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Why trust this guide?
Our editorial team analyzed 207 nursing homes in KY using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in KY
Info below is compiled from CMS reports & the KY Cabinet for Health & Family Services (CHFS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This TableNH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Kentucky average is: 48.9% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Rank badges are statewide and care-type specific: each nursing home is ranked against every other KY nursing home we track that reports that metric, not just the 207 on this page. See how we rank facilities
In Louisville, KY, the license at Valhalla Post Acute names nursing home care, palliative care, respite care, hospice care, and skilled nursing. Nursing coverage here is continuous, the one thing on that list with no off period. Hospice is aimed at comfort close to the end.
Palliative care does the same work of comfort and symptom control while a serious illness is still being treated. Respite care takes a short stay while a usual caregiver travels or recovers.
The home holds 162 beds, which suits a family needing temporary cover as much as a resident in short-term rehabilitation. A resident here receives 2 hours and 46 minutes of nursing daily.
Outpatient Therapy and Short-Term Rehab keep the therapy work inside the building. Complex Wound Care, Behavioral Health, and Diabetes Care are named beside them, along with palliative care and hospice.
Medicaid can carry a long stay once personal savings run short. Medicare covers only the skilled care that follows a hospital admission. Private pay puts the bill on the household. Lake Forest Post Acute operates the home, with Andrew Bullock as administrator.
Overview of Greenwood Nursing and Rehabilitation Center
Greenwood Nursing and Rehabilitation Center opened about a year ago on Scottsville Rd in Bowling Green, Kentucky, which makes it one of the newer nursing homes in the area rather than an established one. It runs 128 beds, and right now 123 of them are filled. A 96% occupancy rate this early in a facility’s life says something: demand caught up fast.
The average resident here stays about 115 days, a stretch that points toward short-to-mid-term rehab and recovery more than permanent long-term placement. Getting around the neighborhood mostly means driving, Walk Score 43, somewhat walkable, so a car still handles most errands.
RNs put in about 47 minutes per resident per day, LPNs close to 45 minutes, and nurse aides over two hours, all adding up to roughly three hours and 37 minutes of total nursing care daily. That’s a fairly standard split for a facility this size, with aide-level care doing the heavy lifting, as it typically does in skilled nursing settings. Medicare, Medicaid, and private pay are all accepted, so the payment path isn’t a single narrow lane.
Beyond the clinical side, residents have a formal voice here: an active resident council and a regular resident group both meet to weigh in on policy and care quality, and the facility runs its own state-approved Nurse Aide Training program on-site. State inspections have tended to center on medication management and infection prevention and control rather than broader systemic issues.
Greenwood SNF Operations LLC runs the facility. Between the fast ramp to near-full occupancy, the structured resident-input programs, and a staffing mix built for short-stay rehabilitation, this reads as a newer facility finding its footing quickly while giving residents more say than a typical skilled nursing home offers.
Stonecreek Health and Rehabilitation is a nursing home in Paducah, Kentucky, offering skilled nursing with licensed nursing care on site around the clock. Rehabilitation services include e stim and VitalStim, so a resident can receive ongoing nursing care and rehabilitation in the same facility.
The home has 90 beds, with 99% occupancy, meaning nearly all available beds are in use. Total nurse staffing is 3h 23m per resident per day, representing the amount of nurse time allocated to each resident across a day.
Payment options include Medicare, Medicaid, and private pay, giving families several ways to cover the cost depending on eligibility and financial resources. Medication and IV management are available, along with trach and respiratory services for residents who need those forms of clinical support.
Enclosed courtyards and gardens provide outdoor spaces on site. Residents can also attend or participate in live entertainment, exercise programs, religious services and gatherings, and outings. Nichole Sells serves as the administrator, and Paducah Center For Health And Rehabilitation operates the facility.
