Best Nursing Homes in Richmond, KY

Why trust this guide? Our editorial team analyzed 3 nursing homes in Richmond, KY using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in KY
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We analyzed These are the facilities in Richmond, KY our team has analyzed — not a count of every nursing home provider in Richmond, KY.
3 homes
Other senior care options in Richmond:
Avg Overall CMS Rating: 3.3/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Richmond, 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: 1.3/ 5The average Staffing Rating across all CMS-certified nursing homes in Richmond, 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: 4.0/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Richmond, 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

Compare Nursing Homes around Richmond

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 to lowest based on our ranking 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 Table 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. RC (Respite Care): Short-term temporary care that gives family caregivers a break. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
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.
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.
Kenwood Health and Rehabilitation Center
NH
RC
SNF
Richmond
93
Facility 93
KY AVG 83
Rank #126 / 340
92.5%
Facility 92.5%
KY AVG 84.5
Rank #57 / 168
+9%
3.20
Facility 3.20
KY AVG 3.75
Rank #108 / 190
-48%-15%
$0
Facility $0
KY AVG $65.4k
Rank #1 / 194
1
Facility 1
KY AVG 13.5
Rank #1 / 190
1.0
Facility 1.0
KY AVG 4.4
Rank #1 / 190
-86-
78
Facility 78
KY AVG 43
Rank #18 / 402
Benita Dickenson
$8.8MFiscal year ending 12/2023
Facility $8.8MFiscal year ending 12/2023
KY AVG $9.8M
Rank #103 / 183
$4.4MFiscal year ending 12/2023
Facility $4.4MFiscal year ending 12/2023
KY AVG $4.8M
Rank #86 / 183
49.4%Fiscal year ending 12/2023
Facility 49.4%Fiscal year ending 12/2023
KY AVG 48.8%
Rank #74 / 183
185061
The Terrace Nursing & Rehabilitation Facility
NH
SNF
Berea
102
Facility 102
KY AVG 83
Rank #94 / 340
94.7%
Facility 94.7%
KY AVG 84.5
Rank #33 / 168
+12%
2.98
Facility 2.98
KY AVG 3.75
Rank #143 / 190
-49%-20%
$0
Facility $0
KY AVG $65.4k
Rank #1 / 194
5
Facility 5
KY AVG 13.5
Rank #19 / 190
1.7
Facility 1.7
KY AVG 4.4
Rank #9 / 190
-97-
2
Facility 2
KY AVG 43
Rank #400 / 402
-
$10.7MFiscal year ending 12/2023
Facility $10.7MFiscal year ending 12/2023
KY AVG $9.8M
Rank #62 / 183
$5.6MFiscal year ending 12/2023
Facility $5.6MFiscal year ending 12/2023
KY AVG $4.8M
Rank #51 / 183
52.4%Fiscal year ending 12/2023
Facility 52.4%Fiscal year ending 12/2023
KY AVG 48.8%
Rank #51 / 183
185103
Madison Health & Rehabilitation Center
NH
HOS
RC
SNF
Richmond
92
Facility 92
KY AVG 83
Rank #128 / 340
89.1%
Facility 89.1%
KY AVG 84.5
Rank #82 / 168
+5%
3.29
Facility 3.29
KY AVG 3.75
Rank #86 / 190
-58%-12%
$11.8k
Facility $11.8k
KY AVG $65.4k
Rank #146 / 194
16
Facility 16
KY AVG 13.5
Rank #125 / 190
5.3
Facility 5.3
KY AVG 4.4
Rank #136 / 190
282-
36
Facility 36
KY AVG 43
Rank #243 / 402
Summit Care Management LLC
$7.1MFiscal year ending 12/2023
Facility $7.1MFiscal year ending 12/2023
KY AVG $9.8M
Rank #130 / 183
$4.9MFiscal year ending 12/2023
Facility $4.9MFiscal year ending 12/2023
KY AVG $4.8M
Rank #67 / 183
69%Fiscal year ending 12/2023
Facility 69%Fiscal year ending 12/2023
KY AVG 48.8%
Rank #7 / 183
185262

Rank badges are statewide: each community is ranked against every KY community we track that reports that metric, not just the 3 analyzed for Richmond.

