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Best Senior Care in Kentucky

Reviewed by Dr. Jordan Weiss
Updated May 2026

Sources: CMS Centers for Medicare and Medicaid Services, and Kentucky Department of Health, Office of Aging and Long Term Care.

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Video Tour: Top-rated senior care facilities in Kentucky.

Watch this Video to see Kentucky's Top-rated Senior Communities

Compare Senior Care around Kentucky

The information below is reported by the Kentucky Cabinet for Health and Family Services, Office of Inspector General.

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Sunrise of Louisville
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Louisville (Manor Creek)
94
Facility 94
KY AVG 101
Rank #120 / 341
Yes
21
Facility 21
KY AVG 44
Rank #330 / 424
Studio / Suite / 1 Bed
45
Facility 45
KY AVG
Rank #3 / 132
A-
Preston Greens Senior Living
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Lexington (Hamburg Area)
100
Facility 100
KY AVG 101
Rank #96 / 341
Yes
26
Facility 26
KY AVG 44
Rank #309 / 424
Studio / 1 Bed / 2 Bed
-
Facility -
KY AVG
B+
Dominion Senior Living of Richmond
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Richmond
84
Facility 84
KY AVG 101
Rank #146 / 341
Yes
25
Facility 25
KY AVG 44
Rank #316 / 424
Studio / 1 Bed
-
Facility -
KY AVG
-
Brookdale Murray
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Murray
83
Facility 83
KY AVG 101
Rank #151 / 341
Yes
48
Facility 48
KY AVG 44
Rank #176 / 424
Studio / 1 Bed / 2 Bed
48
Facility 48
KY AVG
Rank #2 / 132
A+
Vitality Living Springdale
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Louisville
70
Facility 70
KY AVG 101
Rank #176 / 341
Yes
25
Facility 25
KY AVG 44
Rank #316 / 424
Studio / Alcove / 1 Bed / 2 Bed
-
Facility -
KY AVG
A+
Harmony at Tucker Station
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Louisville
64
Facility 64
KY AVG 101
Rank #197 / 341
Yes
44
Facility 44
KY AVG 44
Rank #200 / 424
Studio / 1 Bed / 2 Bed
6
Facility 6
KY AVG
Rank #51 / 132
A+
Inspirations of Florence
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Florence (Main Street)
85
Facility 85
KY AVG 101
Rank #142 / 341
Yes
67
Facility 67
KY AVG 44
Rank #66 / 424
-
-
Facility -
KY AVG
-
Morning Pointe of Lexington
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Lexington-Fayette (Ruccio Way)
80
Facility 80
KY AVG 101
Rank #158 / 341
Yes
51
Facility 51
KY AVG 44
Rank #158 / 424
Studio / Alcove / 1 Bed / 2 Bed
-
Facility -
KY AVG
-
Morning Pointe of Lexington East
MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Lexington (Shoreside Drive)
73
Facility 73
KY AVG 101
Rank #169 / 341
Yes
21
Facility 21
KY AVG 44
Rank #330 / 424
Studio / Alcove / 1 Bed / 2 Bed
-
Facility -
KY AVG
-
Arcadia Senior Living Louisville
HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

Louisville
99
Facility 99
KY AVG 101
Rank #106 / 341
No
39
Facility 39
KY AVG 44
Rank #224 / 424
Studio / 1 Bed / 2 Bed
30
Facility 30
KY AVG
Rank #15 / 132
C+
Brookdale Stonestreet
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Louisville (Prairie Village)
60
Facility 60
KY AVG 101
Rank #211 / 341
Yes
7
Facility 7
KY AVG 44
Rank #383 / 424
Studio / Alcove / 1 Bed
11
Facility 11
KY AVG
Rank #44 / 132
A+
Morning Pointe of Danville
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Danville (Perryville Road)
60
Facility 60
KY AVG 101
Rank #211 / 341
Yes
23
Facility 23
KY AVG 44
Rank #324 / 424
Studio / 1 Bed / 2 Bed
-
Facility -
KY AVG
-
Vitality Living St. Matthews
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

Louisville
70
Facility 70
KY AVG 101
Rank #176 / 341
Yes
72
Facility 72
KY AVG 44
Rank #42 / 424
Studio / 1 Bed / 2 Bed
28
Facility 28
KY AVG
Rank #16 / 132
A+
Dominion Senior Living of Louisville
RH

