Page 16 of Best Nursing Homes in Kentucky

Overview of The Seasons at Alexandria

Managing 16 dementia units and 50 behavioral health units, The Seasons at Alexandria is a 66-bed nonprofit senior community that integrates skilled nursing, assisted living, and physical rehabilitation. The property serves a patient base that averages a 102-day length of stay, relying heavily on a combination of private-pay admissions (65%) and Medicare coverage (34%). While local building utilization stays stable at an 87% occupancy rate, commercial data points to immense operational stress. The business recorded a $3.7 million net operating loss in 2023 despite pulling in a high $35.7 million in gross revenue, with management keeping its payroll allocation down to just 36.1% of overall funding.

Critical front-line staffing shortages and serious historical regulatory fines stand out in public health databases, alongside mixed clinical outcomes. Daily direct nursing care lines average 1 hour and 11 minutes per resident, ranking the facility last out of 184 homes statewide across Kentucky, while weekend registered nurse hours drop slightly to 1 hour and 10 minutes. On the compliance side, state records note 17 total citations since 2019, featuring five critical and two serious deficiencies alongside a massive $226,000 federal financial penalty issued in June 2024.

A more recent August 2025 inspection logged four moderate, subsequently resolved points involving infection protocols, nutrition, and pharmacy tracking. While permanent resident files show solid skin care management, short-term post-acute recovery charts flag an elevated 1.7% major injury fall rate during active rehabilitation.

Prospective residents evaluating regional behavioral health options or short-term physical therapy placements can examine these state monitoring logs to weigh the provider’s current workloads. Since the public paperwork documents substantial historical financial penalties, low permanent-resident mobility preservation, and the thinnest daily nursing hours in the state alongside stable local building occupancy, the files outline a facility facing acute structural and care delivery challenges.

Overview of Salyersville Nursing and Rehabilitation Center

Salyersville Nursing and Rehabilitation Center is a 143-bed skilled nursing and rehabilitation facility at 662 Parkway Drive in Salyersville, Kentucky. Serving Magoffin County, the center is operated by Salyersville Health Operating Company, LLC, and accepts Medicare and Medicaid.

The facility currently has no displayed CMS star rating. Staffing levels show varied results: nurse aide hours align with state benchmarks, but RN hours are 15% below the Kentucky average. LPN hours run 43% below average, and physical therapy hours are 50% below the state benchmark. A notable clinical feature is the 24/7 presence of respiratory therapists, which is an uncommon specialty offering for the region.

The Kentucky Cabinet for Health and Family Services oversees inspections. Salyersville Nursing and Rehabilitation maintains a citations-per-inspection rate of 2.0. Quality measures for short-stay residents show a re-hospitalization rate of 35.4%, which is 44% higher than the Kentucky average. Long-stay emergency department visit rates perform 8% better than the state average, though long-stay hospitalizations run 18% above the benchmark.

Service programs include skilled nursing, memory care, wound care, and restorative rehabilitation. Specialty services encompass disease management, nutritional counseling, and vision and dental care. The facility provides 24-hour licensed nurse staffing and includes housekeeping and laundry services. Since specific monthly pricing is not provided in public records, families should request a current fee schedule during a facility tour.

Families seeking specialized respiratory therapy coverage and broad clinical services may find this environment appropriate. Those considering the facility for short-term rehabilitation should carefully review the re-hospitalization and emergency department visit rates and discuss these outcomes with the administrator before making a placement decision.

Overview of Belmont Terrace Nursing and Rehabilitation Center

Encore Health Partners operates Belmont Terrace Nursing and Rehabilitation Center, a single-story 151-bed nursing home on Woodspoint Drive in Florence, Kentucky. On the financial side, the billing office works with standard setups, taking private pay, Medicare, and Medicaid. The local area has a Walk Score of 31, making it a car-dependent spot where family members and visitors will usually need a ride to get back and forth, though a couple of quick errands can be handled on foot nearby.

State files show that the resident population experiences an average length of stay tracking at 255 days, highlighting a standard balance between short-term therapy recovery and long-term residential housing. To handle daily medical and clinical needs, the 24-hour floor staff averages 3 hours and 18 minutes of direct nursing care per resident every single day. This daily care timeline relies on a team approach where registered nurses manage clinical oversight while licensed practical nurses and nurse aides deliver hands-on monitoring, wound care, and medication management.

Individuals can schedule a time to walk the building floor plan, review the daily therapy schedules, and evaluate the choice between private and semi-private rooms. The main desk coordinates these property visits while providing updates on standard domestic amenities, including housekeeping, laundry loops, and arranged transportation, alongside community features like the library, on-site salon, outdoor courtyard, and daily social calendar filled with stretching programs and card games.

