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Best Assisted Living in Kentucky

Reviewed by Dr. Jordan Weiss
Updated May 2026
We analyzed 395 homes in Kentucky

Sources: CMS Centers for Medicare and Medicaid Services, and Kentucky Department of Health, Office of Aging and Long Term Care.

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Video Tour: Top-rated Assisted Living facilities in Kentucky.

Watch this Video to see Kentucky's Top-rated Senior Communities

Compare Assisted Living around Kentucky

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

Click column headers to sort
Sunrise of Louisville
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Louisville (Manor Creek)
94
Facility 94
KY AVG 83
Rank #120 / 341
Yes
21
Facility 21
KY AVG 41
Rank #329 / 423
Studio / Suite / 1 Bed
45
Facility 45
KY AVG 10
Rank #3 / 132
A--
Brookdale Murray
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Murray
83
Facility 83
KY AVG 83
Rank #158 / 341
Yes
48
Facility 48
KY AVG 41
Rank #176 / 423
Studio / 1 Bed / 2 Bed
48
Facility 48
KY AVG 10
Rank #2 / 132
A+-
Harmony at Tucker Station
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Louisville
92
Facility 92
KY AVG 83
Rank #128 / 341
Yes
44
Facility 44
KY AVG 41
Rank #200 / 423
Studio / 1 Bed / 2 Bed
6
Facility 6
KY AVG 10
Rank #51 / 132
A+-
Vitality Living St. Matthews
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

Louisville
70
Facility 70
KY AVG 83
Rank #189 / 341
Yes
72
Facility 72
KY AVG 41
Rank #42 / 423
Studio / 1 Bed / 2 Bed
28
Facility 28
KY AVG 10
Rank #16 / 132
A+-
Brookdale Stonestreet
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Louisville (Prairie Village)
60
Facility 60
KY AVG 83
Rank #223 / 341
Yes
7
Facility 7
KY AVG 41
Rank #382 / 423
Studio / Alcove / 1 Bed
11
Facility 11
KY AVG 10
Rank #44 / 132
A+-
Sayre Christian Village
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Lexington (Belleau Wood)
164
Facility 164
KY AVG 83
Rank #16 / 341
No
43
Facility 43
KY AVG 41
Rank #206 / 423
1 Bed / 2 Bed
1
Facility 1
KY AVG 10
Rank #53 / 132
-1
Morning Pointe of Russell
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Russell (Ashland)
68
Facility 68
KY AVG 83
Rank #194 / 341
Yes
8
Facility 8
KY AVG 41
Rank #377 / 423
Alcove / 1 Bed
20
Facility 20
KY AVG 10
Rank #28 / 132
A+-
Carespring – Barrington of Fort Thomas
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Fort Thomas
110
Facility 110
KY AVG 83
Rank #70 / 341
No
48
Facility 48
KY AVG 41
Rank #176 / 423
Studio / 1 Bed / 2 Bed
19
Facility 19
KY AVG 10
Rank #29 / 132
A+-
Charter Senior Living of Bowling Green
IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Bowling Green
137
Facility 137
KY AVG 83
Rank #32 / 341
No
39
Facility 39
KY AVG 41
Rank #224 / 423
Studio / 1 Bed / 2 Bed
37
Facility 37
KY AVG 10
Rank #12 / 132
A+-
Forest Hills Commons
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Louisville
119
Facility 119
KY AVG 83
Rank #60 / 341
No
73
Facility 73
KY AVG 41
Rank #40 / 423
Studio / 1 Bed / 2 Bed
11
Facility 11
KY AVG 10
Rank #44 / 132
--
The Willows at Springhurst
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Louisville
62
Facility 62
KY AVG 83
Rank #218 / 341
Yes
34
Facility 34
KY AVG 41
Rank #261 / 423
Studio / 1 Bed / 2 Bed
4
Facility 4
KY AVG 10
Rank #52 / 132
A+-
Arcadian Cove Senior Living
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Richmond
49
Facility 49
KY AVG 83
Rank #264 / 341
No
0
Facility 0
KY AVG 41
Rank #407 / 423
1 Bed
16
Facility 16
KY AVG 10
Rank #34 / 132
A+-
Twin Rivers Nursing And Rehab Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Owensboro
132
Facility 132
KY AVG 83
Rank #36 / 341
No
52
Facility 52
KY AVG 41
Rank #147 / 423
Private Rooms / Semi-Private Rooms
1
Facility 1
KY AVG 10
Rank #53 / 132
A+3
Carrollton Manor
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Carrollton
32
Facility 32
KY AVG 83
Rank #304 / 341
No
38
Facility 38
KY AVG 41
Rank #231 / 423
Private / Shared Rooms
41
Facility 41
KY AVG 10
Rank #7 / 132
--
Signature Healthcare at Hillcrest
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Owensboro
156
Facility 156
KY AVG 83
Rank #18 / 341
No
1
Facility 1
KY AVG 41
Rank #404 / 423
Private Rooms / Semi-Private Rooms
1
Facility 1
KY AVG 10
Rank #53 / 132
-4
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Sansbury Care Center

