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Why trust this guide?
Our editorial team analyzed 197 nursing homes in KY using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in KY
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.
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 to lowest based on our ranking 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 TableAL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (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.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
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.
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: 48.8% 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.
Overview of Madison Health & Rehabilitation Center
Madison Health & Rehabilitation Center in Richmond, Kentucky provides a warm and friendly environment dedicated to delivering top-notch services to its residents. With licensed nurses available around the clock, residents can enjoy peace of mind knowing their health and well-being are in capable hands.
The home offers a comprehensive range of services, including medication management, wound care, physician visits, and dental and vision care. Residents can also engage in social activities while housekeeping and laundry services are taken care of. The center prides itself on its hospital readmission reduction program, disease management, and early intervention initiatives. With a trusted reputation, the center boasts a skilled team of clinical and rehabilitation staff committed to providing expert care and support for long-term residents.
Serving residents needing post-acute rehabilitation and longer-term nursing care, Sunrise Manor Nursing Home is a 137-bed SNF on North Lincoln Blvd in Hodgenville, Kentucky. Operating under Distinct Group Holdings’ ownership, the home accepts Medicare, Medicaid, and private pay, giving families several routes to fund care. It has an 86 percent occupancy rate, averaging a resident stay of 116 days, reflecting a steady mix of short-term rehab and longer-term care residents.
Daily nursing support averages 3 hours 27 minutes per resident, anchored by a registered nurse, nurse aides, and licensed practical nurses providing diligent care, medication management, and oversight. The presence of a medical director on-site, a physician on staff five days a week, and a full-time social worker and chaplain means many routine medical and supportive needs can be addressed without leaving the building. Rehabilitation services are a core strength here, paired with a care-navigation program and life-enrichment offerings that help occupants move through recovery or settle into active care. The clinical team supports wounds, post-surgical recovery, and therapy goals as part of the standard offering. Daily life is supported by a full-time activities director who oversees an activities program that includes feature movies, social events, holiday celebrations, and group excursions using the facility’s wheelchair-accessible van. A library, salon, and outdoor courtyard and patio spaces give residents gathering spots and outlets beyond their rooms. Accommodations include spacious rooms with large windows, individual closets and drawers, in-room sinks, wall-mounted TVs, personal temperature controls, and accessible bathrooms with walk-in showers and grab bars. The surrounding neighborhood is somewhat walkable, scoring 47, meaning some nearby services are reachable on foot, but most trips need a car.
With no deficiencies or substantiated complaints noted, inspections show a facility in substantial compliance.
Families touring Sunrise Manor Nursing Home can expect a secure environment with controlled access and a focus on resident safety and comfort.
Overview of Auburn Nursing and Rehabilitation Center
Auburn Nursing and Rehabilitation Center operates a 66-bed skilled medical property down on Pearl Street in Auburn, Kentucky. The billing department utilizes standard regional tracks for senior housing, processing private pay alongside Medicare and Medicaid options. The neighborhood surrounding the facility is largely car-dependent, scoring a 25 on the Walk Score scale, which means visitors and families will usually need a vehicle to handle local trips or travel back and forth.
About 58 residents live at the community at any given time, keeping the building at an 88 percent occupancy level. Stays average around 230 days, pointing to a regular operational balance between temporary therapy tracking and longer-term clinical housing. Shift logs indicate that the 24-hour nursing team provides a combined total of 1 hour and 26 minutes of direct care per resident every day. This daily floor timeline relies on 1 hour and 59 minutes from nurse aides, 48 minutes from licensed practical nurses, and 25 minutes from registered nurses to track physical recovery from surgeries or acute illnesses, while recent state reviews note that prior inspection items have been resolved with no active deficiencies on file.
Interested individuals can set up an in-person visit to look over the floor plan, evaluate the direct nursing schedules, and check out the physical therapy setups firsthand. The front desk coordinates these property walks directly while providing real-time updates regarding current bed vacancies, admission guidelines, and regular domestic routines like housekeeping and laundry services.
Mountain Manor of Paintsville is an SNF in Paintsville, Kentucky, in an average walkable neighborhood where some daily errands can be finished on foot. Owned by Hd Fitzpatrick Jr. Irrevocable, it accepts Medicare, Medicaid, and private pay, making it accessible to families with different coverage pathways. The 126-bed facility has a current occupancy of 42 percent, meaning plenty of available capacity. Residents stay 333 days on average, reflecting a mix of short-term rehabilitation and longer-term care needs.
