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 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

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

Overview of Lexington Premier Nursing & Rehab

Lexington Premier Nursing & Rehab opened about a year ago on Palumbo Drive in Lexington, Kentucky, bringing 120 certified skilled nursing beds to an outer neighborhood that’s entirely car-dependent. At 91% occupancy, it filled up fast for a new facility. The average resident stays about 104 days, which puts it somewhere between a short-stay rehab center and a longer-term nursing placement.

The clinical program is the main argument for this facility. Orthopedic and neurological rehabilitation are central, with dedicated tracks for stroke recovery, Parkinson’s disease, and multiple sclerosis. Post-surgical care, cardiac and diabetes management, IV therapy, TPN, wound care, ostomy care, and oxygen therapy round out a fairly comprehensive post-acute inventory. A home assessment and discharge planning program supports residents preparing to leave. Nursing coverage runs around the clock, with combined nursing hours at 3 hours and 38 minutes per resident per day.

Rooms come in private or companion configurations. Common areas are described as spacious, and residents have access to iPads and Wi-Fi. Daily programming includes art, technology, and music. The dining program offers heart-healthy menu options under a fine dining format. Family care meetings are built into the standard care process, not offered as an add-on.

JW Kentucky Operations LLC operates the facility, which accepts Medicare, Medicaid, and private pay.

A 120-bed nursing home at 91% occupancy after one year of operation, with a program list covering everything from stroke and Parkinson’s rehab to TPN and ostomy care, describes a facility targeting medically complex residents who need more than a standard short-stay placement.

Contact Lexington Premier Nursing & Rehab

Overview of Northpoint Lexington Healthcare Center

Northpoint Lexington Healthcare Center is the premier nursing home. They proudly practice a professional yet compassionate approach to help make the lives of their residents easier through their comprehensive services and professional staff. The staff makes it a point that residents are able to live freely despite their needed assistance; they want their residents to make the most out of their experience at the senior home. NPL provides a continuum of care services that ensure residents relax, recover, and rejuvenate. 
NPL offers a range of services that focus on a wide continuum of care; seniors can choose from intensive rehabilitation with restorative therapy, or short-term rehabilitation and long-term skilled nursing. Management promotes independence for its residents while receiving full daily support. Other community services include housekeeping, transportation, medication management, and nutritious meals provided;  as well as post-operative care, tracheostomy, IV therapy, and hospice support. 

Contact Northpoint Lexington Healthcare Center

Overview of Bluegrass Care & Rehabilitation

Bluegrass Care & Rehabilitation is a Signature HealthCARE nursing home in Lexington, Kentucky, built around short-term rehabilitation and 24-hour skilled nursing. The surrounding neighborhood is car-dependent, with a Walk Score of 11, so getting around requires a vehicle. Bed count and occupancy aren’t published on this profile.

On the clinical side, Signature HealthCARE brings two named programs to this facility. The TransitionalCARE program monitors resident wellness through recovery with the goal of preventing hospital readmission. The ExeleratedCARE program covers skilled nursing and post-acute care for residents with more complex needs. Nursing staff deliver care across all hours; registered nurses average 38 minutes of direct care per resident per day, licensed practical nurses 43 minutes, and nurse aides 2 hours and 10 minutes.

The facility participates in the Eden Alternative, a care philosophy that moves away from institutional routines toward a more resident-directed environment. The Hall of Fame Café is the named in-house dining program. A Life Enrichment program supports residents across varying levels of physical ability, and the facility runs religious services, volunteer programming, and 24-hour open visitation. The amenity list includes a beauty shop, transportation, concierge, and WiFi.

One structural fact to understand before placement decisions are made: Bluegrass Care & Rehabilitation is not currently listed as a CMS-certified Medicare or Medicaid provider. The facility operates under state licensure, and federal insurance programs do not apply here. This is a private-pay facility by default, governed by state rather than federal oversight.

Contact Bluegrass Care & Rehabilitation

Overview of Signature Healthcare at Tanbark Rehab & Wellness Center

Signature Healthcare at Tanbark Rehab & Wellness Center is a nursing home in Lexington, Kentucky, run by Signature HealthCARE. The neighborhood sits at a Walk Score of 47; somewhat walkable, with a handful of nearby services accessible on foot, though most trips will still need a car.

The profile confirms 24-hour nursing care, inpatient and outpatient services, and structured support for discharge and care navigation. That’s the full scope of what the profile documents. Bed count, occupancy, staffing figures, amenities, and program specifics are not published.

The payment situation is worth stating plainly: this facility is not currently listed as a CMS-certified provider of Medicare or Medicaid. It operates under state licensure, outside the federal certification system that governs Medicare and Medicaid reimbursement. For families counting on either program to cover care costs, that distinction is decisive.

Signature Healthcare at Tanbark Rehab & Wellness Center is a facility with confirmed skilled nursing and rehabilitation services and a non-CMS payment structure; the two facts that matter most for placement decisions here.

Contact Signature HealthCARE at Tanbark Rehab & Wellness Center

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
Who we are

Your Senior Care Partner, Every Step of the Way

We help families find affordable senior communities and unlock same day discounts, Medicaid, and Medicare options tailored to your needs.

Contact us Today

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.