Best Nursing Homes in Lexington, KY

Why trust this guide? Our editorial team analyzed 17 nursing homes in Lexington, KY using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in KY
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Last updated
We analyzed These are the facilities in Lexington, KY our team has analyzed — not a count of every nursing home provider in Lexington, KY.
17 homes
Other senior care options in Lexington:
Avg Overall CMS Rating: 2.7/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Lexington, KY. 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 Lexington, KY. 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: 2.6/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Lexington, KY. 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

Compare Nursing Homes around Lexington (Metro Area)

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 Table AL (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. CCRC (Continuing Care Retirement Community): A campus with multiple care levels so residents can age in place without moving.
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: 48.9% 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.
Homestead Post Acute
NH
HOS
MC
PC
RC
SNF
Lexington (Cardinal Hill)
136
Facility 136
KY AVG 100
Rank #32 / 195
89.7%
Facility 89.7%
KY AVG 84.5%
Rank #75 / 159
+6%
2.42
Facility 2.42
KY AVG 3.75
Rank #192 / 195
+110%-36%
$0
Facility $0
KY AVG $65.4k
Rank #1 / 199
9
Facility 9
KY AVG 13.5
Rank #36 / 195
2.3
Facility 2.3
KY AVG 4.4
Rank #13 / 195
-122-
38
Facility 38
KY AVG 46
Rank #131 / 207
Homesteadidence Opco, LLC
$16.7MFiscal year ending 12/2023
Facility $16.7MFiscal year ending 12/2023
KY AVG $9.9M
Rank #12 / 188
$7.9MFiscal year ending 12/2023
Facility $7.9MFiscal year ending 12/2023
KY AVG $4.9M
Rank #16 / 188
47.2%Fiscal year ending 12/2023
Facility 47.2%Fiscal year ending 12/2023
KY AVG 48.9%
Rank #99 / 188
185144
The Willows at Citation
NH
AL
MC
SNF
Lexington (Griffin Gate)
19
Facility 19
KY AVG 100
Rank #194 / 195
--
3.86
Facility 3.86
KY AVG 3.75
Rank #27 / 195
-12%+3%
$0
Facility $0
KY AVG $65.4k
Rank #1 / 199
9
Facility 9
KY AVG 13.5
Rank #64 / 195
4.5
Facility 4.5
KY AVG 4.4
Rank #107 / 195
-51-
7
Facility 7
KY AVG 46
Rank #196 / 207
Renee Moore
$9.3MFiscal year ending 12/2023
Facility $9.3MFiscal year ending 12/2023
KY AVG $9.9M
Rank #94 / 188
$5.7MFiscal year ending 12/2023
Facility $5.7MFiscal year ending 12/2023
KY AVG $4.9M
Rank #51 / 188
61%Fiscal year ending 12/2023
Facility 61%Fiscal year ending 12/2023
KY AVG 48.9%
Rank #16 / 188
185474
The Willows at Fritz Farm
NH
AL
SNF
Lexington (Pickway Korner)
30
Facility 30
KY AVG 100
Rank #190 / 195
--
3.70
Facility 3.70
KY AVG 3.75
Rank #51 / 195
-18%-1%
$0
Facility $0
KY AVG $65.4k
Rank #1 / 199
9
Facility 9
KY AVG 13.5
Rank #47 / 195
3.0
Facility 3.0
KY AVG 4.4
Rank #36 / 195
-50-
69
Facility 69
KY AVG 46
Rank #32 / 207
Elizabeth Blair
$9.7MFiscal year ending 12/2023
Facility $9.7MFiscal year ending 12/2023
KY AVG $9.9M
Rank #83 / 188
$5.2MFiscal year ending 12/2023
Facility $5.2MFiscal year ending 12/2023
KY AVG $4.9M
Rank #64 / 188
53.4%Fiscal year ending 12/2023
Facility 53.4%Fiscal year ending 12/2023
KY AVG 48.9%
Rank #44 / 188
185482
The Willows at Hamburg
NH
AL
MC
SNF
Lexington
103
Facility 103
KY AVG 100
Rank #81 / 195
31.1%
Facility 31.1%
KY AVG 84.5%
Rank #158 / 159
-63%
4.80
Facility 4.80
KY AVG 3.75
Rank #13 / 195
-20%+28%
$61.6k
Facility $61.6k
KY AVG $65.4k
Rank #183 / 199
7
Facility 7
KY AVG 13.5
Rank #36 / 195
1.8
Facility 1.8
KY AVG 4.4
Rank #13 / 195
232--Trilogy Healthcare Of Fayette 1, LLC
$12.3MFiscal year ending 12/2023
Facility $12.3MFiscal year ending 12/2023
