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Why trust this guide?
Our editorial team analyzed 197 nursing homes in KY using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in KY
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.
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 to lowest based on our ranking 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.
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: 48.8% 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.
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.
Located in Owensboro, Kentucky, Signature HealthCARE is an award-winning, family-based community dedicated to revolutionizing healthcare. They provide comprehensive solutions, offering short-term rehabilitative and long-term care. With a strong emphasis on service excellence, they focus on delivering quality care that promotes independence, restorative therapy, and the unwavering support for seniors. With 24/7 RN coverage and a comprehensive recovery care unit, they offer a range of physical, occupational, and speech therapies to aid in the healing journey.
This assisted living community with memory care services offers WiFi availability, outdoor courtyard and patio spaces, and more. Collaborating with physicians, their staff, including medical specialists, nurses, nutritionists, therapists, dietitians, and social workers, establishes personalized and comprehensive treatment plans aimed at maximizing recovery potential for each individual. Choose Signature HealthCARE for an exceptional healthcare experience, where compassionate care and dedication to patient well-being define their commitment to improving lives.
Providence Group of Kentuckiana manages Louisville East Post Acute, a 178-bed licensed nursing community located on Browns Lane in Louisville, Kentucky. The billing department processes resident accounts through typical pathways, accepting Medicare, Medicaid, and private pay. The immediate territory carries a Walk Score of 43, indicating a layout where a few minor errands can be handled on foot, though most regional transit requires a vehicle.
The building maintains a 90 percent occupancy rate across its 178 licensed beds, serving a resident population with an average stay tracking at 179 days. Shift logs show that total direct nursing care averages 2 hours and 47 minutes per resident each day, backed by 24-hour staffing and regular clinical tracking. Daily schedules blend these medical shifts with specialized tracks for rehabilitation, respite care, palliative support, diabetes care, and hospice services, utilizing an on-site therapy gym for physical recovery.
The physical layout features private and semi-private sleeping quarters alongside spacious outdoor courtyards and shared indoor lounges. The household crew manages standard domestic routines, including tailored dietary meal service, regular room cleaning, and building upkeep, to keep the institutional footprint orderly. Recent state recertification surveys found the facility in compliance with standard regulatory benchmarks, meaning internal workflows align directly with agency safety protocols.
Prospective representatives can coordinate an in-person tour to check out the rehabilitation gym, look over the outdoor courtyard spaces, and discuss current fall prevention and infection tracking methods with the staff.
Overview of Madisonville Health and Rehabilitation
Madisonville Health and Rehabilitation manages a 94-bed skilled nursing facility located on North Seminary Street in Madisonville, Kentucky. This community accepts standard financial options, processing billing via private pay, Medicare, and Medicaid. Because the surrounding neighborhood scores a 70 for walkability, visiting guests and families can complete most of their daily errands and short trips entirely on foot.
The facility structures its workflow around an average resident stay of 120 days. This timeline keeps the daily schedule centered on a mix of short-term recovery and standard long-term housing. The nursing team remains on the floor around the clock, delivering 3 hours and 19 minutes of direct care per resident daily to monitor specialized tracks like geriatric psychology, a Rehab-to-Home program, and complex clinical procedures such as tracheotomy support.
The building is equipped with facility-wide Wi-Fi and complimentary cable television across its residential spaces. Every day household operations pair standard laundry, room cleaning, and building upkeep with a recreational schedule that features movies, bingo, games, arts and crafts, and spiritual services. For families tracking regulatory safety files, a recent complaint-focused state inspection documented zero compliance issues or deficiencies.
Individuals can examine how the team manages its daily nursing rotations, transitional home-bound therapy paths, and recent state compliance records. The facility pairs these clinical frameworks with standard provisions, including building-wide internet access, regular household cleaning, structured social activities, and straightforward walking access to the local town.
Situated on Kimberly Lane in a tranquil residential area, Grant Healthcare and Rehabilitation is a newer skilled nursing facility in Williamstown, Kentucky. Recently completed and operated by owner Thomas Nielander, the home serves residents who need post-acute rehabilitation and ongoing nursing care. As a car-dependent location, families may find use in arranging transportation in advance, though the area is reasonably accessible for visits. The facility has 95 beds and currently keeps an 87 percent occupancy rate, signifying solid community confidence. Residents stay 135 days on average, a length reflecting short-term rehabilitation cases and longer-term care placements. The community welcomes Medicare, Medicaid, and private pay, giving families flexibility in their approach to care coverage.
Substantial is the staffing support: total nursing care averages 3 hours and 17 minutes per resident day, broken down among registered nurses, nurse aides, and licensed practical nurses. This nursing-hour structure delivers constant attentive care all day. The home offers rehabilitation services as a focal part of its program, so it’s a pragmatic choice for those recuperating from surgery, a hospital stay, or similar post-acute rehabilitation needs. Since the home accepts numerous payment types, families can work with staff to find the correct financial structure for their situation. As a newer facility, Grant Healthcare and Rehabilitation is still building its reputation in the community.
