Best Nursing Homes in Kentucky

Providing care to military veterans since 1991, the Thomson-Hood Veterans Center is a government-operated, 285-bed skilled nursing facility managed by the Kentucky Department of Veterans Affairs. Admissions follow a 297-day average length of stay and involve a mix of private pay (65% of admissions), Medicare, and Medicaid. Financial records reveal substantial operational strain, with the center logging a $2.6 million deficit and a negative 35% profit margin in 2024, down from a $2.8 million profit in 2023. Business logs attribute these shifts to a low 44% building occupancy rate combined with heavy payroll demands that consume 145% of incoming revenue.

Public oversight files highlight deep front-line personnel resources and a clean administrative record, though clinical logs reveal notable short-stay physical safety risks. Direct nursing care ranks 8th highest in Kentucky, providing 6 hours and 2 minutes of direct care per resident daily, with certified nursing assistant hours running 32% ahead of the state baseline. On the compliance side, state records note zero critical or serious citations over eight years and zero financial fines over the past three years.

A March 2025 health inspection logged four moderate, subsequently corrected issues regarding nutrition, care plans, and resident rights, while the property’s long-term history of 2.67 citations per inspection sits well below the state average. Clinical metrics reflect strong results for long-stay emotional wellness, with depression scores tracking 93% better than the state baseline alongside low resident hospitalization numbers. Physical safety metrics show clear challenges; long-stay urinary tract infections trend high, and short-stay rehabilitation charts reveal a 9.1% major injury fall rate compared to the 0.8% state benchmark, alongside high rates of antipsychotic medication increases.

Prospective residents seeking a specialized veterans’ care program or long-term nursing care can assess these government tracking data to balance the home’s operational strengths and weaknesses. The official paperwork records extensive daily direct care hours and a low citation history alongside low facility utilization, high operating deficits, and elevated short-term physical safety risks, meaning the documents outline a heavily staffed public facility facing significant acute-care clinical challenges.

Westport Place Health Campus operates at 4247 Westport Rd in Louisville’s Jefferson County, a 22-bed skilled nursing and assisted living community under Trilogy Health Services. Owner Lauren Powers and Administrator Christina Bosemer oversee operations. Studio units ranging 140–477 square feet occupy a single-storey building.

The facility accepts pets, offers transportation and fitness services, maintains a private putting green, and provides hair salon access and move-in support.

Admission patterns reflect primarily Medicare utilization: 71% of new admissions, with 22-day typical stay; private pay constitutes 29% with 3–4 month stays.

Registered nurses provide 1 hour 35 minutes daily per resident, 107% above Kentucky average; with weekend RN hours reaching 1 hour 7 minutes, 116% above state norms. Total staff reaches 134 members maintaining a 2.44:1 staff-to-resident ratio, 42% better than state average.

Physical therapy runs 8 minutes daily per resident, double Kentucky average. Combined nursing care reaches 3 hours 26 minutes daily, aligned to state benchmark.

The facility recorded one deficiency across seven years (83% better than Kentucky average). The May 2025 complaint investigation identified improper catheter hub protection for three residents; a preventive finding the facility corrected through education, policy review, and monitoring.

No critical or serious citations appear in the record; all five citations since 2022 carry moderate severity. No federal penalties have been imposed in three years.

Long-stay residents experience zero hospitalizations from falls with major injury and zero urinary tract infections (each 100% better than state). Depressive symptoms affect 3.7% of long-stay residents, 74% below Kentucky prevalence. Short-stay rehabilitation residents achieve 66.2% successful community return (31% better than state), 65.2% self-care capacity at discharge (21% better), and zero new antipsychotic initiation (100% better).

Occupancy reaches 100%, the highest in Kentucky; reflecting consistent demand.

Financially, 2023 performance showed $1.81 million net income and 13.2% profit margin.

Westport Place aligns with short-term Medicare rehabilitation admissions and private-pay extended stays; the 5-star rating, minimal regulatory findings, and clinical outcomes support placement for post-acute recovery.

Overview of Kenwood Health and Rehabilitation Center

Located on Meadowlark Drive in Richmond, Kenwood Health and Rehabilitation Center is a skilled nursing home owned by Benita Dickenson. The home welcomes people recovering from a hospital stay and also cares for those who need nursing support for a longer period. Hands-on therapy is a major part of daily care. Staff work with residents one-on-one to meet individual needs. Medicare, Medicaid, and private pay are all accepted.

The facility has 93 beds and is running at 92% occupancy. Residents stay for about 103 days on average. Some come for post-acute rehabilitation, while others remain for longer-term skilled nursing care. Nursing staff provides an average of 3 hours and 30 minutes of care per resident each day.

Registered nurses are part of the care team and oversee clinical care. The home also has a doctor on staff, so many medical issues are handled without leaving the facility. That can reduce the need for outside appointments.

State inspectors found no concerns with infection control. They also found no issues related to Medicare or Medicaid compliance. Fire safety measures and electrical systems in hazardous areas met inspection requirements. The home’s inspection history shows close attention to these important standards.