KY AVG $9.9M
Rank #44 / 188
$7.2MFiscal year ending 12/2023
Facility $7.2MFiscal year ending 12/2023
KY AVG $4.9M
Rank #22 / 188
58.4%Fiscal year ending 12/2023
Facility 58.4%Fiscal year ending 12/2023
KY AVG 48.9%
Rank #26 / 188
185470
Lexington Country Place
NH
AL
RC
SNF
Lexington (Headley Green)
22
Facility 22
KY AVG 100
Rank #192 / 195
--
4.00
Facility 4.00
KY AVG 3.75
Rank #24 / 195
0%+7%
$0
Facility $0
KY AVG $65.4k
Rank #1 / 199
10
Facility 10
KY AVG 13.5
Rank #76 / 195
5.0
Facility 5.0
KY AVG 4.4
Rank #124 / 195
-83-
35
Facility 35
KY AVG 46
Rank #143 / 207
Phoenix Senior Living LLC
$10.8MFiscal year ending 12/2023
Facility $10.8MFiscal year ending 12/2023
KY AVG $9.9M
Rank #64 / 188
$5.4MFiscal year ending 12/2023
Facility $5.4MFiscal year ending 12/2023
KY AVG $4.9M
Rank #57 / 188
50.6%Fiscal year ending 12/2023
Facility 50.6%Fiscal year ending 12/2023
KY AVG 48.9%
Rank #65 / 188
185160
Sayre Christian Village
NH
AL
CCRC
IL
MC
RC
SNF
Lexington
164
Facility 164
KY AVG 100
Rank #15 / 195
98.8%
Facility 98.8%
KY AVG 84.5%
Rank #5 / 159
+17%
4.35
Facility 4.35
KY AVG 3.75
Rank #17 / 195
-17%+16%
$7.9k
Facility $7.9k
KY AVG $65.4k
Rank #139 / 199
20
Facility 20
KY AVG 13.5
Rank #154 / 195
5.0
Facility 5.0
KY AVG 4.4
Rank #124 / 195
2162-
43
Facility 43
KY AVG 46
Rank #118 / 207
Sayre Christian Village Nursing Home, Inc
$16.6MFiscal year ending 09/2023
Facility $16.6MFiscal year ending 09/2023
KY AVG $9.9M
Rank #13 / 188
$9.7MFiscal year ending 09/2023
Facility $9.7MFiscal year ending 09/2023
KY AVG $4.9M
Rank #10 / 188
58.3%Fiscal year ending 09/2023
Facility 58.3%Fiscal year ending 09/2023
KY AVG 48.9%
Rank #27 / 188
185248
Cambridge Nursing & Rehabilitation Center
NH
SNF
Lexington (Cardinal Valley)
108
Facility 108
KY AVG 100
Rank #67 / 195
97.5%
Facility 97.5%
KY AVG 84.5%
Rank #8 / 159
+15%
3.00
Facility 3.00
KY AVG 3.75
Rank #145 / 195
-30%-20%
$0
Facility $0
KY AVG $65.4k
Rank #1 / 199
10
Facility 10
KY AVG 13.5
Rank #64 / 195
3.3
Facility 3.3
KY AVG 4.4
Rank #46 / 195
-105A+
55
Facility 55
KY AVG 46
Rank #74 / 207
Cambridge Operations LLC$8.5M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.$4.9M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.57.4%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.185444
Pine Meadows Post Acute
NH
HOS
MC
RC
SNF
Lexington (Mason Headly)
120
Facility 120
KY AVG 100
Rank #48 / 195
97.5%
Facility 97.5%
KY AVG 84.5%
Rank #8 / 159
+15%
2.64
Facility 2.64
KY AVG 3.75
Rank #183 / 195
-11%-30%
$0
Facility $0
KY AVG $65.4k
Rank #1 / 199
16
Facility 16
KY AVG 13.5
Rank #139 / 195
5.3
Facility 5.3
KY AVG 4.4
Rank #146 / 195
-117-
31
Facility 31
KY AVG 46
Rank #155 / 207
Pine Meadowsidence Opco, LLC
$14.2MFiscal year ending 12/2023
Facility $14.2MFiscal year ending 12/2023
KY AVG $9.9M
Rank #25 / 188
$7.0MFiscal year ending 12/2023
Facility $7.0MFiscal year ending 12/2023
KY AVG $4.9M
Rank #25 / 188
49.4%Fiscal year ending 12/2023
Facility 49.4%Fiscal year ending 12/2023
KY AVG 48.9%
Rank #79 / 188
185215
Lexington Premier Nursing & Rehab
NH
HOS
RC
SNF
Lexington
120
Facility 120
KY AVG 100
Rank #48 / 195
90.8%
Facility 90.8%
KY AVG 84.5%
Rank #65 / 159
+7%
3.71
Facility 3.71
KY AVG 3.75
Rank #51 / 195
-67%-1%
$240.3k
Facility $240.3k
KY AVG $65.4k
Rank #192 / 199
42
Facility 42
KY AVG 13.5
Rank #189 / 195
10.5
Facility 10.5
KY AVG 4.4
Rank #171 / 195
7109--Blc Lexington Snf, LLC
$12.0MFiscal year ending 12/2023
Facility $12.0MFiscal year ending 12/2023
KY AVG $9.9M
Rank #49 / 188
$5.6MFiscal year ending 12/2023
Facility $5.6MFiscal year ending 12/2023
KY AVG $4.9M
Rank #52 / 188
47%Fiscal year ending 12/2023
Facility 47%Fiscal year ending 12/2023
KY AVG 48.9%
Rank #102 / 188
185463