The home strongly emphasizes recovery and rehabilitation, with an on-site rehabilitation center offering physical therapy, occupational therapy, and speech therapy services. This specialized focus makes it well-suited for individuals recovering from surgery, injury, or illness who need intensive therapeutic support during healing. Daily clinical support is built in, with total nursing care averaging about 3 hours 24 minutes per resident day. The staffing includes registered nurses spending 31 minutes per resident daily, alongside nurse aides and LPN/LVN support. 24/7 staffing ensures non-stop coverage for all residents. The home also offers respite care, making it an option for families needing short-term placement while managing other life demands. Every day, occupants can access a secured courtyard for outdoor time, private and semi-private room options, and a spacious dining room where a registered dietician oversees nutrition. Meals are prepared with attention to nourishment and dining social experience.
Regulatory surveys indicate that Mountain Manor of Paintsville maintains consistent compliance with state requirements.
Families contemplating the facility can feel confident scheduling a tour to personally see its rehabilitation services, room types, and dining environment.
Overview of Somerset Nursing and Rehabilitation Facility
Somerset Nursing and Rehabilitation Facility is located on Gover Street in Somerset, Kentucky. Natalie Taylor owns this 123-bed home, which takes private payments alongside standard Medicare and Medicaid insurance. The neighborhood has a Walk Score of 66, allowing visitors and family members to manage a moderate number of local tasks entirely on foot.
The nursing crew stays on the floor around the clock, averaging 2 hours and 45 minutes of direct medical care per resident every day. To limit off-site travel, the building coordinates integrated medical services, including lab work, X-ray imaging, pharmacy access, and routine dental, podiatry, hearing, and vision clinics.
The secure interior features a mix of private and semi-private bedrooms alongside an active hair salon, internet access, and dedicated family visiting lounges. Outside, residents can spend time in a courtyard that features a mobile gardening layout, while a facility van manages scheduled resident transit and ambulance needs. Past state inspection files reported historical gaps in documentation, infection control, and kitchen food safety, but the most recent survey documented zero health deficiencies or complaints.
Prospective residents can explore how the team organizes its everyday nursing hours, specialized post-acute therapy tracks, and current health compliance files. The community pairs these medical services with standard amenities, including multi-specialty clinical visits, courtyard gardening areas, internet access, and continuous layout security.
Located in Mount Sterling, Kentucky, Windsor Care Center is a 144-bed nursing home owned by Regency Care Holdings LLC. It is on Sterling Way in a moderately walkable area with a Walk Score of 67. Family members can visit, and some nearby places are within walking distance.
The center accepts Medicaid, Medicare, and private pay. Families have different ways to cover both short-term rehabilitation and long-term nursing care. Residents stay for about 165 days on average, including people recovering after a hospital stay as well as those needing ongoing skilled nursing care.
Daily nursing care averages about 4 hours per resident. Registered nurses, nurse aides, and LPNs share this care. The facility has restorative care, wound and ostomy care, pain management, and palliative services. It also offers rehabilitation and respite care.
Patients recovering from surgery may benefit from these services, and residents with complex medical conditions or end-of-life care needs are also served. Medical services are available inside the building. Residents can receive psychiatry, dental care, optometry, hearing services, and podiatry. Fewer outside appointments may be needed.
Additional services include a beauty shop, laundry service, cable television, and phone service. These amenities help residents stay comfortable and in touch with others. State inspection records show that earlier issues were corrected. A follow-up inspection found no deficiencies.
Providing care around the clock, the facility has a 24-hour staffing model. Staff members are available during the day and overnight. Continuous support is in place for residents, so care is available whenever it is needed.
Donna Davis owns Chautauqua Health and Rehabilitation, a 184-bed nursing home located right on Leitchfield Road in Owensboro, Kentucky. On the financial side, the billing office works with standard coverage setups, taking private pay, Medicare, and Medicaid. The area itself has a Walk Score of 7, making it a completely car-dependent location where visiting relatives and local guests will need a vehicle to get back and forth.
The facility runs at about 68 percent occupancy across its 184 beds, and residents stay for an average of 158 days. This timeline shows a typical mix of long-term residential housing and shorter, post-hospital rehabilitation stays. To handle these health needs, the 24-hour nursing team puts in an average of 3 hours and 12 minutes of direct care per resident every day.