Retirement Home

Louisville (Hunting Road)
61
Facility 61
KY AVG 101
Rank #207 / 341
Yes
48
Facility 48
KY AVG 44
Rank #176 / 424
Private Rooms
19
Facility 19
KY AVG
Rank #29 / 132
A+
StoryPoint Prospect
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Prospect
65
Facility 65
KY AVG 101
Rank #191 / 341
Yes
46
Facility 46
KY AVG 44
Rank #188 / 424
Studio / 1 Bed / 2 Bed
-
Facility -
KY AVG
A-
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Overview of Wendell Foster’s Campus for Developmental Disabili

Wendell Foster’s Campus for Developmental Disabilities is a 64-bed Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID) at 815 Triplett Street in Owensboro, Kentucky. Serving Daviess County for nearly 80 years, the nonprofit organization specializes in individualized supports and therapeutic training for residents.

As an ICF/IID, the facility operates under a distinct regulatory framework from standard nursing homes and does not carry a CMS star rating. A significant compliance indicator is its record of no civil money penalties or payment denials over the past three years. The facility maintains a citations-per-inspection rate of 0.0 based on its most recent COVID-19 Focused Emergency Preparedness survey.

The campus supports individuals through a person-centered model, consisting of residential homes that emphasize community integration and active treatment. Services include 24/7 nursing support, physical, occupational, and speech therapies, and behavior supports. The campus also offers community training, transportation, and assistive technology resources.

Activities are designed to foster social inclusion, featuring the Aktion Club—a Kiwanis-affiliated social program, and various community outings. The campus operates within the Kentucky Medicaid Home and Community Based Waiver framework, offering alternatives to traditional residential placement. Since specific residential fee structures are often individualized under Medicaid, families should request current program eligibility and cost details directly from the administration.

Families seeking long-standing, mission-driven support for intellectual and developmental disabilities may find this environment appropriate. Those evaluating the campus should contact the point of entry directly to discuss residential availability and the range of community-based support services before making a placement decision.

Contact Wendell Foster’s Campus for Developmental Disabili

Overview of Jordan Rehabilitation and Healthcare Center

Jordan Rehabilitation and Healthcare Center is a 110-bed facility located at 270 E. Clayton Lane in Louisa, Kentucky. Serving Lawrence County, the center is operated by Jordan SNF Operations LLC and accepts Medicare and Medicaid.

The facility currently has no displayed CMS star rating. Clinical data show a varied performance profile: long-stay hospitalization rates are 20% higher than the Kentucky average, and emergency department visits for long-stay residents are 148% above the state benchmark. Conversely, the short-stay re-hospitalization rate of 18.4% is 25% better than the state average, and the facility maintains a 0.0% rate for falls with major injury.

The Kentucky Cabinet for Health and Family Services oversees inspections. Jordan Rehabilitation maintains a citations-per-inspection rate of 1.0. A significant compliance indicator is the absence of any civil money penalties over the past three years. The facility is situated in a central area with a Walk Score of 47, providing some accessibility to local services.

Service programs include short-term and long-term rehabilitation, memory care, and respite care. Amenities feature a spacious therapy gym, on-site physician services, and religious programming. Residents have access to WiFi and an active activities department. Since specific monthly pricing is not included in public records, families should request a current fee schedule during a facility tour.

Families seeking a facility with a strong short-stay safety record and a history of zero recorded penalties may find this environment appropriate. Those evaluating the center should weigh the above-average long-stay hospitalization and emergency department visit rates and discuss current clinical initiatives with the administrator before making a placement decision.

Contact Jordan Rehabilitation and Healthcare Center

Overview of Signature Healthcare at Jackson Manor Reha and Welln
Signature HealthCARE at Jackson Manor is a healthcare facility located in Annville, KY. It offers a wide array of services including medical care, restorative therapy, and support for patients and residents. The facility is committed to providing personalized healthcare services and enhancing the quality of life for its residents.

Contact Signature Healthcare at Jackson Manor Reha and Welln

Sam Swope Care Center

240 Masonic Home Drive, Masonic Home, KY 40041
Overview of Sam Swope Care Center

Sam Swope Care Center is a 268-bed skilled nursing facility located at 240 Masonic Home Drive in Masonic Home, Kentucky. Part of the larger Masonic Homes of Louisville campus in Jefferson County, the nonprofit community accepts Medicare and Medicaid.

Total nursing hours are 4 hours and 59 minutes per resident per day, which is 25% above the Kentucky average. RN hours are 43 minutes per day, and weekend RN coverage is 39 minutes—25% above the state average. While the facility holds an above-average quality measures rating, its CMS staffing sub-rating is categorized as 2 stars. Long-stay emergency department visits are 55% better than the state average, though falls with major injury are recorded at 1.5%.