Rank badges are statewide: each nursing home is ranked against every KY nursing home we track that reports that metric, not just the 17 analyzed for Lexington. See how we rank facilities

Overview of Homestead Post Acute

Homestead Post Acute in Lexington, KY is a respected senior care provider designed to help residents get back to their old routines from hospitalization through its excellent skilled nursing and rehabilitation services. Care services, such as wound care, respite stays, and hospice care are offered to make sure residents are well-cared for and supported even as their needs change, offering them utmost comfort and peace of mind. The community features 136 well-designed suites that foster a safe and cozy healing and living environment for a quick recovery process.

Committed to enhancing its residents’ overall quality of life, the community also offers several life-enhancing amenities, entertainment activities and programs, and various convenient services for a maintenance-free lifestyle. Medical services, such as diabetic care, occupational therapy, physical therapy, medication management and more, are offered to make sure that residents receive the medical and personal care they need to maintain their health and independence.

Contact Homestead Post Acute

The Willows at Citation

1376 Silver Springs Dr, Lexington, KY 40511
Overview of The Willows at Citation

The Willows at Citation provides nursing home, skilled nursing, assisted living, and memory care in Lexington, KY. Nursing home and skilled nursing care provide licensed nursing care on site around the clock, while assisted living helps residents with daily tasks such as dressing, bathing, and medication. Memory care offers a secured setting with supervision for someone at risk of wandering, and the range of care levels may suit a resident whose needs grow over time.

Located in the Griffin Gate neighborhood, the community has 19 beds, making it a smaller setting where staff and residents can get to know each other. Studio housing provides a single private living space. Residents may keep pets, and total nurse staffing is 3h 52m per resident/day, representing the daily hands-on nursing time counted for each resident.

Payment options include Medicare, Medicaid, and private pay. Medicare covers short-term skilled care after a hospital stay rather than long-term residence, Medicaid can help cover care when personal savings do not cover a long stay, and private pay means the resident or family pays directly.

Contact The Willows at Citation

The Willows at Fritz Farm

2710 Man O War Blvd, Lexington, KY 40515
Overview of The Willows at Fritz Farm

The Willows at Fritz Farm offers assisted living and skilled nursing care in Lexington, KY. Assisted living includes help with dressing, bathing, and medication while the resident lives in a private studio, while skilled nursing provides licensed nursing care on site around the clock.

Having both care levels under one roof may suit a resident whose needs could grow over time without requiring a move to another community. The home has 30 beds, creating a smaller setting where staff and residents can get to know each other.

Total nurse staffing is 3 hours and 42 minutes per resident each day. That figure represents the daily nursing time allocated to each resident, which matters when a family is comparing how much nursing attention the staffing model provides.

