Best Nursing Homes in Kentucky

Overview of The Willows at Hamburg

Operating at a 79% occupancy rate, The Willows at Hamburg is a 103-bed skilled nursing facility focused on short-term recovery, memory care, and personal care services. The campus coordinates a mixed admission demographic that averages a 61-day length of stay, drawing from private-pay sources (54%), Medicare (43%), and Medicaid (3%). Financial ledgers verify stable commercial foundations, with the business reporting a $517.6 thousand net operating profit and a 3.1% margin.

Public health department data highlights considerable front-line staffing depth and excellent preventive wellness metrics alongside localized regulatory corrections. Daily direct care lines supply 4 hours and 3 minutes of nursing time per resident to rank 28th highest across Kentucky, driven by licensed practical nurse hours that run 49% ahead of the state baseline. These numbers correspond with high long-term clinical marks, including zero documented cases of urinary tract infections or skin pressure ulcers, as well as low permanent-resident injury falls.

Conversely, short-term charts reveal an elevated 1.4% rate for major injury falls during active rehabilitation and below-average self-care independence marks at discharge. Oversight registries note seven total citations since 2019, establishing a low average of 1.75 citations per inspection. The facility carries a single $62,000 historical federal fine tied to two corrected July 2024 abuse and neglect citations, while its most recent August 2025 standard review flagged two minor, subsequently resolved pharmacy and nutritional paperwork errors.

Prospective residents evaluating local post-acute rehabilitation programs or dedicated memory support spaces can check these state monitoring logs to verify the operator’s clinical track record. While the public files note minor short-stay safety risks and past high-severity regulatory corrections, the underlying documentation shows a stable facility backed by heavy daily direct nurse coverage and strong long-term preventative wellness logs.

Overview of The Springs at Oldham Reserve

Opened in 2024 by Trilogy Healthcare, The Springs at Oldham Reserve is a 103-bed skilled nursing facility that provides short-term rehabilitation, memory care, and assisted living within a highly walkable neighborhood layout. Admissions primarily feature a mix of short-stay Medicare post-acute clients (53%) averaging 23 days and private-pay individuals staying roughly four months. Financial records indicate notable initial operational hurdles, including a low 52% building occupancy rate and a 2023 operating deficit of $1.6 million. Despite these commercial challenges, the operator channels 62.8% of its total revenue directly into staffing payroll, supporting a campus model equipped with a movie theater, fitness center, and active community programming.

Public records display daily nursing resources and positive short-term recovery outcomes alongside an unusual cluster of initial regulatory fines. Direct care lines feature licensed practical nurse hours that run 82% ahead of the Kentucky baseline, while dedicated physical therapy volumes track 50% above the state average. This staffing investment matches high short-term performance charts, which note a 60.9% successful community discharge rate and very low emergency room visit frequencies, though permanent resident tracking logs higher-than-average rates for physical functional decline.

On the compliance side, because of the property’s recent opening, it carries a brief public monitoring footprint containing a single April 2023 inspection report. However, state files show the facility incurred seven small federal financial penalties totaling $19,000 during its first year of operation, with zero admission payment blocks on record.

Families investigating regional post-acute rehabilitation programs or multi-level retirement communities can use these state registry summaries to evaluate the building’s early track record. A look through the official data confirms heavy daily nurse staffing presence and strong post-acute recovery numbers alongside low initial building utilization, business losses, and frequent early administrative fines.

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 Providence Pointe Healthcare

Providence Pointe Healthcare is a 108-bed skilled nursing and rehabilitation facility offering transitional care, palliative care, memory care, respite care, and skilled nursing at 100 Marshall Court in Paducah, Kentucky. With over 40 years of operation by Providence Point Healthcare, Inc., the facility in McCracken County takes Medicare, Medicaid, and private pay and sees most residents for short-term rehabilitation, with an average stay of 110 days.