During an on-site tour, families thinking of choosing the home must ask about the services offered, including therapy options, specialized programs, dining arrangements, and activity programming.
Overview of Springfield Nursing and Rehabilitation
Springfield Nursing and Rehabilitation is on East Grundy Avenue in Springfield, Kentucky. Owned by Mark Holbrook, the facility has been open for 1 year and serves people needing post-acute rehabilitation as well as ongoing nursing care. It accepts Medicare, Medicaid, and private pay, so families have several ways to cover the cost of care.
The 70-bed community has an occupancy rate of 83%, with residents staying an average of 145 days based on their care needs. This average stay includes people receiving rehabilitation after a hospital stay or surgery, along with residents who remain in the facility for longer-term care. The resident population is a mix of short-term and long-term stays. Nurse staffing averages 3 hours and 15 minutes per resident each day.
Registered nurses, nursing aides, and licensed practical nurses are part of the daily staffing and work together to provide hands-on care throughout the day. The facility has rehabilitation services and respite care for families needing short-term placement. Staff is available 24 hours a day. Individualized care is a major part of the program, and special services are tailored to each person’s needs.
Pets are welcome at the facility, so residents can bring a companion into the community. This can make the move easier for some people. The home has several services and amenities for daily living.
Residents can have social gatherings with friends and family, while beauty and barber services, complimentary Wi-Fi, laundry services, and cable television in every room are also part of daily life at the facility. The location has a Walk Score of 44, and some nearby services are within walking distance, while most trips require a car. This matches the typical transportation patterns in the Springfield area.
You can find Pikeville Nursing and Rehab Center situated on South Mayo Trail in Pikeville, Kentucky, under the operation of Eyy Pikeville Operations LLC. This 106-bed building handles residential invoicing through conventional methods such as private payments, Medicare, and Medicaid. The community is located in a highly walkable area with a Walk Score of 71, allowing guests and family members to manage the majority of their local errands completely on foot.
Most residents stay in the building for an average of 126 days. This timeline shows that the daily floor routine heavily targets post-surgical rehabilitation and short-term recovery alongside traditional long-term skilled nursing. The 24-hour clinical crew averages 3 hours and 15 minutes of direct nursing care per resident each day, utilizing a rotation of registered nurses, practical nurses, and nurse aides to monitor specialized tracks like cardiac care, diabetes tracking, cancer management, memory support, and wound vac therapy.
The indoor spaces provide options for private bedrooms and feature building-wide Wi-Fi, a beauty shop, an in-house pharmacy, and open 24-hour visiting rules. Everyday schedules link standard housekeeping and home-cooked dining with animal companionship programs, volunteer projects, and multi-denominational chapel services. For families tracking regulatory safety histories, recent state inspection surveys and complaint investigations documented a deficiency rate of zero.
Interested individuals can look into how the facility structures its daily nursing schedules, specialized post-surgical therapy tracks, and clean state regulatory records.
A member of the Trilogy Health Services group, The Willows at Fritz Farm is a trusted community where families and seniors know they made the right choice to live in the senior living community. The senior living community 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 Fritz Farm 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.
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.
Princeton Nursing & Rehabilitation is a 104-bed skilled nursing facility located at 1333 West Main Street in Princeton, Kentucky. Amanda Coleman owns this home, which processes residential billing through traditional channels like private pay, Medicare, and Medicaid. The surrounding neighborhood features a moderate walkability rating with a Walk Score of 64, making it simple for visiting family members and guests to handle a few daily tasks nearby on foot.
Most residents live in the building for an average of 219 days. This timeline shows that the floor schedule shifts between short-term physical therapy after a hospital stay, temporary respite care, and traditional long-term nursing. The staff covers the floor around the clock, providing 3 hours and 37 minutes of direct care per resident daily, which includes 34 minutes of registered nurse monitoring, 34 minutes from nurse aides, and 20 minutes from practical nurses to handle both clinical tracking and everyday physical help.
The interior layout features a central lobby with an integrated fireplace alongside specialized therapy rooms equipped for regular physical rehabilitation and IV therapy services. Daily schedules coordinate custom dietary meal planning and around-the-clock snack access with a recreation calendar featuring card games, bingo, arts and crafts, live entertainment, and organized group outings. The facility’s structural design centers on grouping these therapeutic and social spaces together for straightforward daily access.
Families can check out how the newly established team organizes its everyday nursing hours, specialized IV therapy programs, and short-term physical rehabilitation tracks. The community pairs these clinical operations with regular services, including custom dining options, a full calendar of recreational activities, open fireplace common areas, and easy foot access to the local neighborhood.
Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.
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 197 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
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