Overview of Sycamore Heights Health and Rehabilitation
Sycamore Heights Health and Rehabilitation in the Clifton Heights neighborhood of Louisville, Kentucky, offers nursing home care, skilled nursing support, memory care, and short-term respite stays. Secured units within the memory care department assist residents experiencing cognitive decline or wandering tendencies. Temporary respite admissions provide coverage when primary family caregivers require time off for travel or recovery.
Cv Louisville Opco I operates the 96-bed center under administrator Bridgette Beason. Nursing department records show an average of 3 hours and 3 minutes of direct daily care provided per resident. In-house rehabilitation services deliver physical and occupational therapy directly on site.
Located in an area with a 36 walk score, the campus sits in a car-dependent neighborhood where routine errands require vehicle transport. Payment methods include Medicare for short-term stays, Medicaid, and direct private pay.
Families searching for multi-level care options or specialized memory support can connect with Sycamore Heights Health and Rehabilitation to verify unit openings, go over payment details, or arrange a personal tour.
Overview of Signature Healthcare of Spencer County
Owned by LP Taylorsville, LLC, Signature Healthcare of Spencer County is a nursing home and skilled nursing community in Taylorsville, Kentucky. Residents can access care with licensed nurses on-site. Moreover, rehabilitation services provide recovery-focused care to improve residents’ functionality.
This 120-bed home has private rooms and is administered by Jordan Dempsey. A total of 3 hours and 36 minutes of nursing care is also provided per resident each day. Payment options include Medicare, Medicaid, and private pay. This also means that Medicare generally applies to short-term skilled care after a hospital stay, while Medicaid can help when savings may not cover a long stay, and private pay allows families to pay directly through personal funds.
Moreover, a pharmacy is available around the clock to support medication access at any hour, while Care Navigation can help coordinate services. The Quality of Life Activities Program also provides organized activities, and residents can also take part in volunteer opportunities, meet with a facility chaplain, and attend weekly multi-denominational religious services.
Overview of Signature Healthcare at North Hardin Rehab and Wellness Center
Signature Healthcare at North Hardin Rehab and Wellness Center is a nursing home in Radcliff, Kentucky, offering palliative care, respite care, and skilled nursing. Nursing home care supports residents who need nursing oversight and daily assistance, while skilled nursing provides licensed nursing care on site around the clock. Palliative care centers on comfort and symptom management. Respite care provides a short stay, making the home a possible fit for a family whose usual caregiver needs to travel or recover.
The home has 152 beds, so it is a larger setting with more residents and staff, along with more programming. Total nurse staffing is 3 hours and 53 minutes per resident each day, representing the daily hands on nursing time allocated to each resident. Clinical Services and dialysis are available as specific programs, while rehabilitation services offer restorative therapy for residents working to regain or maintain function.
Payment options include Medicare, Medicaid, and private pay. Medicare can cover short term skilled care after a hospital stay, Medicaid can help when savings do not cover a long stay, and private pay uses personal or family funds. Desirae Hawkins is the administrator, and LP Radcliff operates the community.
Overview of Elizabethtown Nursing and Rehabilitation Center
Elizabethtown Nursing and Rehabilitation Center offers nursing home, hospice care, memory care, respite care, and skilled nursing in Elizabethtown, Kentucky. Skilled nursing provides licensed nursing care on site around the clock, while memory care offers a secured setting with supervision for someone at risk of wandering. Hospice care focuses on comfort for a person nearing the end of life, and respite care provides a temporary stay when a usual caregiver needs to travel or recover.
The range of care can suit a resident whose needs may change over time. Respite care can also support a family caregiver who needs temporary help. Rehabilitation services allow therapy to be part of a resident’s care at the center, and a doctor is on staff. Social gatherings and outings give residents scheduled opportunities for group activities, while beauty and barber services, along with a salon or spa, provide personal grooming on site.
The community has 65 beds. Total nurse staffing is 2 hours and 42 minutes per resident per day, representing the daily hands on nursing time allocated to each resident. Pets are allowed, so a resident can continue living with a pet.
