Other senior care options in Lexington:

Best Nursing Homes in Lexington, KY

Why trust this guide? Our editorial team analyzed 16 nursing homes in Lexington, KY using Centers for Medicare & Medicaid Services (CMS) data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in KY
Reviewed by
Last updated
Jun 2026
We analyzed
16 homes
Other senior care options in Lexington:
Avg Overall CMS Rating: 2.8/ 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: 2.6/ 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: 2.7/ 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)

The information below is reported by the Kentucky Cabinet for Health and Family Services, Office of Inspector General.

9 facilities compared · CMS & KY Dept. of Health data

Sayre Christian Village
NH
AL
IL
MC
RC
Lexington (Belleau Wood)
164
Facility 164
KY AVG 82
Rank #15 / 341
98.8%
Facility 98.8%
KY AVG 81.3%
Rank #11 / 209
+22%
4.42
Facility 4.42
KY AVG 3.75
Rank #22 / 193
-17%+18%
$7.9k
Facility $7.9k
KY AVG $65.4k
Rank #142 / 199
20
Facility 20
KY AVG 13.5
Rank #158 / 195
5.0
Facility 5.0
KY AVG 4.4
Rank #128 / 195
2155-
43
Facility 43
KY AVG 41
Rank #206 / 423
Christian Benevolent Outreach, Inc
$16.6M
Facility $16.6M
KY AVG $10.5M
Rank #14 / 197
$9.7M
Facility $9.7M
KY AVG $4.0M
Rank #8 / 197
58.3%
Facility 58.3%
KY AVG 40.7%
Rank #18 / 197
185248
The Willows at Fritz Farm
NH
AL
Lexington (Pickway Korner)
30
Facility 30
KY AVG 82
Rank #310 / 341
100.0%
Facility 100.0%
KY AVG 81.3%
Rank #1 / 209
+23%
3.60
Facility 3.60
KY AVG 3.75
Rank #55 / 193
-18%-4%
$0
Facility $0
KY AVG $65.4k
Rank #1 / 199
8
Facility 8
KY AVG 13.5
Rank #49 / 195
2.7
Facility 2.7
KY AVG 4.4
Rank #37 / 195
-50-
69
Facility 69
KY AVG 41
Rank #58 / 423
Elizabeth Blair
$9.7M
Facility $9.7M
KY AVG $10.5M
Rank #89 / 197
$5.2M
Facility $5.2M
KY AVG $4.0M
Rank #61 / 197
53.4%
Facility 53.4%
KY AVG 40.7%
Rank #59 / 197
185482
Cambridge Nursing & Rehabilitation Center
NH
NC
Lexington (Cardinal Valley)
108
Facility 108
KY AVG 82
Rank #76 / 341
86.9%
Facility 86.9%
KY AVG 81.3%
Rank #97 / 209
+7%
2.88
Facility 2.88
KY AVG 3.75
Rank #162 / 193
-30%-23%
$0
Facility $0
KY AVG $65.4k
Rank #1 / 199
9
Facility 9
KY AVG 13.5
Rank #67 / 195
3.0
Facility 3.0
KY AVG 4.4
Rank #48 / 195
-106A+
55
Facility 55
KY AVG 41
Rank #126 / 423
Cambridge Operations Holdco LLC
$7.6M
Facility $7.6M
KY AVG $10.5M
Rank #138 / 197
$3.8M
Facility $3.8M
KY AVG $4.0M
Rank #130 / 197
50.3%
Facility 50.3%
KY AVG 40.7%
Rank #90 / 197
185444
The Willows at Citation
NH
AL
MC
Lexington (Griffin Gate)
19
Facility 19
KY AVG 82
Rank #331 / 341
83.5%
Facility 83.5%
KY AVG 81.3%
Rank #123 / 209
+3%
3.69
Facility 3.69
KY AVG 3.75
Rank #47 / 193
-12%-2%
$0
Facility $0
KY AVG $65.4k
Rank #1 / 199
9
Facility 9
KY AVG 13.5
Rank #67 / 195
4.5
Facility 4.5
KY AVG 4.4
Rank #111 / 195
-49-
7
Facility 7
KY AVG 41
Rank #382 / 423
Renee Moore
$9.3M
Facility $9.3M
KY AVG $10.5M
Rank #94 / 197
$5.7M
Facility $5.7M
