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Best Nursing Homes in Lexington, KY

Reviewed by Dr. Jordan Weiss
Updated Apr 2026
We analyzed 17 homes in Lexington, KY

Sources: CMS Centers for Medicare and Medicaid Services, and Kentucky Department of Health, Office of Aging and Long Term Care.

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Video Tour: Top-rated Nursing Homes facilities in Lexington, Kentucky.

Watch this Video to see Lexington's Top-rated Senior Communities

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

Click column headers to sort
The Willows at Fritz Farm
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Lexington (Pickway Korner)
30
Facility 30
KY AVG 101
Rank #177 / 182
100.0%
Facility 100.0%
KY AVG 81.3%
Rank #1 / 179
+23%
3.60
Facility 3.60
KY AVG 3.75
Rank #47 / 174
-12%-4%
$0
Facility $0
KY AVG $65.4k
Rank #1 / 180
8
Facility 8
KY AVG 13.5
Rank #44 / 176
2.7
Facility 2.7
KY AVG 4.4
Rank #34 / 176
-
Facility -
KY AVG 1.7
50-
69
Facility 69
KY AVG 46
Rank #25 / 177
Elizabeth Blair
$11.2M
Facility $11.2M
KY AVG $10.5M
Rank #81 / 178
$6.0M
Facility $6.0M
KY AVG $4.0M
Rank #53 / 178
53.3%
Facility 53.3%
KY AVG 40.7%
Rank #52 / 178
185482
Cambridge Nursing & Rehabilitation Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Lexington (Cardinal Valley)
108
Facility 108
KY AVG 101
Rank #62 / 182
86.9%
Facility 86.9%
KY AVG 81.3%
Rank #84 / 179
+7%
2.88
Facility 2.88
KY AVG 3.75
Rank #143 / 174
-16%-23%
$0
Facility $0
KY AVG $65.4k
Rank #1 / 180
9
Facility 9
KY AVG 13.5
Rank #60 / 176
3.0
Facility 3.0
KY AVG 4.4
Rank #44 / 176
-
Facility -
KY AVG 1.7
104A+
55
Facility 55
KY AVG 46
Rank #66 / 177
Cambridge Operations Holdco LLC
$8.2M
Facility $8.2M
KY AVG $10.5M
Rank #127 / 178
$3.8M
Facility $3.8M
KY AVG $4.0M
Rank #118 / 178
46.7%
Facility 46.7%
KY AVG 40.7%
Rank #79 / 178
185444
The Willows at Citation
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Lexington (Griffin Gate)
19
Facility 19
KY AVG 101
Rank #182 / 182
83.5%
Facility 83.5%
KY AVG 81.3%
Rank #107 / 179
+3%
3.69
Facility 3.69
KY AVG 3.75
Rank #39 / 174
-28%-2%
$0
Facility $0
KY AVG $65.4k
Rank #1 / 180
9
Facility 9
KY AVG 13.5
Rank #60 / 176
4.5
Facility 4.5
KY AVG 4.4
Rank #102 / 176
-
Facility -
KY AVG 1.7
50-
7
Facility 7
KY AVG 46
Rank #164 / 177
Renee Moore
$10.7M
Facility $10.7M
KY AVG $10.5M
Rank #86 / 178
$6.2M
Facility $6.2M
KY AVG $4.0M
Rank #47 / 178
58.2%
Facility 58.2%
KY AVG 40.7%
Rank #30 / 178
185474
Homestead Post Acute
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Lexington (Cardinal Hill)
136
Facility 136
KY AVG 101
Rank #29 / 182
89.7%
Facility 89.7%
KY AVG 81.3%
Rank #63 / 179
+10%
2.24
Facility 2.24
KY AVG 3.75
Rank #170 / 174
+133%-40%
$0
Facility $0
KY AVG $65.4k
Rank #1 / 180
7
Facility 7
KY AVG 13.5
Rank #34 / 176
1.8
Facility 1.8
KY AVG 4.4
Rank #12 / 176
-
Facility -
KY AVG 1.7
125-
38
Facility 38
KY AVG 46
Rank #110 / 177
Providence Group Of Kentucky LLC
$23.7M
Facility $23.7M
KY AVG $10.5M
Rank #6 / 178
$9.2M
Facility $9.2M
KY AVG $4.0M
Rank #11 / 178
38.8%
Facility 38.8%
KY AVG 40.7%
Rank #129 / 178
185144
Lexington Country Place
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Lexington (Headley Green)
22
Facility 22
KY AVG 101
Rank #180 / 182
100.0%
Facility 100.0%
KY AVG 81.3%
Rank #1 / 179
+23%
3.52
Facility 3.52
KY AVG 3.75
Rank #61 / 174
-11%-6%
$0
Facility $0
KY AVG $65.4k
Rank #1 / 180
10
Facility 10
KY AVG 13.5
Rank #73 / 176
5.0
Facility 5.0
KY AVG 4.4
Rank #117 / 176
-
Facility -
KY AVG 1.7
83-
35
Facility 35
KY AVG 46
Rank #124 / 177
Phoenix Senior Living LLC
$11.6M
Facility $11.6M
KY AVG $10.5M
Rank #74 / 178
$6.6M
Facility $6.6M
KY AVG $4.0M
Rank #42 / 178
56.6%
Facility 56.6%
KY AVG 40.7%
Rank #37 / 178
185160
Mayfair Village Retirement Community
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

