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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.
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.
A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Kentucky average is: 48.9% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Rank badges are statewide and care-type specific: each nursing home is ranked against every other KY nursing home we track that reports that metric, not just the 207 on this page. See how we rank facilities
Elliott Nursing and Rehabilitation delivers skilled nursing, memory care, respite care, and hospice support in Sandy Hook, Kentucky. Resident programs focus on continuous medical care, specialized cognitive supervision for dementia, and short-term relief for family caregivers. Rehabilitation services assist individuals recovering from illness or injury through temporary inpatient stays and outpatient therapy sessions.
Managed by administrator Rachelle Stevens, the 75-bed center provides an average of 2 hours and 40 minutes of total daily nurse staffing per resident. Local surroundings carry a walk score of 30, meaning off-site trips rely on motor transportation. Accepted financial arrangements include Medicare, Medicaid, and direct private payment.
Families can contact the admissions office at Elliott Nursing and Rehabilitation to discuss program details, explore coverage eligibility, or tour the facility.
Overview of Hardinsburg Nursing and Rehabilitation Center
Somebody has been getting up twice a night for a year and has not mentioned it or how difficult it is for them. Respite care at Hardinsburg Nursing and Rehabilitation Center is built for that person.
Five care types run across 63 beds here: nursing home care, skilled nursing, hospice care, palliative care, and respite. That range covers a resident who needs steady nursing, comfort-focused care, or a placement with a definite end date.
Licensed nursing covers the overnight, which counts for the things that need supervision and can get worse lying down. Congestion and shortness of breath aren’t the kinds of things that wait until morning.
Hospice and palliative care mean the care changes while the address stays the same. Someone already living here is not sent elsewhere once their comfort becomes the main goal.
Medicare, Medicaid, and private pay are all accepted. Nursing time equals 3 hours and 9 minutes per resident daily. Rehabilitation services are part of what the center handles, and a salon also operates on-site. Joseph Vance administers the center for Hardinsburg Health Center.
Breckinridge Place offers nursing home care, skilled nursing, assisted living, independent living, and respite care in Morganfield, KY. Nursing home and skilled nursing services provide licensed nursing care on site around the clock. Assisted living includes help with daily tasks such as bathing, dressing, and medication, while independent living provides private living with community services and no daily care. Respite care offers a short stay when someone’s usual caregiver needs to travel or recover.
There are 32 beds. That gives the community a smaller setting where staff and residents can get to know each other. The range of care levels may suit a resident whose needs grow over time, since they can remain within the same community while moving from independent living or assisted living to more intensive care. Total nurse staffing is 5 hours 26 minutes per resident per day, representing that amount of daily nurse staffing time allocated per resident.
Chef prepared meals are served daily, with always available options for residents who prefer something different. Daily activities include games, crafts, music, and exercise. Transportation to medical appointments helps residents attend those visits without arranging a separate ride. Lyndsee Pendelton serves as the administrator.
Medicare, Medicaid, and private pay are accepted. Medicare applies to short term skilled care after a hospital stay, while Medicaid may help eligible residents cover long term care and private pay uses personal funds. A Walk Score of 53 places the area in the somewhat walkable band, meaning some errands can be done on foot. A resident may be able to complete select errands without a car.
Signature Healthcare at Hillcrest provides nursing home, memory care, respite care, and skilled nursing in Owensboro, KY. Nursing home care supports residents who need ongoing assistance and clinical oversight in a residential setting, while skilled nursing provides licensed nursing care on site around the clock. Memory care offers a secured setting with supervision for someone at risk of wandering, and respite care provides a short stay for a resident when a usual caregiver needs to travel or recover.
The range of care types may make Signature Healthcare at Hillcrest a good fit for a resident whose needs may change over time without requiring a move to another community. The 156-bed community accommodates a broader resident population than a smaller home. Private rooms provide an individual living space, while semi-private rooms suit residents who share a room with a companion. Payment options are Medicare, Medicaid, and private pay, allowing families to use public coverage or pay directly.
Total nurse staffing is 3 hours and 31 minutes per resident per day, representing the recorded amount of nurse staffing time allocated per resident across a day. LP Owensboro Ii operates Signature Healthcare at Hillcrest.
Overview of Madisonville Health and Rehabilitation
Madisonville Health and Rehabilitation provides nursing home care, skilled nursing, and rehabilitation in Madisonville, Kentucky. Skilled nursing means licensed nursing care is available on site around the clock, while rehabilitation supports recovery needs. The Rehab to Home Program may suit a resident working toward returning home after rehabilitation.