Overview of Carmel Manor

Carmel Manor is a 175-bed skilled nursing, memory care, and personal care community in Fort Thomas, Kentucky, offering skilled nursing, short-term rehabilitation, memory care, personal care, and respite services. The facility is operated by The Carmelite Sisters For The Aged And Infirm, a voluntary nonprofit organization. It accepts Medicare, Medicaid, and private pay. Carmel Manor holds a 1-star CMS overall rating, driven by its Health Inspection score, which ranks in the bottom fifth of Kentucky’s 186 rated skilled nursing facilities. Across inspections since 2019, the facility accumulated 37 total health citations — nearly three times the Kentucky average of 13.5 — including 7 critical and 4 serious citations; a May 2025 follow-up visit confirmed substantial compliance with the accepted plan of correction. CMS assessed $312,000 in civil money penalties, anchored by a $292,000 fine in July 2025 associated with three critical abuse-and-neglect citations, as well as a four-day payment denial in March 2025. Staffing is the facility’s clearest counterpoint: nurse staffing averages 4 hours and 34 minutes per resident per day, 32% above the Kentucky average, earning a 4-star CMS staffing rating and a top-20 statewide rank out of 184 facilities. The facility’s occupancy rate is 54% — well below Kentucky’s average of 81.3% — indicating current bed availability. Private pay accounts for 67% of admissions, with an average length of stay near 200 days. Carmel Manor’s rehabilitation services, above-average nursing staff hours, and current availability make it well-suited to short-term post-acute stays and personal care placements in Campbell County. However, families should review the facility’s inspection history, abuse-related citations, and federal penalties before making a placement decision.

Perkins Country Manor is a 32-bed skilled nursing facility located on Asbury Road in Augusta, Kentucky, under the ownership of Bracken Ky Opco Holdco. The home works with standard payment options, processing residential invoices through private pay, Medicare, and Medicaid. The local streets carry a somewhat walkable neighborhood layout, which means family members and visitors can manage some small tasks on foot, though a personal vehicle is still useful for general travel around the county.

The building maintains a 78 percent occupancy rate, with individual resident stays averaging about 120 days. This shorter baseline timeline means the daily floor schedule balances temporary respite care and short-term post-hospital therapy with standard long-term housing. The nursing crew covers the building around the clock, providing an average of 2 hours and 49 minutes of direct medical monitoring per resident each day, with a staffing schedule that splits duties between registered nurses, practical nurses, and nurse aides.

Daily operations target short-term recovery tracking and personal care assistance for residents who do not require extended, long-term placement. General routines coordinate standard necessities like housekeeping, room maintenance, and daily meals to keep the building organized. For families reviewing the home’s history, state inspection reports have historically centered on operational compliance reviews regarding resident documentation procedures and medication storage protocols.

Interested individuals can evaluate how the facility organizes its daily nursing schedules, short-term recovery tracks, and health documentation procedures. The community pairs these primary clinical operations with standard services, including flexible care options, regular room maintenance, and around-the-clock physical assistance.

Madonna Manor is an exceptional community in Villa Hills, KY, offering assisted living, independent living, memory care, skilled nursing, and rehabilitation. The community strives to meet residents’ healthcare needs, providing top-tier care with a compassionate and highly skilled team available around the clock. Housekeeping and laundry are taken care of, ensuring residents have more time to do the things they love.

Here, residents will not run out of things to do for leisure and wellness with a jam-packed calendar of engaging activities and enriching programs that highlight their interests and capabilities. Mealtimes promote social interactions and satisfy dietary needs with delicious and healthy dining options. The community is a great option for those looking to live a blissful retirement with its dedicated services and exceptional amenities.

The Pavilion at Kenton is located on East 20th Street in Covington, Kentucky. Wildcat Holding LLC operates this recently opened 82-bed building, which accepts standard payment options like private pay, Medicare, and Medicaid. The local neighborhood has a moderate walkability layout, meaning visitors can handle some small tasks on foot, though a personal vehicle is still helpful for general travel across the area.

The facility runs at a 96 percent occupancy rate, with residents staying for an average of 157 days. This timeline keeps the daily workflow focused on short-term physical rehabilitation and post-hospital recovery, backed by 24-hour floor coverage. The nursing team averages 2 hours and 54 minutes of direct care per resident daily, dividing tasks between registered nurses, practical nurses, and nurse aides to maintain continuous medical monitoring.

The first floor features a restaurant-style dining area, an on-site café, and a private dining room for family visits. The building also houses the historical Majestic Chapel for scheduled religious services, while the staff handles daily room maintenance, security protocols, and laundry. For families reviewing the home, state inspection reports have highlighted historical compliance issues regarding medication management, food safety, and infection prevention.