Families can use Medicare, Medicaid, or private pay. Medicaid may help when savings may not cover a long stay, while Medicare applies to short term skilled care after a hospital stay rather than long term residence. A Walk Score of 75 places the area in the very walkable band, meaning most errands can be done on foot, so a resident who no longer drives can still get out independently. Cassie Allen serves as administrator, and Elizabethtown Opco operates the community.
Signature Healthcare of Elizabethtown is a nursing home and skilled nursing facility administered by Weslene Dillard in Elizabethtown, Kentucky. Licensed nurses provide care for residents, particularly those with ongoing medical oversight, supported by 24-hour staffing. Short-term rehabilitation is also available for those who require temporary skilled care during recovery.
The home has 124 beds, with an occupancy of 94.7%. Moreover, a total of 3 hours and 16 minutes of nursing care is provided per resident per day. Admissions are also available 24 hours a day, seven days a week.
Medicare, Medicaid, and private pay are accepted, allowing several ways to cover expenses. This also suggests that Medicare can apply to short-term skilled care, Medicaid gives eligible residents another payment route, and private pay allows a resident or family to pay directly.
Green Meadows Healthcare Center in Mount Washington, Kentucky, is known as a premier nursing home, offering exceptional services and programs to its residents. One of its key strengths lies in its high-caliber short-term and outpatient rehab therapy, providing top-notch support for holistic wellness. The center boasts a dedicated clinical nursing team, equipped to cater to the complex health needs of its residents, ensuring their physical, mental, and emotional well-being.
In addition to providing long-term nursing home services and specialized dementia care, Green Meadows Healthcare Center excels in areas like palliative care and respite care. Their expertise extends to wound care, demonstrating their commitment to comprehensive healthcare. They create customized care plans for each resident, acknowledging the unique needs of every individual under their compassionate care.
Overview of Rockcastle Health and Rehabilitation Center
Rockcastle Health and Rehabilitation Center in Brodhead, Kentucky, provides nursing home, skilled nursing, hospice care, palliative care, and respite care. Nursing home and skilled nursing services provide licensed nursing care on site around the clock, while hospice and palliative care focus on comfort and symptom management. Respite care offers a short stay when a usual caregiver needs time away, and rehabilitation services support recovery after illness, surgery, or injury.
The center has 104 beds. Its clinical programs include IV administration, care after surgery, respiratory care, tracheostomy care, wound care, wound vac care, cardiac care, diabetic care, oncology care, and hospice or palliative care, so residents with these documented needs can receive treatment within the facility. Transportation is available, and religious services are offered.
Total nurse staffing is 3 hours and 19 minutes per resident per day, representing the total daily nursing time assigned to each resident. Medicare, Medicaid, and private pay are accepted, allowing families to use Medicare for eligible short term skilled care, Medicaid when eligible, or their own funds. Austin Gibson serves as administrator, and LP Brodhead operates the center. Rockcastle Health and Rehabilitation Center may be a good fit for someone who needs ongoing nursing care, rehabilitation after a procedure, or a short term respite stay.
Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports. Rank badges compare each home against other nursing homes in the same state — never against assisted living, memory care, or independent living communities.
How we're paid:If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
Frequently Asked Questions about Nursing Homes in Kentucky
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 nursing home care?
Yes — Kentucky Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.
What is nursing home care?
Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.
How many nursing homes are listed on this page?
This page features 207 nursing homes in Kentucky. Use the filters and comparison tools above to compare ratings, amenities, and pricing.
How do I choose the right nursing home 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 nursing homes 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.
If you move into a community through us, that community may pay us a referral fee. This never changes your cost or which options we recommend. Learn more
Nursing Homes in Kentucky at a glance
Avg Overall CMS Rating:2.8/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Kentucky. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average:3.2/ 5
Avg Staffing Rating:2.7/ 5The average Staffing Rating across all CMS-certified nursing homes in Kentucky. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average:3.4/ 5
Avg Health Insp. Rating:2.9/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Kentucky. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average:3.0/ 5
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