Best Nursing Homes in Louisville, KY

Find the care you need at The Springs at Stony Brook, a distinct community in Louisville, KY, offering independent living, assisted living, and memory care. Residents receive top-tier care for their unique needs around the clock from a compassionate and highly trained team. There’s no need to worry about household chores and daily activities, with the community helping with housekeeping and laundry.

Residents can meet new friends and gain meaningful experiences with a well-thought-out calendar of fun recreational activities and enriching programs. Mealtimes foster comfort and satisfy dietary needs with delicious and well-balanced dining options in a restaurant-style setting. The community is ideal for those looking to age in one place, especially with its different levels of care and exceptional services.

Overview of Wesley Manor

Wesley Manor is a 107-bed skilled nursing and home care facility at 5012 East Manslick Road, Louisville, Kentucky 40219, serving Jefferson County residents since 1958. The facility is operated by Wesley Manor Retirement Community, Inc., a voluntary non-profit community governed by the church, with Taerrius Dickerson as Care Services Administrator and Mark Stephens as owner. License Number 100230 expires March 31, 2026. Wesley Manor accepts Medicare, Medicaid, and private pay.

Recent inspection activity shows operational vulnerabilities. A July 2025 standard survey by the Kentucky Cabinet for Health and Family Services’ Office of Inspector General identified deficiencies in resident grievance handling (six residents reported missing or lost items to staff without follow-up or recovery), wound care compliance (nursing staff applied incorrect dressing type despite clear physician orders, requiring multiple attempts to remove the wound covering), and infection control (staff failed to don gloves when administering eye drops to residents and skipped hand hygiene between glove changes during wound care). All deficiencies were classified as minimal harm affecting few residents. A prior February 2022 inspection had found similar patterns: medication management without documented assessment, dented canned foods stored alongside intact items in the satellite kitchen, incomplete refrigerator temperature logs, inappropriate mask use during resident care, bare-hand handling of medications, and improper personal protective equipment disposal. An April 2025 abbreviated survey found zero deficiencies, suggesting the facility made corrections, though the July 2025 findings indicate recurring gaps in infection control and care protocol execution. Since 2019, Wesley Manor has accumulated 6 total citations (ranked 26th of 172 Kentucky facilities), averaging 3 per inspection.

Staffing is above state average in CNA hours but below average in LPN coverage. Registered nurses provide 49 minutes daily per resident (7% above Kentucky average). Licensed Practical Nurses average 32 minutes per resident; 35 percent below the state average of 49 minutes. Certified Nursing Assistants provide 2 hours 38 minutes daily (8% above state average). Total nursing care reaches 3 hours 36 minutes per resident per day, ranking 48th of 170 Kentucky facilities. Weekend staffing totals 3 hours 13 minutes per resident (8% below state average), with weekend RN hours at 26 minutes (16% below state average), indicating reduced clinical oversight when administrative staff are absent. Physical therapy averages 2 minutes per day (50% below state average).

CMS ratings are strong: 4 stars overall (43.4% above Kentucky average), 4 stars for health inspections (36.1% above state average), 4 stars for staffing (63.9% above state average), and 3 stars for quality measures (37.9% above state average). Occupancy stands at 83 percent (88 of 107 beds), similar to the Kentucky average of 81.3 percent. The facility is oriented toward long-term care, with average stay at 1,032 days. Payer mix is 17 percent Medicare (1-2 month typical stay), 41 percent Medicaid (1-2 year typical stay), and 42 percent private pay (2-3 year typical stay).

Quality outcomes show strength in hospital prevention and weakness in functional decline. Long-stay hospitalizations: 1.38 per 1,000 days (26% better than Kentucky average). Emergency department visits: 1.75 per 1,000 days (20% better than state average). Falls with major injury: 2.9 percent (24% better than state). High-risk residents with pressure ulcers: 4.0 percent (30% better than state). However, 26.4 percent of long-stay residents experienced increased need for help with daily activities (57% worse than Kentucky average of 16.8%), and 23.4 percent show worsening walking ability (19% worse than state average of 19.6%). Short-stay successful return to community: 30.9 percent (39% worse than Kentucky average of 50.6%).

Financially, Wesley Manor operates on $12.1 million annual revenue (ranked 66th of 173 Kentucky facilities), with $7.3 million in payroll representing 60.5 percent of revenue (ranked 10th statewide), indicating substantial staffing investment. The facility generated a $195,300 surplus and 1.7 percent profit margin.

The building is single-story with pets allowed, transportation services, fitness and recreation, and therapy services including memory care, short-term rehabilitation, skilled nursing, and home care, physical therapy, speech language pathology, and occupational therapy. Walk Score is 2 (car-dependent, 14.6 miles from Louisville city center). BBB rating is A+ (Accredited).

