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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 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.
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.
$13.2M*Fiscal year ending 10/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$4.5M*Fiscal year ending 10/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
34%*Fiscal year ending 10/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
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 Lexington, KY, Lexington Premier Nursing & Rehab is licensed for hospice care, skilled nursing care, respite care, and nursing home care. Licensed nursing covers all 24 hours, which a long-term care license is built around. Hospice care occupies the comfort end of the same list.
A caregiver going away or getting over something is who respite care is for. The stay is short, and everyone knows that going in.
The home has 120 beds. Each resident’s day is backed by 3 hours and 43 minutes of nursing. All three of Medicare, Medicaid, and private pay are taken.
Rehabilitation Services, Post-Surgical Care, and Pain Management take the residents coming off an operation or living with discomfort that has not gone away. Oxygen Therapy, Diabetes Care, Cardiac Care, CVA/Stroke Care, Continence Care, Catheter Care, and Colostomy Care are named beyond those.
Each one is a clinical need somebody wrote down and this building agreed to meet. Activities appear among the amenities. Michael Fielden administers the home for Blc Lexington Snf.
The Pavilion at Kenton offers assisted living, traditional nursing home support, and skilled nursing care in Covington, Kentucky. Assisted living services help residents manage routine personal tasks, whereas skilled nursing addresses higher-level clinical needs. Having multiple levels of support in one location allows residents to adjust their care plans over time without relocating to another facility.
Operated by Pavilion at Kenton for Nursing and Rehabilitation under administrator Christina Frey, the 82-bed facility maintains a 96% occupancy rate. Nursing personnel deliver an average of 2 hours and 37 minutes of daily care per resident. Features include physical rehabilitation therapies, a main-floor café, restaurant-style dining options, and a chapel for religious services. Located in a neighborhood with a 54 walk score, the site sits near local destinations that can be reached on foot. Accepted payment methods encompass Medicare for short-term post-acute care, Medicaid, and direct private pay.
Prospective residents looking into long-term or transitional care in the area can contact The Pavilion at Kenton to review admission requirements, check open accommodations, or plan an upcoming tour.
Overview of Elkton Nursing and Rehabilitation Center
Elkton Nursing and Rehabilitation Center in Elkton, Kentucky, offers nursing home care, memory care, skilled nursing, palliative care, and hospice services. Structured memory care programs operate in secured spaces to support individuals prone to wandering, while palliative and hospice services focus on symptom management and end-of-life comfort.
Elkton Opco manages the 60-bed facility under administrator Eric Ross, offering both private and semiprivate room accommodations. Short-term rehabilitation programs include LifeWorks Rehab and HeartWorks Recovery to assist residents during short stays. Nursing records reflect 2 hours and 45 minutes of direct daily nursing time per resident. Financial coverage options include Medicare, Medicaid, and direct private pay, while a 50 walk score indicates that some nearby errands can be completed on foot.
Prospective representatives searching for specialized clinical oversight or short-term therapy programs can connect with Elkton Nursing and Rehabilitation Center to ask about open beds, discuss funding structures, or schedule a tour to view the grounds.
Overview of Salyersville Nursing and Rehabilitation Center
Salyersville Nursing and Rehabilitation Center in Salyersville, Kentucky, delivers long-term nursing home care, short-term rehabilitation, respite stays, and palliative services. Palliative programs emphasize symptom relief and comfort care, while respite options provide short-term stays so primary caregivers can take time off. Clinical teams provide round-the-clock nursing supervision alongside restorative therapies that help residents rebuild functional independence.
Salyersville Health Operating Company manages the 143-bed facility under administrator Benita Dickenson. Daily nursing records show an average of 3 hours and 32 minutes of direct care per resident. Specialized medical support includes 24/7 respiratory therapist coverage, scheduled physician visits, structured wound care, medication management, and personalized dietary counseling. Accepted payment methods include Medicare, Medicaid, and private pay.
Prospective residents seeking long-term care or short-term respite can contact Salyersville Nursing and Rehabilitation Center to get more details, discuss financial options, or schedule a visit.
Overview of Belmont Terrace Nursing and Rehabilitation Center
Two care types have names at Belmont Terrace Nursing and Rehabilitation Center in Florence, KY. They are nursing home care and skilled nursing, both aimed at residents needing clinical support that does not stop.
Nursing care, rehabilitation services, or a temporary booking while a usual caregiver is away are three different routes to this door. Short-Term Rehab puts rehabilitation in a setting with a time limit on it, and respite care takes the short stays.
Bridge Point Health Center operates the center, and Kenneth Graves is the administrator. The home has 151 beds.
Medicare pays for the skilled stretch after a hospital admission, and only for as long as that qualifies. Medicaid may carry a resident whose own money runs out partway through. The third route is private pay, and two hours and 56 minutes is the daily nursing figure per resident.