The Kentucky Cabinet for Health and Family Services oversees inspections. Sam Swope Care Center maintains a citations-per-inspection rate of 1.0. Records from 2025 show full regulatory compliance in multiple surveys, including an April re-licensure survey and a January complaint investigation. The facility has no recorded payment denials or license issues over the past three years.

The campus features an intergenerational model, including an on-site preschool and daycare. Services encompass skilled nursing, memory care, dialysis, and rehabilitation. Amenities include private rooms, walking paths, and a beauty salon. Residents have access to a care clinic and home care options. Since specific monthly pricing is not provided in public records, families should request a current fee schedule during a facility tour.

Families seeking a large, mission-driven facility with high staffing levels and specialized dialysis services may find this environment appropriate. Those evaluating the center should discuss the quality measures regarding resident falls and Achieving Self-Care goals with the administrator before making a placement decision.

Contact Sam Swope Care Center

Overview of Salyersville Nursing and Rehabilitation Center

Salyersville Nursing and Rehabilitation Center is a 143-bed skilled nursing and rehabilitation facility at 662 Parkway Drive in Salyersville, Kentucky. Serving Magoffin County, the center is operated by Salyersville Health Operating Company, LLC, and accepts Medicare and Medicaid.

The facility currently has no displayed CMS star rating. Staffing levels show varied results: nurse aide hours align with state benchmarks, but RN hours are 15% below the Kentucky average. LPN hours run 43% below average, and physical therapy hours are 50% below the state benchmark. A notable clinical feature is the 24/7 presence of respiratory therapists, which is an uncommon specialty offering for the region.

The Kentucky Cabinet for Health and Family Services oversees inspections. Salyersville Nursing and Rehabilitation maintains a citations-per-inspection rate of 2.0. Quality measures for short-stay residents show a re-hospitalization rate of 35.4%, which is 44% higher than the Kentucky average. Long-stay emergency department visit rates perform 8% better than the state average, though long-stay hospitalizations run 18% above the benchmark.

Service programs include skilled nursing, memory care, wound care, and restorative rehabilitation. Specialty services encompass disease management, nutritional counseling, and vision and dental care. The facility provides 24-hour licensed nurse staffing and includes housekeeping and laundry services. Since specific monthly pricing is not provided in public records, families should request a current fee schedule during a facility tour.

Families seeking specialized respiratory therapy coverage and broad clinical services may find this environment appropriate. Those considering the facility for short-term rehabilitation should carefully review the re-hospitalization and emergency department visit rates and discuss these outcomes with the administrator before making a placement decision.

Contact Salyersville Nursing and Rehabilitation Center

Overview of Rockcastle Regional Hospital and Respiratory Care
Rockcastle Regional Hospital and Respiratory Care Center is located in Mt. Vernon, Kentucky. It offers specialized long-term care for ventilator-dependent residents, providing a family-oriented environment and personalized care plans. The facility is known for its high wean rate and comprehensive services.

Contact Rockcastle Regional Hospital and Respiratory Care

Robertson County Health Care Facility

1030 Kentontown Road, P O Box 170, Mount Olivet, KY 41064
Overview of Robertson County Health Care Facility

Robertson County Health Care Facility is a 60-bed skilled nursing and rehabilitation facility at 1030 Kentontown Road in Mount Olivet, Kentucky. Serving Robertson County, the center is operated by Robertson Operations LLC and accepts Medicare and Medicaid.

The facility holds a 2-star overall CMS rating. Staffing figures are mixed against state benchmarks: RN hours are 48 minutes per resident per day, which is 4% above the Kentucky average, while nurse aide and LPN hours run 14% and 35% below the state average, respectively. Physical therapy hours are recorded at 1 minute per day, significantly below the state average of 4 minutes. Long-stay quality measures are currently rated above average by CMS.

The Kentucky Cabinet for Health and Family Services oversees inspections. Robertson County Health Care Facility maintains a citations-per-inspection rate of 2.0. An April 2025 complaint investigation identified an Immediate Jeopardy condition related to resident-to-resident altercations and issued an $8,788 fine. While a follow-up survey in May 2025 found no deficiencies, a July 2025 standard report cited two additional deficiencies, including an infection control violation. Current occupancy is approximately 90%, reflecting high demand for the facility’s 60 licensed beds.