Registered nurses handle 30 minutes of that daily total, keeping tabs on a secure memory care unit, general wound treatments, tracheostomy care, medication schedules, and palliative support.
Prospective representatives can set up an in-person visit to look over the therapy gym, evaluate the nursing schedules, and check out the layout of the dementia unit. The administrative team arranges these building tours while answering questions about on-site medical checkups, like dental, podiatry, and optometry visits, alongside daily amenities like the beauty shop, free Wi-Fi, the vegetable garden, and scheduled group activities.
Treyton Oak Towers has maintained its legacy as a non-profit, faith-based organization since 1984. Resting in the hub of Louisville’s rich heritage, the home provides a wide range of care options, consisting of skilled nursing, rehabilitation, personal care, memory care, and independent living. The living accommodations are thoughtfully designed with 14 unique floor plans, offering seniors a sense of freedom in their living spaces. The outdoor spaces at Treyton Oak Towers are a true oasis. From the serene outdoor patio to the turtle garden, the guest rooms for visiting loved ones, and the stunning skyline view deck, residents can savor the beauty of their sunset years. The home is also equipped with state-of-the-art facilities for therapy and rehabilitation, including a well-appointed therapy gym, rehab suites, and an aquatic therapy program. The rooftop greenhouse, chapel, woodworking shop, and other amenities also offer opportunities for residents to pursue their passions, explore their creativity, and nourish their spiritual well-being. Treyton Oak Towers offers a one-of-a-kind service that is worth giving a go.
Overview of Dover Nursing and Rehabilitation Center
Dover Nursing and Rehabilitation Center, situated in the heart of Georgetown, Kentucky, is a haven for seniors searching for compassionate care and a nurturing environment. The center’s devoted staff, well-versed in senior care, ensures that each individual receives personalized attention. Offering a spectrum of services, from rehabilitation to long-term care, Dover Nursing and Rehabilitation Center caters to the diverse needs of its residents. Dover Nursing and Rehabilitation Center promotes a vibrant and fulfilling lifestyle, from therapeutic exercises to social gatherings. Known as Harborview Dover, this facility is central in Georgetown, ensuring accessibility for families and loved ones. Whether residents are recovering from an illness or embracing their golden years, they discover solace within the embrace of these walls. In the heart of the Bluegrass State, Dover Nursing and Rehabilitation Center stands as a testament to the enduring spirit of seniors. It transcends being merely a facility where cherished memories are created, laughter resonates through the hallways, and meaningful bonds form across generations. With its 85 certified beds, this skilled nursing facility provides a sanctuary where residents can thrive. The legacy of this community extends beyond its physical structure; it embodies a commitment to dignity, respect, and holistic well-being. Families place their trust in the staff’s capable hands, confident that every interaction is guided by compassion and professionalism. Within its warm and inviting atmosphere, a sense of community flourishes, fostering the growth of friendships and sharing life stories. As sunlight filters through the windows, illuminating cozy common areas, residents actively engage in activities that enrich their lives.
JW Kentucky Operations LLC operates Lexington Premier Nursing & Rehab, a 120-bed certified skilled nursing and rehabilitation center located at 2770 Palumbo Drive in Lexington, Kentucky. Established one year ago, the property processes resident billing through typical payment streams, including Medicare, Medicaid, and private pay options. The immediate surrounding area is car-dependent, meaning families and visitors will rely on a vehicle for transit and local commuting.
The building maintains a 91 percent occupancy rate across its 120 certified beds, providing medical housing for a resident population with an average length of stay tracking at 104 days. Shift logs indicate that the 24-hour nursing team averages 3 hours and 38 minutes of direct care per resident each day to monitor complex clinical requirements. Daily floor operations focus on post-acute rehabilitation, post-stroke recovery, orthopedic and neurological therapy, cardiac care, diabetes management, pain tracking, and specialty support for Parkinson’s disease and multiple sclerosis.
Private and companion bedrooms connect to shared indoor spaces equipped with Wi-Fi access. The staff balances basic clinical charting with discharge planning, family alignment meetings, daily retraining for physical mobility, and a meal service that includes heart-healthy dietary options. Recent state monitoring inspections evaluated the property on medication administration, environmental upkeep, and care processes, establishing a baseline for routine internal tracking.
Interested individuals can set up an appointment to inspect the physical bedroom choices, review the daily therapy schedules, and discuss the facility’s discharge transition protocols directly with the administrative team.
Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.
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 197 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
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