CMS scores the facility 3 stars, 7.5 percent above Kentucky’s average, with all four sub-ratings above the state mean. Staffing is the standout strength at 63.9 percent above Kentucky’s average, nurse hours reach 4h 14m per resident daily, ranked 24th out of 184 Kentucky skilled nursing facilities. Across 3 inspections since 2019, the facility totaled 9 citations, all moderate in severity, averaging 0.1 deficiencies annually, 89 percent below Kentucky’s average, with no critical or serious findings, fines, and payment denials. The facility operates near capacity with limited availability at 94 percent occupancy, well above Kentucky’s 81.3 percent average.

Amenities feature a full-service salon, pet-friendly environment, rehabilitation therapies, and social events programming, with an active resident council in place.

The facility suits well for short-term rehabilitation and transitional care in Paducah, with above-average staffing and a near-clean inspection record as the major strengths.

Overview of Signature Healthcare of Spencer County

Signature Healthcare of Spencer County is a 120-bed skilled nursing and rehabilitation facility operated by LP Taylorsville, LLC at 625 Taylorsville Road in Taylorsville, Spencer County, Kentucky. At 67.9 percent occupancy, below Kentucky’s 81.3 percent average and ranked 182nd of 200 state facilities, the facility has significant availability. Medicare, Medicaid, and private pay accepted, serving a mix of short-term rehabilitation and long-term care residents averaging 94 days of stay.

CMS rates the facility 1 star, 64.2 percent below Kentucky’s average, driven primarily by quality measures running 65.5 percent below state mean. Across 3 inspections since 2018, the facility recorded 16 total citations, all moderate in severity, with no critical or serious findings across eight years of inspections, and no fines or payment denials in the past three years. Nurse hours reach 3h 38m per resident daily, 6 percent above Kentucky’s average, though CNA hours run 24 percent below state figure.

A beauty and barber shop, pet therapy, and a facility chaplain are amenities. Present are an active resident and a family council. Services include memory care, respite care, a care navigation program, and 24-hour pharmacy access.

The facility caters to rehabilitation and long-term care residents in Taylorsville, with a clean enforcement record counterbalanced by below-average quality measures.

Overview of Signature Healthcare of Monroe County Rehab and Well

Signature Healthcare of Monroe County Rehab and Well is a 104-bed skilled nursing and rehabilitation facility offering memory care, respite care, and a care navigation program at 706 North Magnolia Street in Tompkinsville, Kentucky. Accepting Medicare, Medicaid, and private pay, the facility, operated by LP Tompkinsville, LLC in Monroe County, serves a mix of short-term rehabilitation and long-term care residents averaging 93 days of stay.

CMS scores the facility 5 stars, 79.2 percent above Kentucky’s average, with all four sub-ratings above the state mean. Health inspection performance leads at 70.1 percent above Kentucky’s average, across 3 inspections since 2018, the facility recorded only 7 total citations, all low severity, with no critical or serious findings, complaint investigations, fines, and payment denials across eight years. Nurse hours reach 3h 52m per resident per day, 12 percent above Kentucky’s average, with LPN hours running 47 percent above the state figure. At 74.4 percent occupancy which is modestly below Kentucky’s 81.3 percent average, the facility has some availability.

Amenities feature an on-site chaplain, elder vacations, transportation to community events, and a small-neighborhoods care model. On-site nurse aide training and an active resident council exist.

With one of the cleanest inspection records in Kentucky, the community is suitable for residents seeking rehabilitation or long-term skilled nursing in rural Tompkinsville.

Overview of Signature Healthcare of Glasgow Rehab and Wellness C

Signature Healthcare of Glasgow Rehab and Wellness Center is a 68-bed skilled nursing and rehabilitation facility offering memory care, respite care, and a care navigation program at 220 Westwood Street in Glasgow, Barren County, Kentucky. The facility operated by LP Glasgow, LLC welcomes Medicare, Medicaid, and private pay. It has an average stay length of 98 days and a mix of short-term rehabilitation and long-term care residents. The facility has limited availability at 83.7 percent occupancy, aligned with Kentucky’s 81.3 percent average.

The facility is scored 5 stars by CMS, 79.2 percent above Kentucky average, with all four sub-ratings above state mean. Staffing runs 63.9 percent above Kentucky average, nurse hours reach 4h 28m per resident daily, ranked 19th out of 184 Kentucky skilled nursing facilities, and quality measures run 72.4 percent above state figure. Across 1 inspection since 2021, the facility recorded 5 total citations, all moderate in severity, with no critical or serious findings, complaint investigations, fines, and payment denials.

