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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.

Click column headers to sort
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 Preston Village Senior Apartments

Create meaningful moments in retirement at Preston Village Senior Apartments, a distinguished 55+ community in Louisville, KY, offering independent living. Residents can ease their worries with beautifully furnished and spacious one- and two-bedroom floor plans. On-site maintenance and plenty of convenient apartment features allow residents to have more time for the things they truly enjoy.

Fun recreational activities and enriching programs are conducted, encouraging residents to live actively and maintain social connections. Delightful restaurants and shops are available nearby, providing a variety of dining options for residents’ dietary needs and preferences. The community also features plenty of top-notch amenities and exceptional services, striving to help residents thrive in their golden years.

What does this home offer?

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Minimum Age: 55 Years Old

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Pets Allowed

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Housing Options: 1 Bed / 2 Bed

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Building Type: Mid-rise

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Beauty Services

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Social and Recreational Activities

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Exercise Programs

Contact Preston Village Senior Apartments

Overview of Storypoint Union

Treat yourself to a retirement life like no other at Storypoint Union in Union, KY, a vibrant senior living community that offers independent living and enhanced living services. Residents comfortably settle into beautifully furnished apartments, with a selection of studio, one and two-bedroom floor plans to choose from. The community handles the tedious tasks and chores, so residents have the freedom to continue their passions, make new friends, and participate in engaging activities.

Residents enjoy a high-spirited lifestyle with daily programs, engaging activities and events, and resort-style amenities such as a media room, massage room, salon, library, activity room, a cafe, and much more. The community serves tasty, chef-prepared meals to provide residents with an excellent dining experience that fosters bonding over meals while giving residents the nourishment they need. With compassionate care, friendly neighbors, and thrilling activities, Storypoint Union makes an ideal place to live a full, connected retirement life.

What does this home offer?

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Pets Allowed

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Housing Options: Studio / 1 Bed / 2 Bed

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Building Type: 3-story

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Transportation Services

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Fitness and Recreation

Contact StoryPoint Union

Overview of Masonic Homes Kentucky

Masonic Homes Kentucky is a home care service provider at 3701 Frankfort Avenue, Louisville, Jefferson County, Kentucky 40207, offering personal care, companion care, and live-in support for seniors who wish to remain in their own homes. Operated by Masonic Homes Kentucky, a nonprofit with 150 years of organizational history, the service is not currently CMS-certified by the Kentucky Cabinet for Health and Family Services’ Office of Inspector General, which means families need to verify Medicare and Medicaid coverage separately.

The home care division operates under the FirstLight Home Care brand and provides nonmedical assistance with daily activities, medication reminders, housekeeping, meal preparation, and companionship. Caregivers are direct employees of Masonic Homes, not independent contractors. Service can be arranged hourly or on a live-in basis, with flexibility to match individual needs and care intensity. The company also operates a much larger continuum of care campus on 82 acres, offering independent living, assisted living, memory care, skilled nursing, rehabilitation services, dialysis treatment, and an on-site medical clinic. This integration means home care clients who need escalating levels of care may have priority access to other Masonic services on the same campus, though families should verify terms directly.

The location has a Walk Score of 72 (very walkable), with shopping, dining, and cultural activities within walking distance and close proximity to healthcare resources including University of Louisville Medical Center. One documented family account on record reveals substantive concerns about operational quality and financial transparency. A family member reported that a mother who lived in Mira Lea (a Masonic residential community) from 2013 to 2023 experienced marked food quality decline after 2018, and after the resident’s death, an apartment purchase agreement was never resolved despite three years of contact attempts, legal involvement, and requests for escalation. The reviewer stated the facility’s “Contract of Care” structure provided no recourse and expressed frustration with the organization’s response to the complaint. This documented experience directly raises questions about contract clarity, post-care financial obligations, and the company’s willingness to address family concerns.

Masonic Homes Kentucky accepts application through Kentucky Medicaid Home and Community Based Waiver, Kentucky Homecare Program, and veteran benefits programs (VA Aid and Attendance).

Families should ask directly about contract terms, financial arrangements, dispute resolution processes, and how concerns are escalated before enrollment.

What does this home offer?

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Pets Allowed

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Building Type: Two-story

Contact Masonic Homes Kentucky

Home Instead

4101 Taylorsville Rd Unit 200, Louisville, KY 40220
Overview of Home Instead

Home Instead is a home care provider at 101 East 26th Street, Suite 100, Tacoma, Pierce County, Washington 98421, managed by Mr. Scott Moir and operating for 6 years. The agency offers personal care, Alzheimer’s care, hospice care, chronic illness care, transportation, companionship, and nurse-directed care. Home Instead is not CMS-certified for Medicare or Medicaid. BBB Rating: A+ (Not Accredited).

The agency describes its approach as building lasting relationships with seniors and families through personalized care plans delivered in the home. Services are designed to help seniors remain engaged in everyday life with professional caregiver support. Care is arranged to meet individual needs and preferences.

The New Tacoma office is 1.5 miles from downtown Tacoma with a Walk Score of 63 (moderately walkable). Some errands and services are accessible on foot; nearby amenities include hospitals, pharmacies, dining, shopping, and parks within moderate driving distance.

Financial assistance programs available to Washington residents include COPES, Washington Family Caregiver Support Program, Community First Choice, Older Americans Act Services, Medicare Savings Program, VA Aid and Attendance, Senior Citizens Property Tax Exemption, and Senior Farmers’ Market Nutrition Program. Income and asset limits vary; families should verify eligibility with Home Instead or a local Area Agency on Aging.

Home Instead provides home-based care only. As a home care agency not subject to CMS inspection, regulatory or deficiency records are not publicly available.

Families should ask about caregiver qualifications, insurance and bonding, hours of availability, emergency response protocols, and whether the agency coordinates with local healthcare providers.

What does this home offer?

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Building Type: Two-story

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Transportation Services

Phone: /A

Contact Home Instead

Overview of Dudley Square Senior Living Patio Homes

Situated in Graymoor-Devondale, KY, Dudley Square Senior Living Patio Homes offers independent living for seniors who want to enjoy a vibrant and active lifestyle. The community is next door to the Morton House, where residents have easy access to healthcare services, a new restaurant-style dining option, a beauty and barbershop, and a gift shop. Seniors at Dudley Square can enjoy a maintenance-free lifestyle with plenty of opportunities to engage in activities like book clubs, bridge games, volunteer opportunities, and social events such as happy hours, lunches, and outings.

At Dudley Square Senior Living Patio Homes, they provide a supportive and enriching environment where seniors can thrive, complemented with a variety of amenities and programs, including a new clubhouse with a fitness room featuring state-of-the-art equipment. Residents can build new friendships, participate in numerous activities, and enjoy the convenience of on-site medical and rehab services. Dudley Square is dedicated to ensuring that each resident feels supported, engaged, and at home.

What does this home offer?

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Room Sizes: 1100 / 1400 / 1627 / 1710 / 2154 / 2000 / 2200 / 2400 sq. ft

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Housing Options: Studio / 1 Bed / 2 Bed

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Building Type: Two-story

Contact Dudley Square Senior Living Patio Homes

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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