The community accepts Medicare, Medicaid, and private pay. Medicare can cover short term skilled care after a hospital stay, Medicaid may help when savings do not cover a long stay, and private pay allows a family to pay directly. A Walk Score of 69 places the area in the somewhat walkable band, so some errands can be done on foot and a resident who no longer drives may have an option for short outings without a car. Pets are allowed, enabling residents to keep a pet with them.

Contact The Willows at Fritz Farm

Overview of The Willows at Hamburg

The Willows at Hamburg offers assisted living, memory care, nursing home care, and skilled nursing in Lexington, KY. Assisted living includes help with daily tasks such as dressing, bathing, and medication, while the resident keeps a private living space. Memory care provides a secured setting with supervision for someone at risk of wandering. Skilled nursing provides licensed nursing care around the clock.

Several care levels are available here. That may suit a resident whose needs could grow over time without requiring a move to a different community. The home has 103 beds, and rehabilitation services and short-term rehabilitation are available for someone recovering after an illness, injury, or hospital stay. Total nurse staffing is 4h 48m per resident/day, representing the daily hands-on nursing time allocated per resident.

Payment options include Medicare, Medicaid, and private pay, giving families the ability to use an eligible public benefit or pay directly for care. Samuel Frazier serves as the administrator, and Trilogy Healthcare Of Fayette 1 operates the community. Pets are allowed, so a resident may continue living with a pet.

Residents have several ways to stay active. A fitness center, walking paths, and a resident garden provide places for exercise and outdoor activity, while the salon offers on-site personal grooming. Chef-prepared meals are provided, and transportation services offer arranged travel when a resident cannot drive themselves.

Contact The Willows at Hamburg

Overview of Lexington Country Place

Lexington Country Place is an assisted living and skilled nursing community in the city. The community programs and activities are designed to help individuals develop an active lifestyle and hassle-free living while maintaining independence through a personalized-style approach and luxury setting. The assisted living home creates an environment that promotes holistic wellness. There is a vibrant home-like atmosphere with world-class service that elevates their daily living.  As a proud member of the Phoenix Senior Living Community, Lexington Country Place is the ideal home where seniors thrive in a nurturing environment.

Lexington aims to enhance the quality of life for its residents by ensuring that seniors are able to satisfy their holistic wellness. They house licensed physicians and professionals, offer a list of social and stimulating activities, nutritional programs, and specialized training for residents for an enriching experience. 

Contact Lexington Country Place

Overview of Sayre Christian Village

Sayre Christian Village distinguishes itself as a standout residence, offering a unique blend of qualities that set it apart from the ordinary. This nonprofit, continuing care retirement community presents an exceptional living environment where residents can thrive, underpinned by a trio of diverse housing options, a comprehensive spectrum of care levels, and an abundance of enriching amenities and activities. 

Rooted in Christian compassion and values, this community places a premium on providing quality housing, rehabilitation services, and long-term nursing care that exceeds expectations. The presence of highly skilled and experienced staff ensures that residents experience a level of care that truly stands out. With both independent living, assisted living, and senior living housing options available, Sayre Christian Village offers an effortlessly rewarding lifestyle that resonates with its residents.

Contact Sayre Christian Village

Overview of Cambridge Nursing & Rehabilitation Center

Cambridge Nursing & Rehabilitation Center is a renowned senior care provider, situated in the serene setting of Lexington, KY, offering exceptional skilled nursing and rehabilitation services. The community features a well-trained care and rehabilitation team who are fully committed to the betterment of residents’ lives by offering them individualized care plans tailored to their unique needs and care goals. Featuring 108 well-designed units, the community guarantees a safe and secure living and recovery environment, equipped with all the conveniences and comforts of home.

Whether you are looking for a short-term stay or settling down for long, Cambridge Nursing & Rehabilitation Center is guaranteed to provide you with all the care and support you need. Residents here are also offered various amenities for their comfort and convenience, as well as an array of fun and fulfilling activities for staying active, engaged, and stimulated. Here, residents are guaranteed to thrive and maintain their optimal well-being to enjoy their retirement life fully.

Contact Cambridge Nursing & Rehabilitation Center

Overview of Pine Meadows Post Acute

Pine Meadows Post Acute operates a 120-bed building on Hill Rise Drive in Lexington, Kentucky, under the ownership of Tanner Tippetts. The facility processes residential billing through standard channels like private pay, Medicare, and Medicaid. Because the surrounding neighborhood is only somewhat walkable, visitors and family members will generally find a personal vehicle most practical for travel and running local errands.

