderately walkable setting near the city center, facilitating community access for residents and families.

Service programs include short-term and long-term rehabilitation, memory care, and respite care. Amenities include private and semi-private furnished rooms, an outdoor courtyard, and a full-service beauty salon. Dining features home-cooked meals served in two communal dining rooms. Since specific monthly pricing and ancillary fees are not included in public reports, families should request a current fee schedule during a facility tour.

Families seeking a facility with notably high direct care staffing levels and a variety of resident programs may find this environment appropriate. Those evaluating Willowbrook Healthcare should request current inspection reports and conduct an in-person visit before making a placement decision.

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.

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.

Signature HealthCARE at Jackson Manor Rehabilitation and Wellness is a 51-bed facility at 96 Highway 3444 in Annville, Kentucky. Serving Jackson County, the center is operated by LP Annville, LLC and accepts Medicare and Medicaid.

The facility currently has no displayed CMS star rating, consistent with its newer status. Staffing is a relative strength; RN hours are 1 hour and 18 minutes per resident per day—70% above the Kentucky average, and physical therapy hours are 100% above the state benchmark. Conversely, LPN hours run 63% below the state average, and weekend total nursing coverage is 12% below average.

The Kentucky Cabinet for Health and Family Services oversees inspections. The facility maintains a citations-per-inspection rate of 1.7. While complaint investigations in early 2025 found no deficiencies, an April 2025 recertification survey cited five isolated deficiencies involving MDS documentation accuracy and Life Safety Code issues, such as door-latching failures and unapproved power strip usage. Occupancy is 90%, which is higher than the state average of 81.3%.

Service programs include skilled nursing, rehabilitation, memory care, and respite care. The facility’s model is organized around care navigation and life enrichment programming. Its smaller 51-bed scale typically supports higher staff-to-resident oversight. Since specific monthly pricing and ancillary fees are not included in public reports, families should request a current fee schedule during a facility tour.

Families seeking a facility with strong RN staffing and a clean complaint investigation record may find this environment appropriate. Those evaluating the center should confirm the current status of physical plant remediation following the 2025 recertification survey and conduct an in-person visit before making a placement decision.

Sam Swope Care Center is a 268-bed skilled nursing facility located at 240 Masonic Home Drive in Masonic Home, Kentucky. Part of the larger Masonic Homes of Louisville campus in Jefferson County, the nonprofit community accepts Medicare and Medicaid.

Total nursing hours are 4 hours and 59 minutes per resident per day, which is 25% above the Kentucky average. RN hours are 43 minutes per day, and weekend RN coverage is 39 minutes—25% above the state average. While the facility holds an above-average quality measures rating, its CMS staffing sub-rating is categorized as 2 stars. Long-stay emergency department visits are 55% better than the state average, though falls with major injury are recorded at 1.5%.

The Kentucky Cabinet for Health and Family Services oversees inspections. Sam Swope Care Center maintains a citations-per-inspection rate of 1.0. Records from 2025 show full regulatory compliance in multiple surveys, including an April re-licensure survey and a January complaint investigation. The facility has no recorded payment denials or license issues over the past three years.

The campus features an intergenerational model, including an on-site preschool and daycare. Services encompass skilled nursing, memory care, dialysis, and rehabilitation. Amenities include private rooms, walking paths, and a beauty salon. Residents have access to a care clinic and home care options. Since specific monthly pricing is not provided in public records, families should request a current fee schedule during a facility tour.

Families seeking a large, mission-driven facility with high staffing levels and specialized dialysis services may find this environment appropriate. Those evaluating the center should discuss the quality measures regarding resident falls and Achieving Self-Care goals with the administrator before making a placement decision.

Salyersville Nursing and Rehabilitation Center is a 143-bed skilled nursing and rehabilitation facility at 662 Parkway Drive in Salyersville, Kentucky. Serving Magoffin County, the center is operated by Salyersville Health Operating Company, LLC, and accepts Medicare and Medicaid.

The facility currently has no displayed CMS star rating. Staffing levels show varied results: nurse aide hours align with state benchmarks, but RN hours are 15% below the Kentucky average. LPN hours run 43% below average, and physical therapy hours are 50% below the state benchmark. A notable clinical feature is the 24/7 presence of respiratory therapists, which is an uncommon specialty offering for the region.

The Kentucky Cabinet for Health and Family Services oversees inspections. Salyersville Nursing and Rehabilitation maintains a citations-per-inspection rate of 2.0. Quality measures for short-stay residents show a re-hospitalization rate of 35.4%, which is 44% higher than the Kentucky average. Long-stay emergency department visit rates perform 8% better than the state average, though long-stay hospitalizations run 18% above the benchmark.

Service programs include skilled nursing, memory care, wound care, and restorative rehabilitation. Specialty services encompass disease management, nutritional counseling, and vision and dental care. The facility provides 24-hour licensed nurse staffing and includes housekeeping and laundry services. Since specific monthly pricing is not provided in public records, families should request a current fee schedule during a facility tour.

Families seeking specialized respiratory therapy coverage and broad clinical services may find this environment appropriate. Those considering the facility for short-term rehabilitation should carefully review the re-hospitalization and emergency department visit rates and discuss these outcomes with the administrator before making a placement decision.

Rockcastle Regional Hospital and Respiratory Care Center is a 143-bed long-term care facility at 145 Newcomb Avenue in Mount Vernon, Kentucky. Operated by Rockcastle Hospital and Respiratory Care Center, Inc. as a governmental district facility, it specializes in ventilator-dependent and medically complex care within an integrated hospital campus.

The facility holds top-tier CMS ratings, with staffing and quality measure scores significantly exceeding Kentucky averages. RN hours are 2 hours and 21 minutes per resident per day, 207% above the state average. Most notably, weekend RN coverage is 2 hours and 2 minutes per day, which is 294% above the state benchmark. Long-stay quality outcomes are exceptional, with a hospitalization rate of 0.33 per 1,000 resident days, roughly 82% better than the Kentucky average.

The Kentucky Cabinet for Health and Family Services oversees inspections. Rockcastle Regional maintains a citations-per-inspection rate of 3.0. A March 2025 recertification survey cited three isolated deficiencies involving visual privacy during tracheostomy care, nurse staffing postings, and a call system malfunction. A follow-up survey that same month found no deficiencies, and five concurrent complaint investigations were unsubstantiated. The facility has no recorded enforcement actions or license issues over the past three years.

As a hospital-integrated center, the facility provides an unusually broad continuum of care, including dialysis, cancer care, diagnostic imaging, and surgery. Specialty respiratory services focus on ventilator weaning and complex pulmonary management. On-campus amenities include a wellness center, retail pharmacy, and rural health clinics. Since specific long-term care fee structures are often case-specific, families should request a current fee schedule directly from the facility.

This facility is well-suited for individuals requiring ventilator management or high-acuity nursing in a clinically intensive environment. Families seeking a setting with one of the state’s strongest staffing and compliance profiles should conduct an in-person visit to discuss personalized care planning for complex medical needs before making a placement decision.