Service programs include skilled nursing, short-term rehabilitation, memory care, and respite care. Amenities feature an activity center, outdoor areas, and health and wellness programs. Dining includes home-cooked meals with low-sodium and healthy snack options. Since specific monthly pricing for nursing care is not included in public records, families should request a current fee schedule during a facility tour.

Families seeking a small, high-occupancy facility with above-average long-stay quality scores may find this environment appropriate. Those evaluating the center should review the 2025 Immediate Jeopardy findings and corrective actions regarding resident safety before making a placement decision.

Contact Robertson County Health Care Facility

Overview of River Haven Nursing and Rehabilitation Center
River Haven Nursing & Rehabilitation is a skilled nursing facility located in Paducah, Kentucky. It offers both short-term and long-term care with a focus on rehabilitation and wellness. The facility provides a range of services including skilled nursing, rehabilitation, and various amenities.

Contact River Haven Nursing and Rehabilitation Center

Overview of Pineville Community Hospital

Pineville Community Hospital is a hospital-based facility at 850 Riverview Avenue in Pineville, Kentucky. Serving Bell County as a full-service medical center, it provides 30 licensed long-term care beds alongside its acute care and outpatient divisions. The facility accepts Medicare and Medicaid.

As a hospital-integrated provider, the facility operates under acute care regulatory standards rather than the standard CMS nursing home star rating system. Direct nurse staffing data shows that 89% of surveyed patients reported their nurses communicated well—higher than the Kentucky hospital average of 82%. While the facility maintains 24-hour nursing coverage, specific CMS-adjusted nursing hours for the long-term care unit are not publicly reported in the standard format for freestanding homes.

The Kentucky Cabinet for Health and Family Services oversees facility inspections. Pineville Community Hospital maintains a citations-per-inspection rate of 1.0. Recent performance data from 2026 indicates successful implementation of bedside medication scanning protocols, though monitoring for hand hygiene and medication bedside scanning compliance remains an area for improvement. The facility has 16 swing beds and 30 long-term care beds, with recent surveys confirming an active license status.

The facility offers a comprehensive continuum of hospital-integrated services, including emergency care, respiratory therapy, and diagnostic imaging (CT, MRI, and ultrasound). Specialty resources include a rural health clinic, surgery suites, and geriatric psychiatric services. Amenities include on-site pharmacy services, nutritional counseling, and laboratory access. Since specific monthly rates for long-term care are often individualized, families should request a current fee schedule during a facility tour.

Families seeking skilled nursing within a hospital-integrated setting may find this environment appropriate, particularly if access to immediate diagnostic and emergency services is a priority. Those evaluating the facility should contact the administration directly to discuss current bed availability and admission criteria before making a placement decision.

Contact Pineville Community Hospital

Overview of Trinity Station Retirement Community
Trinity Station Retirement Community is the only locally owned continuing care retirement community in the Flatwoods, Russell, and Ashland areas. It offers independent living, assisted living, personal care, memory care, and skilled nursing all under one roof. The community is dedicated to providing a comfortable and supportive environment for its residents.

Contact Trinity Station Retirement Community

Weighting overview

  • 35%
    Resident Experience
  • 25%
    Regulatory
  • 15%
    Visual Media
  • 10%
    Website
  • 10%
    Stability
  • 5%
    Environment
01

Resident & Family Experience 35%

The single largest share of every ranking. Aggregated review sentiment and volume from major platforms — the closest signal to real resident experience.

  • Includes
  • Review Sentiment
  • Review Volume
02

Regulatory & Safety Record 25%

State inspection records, citations, and complaint visits. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • State Inspections
  • Citations/Inspection
  • % Inspections w/ Citations
  • Complaint Visits
  • Accreditations
  • BBB Rating
03

Visual Media & Transparency 15%

Communities that publish high-quality visuals give families a real preview. No photos or tours = a negative transparency signal.

  • Includes
  • Video Tours
  • Virtual Walkthroughs
  • Photo Quantity
  • Photo Quality
04

Website & Operator Transparency 10%

Site quality and whether the operator publishes basic accountability information — staff names, contact details, ownership.

  • Includes
  • Website Content
  • Mobile Usability
  • Staff Info Available
  • Owner Info Available
05

Community Stability 10%

Operational signals indicating whether a community is well-run and meeting demand.

  • Includes
  • Occupancy Rate
  • Bed Options
06

Environment & Pricing 5%

Walkability and pricing transparency. Walk Score is weighted higher for Independent Living than for Memory Care, where most residents do not leave unaccompanied.

  • Includes
  • Walk Score
  • Pricing Transparency

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