An on-site chaplain, elder vacations, transportation to community events, and a small-neighborhoods care model are among the services. Three therapy and rehabilitation services exist along with skilled nursing. Present is an active resident council.

Signature Healthcare of Glasgow is ideal for residents needing rehabilitation or long-term skilled nursing in Barren County. Its staffing and quality measures are among the strongest in Kentucky.

Overview of Life Care Center of Morehead

Life Care Center of Morehead is a 97-bed skilled nursing and rehabilitation facility offering Alzheimer’s and dementia care at 933 North Tolliver Road in Morehead, Kentucky, located near St. Claire Regional Medical Center. Operated by Campbell/Preston Medical Investors, LLC in Rowan County, the facility welcomes Medicare, Medicaid, and private pay with an average stay duration of 91 days and a census geared toward long-term care.

CMS rates the facility 1 star, 64.2 percent below Kentucky average, driven by a health inspection sub-rating running 66 percent below state mean. Staffing is the contrasting strength at 63.9 percent above Kentucky average. Across 3 inspections since 2019, the facility totaled 15 total, including 1 critical Infection Control finding, with a $24,000 federal fine assessed in May 2025 and no payment denials. At 94 percent occupancy that’s well above Kentucky’s 81.3 percent average, the community operates near capacity.

A community re-entry program, a certified dietitian, landscaped grounds and courtyards, and a full-time certified activity director are among the amenities, with an existing active resident council.

Close to St. Claire Regional Medical Center, the community serves long-term skilled nursing and dementia care residents in Rowan County.

Overview of Signature Healthcare at Colonial Rehab and Wellness

Signature Healthcare at Colonial Rehab and Wellness is a 65-bed skilled nursing and rehabilitation facility at 708 Bartley Avenue in Bardstown, Nelson County, Kentucky. Operated by LP Bardstown, LLC, the facility welcomes Medicare, Medicaid, and private pay, with a mix of short-term rehabilitation and long-term care and an average stay length of 71 days.

CMS rates the facility 1 star, 64.2 percent below Kentucky average, driven by a health inspection sub-rating running 66 percent below state mean. Quality measures and staffing both run above Kentucky average. Across 2 inspections since 2021, the facility recorded 6 total citations, 3 of them critical, including an Abuse/Neglect critical finding, from a July 2024 combined inspection. A $68,000 federal fine was assessed in line with that inspection, with no payment denials issued. Physical therapist hours run 150 percent above Kentucky average. The facility has availability at 74.4 percent occupancy, below Kentucky’s 81.3 percent average.

Services feature memory care, respite care, and a care navigation program. An active resident and family council is present.

Located in Nelson County, Signature Healthcare at Colonial caters to rehabilitation and long-term care residents in Bardstown.

Signature Healthcare of Elizabethtown is a 124-bed skilled nursing and rehabilitation facility operated by LP E-Town, LLC at 1850 Veteran’s Way in Elizabethtown, Hardin County, Kentucky. Situated a quarter mile from Hardin Memorial Hospital, the facility takes Medicare, Medicaid, and private pay with 24-hour, seven-day admissions and an average length of stay of 62 days. Memory care and respite care are also offered.

CMS grades the facility 5 stars, 79.2 percent above Kentucky average, with all four sub-ratings above state mean. Quality measures lead at 72.4 percent above Kentucky average, and health inspection performance runs 36.1 percent above. Across 4 inspections since 2019, the facility recorded 11 total citations, all moderate in severity, averaging 2.75 per inspection and ranked 45th of 186 Kentucky facilities, with no critical or serious findings, fines, and payment denials. Nurse hours reach 3h 34m per resident daily, modestly above Kentucky average, with physical therapist hours running 25 percent above state figure. At 86.8 percent occupancy that’s above Kentucky’s 81.3 percent average, the facility has limited availability.

Existing are on-site nurse aide training and an active resident council.

The community suits best for short-term rehabilitation and post-acute care in Hardin County, with hospital-adjacent access and above-average quality outcomes as major strengths.