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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.
$5.4M*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.
$2.6M*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.
47.7%*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
New Castle Nursing & Rehab is a nursing home and skilled nursing facility in New Castle, KY, with 60 beds. Skilled nursing means licensed nurses are available on site around the clock, while the nursing home setting supports residents who need ongoing nursing care. The community also offers temporary rehabilitation stays focused on recovery, so residents can receive therapy during the same stay instead of moving to a separate rehabilitation placement.
Medicaid, Medicare, and private pay are accepted. Medicaid may help families whose savings may not cover a longer stay, while Medicare applies to short-term skilled care after a hospital stay rather than long-term residence. New Castle Nursing & Rehab may be a good fit for someone who needs skilled nursing or a temporary rehabilitation stay. Total nurse staffing is 2 hours and 49 minutes per resident per day, representing the daily hands-on nursing time allocated to each resident, with staffing available around the clock and a doctor on staff. Austin Tate serves as administrator, and New Castleidence Opco operates the community.
Overview of Shady Lawn Nursing and Rehabilitation Center
Shady Lawn Nursing and Rehabilitation Center in Cadiz, Kentucky, offers skilled nursing, long-term care, hospice care, palliative services, and temporary respite stays. Licensed nursing staff supports individuals recovering from hospitalizations, managing chronic illnesses, or requiring end-of-life care. On-site rehabilitation programs provide physical, occupational, and speech therapies to aid functional recovery, while temporary respite stays give primary home caregivers routine breaks.
Supervised by administrator Dana Radford and operator Shady Lawn Opco, the 50-bed residence includes a staff physician on its care team. Reported data indicates total nurse staffing averages 3 hours and 3 minutes per resident daily. Facility highlights feature hair salon and barber services, structured group outings, and a pet-friendly policy that allows residents to keep animals. Accepted financial arrangements include Medicare for post-acute care, Medicaid for long-term stays, and private payment.
Families seeking short-term rehabilitation or long-term nursing support can contact Shady Lawn Nursing and Rehabilitation Center to ask about room availability, review financial options, or arrange an in-person visit.
Overview of Crestview Healthcare and Rehabilitation
Crestview Healthcare and Rehabilitation in Shelbyville, Kentucky, provides long-term nursing, skilled care, memory support, hospice, and palliative care. Dedicated memory units offer secured surroundings to protect residents prone to wandering, while palliative and end-of-life programs focus on pain relief and comfort care. Physical rehabilitation therapies operate directly on site to assist residents recovering from illness or injury.
Shelbyville, KY, Opco manages the 58-bed location under administrator Steve McKinley. The facility maintains a 96 percent occupancy rate, and records show an average of 3 hours and 22 minutes of direct nursing time per resident daily. Positioned in a neighborhood with a 56 walk score, the location enables residents to handle select errands on foot. Accepted payment methods include Medicare, Medicaid, and private funds.
Families considering long-term care options or specialized memory support can reach out to Crestview Healthcare and Rehabilitation to confirm current room availability, discuss payment methods, or request a facility tour.
Overview of Clinton-Hickman County Nursing Facility
Clinton-Hickman County Nursing Facility provides nursing home care, palliative care, and skilled nursing in Clinton, Kentucky. Nursing home and skilled nursing services include licensed nursing care on site around the clock. Palliative care focuses on comfort and symptom management for people living with serious illness.
The facility has 56 beds. Total nurse staffing is 6 hours and 4 minutes per resident per day, representing the total nursing time provided per resident across a day. Medicare, Medicaid, and private pay are accepted, giving families payment routes for eligible care and services.
Rehabilitation services include physical therapy, occupational therapy, and speech-language pathology. Residents receiving short-term rehabilitation can access these therapies through the facility’s services. Respite care provides short stays and may make the facility a good fit for a family needing support while a primary caregiver travels or recovers.
Dietary services include low concentrated sweets, low sodium, renal, gluten free, vegetarian, low cholesterol, fluid restricted, mechanical soft, and pureed diets. A beauty shop provides salon services within the facility. Jennifer Connell serves as administrator, and Clinton Hickman County Hospital operates the facility.
Overview of Signature HealthCARE at Rockford Rehab & Wellness Center
Cradled in the midst of Louisville, Signature HealthCARE at Rockford believes in the power of little things, and they pour their hearts into creating an environment that focuses on every aspect of health. Their dedicated team of medical professionals, including specialists, nurses, nutritionists, therapists, dietitians, and social workers, are not just staff members, but also trusted companions on the journey to recovery. The airy and inviting atmosphere, the cozy hair salon where residents can indulge in self-care, the personalized dining options that cater to individual tastes, and the guest wireless internet that keeps loved ones close, all contribute to a sense of home. Their life enrichment programs, care navigation services, and commitment to dignity and respect in every interaction, create a holistic approach to care that touches the hearts of residents and their families alike. If you’re looking for a place where healing is more than just a medical process, but a heartfelt journey, Signature HealthCARE at Rockford is the perfect match for you.