2625 Bardstown Road, Saint Catharine, KY 40061
Overview of Sansbury Care Center
Sansbury Care Center is a skilled and personal care facility serving religious and lay women in rural Springfield, KY. It provides quality, personalized, and compassionate care services to the center’s 48 residents. The facility is located adjacent to the historic St. Catharine motherhouse of the Dominican Sisters of Peace.

Contact Sansbury Care Center

Overview of Ridgeway Nursing and Rehabilitation Facility
Ridgeway Nursing and Rehabilitation Facility is located in Owingsville, KY. It offers rehabilitation, skilled nursing, long-term care, and respite services. The facility provides a variety of amenities to enhance the well-being of its residents.

Contact Ridgeway Nursing and Rehabilitation Facility

Overview of Richwood Nursing & Rehab
Richwood Nursing & Rehab is a skilled nursing and rehabilitation center located in LaGrange, Kentucky. It offers 24/7 personalized healthcare services and everyday living support in a comfortable environment. The facility provides a variety of services including skilled nursing, short-term rehab, and social services.

Contact Richwood Nursing &Amp; Rehab

Overview of Pine Meadows Post Acute
Pine Meadows Post Acute is a skilled nursing home located in Lexington, KY. It provides compassionate care and rehabilitation services to help residents recover from surgery, illness, or injury. The facility offers a variety of activities and amenities to support the well-being of its residents.

Contact Pine Meadows Post Acute

Overview of Pikeville Nursing and Rehab Center
Pikeville Nursing & Rehab has been a community staple since 1970, located in the heart of the Appalachian coalfields in Pikeville, Kentucky. It provides individualized post-hospital skilled nursing care in a comfortable environment, focusing on enhancing residents' physical, mental, and spiritual well-being. The facility offers a comprehensive activity program and various amenities to support residents' quality of life.

Contact Pikeville Nursing and Rehab Center

Overview of Owenton Healthcare and Rehabilitation
Owenton Healthcare and Rehabilitation is a nursing and rehabilitation center located in Owenton, Kentucky. It offers a warm and family-oriented environment, ensuring personalized attention for each resident. The facility is committed to quality care and rehabilitation services.

Contact Owenton Healthcare and Rehabilitation

Oakmont Manor

1100 Grandview Drive, Flatwoods, KY 41139
Overview of Oakmont Manor
Oakmont Manor is an independent living community in Sterling Heights, MI, designed for those who value their independence and joy. Residents enjoy beautifully maintained private apartments, chef-inspired meals, and a rich calendar of social events. The community offers a lifestyle built around personal choices and support services.

Contact Oakmont Manor

Overview of Mills Nursing & Rehabilitation
Mills Nursing and Rehabilitation is located in Mayfield, Kentucky. It offers a range of healthcare services including rehabilitation, respite care, and memory care. The facility is dedicated to providing personalized attention and a family-focused approach to care.

Contact Mills Nursing & Rehabilitation

Overview of Middlesboro Nursing and Rehabilitation Facility
Middlesboro Nursing and Rehabilitation Facility is located in Middlesboro, Kentucky. It offers rehabilitation, skilled nursing, long-term care, and respite services. The facility provides a variety of amenities to enhance the well-being of its residents.

Contact Middlesboro Nursing and Rehabilitation Facility

Overview of Vanceburg Hills
Vanceburg Hills is a senior center in Vanceburg, KY. It offers various services and programs for the community. The center is committed to providing a welcoming environment for residents and visitors.

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 52 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.