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Why trust this guide?
Our editorial team analyzed 27 nursing homes in Louisville, KY using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in KY
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.
HC (Home Care):
Professional care delivered in the person's own home, from companionship to skilled nursing.
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.
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.
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 do not publish a grade for that facility: either its public record is too thin to be fair, or we hold nothing for it at all.
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: 48.9% 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 27 analyzed for Louisville. See how we rank facilities
Little Sisters of the Poor delivers nursing home and assisted living care in Louisville, Kentucky. Residents in assisted living receive help with daily routines like bathing, dressing, and managing medications, while the nursing home division delivers continuous clinical care. A 50-bed capacity creates an intimate environment that helps residents and staff build strong connections.
Located in the Audubon neighborhood, the community boasts a 74 walk score, allowing residents who no longer drive to handle everyday errands or visit nearby spots on foot. Daily nurse staffing averages 7 hours and 1 minute per resident. Home For The Aged Little Sisters of the Poor operates the location under the direction of administrator Linda Deardeuff.
Families can reach out to the Little Sisters of the Poor team to arrange a tour or discuss available care programs and payment options, including Medicare, Medicaid, and private pay.
Masonic Homes Kentucky is a 136-bed nursing home in Louisville, tucked into a very walkable pocket of the city. Walk Score puts it at 72, so a lot of daily errands are doable on foot. University of Louisville Medical Center sits close by too, which matters when extra healthcare access comes up.
Occupancy runs around 71.5%, and the average stay lands at 84 days. That number tells its own story: this is a place built for both short recovery stays and longer-term nursing care, not just one or the other. Someone bouncing back from surgery and someone settling in for months could both be down the same hallway.
Nursing hours land at about 5 hours and 12 minutes per resident each day, split across RNs, LPNs, and nurse aides. Rehab services run alongside that daily care, which matters most for residents working to rebuild strength or mobility after a hospital stay, an injury, or surgery.
Paying for care has a few routes here: Medicare, Medicaid, and private pay are all accepted, so families are not boxed into one option.
The facts point toward a facility built for range; there is enough daily nursing support and rehab access to serve someone who needs a short recovery window, and enough structure to support someone settling in for a longer stay. Either way, the staffing and rehab combination gives residents a real shot at recovery or steady, ongoing care.
You can find Valhalla Post Acute operating in Louisville, Kentucky, under the ownership of Muhammad Babar. This 148-bed building maintains an 83 percent occupancy rate and processes residential stays through typical financial channels like private pay, Medicare, and Medicaid. Because the surrounding neighborhood requires a car for most travel, visitors and family members will find a personal vehicle essential for running local errands.
Most people who come here stay for roughly three months. This shorter timeline means the daily schedule leans heavily toward post-hospital rehabilitation, outpatient therapy, and short-term recovery tracks. The nursing team covers the floor around the clock, averaging 3 hours and 42 minutes of direct attention for each resident daily across shifts of registered nurses, practical nurses, and nurse aides. Beyond standard rehab, the clinical department manages complex wound care, diabetes tracking, behavioral health, and hospice services.
Inside the facility, a dedicated rehabilitation gym is paired with specialized dining programs tailored to the nutritional needs of diabetic and wound-care patients. The staff handles all everyday obligations like housekeeping, room maintenance, and personal laundry. For families researching the home, state inspection reports have previously pointed out operational gaps in documentation, staff training, wound care tracking, and food safety protocols.
Prospective residents can look into how the building structures its short-term therapy plans, on-site clinical tracking, and medical record-keeping. The home coordinates these specialized medical services with standard provisions, including an active physical therapy gym, tailored dietary menus, and continuous nursing oversight.