KY AVG $4.0M
Rank #55 / 197
61%
Facility 61%
KY AVG 40.7%
Rank #37 / 197
185474
Homestead Post Acute
NH
HC
MC
PC
RC
Lexington (Cardinal Hill)
136
Facility 136
KY AVG 82
Rank #33 / 341
89.7%
Facility 89.7%
KY AVG 81.3%
Rank #74 / 209
+10%
2.24
Facility 2.24
KY AVG 3.75
Rank #189 / 193
+110%-40%
$0
Facility $0
KY AVG $65.4k
Rank #1 / 199
7
Facility 7
KY AVG 13.5
Rank #38 / 195
1.8
Facility 1.8
KY AVG 4.4
Rank #14 / 195
-130-
38
Facility 38
KY AVG 41
Rank #231 / 423
Providence Group Of Kentucky LLC
$16.7M
Facility $16.7M
KY AVG $10.5M
Rank #8 / 197
$7.9M
Facility $7.9M
KY AVG $4.0M
Rank #13 / 197
47.2%
Facility 47.2%
KY AVG 40.7%
Rank #147 / 197
185144
Lexington Country Place
NH
AL
RC
Lexington (Headley Green)
22
Facility 22
KY AVG 82
Rank #325 / 341
100.0%
Facility 100.0%
KY AVG 81.3%
Rank #1 / 209
+23%
3.52
Facility 3.52
KY AVG 3.75
Rank #69 / 193
0%-6%
$0
Facility $0
KY AVG $65.4k
Rank #1 / 199
10
Facility 10
KY AVG 13.5
Rank #80 / 195
5.0
Facility 5.0
KY AVG 4.4
Rank #128 / 195
-84-
35
Facility 35
KY AVG 41
Rank #253 / 423
Phoenix Senior Living LLC
$10.8M
Facility $10.8M
KY AVG $10.5M
Rank #81 / 197
$5.4M
Facility $5.4M
KY AVG $4.0M
Rank #48 / 197
50.6%
Facility 50.6%
KY AVG 40.7%
Rank #44 / 197
185160
Lexington Premier Nursing & Rehab
NH
HC
RC
Lexington
120
Facility 120
KY AVG 82
Rank #52 / 341
90.8%
Facility 90.8%
KY AVG 81.3%
Rank #65 / 209
+12%
3.64
Facility 3.64
KY AVG 3.75
Rank #55 / 193
-67%-3%
$240.3k
Facility $240.3k
KY AVG $65.4k
Rank #193 / 199
37
Facility 37
KY AVG 13.5
Rank #190 / 195
7.4
Facility 7.4
KY AVG 4.4
Rank #174 / 195
7113-
0
Facility 0
KY AVG 41
Rank #407 / 423
Jw Kentucky Operations LLC
$12.0M
Facility $12.0M
KY AVG $10.5M
Rank #64 / 197
$5.6M
Facility $5.6M
KY AVG $4.0M
Rank #35 / 197
47%
Facility 47%
KY AVG 40.7%
Rank #38 / 197
185463
The Willows at Hamburg
NH
AL
MC
Lexington
103
Facility 103
KY AVG 82
Rank #91 / 341
31.1%
Facility 31.1%
KY AVG 81.3%
Rank #207 / 209
-62%
4.05
Facility 4.05
KY AVG 3.75
Rank #30 / 193
-20%+8%
$61.6k
Facility $61.6k
KY AVG $65.4k
Rank #184 / 199
7
Facility 7
KY AVG 13.5
Rank #38 / 195
1.8
Facility 1.8
KY AVG 4.4
Rank #14 / 195
232-
0
Facility 0
KY AVG 41
Rank #407 / 423
Samuel Frazier
$12.3M
Facility $12.3M
KY AVG $10.5M
Rank #53 / 197
$7.2M
Facility $7.2M
KY AVG $4.0M
Rank #31 / 197
58.4%
Facility 58.4%
KY AVG 40.7%
Rank #42 / 197
185470
Pine Meadows Post Acute
NH
HC
MC
RC
Lexington (Mason Headly)
120
Facility 120
KY AVG 82
Rank #52 / 341
97.5%
Facility 97.5%
KY AVG 81.3%
Rank #16 / 209
+20%
2.68
Facility 2.68
KY AVG 3.75
Rank #177 / 193
-11%-29%
$0
Facility $0
KY AVG $65.4k
Rank #1 / 199
18
Facility 18
KY AVG 13.5
Rank #143 / 195
6.0
Facility 6.0
KY AVG 4.4
Rank #151 / 195
-115-
31
Facility 31
KY AVG 41
Rank #277 / 423
Tanner Tippetts
$14.2M
Facility $14.2M
KY AVG $10.5M
Rank #15 / 197
$7.0M
Facility $7.0M
KY AVG $4.0M
Rank #34 / 197
49.4%
Facility 49.4%
KY AVG 40.7%
Rank #137 / 197
185215
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