With a 120-bed capacity, Carter Nursing and Rehabilitation is a nursing home in Grayson, KY, offering hospice care, respite care, and skilled nursing. The community have access to nursing services for complex medical needs, supported by 24-hour staffing. Comfort-focused care is also provided for terminally ill residents, while respite care is available for those seeking short-term stays.
Occupancy is at 91.9%, with total nurse staffing of 3 hours and 12 minutes per resident daily. Medicare, Medicaid, and private pay are also accepted, giving families payment paths for covered or privately funded care.
Short-term rehabilitation and outpatient therapy are available for residents who need recovery support. The community also offers x rays, lab work, podiatry services, and mental health consultations, covering imaging, testing, foot care, and behavioral health support.
Overview of River Haven Nursing and Rehabilitation Center
River Haven Nursing and Rehabilitation Center is a nursing home and skilled nursing community in Paducah, KY, offering hospice care, palliative care, and respite care. Skilled nursing and nursing home care provide licensed nursing care on site around the clock. Hospice supports end-of-life care, while palliative care focuses on comfort and symptom management.
Respite care provides a short stay for a family caregiver who needs temporary relief. Rehabilitation services support residents who need therapy during recovery, and both short-term and long-term care are available for temporary recovery or ongoing nursing needs. The range of services suits residents who need ongoing nursing, rehabilitation, or short-term support.
River Haven Nursing and Rehabilitation Center has 103 beds. Total nurse staffing is 3 hours and 6 minutes per resident per day, representing the daily nursing time assigned to each resident.
Medicare, Medicaid, and private pay are accepted. Medicare can cover short-term skilled care after a hospital stay, Medicaid can help when savings may not cover a long stay, and private pay allows a family to pay directly. Teresa Belt serves as administrator, and Paducah Operating Company operates River Haven Nursing and Rehabilitation Center.
Overview of Danville Centre for Health and Rehabilitation
Danville Centre for Health and Rehabilitation provides nursing home, hospice care, memory care, palliative care, respite care, and skilled nursing in Danville, KY. Nursing home and skilled nursing services provide 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 near the end of life, and palliative care addresses symptoms and comfort related to serious illness. Respite care provides a short stay for a family caregiver who needs to travel or recover. Together, these services may suit a resident whose care needs could change over time without requiring a move to a different community.
The community has 106 beds, with total nurse staffing of 3 hours and 27 minutes per resident each day. That figure represents the daily hands on nurse staffing time assigned to each resident. Rehabilitation services are available for residents recovering strength or function after illness, injury, or surgery.
A salon and spa allows residents to receive grooming services within the community, while the outdoor courtyard and gazebo provide designated spaces for time outside. Multidenominational weekly religious services are available for residents who wish to participate in worship. Payment options are Medicaid, Medicare, and private pay: Medicaid may help families whose savings do not cover a long stay, Medicare applies to short term skilled care after a hospital stay rather than long term residence, and private pay means paying directly for care.
Parker Moore serves as the administrator, and LP Danville operates the community. A Walk Score of 62 makes the area somewhat walkable, meaning some errands can be done on foot, so a resident who no longer drives may be able to complete some outings independently.
Overview of Signature Healthcare at Colonial Rehab and Wellness
Signature Healthcare at Colonial Rehab and Wellness Center is a nursing home in Bardstown, KY, offering palliative care, respite care, and skilled nursing. Residents have access to rehabilitation services, helping them improve functionality. The community also welcomes those seeking a temporary stay with respite services. Clinical Services and Care Navigation are also available for higher levels of care.
The community has 65 beds and is currently at 83.4% occupancy, with 54 beds occupied. Furthermore, total nurse staffing is 3 hours and 49 minutes per resident each day. Medicare, Medicaid, and private pay are accepted, giving families public benefit and direct payment routes for eligible care. Louis Hernandez Byrne is the administrator, and LP Bardstown operates the community.
Overview of Nicholasville Nursing & Rehabilitation
With a 73-bed capacity, Nicholasville Nursing & Rehabilitation offers nursing home care, hospice care, respite care, and skilled nursing in Nicholasville, Kentucky. The community provides specialized care for those living with memory-related conditions and welcomes short-term stays for older adults whose primary caregivers need time away. Rehabilitation services, including short-term rehab, are also available for those recovering after an illness, surgery, or hospital stay.
The home has 73 beds, with total nurse staffing of 3 hours and 13 minutes per resident per day. Occupancy is at 87.7%, with 64 beds currently in use. Physical therapy is also available to help improve residents’ functionality. Administered by Tracy Boulware, the community also accepts Medicare, Medicaid, and private pay.
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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