The community has 94 beds, with private rooms that give residents a single room instead of a shared bedroom. Programs include 360 Care, geriatric psychology, and tracheotomy care for residents who need care related to a tracheotomy. Nurse staffing totals 3 hours and 4 minutes per resident each day, representing the daily nursing time allocated to each resident.
Medicare, Medicaid, and private pay are accepted payment options. Robert Epley serves as the administrator.
Princeton Nursing & Rehabilitation serves Princeton, Kentucky, with nursing home care, skilled nursing, memory care, and respite programs. Dedicated memory care units feature a secured environment to protect residents prone to wandering. For short-term stays, respite options allow primary family caregivers to take temporary time off. Clinical services include inpatient and outpatient rehabilitation, short-term recovery programs, and IV therapy.
This 104-bed center operates under administrator Amanda Coleman and operator Princeton Ky Opco. Average daily nurse staffing measures 3 hours and 25 minutes per resident. Located in an area with a 64 walk score, the setting allows some local errands to be accomplished on foot. Financial arrangements accept Medicare for eligible short-term care, Medicaid for long-term residential stays, and private payment.
Prospective representatives can contact Princeton Nursing & Rehabilitation to check current room availability, discuss therapy programs, or arrange an in-person tour.
A member of the Trilogy Health Services group, The Willows at Springhurst is a trusted community where families and seniors know they made the right choice to live in the senior living community. As a sister company of Westport Place, The Willows ensures that residents have a wonderful experience in the community. Management emphasizes the importance of connections, which is why they promote socialization for everyone in the community. The Willows at Springhurst is a vibrant community that is excellent at satisfying the wellness needs of every resident.
The Willows is an independent living, assisted living, and memory care community with skilled nursing and short-term stay. They ensure that, as a senior living community, they deeply emphasize and guarantee that independence is maintained for their residents. Residents can rest easy knowing that they are placed first with the list of services and amenities provided for them: ADLs, transportation, library, and private dining rooms. Skilled nursing and personalized care are also offered to the residents.
Grant Healthcare and Rehabilitation provides nursing home and skilled nursing care in Williamstown, KY. Skilled nursing means licensed nursing care is available on site around the clock, while rehabilitation supports residents whose care includes recovery work. The combination may suit a resident who needs nursing care while working toward recovery.
The community has 95 beds. Total nurse staffing is 3h 14m per resident each day, representing the nursing time recorded for each resident across a full day.
Families can use Medicare, Medicaid, or private pay for care. Thomas Nielander serves as administrator, and Williamstown Ky Opco operates the community.
Overview of Springfield Nursing and Rehabilitation
Seventy beds make up Springfield Nursing and Rehabilitation, licensed for long-term care in a nursing facility. That covers both the resident recovering from surgery and the one managing a chronic condition for years.
Skilled nursing handles the clinical side. A licensed nurse is on duty at every hour the building is open, which is all of them.
Hospice takes a different aim. Comfort replaces cure as the goal for someone with a life-limiting illness, and the care gets measured against how a person feels rather than against a chart.
A daughter who normally drives up twice a week can be snowed in, or three states away for a stretch. Respite covers the weeks when the usual person simply cannot get there.
Rehabilitation therapy runs during a stay. A salon operates on site, and social gatherings with friends and family are part of the calendar.
Nursing time totals 3 hours and 48 minutes per resident each day. Medicare, Medicaid, and private pay are all accepted. Springfield Health Center operates the home, with Jim Grady as administrator.
Pikeville Nursing and Rehab Center is a nursing home in Pikeville, Kentucky, offering hospice care, memory care, and skilled nursing. Nursing home and skilled nursing services provide ongoing nursing care and support for residents with complex health needs, while memory care offers a secured setting with supervision for someone at risk of wandering. Hospice care focuses on comfort for a resident nearing the end of life, and the range of services can suit someone whose care needs change over time.
Opened in 1970, the center has 106 beds. Rehabilitation services support residents recovering after hospitalization, including those receiving posthospital skilled nursing care. A salon and spa provides personal grooming services on site, while multidenominational weekly religious services are available for residents who want to participate in worship.
Total nurse staffing is 3 hours and 16 minutes per resident per day, representing the daily hands on nursing time allocated to each resident. Medicare, Medicaid, and private pay are accepted, giving families several ways to cover eligible care, and Lanna Roberts serves as the administrator. With a Walk Score of 71, the area falls in the very walkable band, where most errands can be done on foot, so a resident who no longer drives may still be able to reach nearby shops, a pharmacy, or cafes independently.
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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