Lexington (Lansdowne Merrick)
24
Facility 24
KY AVG 101
79.9%
Facility 79.9%
KY AVG 81.3%
-2%
3.81
Facility 3.81
KY AVG 3.75
-57%+2%
$33.6k
Facility $33.6k
KY AVG $65.4k
27
Facility 27
KY AVG 13.5
5.4
Facility 5.4
KY AVG 4.4
3
Facility 3
KY AVG 1.7
79A+
59
Facility 59
KY AVG 46
LP O Holdings LLC
$12.1M
Facility $12.1M
KY AVG $10.5M
$5.1M
Facility $5.1M
KY AVG $4.0M
42%
Facility 42%
KY AVG 40.7%
185069
The Willows at Hamburg
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Lexington
103
Facility 103
KY AVG 101
Rank #76 / 182
78.8%
Facility 78.8%
KY AVG 81.3%
Rank #134 / 179
-3%
4.05
Facility 4.05
KY AVG 3.75
Rank #24 / 174
-33%+8%
$61.6k
Facility $61.6k
KY AVG $65.4k
Rank #168 / 180
7
Facility 7
KY AVG 13.5
Rank #34 / 176
1.8
Facility 1.8
KY AVG 4.4
Rank #12 / 176
2
Facility 2
KY AVG 1.7
58-
0
Facility 0
KY AVG 46
Samuel Frazier
$13.5M
Facility $13.5M
KY AVG $10.5M
Rank #48 / 178
$7.7M
Facility $7.7M
KY AVG $4.0M
Rank #27 / 178
57.1%
Facility 57.1%
KY AVG 40.7%
Rank #35 / 178
185470
Pine Meadows Post Acute
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Lexington (Mason Headly)
120
Facility 120
KY AVG 101
Rank #44 / 182
97.5%
Facility 97.5%
KY AVG 81.3%
Rank #8 / 179
+20%
2.68
Facility 2.68
KY AVG 3.75
Rank #158 / 174
-17%-29%
$0
Facility $0
KY AVG $65.4k
Rank #1 / 180
18
Facility 18
KY AVG 13.5
Rank #133 / 176
6.0
Facility 6.0
KY AVG 4.4
Rank #139 / 176
-
Facility -
KY AVG 1.7
112-
31
Facility 31
KY AVG 46
Rank #136 / 177
Tanner Tippetts
$18.9M
Facility $18.9M
KY AVG $10.5M
Rank #12 / 178
$7.5M
Facility $7.5M
KY AVG $4.0M
Rank #30 / 178
39.8%
Facility 39.8%
KY AVG 40.7%
Rank #119 / 178
185215
Lexington Premier Nursing & Rehab
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Lexington
120
Facility 120
KY AVG 101
Rank #44 / 182
90.8%
Facility 90.8%
KY AVG 81.3%
Rank #52 / 179
+12%
3.64
Facility 3.64
KY AVG 3.75
Rank #47 / 174
-38%-3%
$255.9k
Facility $255.9k
KY AVG $65.4k
Rank #177 / 180
37
Facility 37
KY AVG 13.5
Rank #172 / 176
7.4
Facility 7.4
KY AVG 4.4
Rank #159 / 176
7
Facility 7
KY AVG 1.7
110-
0
Facility 0
KY AVG 46
Jw Kentucky Operations LLC
$12.6M
Facility $12.6M
KY AVG $10.5M
Rank #58 / 178
$7.3M
Facility $7.3M
KY AVG $4.0M
Rank #31 / 178
58.1%
Facility 58.1%
KY AVG 40.7%
Rank #31 / 178
185463
Overview of Pine Meadows Post Acute
Pine Meadows Post Acute is a skilled nursing home located in Lexington, KY. It provides compassionate care and rehabilitation services to help residents recover from surgery, illness, or injury. The facility offers a variety of activities and amenities to support the well-being of its residents.