Individuals can check out how the building manages its daily nursing shifts, short-term rehab tracks, and regulatory compliance records.

Overview of Elkton Nursing and Rehabilitation Center

Valarie Carter owns Elkton Nursing and Rehabilitation Center, a 60-bed skilled nursing facility located on Allensville Road in Elkton, Kentucky. The property routes its billing through typical payment paths, accepting Medicare, Medicaid, and private pay options. The local geographic area carries a Walk Score of 50, indicating a moderate setup where visitors and residents can complete a few minor errands on foot, though most regional transit requires a brief drive.

State files show an average length of stay tracking at 335 days across the 60 beds, pointing to a combination of short-term recovery tracks and extended residential housing. Daily floor schedules are built around the LifeWorks Rehab and HeartWorks Recovery programs to assist individuals transitioning from hospital surgeries or illnesses. To manage these clinical needs, the 24-hour nursing team averages 3 hours and 43 minutes of direct care per resident daily, which is backed by nurse aides providing 3 hours and 11 minutes of hands-on daily assistance with personal mobility.

Families can arrange an in-person tour to evaluate the private or semi-private bedroom options, see the restaurant-style dining area, and discuss the specialized recovery programs with the care team. The administrative staff manages these visits alongside inquiries regarding daily amenities like independent room HVAC controls, Wi-Fi access, the on-site beauty salon, and concierge support.

Overview of Christian Heights Nursing and Rehabilitation Center

Christian Heights Nursing and Rehabilitation Center is a 60-bed facility at 124 West Nashville Street in Pembroke, Kentucky. Operated by Pembroke Operating Company, LLC (License #100069), the center serves Christian County and the Hopkinsville area, accepting both Medicare and Medicaid.

The facility reports direct care staffing levels that exceed state averages in some categories, though clinical oversight remains below par. LPN hours are 58 minutes per resident per day (18% above the Kentucky average) and nurse aide hours are 2 hours and 33 minutes (5% above average). However, RN hours are 24 minutes per day—48% below the state average of 46 minutes—and weekend RN hours are 13 minutes, 58% below the state benchmark. Physical therapy hours are recorded at 1 minute per day, which is 75% below the state average.

Quality measures indicate significant clinical concerns regarding acute care utilization. Long-stay hospitalizations are 3.73 per 1,000 resident days—99% worse than the Kentucky average of 1.87. Long-stay emergency department (ED) visits are 4.70 per 1,000 days, 115% worse than the state average of 2.19. These figures represent residents being hospitalized or sent to the ED at approximately double the state rate.

The Kentucky Cabinet for Health and Family Services oversees inspections. Christian Heights maintains a citations-per-inspection rate of 2.0, which is 57% better than the Kentucky average of 4.7. A February 21, 2025, recertification survey identified two deficiencies involving food storage safety and physical environment issues, such as peeling paint and malfunctioning toilets. A November 25, 2025 survey found the facility in full compliance with zero deficiencies, indicating these issues were resolved. No civil money penalties or enforcement actions have been recorded for the 2024–2026 period. Occupancy is 93%, well above the state average of 81.3%.

Service programs include short-term and long-term rehabilitation, memory care, wound care, and medication management. Amenities feature activities programming and 24-hour staffing in a city-center location with a Walk Score of 31. Since specific monthly pricing for nursing care is not provided in public records, request a current fee schedule during a facility tour.

Prospective residents seeking high-occupancy care with an improving compliance record should carefully weigh the severely elevated hospitalization and emergency department visit rates. It is recommended that individuals ask the administrator directly about clinical initiatives to reduce acute care utilization and observe the physical plant repairs during an in-person visit before making a placement decision.

Overview of Carter Nursing and Rehabilitation

Carter Nursing and Rehabilitation handles its daily operations out of a 120-bed nursing home located right on McDavid Boulevard in Grayson, Kentucky. The finance department processes resident billing through typical insurance tracks, accepting private pay along with Medicare and Medicaid. The local area scores moderately on the walkability scale, enabling visiting family members and local guests to take care of a few common daily errands on foot.

The building runs at a 95 percent occupancy level across its 120 beds, with residents staying for an average of 147 days. This timeline shows a stable operational mix of long-term medical housing and short-term post-hospital therapy. To keep up with these recovery goals, the 24-hour care team puts in an average of 2 hours and 31 minutes of direct nursing care per resident every single day, which includes 1 hour and 44 minutes from nurse aides and 27 minutes from registered nurses.

Prospective residents can arrange an in-person visit to evaluate the room choices, look over the therapy gym, and review the direct nursing schedules. The front desk organizes these property tours while answering questions about temporary respite tracks, hospice setups, and on-site ancillary services, including regular laboratory work, X-rays, podiatry consultations, mental health checks, and high-speed Wi-Fi access.