Embraced by the beauty of Louisville, Cherokee Park Rehabilitation spans 12 acres of pristine woodlands. This facility holds a wealth of heritage dating back to 1949. The exquisite upscale details of the furnished interiors and the light-filled and airy rooms create a therapeutic ambiance. The staff at Cherokee Park Rehabilitation are highly skilled and compassionate individuals driven by a genuine commitment to exceptional care. From specialized therapies to wound care, tracheotomy care to bariatric care, and even palliative care, the needs of each resident are met with expertise, ensuring a personalized approach to healing. At Cherokee Park Rehabilitation, healing goes beyond just physical recovery. Engaging activities such as gardening outings and social gatherings are woven into the fabric of daily life, bringing joy to the hearts of the residents. The home also understands the significance of staying connected in today’s digital world. With modern amenities such as WiFi, a solarium, a grand piano, and TV, residents can stay in touch with their loved ones and enjoy the comforts of home with newfound connections.
Overview of Sycamore Heights Health and Rehabilitation
Sycamore Heights Health and Rehabilitation operates out of a 96-bed building located on Sycamore Avenue in Louisville, Kentucky. Michael Peel owns this community, which accepts standard insurance and financial setups like private pay, Medicare, and Medicaid. The local neighborhood layout is somewhat walkable for small daily tasks, though most visitors and family members will still want to use a vehicle for general travel around the area.
Most residents tend to remain in the building for an average of 140 days. Having this timeframe means the daily floor schedule balances short-term post-hospital therapy with steady, long-term residential care. The clinical crew covers the floor around the clock, averaging 3 hours and 28 minutes of direct care per resident each day, which includes 52 minutes of dedicated registered nurse oversight alongside practical nurses and nurse aides.
The interior layout is set up to support continuous medical monitoring, medication management, and structured physical rehabilitation routines. Daily operations handle regular household needs like building security, room cleaning, and personal laundry to keep the environment organized. For individuals evaluating the facility, checking out the floor layout during a visit provides an opportunity to see how the staff runs its daily infection control and resident safety protocols.
Families can check into how the team structures its continuous nursing shifts, specialized rehabilitation schedules, and everyday care-planning routines.
Overview of Essex Nursing and Rehabilitation Center
Essex Nursing and Rehabilitation Center’s unwavering commitment to a heartfelt approach in providing support and healing makes it a trusted and genuine choice for those seeking exceptional care in Louisville, Florida. The center collaborates with local universities and community-based epidemiology clinical experts to ensure the highest standards of safety and infection control, putting residents’ well-being at the forefront. Its abundant windows flood the space with natural light, creating a warm and welcoming atmosphere for seniors. State-of-the-art gym equipment also provides residents with opportunities for physical therapy and wellness, helping them on their journey to recovery. Spacious lounge and activity areas are designed for socializing and connecting with others, while reliable Wi-Fi and telephone services keep residents connected with their loved ones. The center’s commitment to cleanliness and comfort is evident through its meticulous housekeeping and laundry services. Their on-site salon and nail services add an extra touch of care and pampering. In Essex Nursing and Rehabilitation Center, residents are not just patients, but valued individuals with unique stories to tell.
Highlands Nursing and Rehabilitation in Louisville, Kentucky, provides nursing home and skilled nursing care, memory care, hospice care, and respite care. Skilled nursing includes licensed nursing care around the clock, while memory care provides a secured setting with supervision for a resident at risk of wandering. Hospice care supports end of life needs, and respite care offers a short stay when a resident’s usual caregiver needs time to travel or recover.
The community has 154 beds. Short term rehabilitation and outpatient therapy support residents recovering from illness, injury, or a hospital stay, including people who need therapy before returning home or moving to their next care setting. Outpatient Therapy is a named program at the community.
Highlands Nursing and Rehabilitation may be a good fit for a family seeking nursing care alongside memory care, hospice care, rehabilitation, or a temporary respite stay. Medicare, Medicaid, and private pay are accepted, giving families several ways to cover eligible care. Total nurse staffing is 3 hours and 12 minutes per resident per day, representing the recorded daily hands on nursing time allocated per resident. A Walk Score of 70 means the area is very walkable, with most errands possible on foot, so a resident who no longer drives may still be able to get out independently. Ken Bogard serves as administrator.