Families considering Wesley Manor should ask about corrections following the July 2025 inspection findings before enrollment.

Overview of The Altenheim Senior Health Care Community

Located in the picturesque highlands of Louisville, The Altenheim Senior Health Care Community’s service is not just a duty, but a genuine passion that radiates from every corner. Since its establishment in 1906, the home offers a transparent and affordable approach to senior care. There are no move-in fees, allowing residents to experience a worry-free transition to their homes. The breathtaking beauty of the highlands of Louisville, combined with the stylish living spaces, makes choosing The Altenheim a decision that brings peace of mind to families.
From independent living options to personalized care plans for assisted living, memory care, transitional care, and hospice, The Altenheim offers diverse care options tailored to achieve each resident’s goals. From seasonal menus that delight the senses with culinary creations to on-site pharmacy services for convenience, a hair salon for pampering, and housekeeping and laundry services for comfort, every aspect of life at The Altenheim is thoughtfully curated to enhance the quality of life for its residents. With its unique blend of compassionate care, exceptional amenities, and beautiful surroundings, The Altenheim is a great place to make a home.

Nazareth Home is a faith-based community in Louisville that has been a guiding light for those in need since 1976. From personal care to specialized memory care, long-term care, and recovery to home programs, their comprehensive services are designed with compassion and dignity in mind. Its team of dedicated in-house physicians and therapists provide not only medical care, but emotional support and understanding as well.
Pastoral care and engaging activities also form an integral part of the healing ministry at Nazareth Home. Modern amenities further enhance the convenience of residents, with iPads for staying connected, a salon for pampering, and full-service dining rooms offering delicious and nutritious meals. At Nazareth Home, care does not only mean addressing physical ailments, but it is also about creating an environment where elders can receive genuine care.

Hazelwood Center is a 201-bed state-operated facility located at 1800 Bluegrass Avenue in Louisville, Kentucky. Opened in 1971 and owned by the Commonwealth of Kentucky, this large-scale campus provides comprehensive residential support for individuals with intellectual and developmental disabilities.

As an Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID), Hazelwood operates under a distinct regulatory framework and does not carry a CMS nursing home star rating. The Kentucky Cabinet for Health and Family Services oversees inspections. For its most recent focused survey, the facility maintained a citations-per-inspection rate of zero. This setting focuses on long-term habilitation and active treatment rather than the elder care or post-acute models typical of standard nursing homes.

The program is organized around four core domains: wellness, community living, work, and leisure. Services include 24-hour residential care, day services, and vocational training designed to foster independence. The campus provides a structured environment for “active treatment,” which includes social, behavioral, and therapeutic services tailored to individual goals. Medicaid is the primary funding mechanism for these placements.

The center emphasizes community integration, offering supported employment opportunities both on and off campus. Residents benefit from proximity to Louisville’s urban resources, healthcare providers, and employment centers. The facility also features an on-site specialty clinic to support the complex medical and dental needs of its population. Since residential placement and per diem rates are managed through state administrative channels, families should request current cost details directly from the facility.

Individuals evaluating residential options for intellectual or developmental disabilities in the Louisville area should contact the administration and the Kentucky Department for Behavioral Health, Developmental and Intellectual Disabilities (DBHDID) to discuss eligibility, current unit availability, and community-based waiver alternatives.

Eastern Star Home in Kentucky is a 42-bed nonprofit facility at 923 Eastern Star Court in Louisville, Kentucky. Affiliated with the Order of the Eastern Star, this community provides skilled nursing, memory care, and rehabilitation within a secure residential setting.

The facility emphasizes a low staff-to-resident ratio, a feature supported by its 42-bed scale. While a full CMS star rating breakdown is not currently displayed in recent public reports, its nonprofit model often aligns with mission-driven staffing levels. The center provides 24-hour nursing coverage and a secured perimeter for residents with cognitive impairments. Specific clinical quality outcomes for short-stay and long-stay residents are not publicly reported at this time.

The Kentucky Cabinet for Health and Family Services oversees inspections. Eastern Star Home maintains a citations-per-inspection rate of zero based on its most recent regulatory filings. No civil money penalties, payment denials, or license actions have been recorded in the past three years, reflecting a consistent history of regulatory compliance.

Service programs include 24-hour staffing, memory care, and rehabilitation services. Amenities feature fully air-conditioned rooms, a chapel, and a garden courtyard. Residents have access to a beauty salon, wireless internet, and regular social events. Since specific monthly pricing is often managed through nonprofit or fraternal administrative channels, request a current fee schedule during a facility tour.

Those seeking a small, mission-driven community with a secure environment and a clean compliance record may find this environment appropriate. Contacting the administrator to request the most recent internal quality reports and observing the staff-to-resident interactions during an in-person visit is recommended before making a placement decision.