Contact Pine Meadows Post Acute

Overview of Lexington Premier Nursing & Rehab
LEXINGTON PREMIER NURSING & REHAB is a skilled nursing and rehabilitation facility located in Lexington, KY. It offers a range of services including post-surgical care, pain management, and various rehabilitation therapies. The facility is dedicated to providing a supportive environment for recovery and health.

Contact Lexington Premier Nursing & Rehab

Overview of Mayfair Manor

As a Signature HealthCARE community, Mayfair Manor redefines the standard of a premium nursing home and rehabilitation center. The nursing home focuses on conducting results-driven programs, with cutting-edge technologies that help enrich the lifestyles of its seniors. Mayfair Manor is where residents thrive and continue to live purposeful lives regardless of age and ability. 
Expect Signature HealthCare services that offer 24-hour nursing care with inpatient and outpatient care in a resort-like community with the utmost level of hospitality. They exclusively offer the TranstionalCARE program that helps prevent seniors from going back to the hospital by monitoring their wellness. The ExeleratedCARE program offers skilled nursing and post-acute care for those in need. 

Contact Mayfair Manor

Overview of Lexington Premier Nursing & Rehab

Lexington Premier Nursing and Rehabilitation is one of Lexington’s most trusted nursing homes because of the quality of service they follow through. The staff is committed to creating a comfortable atmosphere for the residents to build a mutual level of trust and respect among each other. The resident-centered community promotes independence in a warm and welcoming atmosphere. Lexington Premier is the home where seniors recover and regain their wellness and independence of every aspect of their health. 
Lexington Premier’s centers of specialization include post-surgical care, pain management, wound care, cardiac care, diabetes care, stroke care, continence, IV therapy, oxygen therapy, and rehabilitation (physical, occupational, speech).

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

As a Signature HealthCARE community, Bluegrass Care and Rehabilitation redefines the standard of a premium nursing home and rehabilitation center. The nursing home focuses on conducting results-driven programs, with cutting-edge technologies that help enrich the lifestyles of its seniors. Bluegrass Care is where residents thrive and continue to live purposeful lives regardless of age and ability. 
Expect Signature HealthCare services that offer 24-hour nursing care with inpatient and outpatient care in a resort-like community with the utmost level of hospitality. They exclusively offer the TranstionalCARE program that helps prevent seniors to go back to the hospital by monitoring their wellness. The ExeleratedCARE program offers skilled nursing and post-acute care for those in need. 

Contact Bluegrass Care & Rehabilitation

Overview of Signature Healthcare at Tanbark Rehab & Wellness Center

Signature HealthCARE at Tanbark redefines the standard of a premium nursing home and rehabilitation center. The nursing home focuses on conducting results-driven programs, with cutting-edge technologies that specifically cater to the varying needs of the residents. Signature HealthCARE boasts a talented team of caregivers who help promote the warm and welcoming atmosphere it holds today. 
Seniors can feel confident and comfortable and know that they belong in a home that offers 24-hour nursing care with inpatient and outpatient care in a resort-like community with the utmost level of hospitality. They also offer patient intake, discharged residents, and inpatient care navigation support– all essentially placing the residents in the focus of the nursing services. 

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
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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.