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Why trust this guide?
Our editorial team analyzed 16 nursing homes in Lexington, KY using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in KY
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 TableAL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
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.
A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Kentucky average is: 48.8% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Rank badges are statewide and care-type specific: each nursing home is ranked against every other KY nursing home we track that reports that metric, not just the 16 analyzed for Lexington. See how we rank facilities
Hartland Park Health & Rehabilitation in Lexington, Kentucky, provides nursing home, hospice care, respite care, and skilled nursing. Nursing home and skilled nursing services support residents who need ongoing nursing care, while hospice care serves residents receiving end of life support. Respite care offers a short stay when someone’s usual caregiver needs time away. Together, these services may suit a resident who needs skilled nursing after surgery or a family caregiver who needs temporary support.
The facility has 150 beds. Rehabilitation services include short term rehab, orthopedic rehab, and post surgical care, with programs focused on recovery after surgery or an orthopedic event. Pulmonary, bariatric, and oncology care address respiratory, weight related, and cancer related care needs.
Hartland Park Health & Rehabilitation accepts Medicare, Medicaid, and private pay, giving families those payment methods to use toward care. Shannon Spencer serves as the administrator, and Northpoint Snf Operations operates the community.
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.
Peacefully set in the idyllic neighborhood of Lexington, KY, Forest View is a blissful haven that offers independent living. The community is committed to improving the quality of life of those 62+, providing affordable and purposely built one- and two-bedroom floor plans. 24/7 emergency response systems and plenty of convenient apartment features are also provided, so residents have a hassle-free living.
A thoughtfully curated calendar of engaging activities and fun recreational programs is conducted, encouraging residents to live an active and vibrant lifestyle. Restaurant trips are also provided, so residents can enjoy a variety of dining options that cater to their dietary needs and preferences. For residents’ convenience, transportation services are available. The community is ideal for those looking to live independently in retirement, especially with its vibrant and welcoming environment.
Create unforgettable moments at Friendship Towers, an idyllic retreat in Lexington, KY, offering independent living and assisted living. The community features cozy and purposely built one- and two-bedroom accommodations, dedicated to residents’ comfort and safety. Residents also have a worry-free lifestyle with laundry spaces on-site and weekly housekeeping.
Here, residents will not run out of things to do with a jam-packed calendar of engaging activities and wellness opportunities. All-day dining is also provided, ensuring residents have a delightful dining experience that caters to their dietary needs and preferences. The community is a great option for those seeking independence in retirement, especially with its vibrant and welcoming setting.
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.
Overview of Northpoint Lexington Healthcare Center
Northpoint Lexington Healthcare Center in Lexington, KY, is a care facility providing 24-hour skilled nursing, nursing home care, hospice care, palliative services, and short-term respite stays. Continuous licensed medical oversight assists residents with complex health needs, while palliative care focuses on symptom management and hospice care delivers end-of-life comfort support. Housing options focus on residential quarters designed for long-term support as well as short-term recovery stays.
Physical rehabilitation services take place on site to assist residents recovering from illness or injury, with physician oversight provided by an on-staff doctor. Community features include scheduled religious services and an on-site salon for grooming needs without leaving the facility.
Payment options accept Medicare, Medicaid, and private funds. Located in Lexington, off-site travel for medical appointments and errands generally relies on personal vehicles or arranged local transport.
Prospective representatives evaluating long-term nursing care, palliative support, or temporary caregiver respite can reach out to Northpoint Lexington Healthcare Center to check room availability or set up a visit.
Avg Overall CMS Rating:2.2/ 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:2.1/ 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.
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