Daily life includes a strong enrichment program with activities designed to keep residents involved. A facility van with a wheelchair lift is available for outings. Residents can also use on-site beauty and barber services. They also have access to a secure outdoor courtyard for fresh air or to spend time with visitors.

Private rooms are available for residents who prefer more personal space. The home also includes complimentary WiFi, cable television, and laundry service. A lounge with a large television serves as a common gathering area. Several family gathering rooms are available throughout the building.

Situated in a very walkable area of Richmond, the home has a neighborhood walk score of 78 out of 100. Many everyday errands can be completed on foot, and visiting family members can easily get around the surrounding area.

Overview of Calvert City Convalescent Center

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.

Overview of Hermitage Care & Rehabilitation Center

Hermitage Care and Rehabilitation Center in Owensboro, KY, is a prime skilled nursing community offering comprehensive services including clinical services, rehabilitation, care navigation, and more. Here, residents can choose from a wide array of well-accommodated and beautifully designed accommodations with a variety of floor plans. Committed to providing exceptional care that gives the comfort of a home in a friendly environment, a warm and caring team works 24/7 catering to the immediate needs and interests of its residents.

Dedicated to helping its residents continue to live life to the fullest, the community offers top-grade amenities and services, including social events and holiday programs, group excursions, and many more. Explore the friendly environment with a picturesque courtyard and bask in the area with your new friends. At Hermitage Care and Rehabilitation Center, residents can experience an empowering and stress-free retirement.

Overview of The Springs at Stony Brook

Find the care you need at The Springs at Stony Brook, a distinct community in Louisville, KY, offering independent living, assisted living, and memory care. Residents receive top-tier care for their unique needs around the clock from a compassionate and highly trained team. There’s no need to worry about household chores and daily activities, with the community helping with housekeeping and laundry.

Residents can meet new friends and gain meaningful experiences with a well-thought-out calendar of fun recreational activities and enriching programs. Mealtimes foster comfort and satisfy dietary needs with delicious and well-balanced dining options in a restaurant-style setting. The community is ideal for those looking to age in one place, especially with its different levels of care and exceptional services.

Overview of Middlesboro Nursing and Rehabilitation Facility

Middlesboro Nursing and Rehabilitation Facility is located at 235 New Wilson Lane in Middlesboro, Kentucky. Melissa Robbins owns this 95-bed building, which coordinates billing through standard payment channels like private funds, Medicare, and Medicaid. The surrounding area maintains a moderate Walk Score of 62, which enables visiting families and guests to complete a fair number of daily tasks on foot without always needing a vehicle.

Residents typically stay in the facility for an average of 198 days. Because of this timeline, the daily floor schedule is divided between short-term therapy after a hospital stay, temporary respite care, and traditional long-term skilled nursing. The staff covers the building around the clock, averaging 3 hours and 21 minutes of direct nursing care per resident each day to manage ongoing clinical tracking, wound management, and basic physical assistance.

The interior layout features furnished private and semi-private bedrooms, a library, family visiting lounges, and building-wide Wi-Fi. To minimize external travel for residents, the staff organizes on-site diagnostic services like X-rays, laboratory tests, and pharmacy access, alongside regular dental, podiatry, vision, and hearing clinics. Daily workflows combine house maintenance and laundry services with a pet-friendly policy, open visiting hours, chapel services, a mobile garden, and scheduled group outings.

Prospective representatives can look into how the modern campus manages its 24-hour nursing schedules, integrated diagnostic services, and short-term therapy options. The home pairs these primary clinical programs with traditional accommodations, including private room configurations, flexible visiting rules, courtyard access, and local transit.

Overview of Signature Healthcare of Monroe County Rehab and Well

Signature Healthcare of Monroe County Rehab and Well is a 104-bed skilled nursing and rehabilitation facility offering memory care, respite care, and a care navigation program at 706 North Magnolia Street in Tompkinsville, Kentucky. Accepting Medicare, Medicaid, and private pay, the facility, operated by LP Tompkinsville, LLC in Monroe County, serves a mix of short-term rehabilitation and long-term care residents averaging 93 days of stay.

CMS scores the facility 5 stars, 79.2 percent above Kentucky’s average, with all four sub-ratings above the state mean. Health inspection performance leads at 70.1 percent above Kentucky’s average, across 3 inspections since 2018, the facility recorded only 7 total citations, all low severity, with no critical or serious findings, complaint investigations, fines, and payment denials across eight years. Nurse hours reach 3h 52m per resident per day, 12 percent above Kentucky’s average, with LPN hours running 47 percent above the state figure. At 74.4 percent occupancy which is modestly below Kentucky’s 81.3 percent average, the facility has some availability.

Amenities feature an on-site chaplain, elder vacations, transportation to community events, and a small-neighborhoods care model. On-site nurse aide training and an active resident council exist.

With one of the cleanest inspection records in Kentucky, the community is suitable for residents seeking rehabilitation or long-term skilled nursing in rural Tompkinsville.

Overview of Rockcastle Regional Hospital and Respiratory Care

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.

Overview of Maysville Nursing and Rehabilitation Facility

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.