The Home of the Innocents, Inc. operates a 76-bed nursing home on East Market Street in Louisville’s Clifton Heights neighborhood, under the direction of administrator April Raddish. Rooted in an organization established in 1880, the current facility processes its billing mostly through Medicaid, alongside a minor private-pay account segment. The property sits in an area with a Walk Score of 36, creating a largely car-dependent environment where visiting guests will generally need a vehicle, though a few basic chores can be handled on foot.
Occupancy logs indicate a steady 96 percent utilization rate across the 76 beds. Shift charts reveal a distinct staffing structure that provides extensive direct care, averaging 4 hours and 5 minutes of daily nurse aide support, 2 hours and 30 minutes of registered nurse monitoring, and 2 hours and 11 minutes of licensed practical nurse coverage per resident. This floor schedule focuses heavily on hands-on assistance, medication management, and clinical oversight distributed across each 24-hour cycle.
The single-site infrastructure coordinates standard residential senior housing with specialized tracks, including pediatric complex care, mental and behavioral health support, foster care systems, and residential treatment programs. An on-site pharmacy and dedicated medical services coordinate directly with the floor staff to maintain continuity across all daily treatments. Because program details and open beds can shift based on specific department needs, the administrative team manages admission inquiries directly through the main office.
Prospective representatives can set up an appointment to review the specialized pediatric and behavioral layouts, evaluate the daily nursing shift schedules, and check local driving access.
Christian Health Center of Louisville has been a cherished haven for seniors since its inception in 1884. Steeped in history and tradition, this esteemed facility provides a homey backdrop for seniors. Their staff is available 24 hours a day, providing exceptional support for both short-term rehabilitation and long-term skilled nursing needs. Various therapies are crafted to suit distinct circumstances, while private and semi-private rooms offer unmatched comfort and privacy. With an on-site chaplain, residents also have access to spiritual support that nurtures their faith and provides comfort during challenging times. The dining service is a culinary delight, offering delicious and nutritious meals, while the salon and barber shop renders opportunities for self-care. The outdoor spaces are a true treasure as well. With a balcony and other outdoor areas, residents can enjoy morning walks amidst the refreshing natural surroundings. These spaces provide opportunities for rejuvenation, and connection with nature, promoting holistic wellness in their twilight years.
Treyton Oak Towers has maintained its legacy as a non-profit, faith-based organization since 1984. Resting in the hub of Louisville’s rich heritage, the home provides a wide range of care options, consisting of skilled nursing, rehabilitation, personal care, memory care, and independent living. The living accommodations are thoughtfully designed with 14 unique floor plans, offering seniors a sense of freedom in their living spaces. The outdoor spaces at Treyton Oak Towers are a true oasis. From the serene outdoor patio to the turtle garden, the guest rooms for visiting loved ones, and the stunning skyline view deck, residents can savor the beauty of their sunset years. The home is also equipped with state-of-the-art facilities for therapy and rehabilitation, including a well-appointed therapy gym, rehab suites, and an aquatic therapy program. The rooftop greenhouse, chapel, woodworking shop, and other amenities also offer opportunities for residents to pursue their passions, explore their creativity, and nourish their spiritual well-being. Treyton Oak Towers offers a one-of-a-kind service that is worth giving a go.
Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports. Rank badges compare each home against other nursing homes in the same state — never against assisted living, memory care, or independent living communities.
How we're paid:If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
Frequently Asked Questions about Nursing Homes in Louisville, 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 27 nursing homes in Louisville, KY. Use the filters and comparison tools above to compare ratings, amenities, and pricing.
How do I choose the right nursing home in Louisville, 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 Louisville, 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 Louisville, 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.
If you move into a community through us, that community may pay us a referral fee. This never changes your cost or which options we recommend. Learn more
Nursing Homes in Louisville at a glance
Avg Overall CMS Rating:3.1/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Louisville, 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:3.1/ 5The average Staffing Rating across all CMS-certified nursing homes in Louisville, 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:2.8/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Louisville, 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
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