The home runs at nearly full occupancy, with individual resident stays averaging about 201 days. Having this timeframe means the daily floor schedule shifts between short-term post-hospital therapy and steady long-term nursing care. The clinical team provides continuous floor coverage, averaging 2 hours and 41 minutes of direct nursing care per resident each day to run specialized tracks like neurological recovery, complex wound care, memory support, and hospice services.

The interior layout features dedicated dining spaces where menus are handled by registered dietitians to match specific medical nutrition requirements. Everyday workflows combine standard housekeeping and room upkeep with an active social calendar. For families reviewing the building’s history, past state inspection reports noted operational gaps in documentation, communication, food safety, and infection control, which the team has worked to update.

Prospective representatives can evaluate how the facility manages its daily nursing shifts, specialized neurological rehabilitation tracks, and current safety compliance protocols. The home coordinates these clinical responsibilities with regular services, including dietitian-managed meal planning, structured social activities, and round-the-clock building supervision.

Contact Pine Meadows Post Acute

Overview of Lexington Premier Nursing & Rehab

JW Kentucky Operations LLC operates Lexington Premier Nursing & Rehab, a 120-bed certified skilled nursing and rehabilitation center located at 2770 Palumbo Drive in Lexington, Kentucky. Established one year ago, the property processes resident billing through typical payment streams, including Medicare, Medicaid, and private pay options. The immediate surrounding area is car-dependent, meaning families and visitors will rely on a vehicle for transit and local commuting.

The building maintains a 91 percent occupancy rate across its 120 certified beds, providing medical housing for a resident population with an average length of stay tracking at 104 days. Shift logs indicate that the 24-hour nursing team averages 3 hours and 38 minutes of direct care per resident each day to monitor complex clinical requirements. Daily floor operations focus on post-acute rehabilitation, post-stroke recovery, orthopedic and neurological therapy, cardiac care, diabetes management, pain tracking, and specialty support for Parkinson’s disease and multiple sclerosis.

Private and companion bedrooms connect to shared indoor spaces equipped with Wi-Fi access. The staff balances basic clinical charting with discharge planning, family alignment meetings, daily retraining for physical mobility, and a meal service that includes heart-healthy dietary options. Recent state monitoring inspections evaluated the property on medication administration, environmental upkeep, and care processes, establishing a baseline for routine internal tracking.

Interested individuals can set up an appointment to inspect the physical bedroom choices, review the daily therapy schedules, and discuss the facility’s discharge transition protocols directly with the administrative team.

Contact Lexington Premier Nursing & Rehab

Mayfair Manor

3300 Tates Creek Road, Lexington, KY 40502
Overview of Mayfair Manor

Fifty-four days. That’s the average length of stay at Mayfair Manor, a Signature HealthCARE nursing home in Lexington, Kentucky, and it tells you most of what you need to know about who this place is built for. This is a short-stay facility, organized around getting people through complex recoveries and back home.

Physical, occupational, and speech therapy run alongside specialty tracks covering orthopedic and neurological recovery, cardiac and pulmonary rehabilitation, wound care with weekly physician oversight, dysphagia training, and IV medication management. Residents on CPAP/BiPAP, those requiring TPN or tracheostomy support, and people managing complex diabetic conditions are all within the facility’s stated scope. Outpatient therapy is available after discharge, and a transition support program specifically prepares residents for the return home, with patient and family education built into the process.

Occupancy sits at 79.9%, typical for a high-turnover post-acute setting with frequent admissions and discharges. Combined nursing hours total 3 hours and 49 minutes per resident per day, with around-the-clock nursing confirmed. The facility runs 24-hour open visitation, which matters when families are managing a recovery timeline and want to stay close.

The neighborhood carries a Walk Score of 59, moderately walkable, with enough nearby amenities to make on-foot errands possible for visitors. Inside, there’s a salon, wellness program, and WiFi. Respite care and religious services are available. Medicare, Medicaid, and private pay are all accepted.

Mayfair Manor is a post-acute facility doing post-acute work: the program list, the short average stay, and the payment mix all point toward medically complex patients recovering from surgery or serious illness, not residents planning to stay long-term.

Contact Mayfair Manor

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
No paid rankings Facilities cannot pay to influence placement.
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
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Frequently Asked Questions about Nursing Homes in Lexington, KY

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 17 nursing homes in Lexington, KY. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in Lexington, KY?

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 Lexington, KY, 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 Lexington, KY?

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.