The Willows at Fritz Farm

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

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. 

Contact The Willows at Fritz Farm

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

The Willows at Citation

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

A member of the Trilogy Health Services group, The Willows at Citation 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 Citation 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. 

Contact The Willows at Citation

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

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

The Lafayette

690 Mason Headley Rd, Lexington, KY 40504
Overview of The Lafayette

Settled in the neighborhood of Lexington, KY, the Lafayette is a peculiar senior living community that offers independent living and respite care services. A wide array of luxurious accommodations with varying floor plans are available for its residents. Here, everyone is treated like a family which boosts the living experience. This community is also accessible to nearby places for dining, entertainment, and shopping. In terms of respite care, residents can enjoy up to 60 days of continuous stay here in this beautiful place.

The community is dedicated to fostering an inclusive yet independent lifestyle for its residents. Above-and-beyond amenities and other services are also available including an on-site salon, daily housekeeping, regular wellness checks, individualized care plans, etc. To ensure security within the community, a 24/7 team is always on the go to roam and check. The Lafayette proudly stands as a premier senior living community offering best-class care.

Contact The Lafayette

Overview of Hartland Park Health & Rehabilitation

Hartland Park Health & Rehabilitation is a 150-bed facility at 1500 Trent Boulevard in Lexington, Kentucky. Serving Fayette County, the center is operated by Northpoint SNF Operations LLC and accepts Medicare and Medicaid.

MeasuresTotal adjusted nursing hours are 3 hours and 22 minutes per resident per day, which is below the Kentucky average of 3 hours and 31 minutes. RN coverage is 18 minutes per day, 60% below the state average, while weekend RN presence is 16 minutes per day. Quality measures show a mixed profile: long-stay hospitalization rates are 7% better than the state average, but only 34.8% of short-stay residents successfully return home or to the community, which is 31% below the Kentucky average.

The Kentucky Cabinet for Health and Family Services oversees inspections. Hartland Park maintains a citations-per-inspection rate of 4.5. A June 2025 recertification survey cited nine deficiencies, including failures to maintain resident privacy during insulin administration, inadequate hand hygiene, and the omission of 12 prescribed respiratory treatments for one resident. No civil money penalties or payment denials have been recorded in the past three years. Current occupancy is 93%, significantly higher than the state average of 81.3%.

The facility provides a wide range of clinical services, including tracheostomy care, bariatric care, and orthopedic rehabilitation. Specialized programs are also available for pulmonary and oncology care. Amenities include 24-hour staffing and various therapy options. Since specific monthly pricing and ancillary fees are not included in public reports, families should request a current fee schedule during a facility tour.

Contact Hartland Park Health & Rehabilitation

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.

Contact The Willows at Hamburg

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

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
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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 16 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.