Overview of Kenwood Health and Rehabilitation Center

Located on Meadowlark Drive in Richmond, Kenwood Health and Rehabilitation Center is a skilled nursing home owned by Benita Dickenson. The home welcomes people recovering from a hospital stay and also cares for those who need nursing support for a longer period. Hands-on therapy is a major part of daily care. Staff work with residents one-on-one to meet individual needs. Medicare, Medicaid, and private pay are all accepted.

The facility has 93 beds and is running at 92% occupancy. Residents stay for about 103 days on average. Some come for post-acute rehabilitation, while others remain for longer-term skilled nursing care. Nursing staff provides an average of 3 hours and 30 minutes of care per resident each day.

Registered nurses are part of the care team and oversee clinical care. The home also has a doctor on staff, so many medical issues are handled without leaving the facility. That can reduce the need for outside appointments.

State inspectors found no concerns with infection control. They also found no issues related to Medicare or Medicaid compliance. Fire safety measures and electrical systems in hazardous areas met inspection requirements. The home’s inspection history shows close attention to these important standards.

Daily life includes a strong enrichment program with activities designed to keep residents involved. A facility van with a wheelchair lift is available for outings. Residents can also use on-site beauty and barber services. They also have access to a secure outdoor courtyard for fresh air or to spend time with visitors.

Private rooms are available for residents who prefer more personal space. The home also includes complimentary WiFi, cable television, and laundry service. A lounge with a large television serves as a common gathering area. Several family gathering rooms are available throughout the building.

Situated in a very walkable area of Richmond, the home has a neighborhood walk score of 78 out of 100. Many everyday errands can be completed on foot, and visiting family members can easily get around the surrounding area.

Contact Kenwood Health and Rehabilitation Center

Overview of The Terrace Nursing & Rehabilitation Facility

Located on Brooklyn Boulevard in Berea, Kentucky, The Terrace Nursing & Rehabilitation Facility provides skilled nursing, rehabilitation, and respite care services. The community has 102 beds and accepts Medicare, Medicaid, and private-pay residents, offering families several payment options for both short-term and long-term care needs.

Residents receive an average of 2 hours and 53 minutes of nursing care each day. Nurse aides provide approximately 2 hours and 27 minutes of that total, reflecting a care model that relies heavily on hands-on daily assistance and support.

The community maintains a high occupancy rate of about 94%. Residents stay an average of 162 days, indicating a combination of rehabilitation-focused admissions and longer-term nursing care placements.

Situated in an area with a Walk Score of 2, the community is highly dependent on vehicle transportation. Most errands, appointments, and visits require driving, an important consideration for family members planning regular trips to see loved ones.

Contact The Terrace Nursing & Rehabilitation Facility

Overview of Madison Health & Rehabilitation Center

Madison Health & Rehabilitation Center in Richmond, Kentucky provides a warm and friendly environment dedicated to delivering top-notch services to its residents. With licensed nurses available around the clock, residents can enjoy peace of mind knowing their health and well-being are in capable hands.

The home offers a comprehensive range of services, including medication management, wound care, physician visits, and dental and vision care. Residents can also engage in social activities while housekeeping and laundry services are taken care of. The center prides itself on its hospital readmission reduction program, disease management, and early intervention initiatives. With a trusted reputation, the center boasts a skilled team of clinical and rehabilitation staff committed to providing expert care and support for long-term residents. 

Contact Madison Health & Rehabilitation 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
No paid rankings Facilities cannot pay to influence placement.
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
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Frequently Asked Questions about Nursing Homes in Richmond, 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 3 nursing homes in Richmond, KY. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in Richmond, 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 Richmond, 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 Richmond, 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.