Thomson-Hood Veterans Center is a nursing home in Wilmore, KY. Nursing home care provides ongoing nursing and daily support in a residential setting for residents whose needs require more care than they can manage independently. Because the center has served Veterans, it may be a good fit for a veteran who needs long-term nursing home care.
With 285 beds, the center is a larger nursing home with more residents and staff and usually more programming than a smaller setting. Its 50% occupancy means half of the beds are occupied, leaving additional licensed capacity.
The center opened in 1991 and is operated by Commonwealth Of Kentucky. Samuel Hutchinson serves as the administrator, and total nurse staffing is 6h 2m per resident/day, representing the amount of nurse staffing time allocated per resident over a day.
Payment options are Medicare, Medicaid, and private pay, allowing families to evaluate coverage through Medicare or Medicaid or plan for direct payment.
Overview of Lee County Care and Rehabilitation Center
Lee County Care and Rehabilitation Center is a nursing home and skilled nursing community in Beattyville, Kentucky, offering hospice care, memory care, palliative care, and respite care. Nursing home and skilled nursing services provide licensed nursing care on site around the clock. Memory care provides a secured setting with supervision for someone at risk of wandering. Hospice and palliative care address comfort focused needs, while respite care may be a good fit for a family whose usual caregiver needs temporary relief.
The center has 109 beds, with total nurse staffing of 3 hours and 1 minute per resident each day. That represents the daily hands on nursing time allocated to each resident. Medicare, Medicaid, and private pay are accepted payment methods. Marilyn Kaye Wilson serves as administrator, and LP Beattyville operates the community. Residents can use salon services and restaurant style dining, while rehabilitation services provide therapy within the community’s care offerings. Complimentary transportation is available for physician appointments, giving residents a ride arranged for those visits. Religious services are available for residents who wish to participate. The Walk Score is 42 out of 100. The area is car dependent, so a resident who no longer drives would need a car or a ride for most errands.
Overview of Signature Healthcare of Monroe County Rehab and Well
Signature Healthcare of Monroe County Rehab and Well is a nursing home in Tompkinsville, KY offering skilled nursing, hospice care, palliative care, and respite care. Skilled nursing provides nursing care, while hospice supports residents at the end of life and palliative care focuses on comfort. Respite care offers a short-term stay when someone’s usual caregiver needs time away, while rehabilitation services support recovery during a stay.
The home has 104 beds and private rooms, so each resident has an individual room. Transportation to community events is available. An on-site chaplain provides access to spiritual support within the community, and elder vacations offer a temporary residential option for an older adult.
Medicare, Medicaid, and private pay are accepted. Total nurse staffing is 4h 8m per resident/day, representing the daily amount of nurse staffing assigned to each resident. Candi Spears serves as administrator, and LP Tompkinsville operates the community.
Signature Healthcare of Monroe County Rehab and Well may be a good fit for a resident who needs skilled nursing or rehabilitation, or for a family seeking short-term respite care while a primary caregiver travels or recovers.
Hopkins Center runs 50 beds in a single-story building on South College Street in Woodburn, Kentucky, offering nursing home and skilled nursing care under one roof. The Walk Score is 7, about as car-dependent as it gets, so getting there and getting around needs a car.
Occupancy runs at 89.7%, and the average length of stay is 205 days, well over half a year. That’s a long-term profile, not a short-stay rehab pipeline, and it shapes what kind of resident this facility is really built for.
Clinically, the service list here goes deeper than a standard nursing home: recreational therapy, orthopedic rehabilitation, wound care, pain management, amputee recovery, and colostomy care. That’s a specific, fairly wide-ranging set of capabilities, not a generic “comprehensive care” claim. Medicare, Medicaid, and private pay are all accepted, and the community allows pets, which matters for residents settling in for the long haul.
Structurally, residents get a voice: an active resident council and a regular resident group both meet to discuss policy and care quality, backed by an on-site, state-approved Nurse Aide Training program. Transportation services and fitness and recreation programming fill out the rest of daily life.
Between the long average stay, the specific clinical service list, and the resident-council structure, Hopkins Center reads as a facility built for residents who need sustained, specialized medical support over months rather than weeks, with a pet-friendly setup and some real say in how the place runs.
The service list at Greenville Nursing and Rehabilitation points mostly toward stays that end. Short-term rehabilitation, respite care, and outpatient therapy all assume somebody will be leaving eventually.
Occupational therapy works on daily tasks that stopped being automatic, and speech therapy works on swallowing and words. Outpatient therapy means a former resident can keep coming back for it. There are 74 beds behind Greenville Nursing and Rehabilitation’s list of services.
Respite covers a short stay booked around something already fixed on the calendar, like a wedding out of state that leaves a gap, and the respite stay ends on a date chosen in advance when the regular caregiver gets back.
Nursing coverage carries across shift change rather than thinning at the seam. Hospice care treats pain and breathing as the thing being managed, once recovery stops being the goal.
Nursing time clock at 3 hours and 18 minutes per resident daily. Medicare, Medicaid, and private pay are all accepted, and the administrator is one Shannon Landrum. This is a facility suited for someone whose needs run from a few weeks of recovery, but also someone who needs nursing without an end date.
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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