Page 2 of Best Nursing Homes in Lexington, KY

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 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.

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.

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.

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. 

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.