Occupancy rate
90%
In line with Kentucky averageMostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Nursing Home in Lexington
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Homestead Post Acute
Nursing Home in Lexington
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Homestead Post Acute
Overview of Homestead Post Acute
Homestead Post Acute in Lexington, KY is a respected senior care provider designed to help residents get back to their old routines from hospitalization through its excellent skilled nursing and rehabilitation services. Care services, such as wound care, respite stays, and hospice care are offered to make sure residents are well-cared for and supported even as their needs change, offering them utmost comfort and peace of mind. The community features 136 well-designed suites that foster a safe and cozy healing and living environment for a quick recovery process.
Committed to enhancing its residents’ overall quality of life, the community also offers several life-enhancing amenities, entertainment activities and programs, and various convenient services for a maintenance-free lifestyle. Medical services, such as diabetic care, occupational therapy, physical therapy, medication management and more, are offered to make sure that residents receive the medical and personal care they need to maintain their health and independence.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
136
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
89.7%
Residents per day (avg)
125
Occupancy rate
89.7%
Residents per day (avg)
125
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
42% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
36% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
22% of new residents, often for long-term daily care.
Typical stay
11 - 12 months
Finances and operations
Privately-owned community
Home revenue
$23.7M
Profit
$1.7M
Privately-owned community
Home revenue
$23.7M
Profit
$1.7M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$6.9M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$15.2M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$22.1M
136-bed community
A larger shared setting that may offer more common spaces and organized community services.
Walk Score: 38 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
About this community
Occupancy
In line with Kentucky averageOccupied beds
122 / 136
Average residents
80 per day
Facility TypeLong Term Care (nursing Facility)
StatusActive
IssuanceJune 1, 2025
ExpirationMay 31, 2026
CountyFAYETTE
License Number100108
CMS Certification Number185144
Homestead Post Acute is legally operated by Homesteadidence Opco, Llc, and administrated by Justin.
NF (Nursing Facility)
136 units
Total beds
136 units
Staffing
Key information about the people who lead and staff this community.
ContactMs. Joan Louden, President
Accept Medicare
Rehabilitation Services
Respite Care
Short-Term Rehab
Skilled Nursing
24-Hour Staffing
Rehabilitation
Private Bathrooms With Showers
Spacious Common Areas
Expansive Rehab Gym
Beautiful Courtyards And Lobby
Specific ProgramsSkilled Nursing, Short-Term Rehab, Social Services, Activities
Operating HoursMonday – Friday: 8 am to 5 pm, Weekends: 9 am to 5 pm
What does this home offer?
Accept Medicaid: Yes
Total Residents: 136
Building Type: Single-story
Types of Care at Homestead Post Acute
Nursing Home
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicare Accepted
This facility is certified for eligible Medicare services.
Inspection History
In Kentucky, the Cabinet for Health and Family Services, Office of Inspector General is the regulatory authority that conducts inspections and investigates complaints in all long-term care homes.
4 visits/inspections
1 visits/inspections triggered by complaints
3 routine inspections
Results
4 with issues
0 without issues
Show Inspection Reports
Latest inspection
Date
July 14, 2025
Routine10 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Kentucky average: 6 deficiencies
Health Inspection History
Inspections
Total health inspections
4
Kentucky average 2.9
Last Health inspection on Sep 2024
Total health citations
7
Kentucky average 13.5
Citations per inspection
1.75
Kentucky average 4.4
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
6 of 7 citations resulted from standard inspections; and 1 of 7 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Kentucky averageKentucky average: 1.1
Serious Health citations
0
0
100% better than Kentucky averageKentucky average: 0.6
0 critical citations
0 serious citations
7 moderate citations
0 minor citations
Citations history (last 3 years)
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Sep 20, 2024
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Sep 20, 2024
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Sep 20, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Sep 20, 2024
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Sep 20, 2024
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Sep 20, 2024
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Aug 29, 2023
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Aug 29, 2023
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Lexington The information below is reported by the Kentucky Cabinet for Health and Family Services, Office of Inspector General.
Filter by care type
Cambridge Nursing & Rehabilitation Center
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.
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).
Lexington
108
86.9%
+7%
2.88
-23%
0
9
3.0
0
104
A+
55
Cambridge Operations Holdco Llc
$8.2M
$3.3M
40.9%
185444
Homestead Post Acute
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.
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).
Lexington
136
87.7%
+8%
2.24
-40%
0
7
1.8
0
125
-
38
Providence Group Of Kentucky Llc
$23.7M
$6.9M
29.1%
185144
Bluegrass Care & Rehabilitation
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.
Lexington
-
-
-
-
-
0
0
0.0
0
-
-
11
-
-
-
-
-
Hartland Park Health & Rehabilitation
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.
Lexington
150
-
-
-
-
0
0
0.0
0
-
-
-
-
-
-
-
-
Lexington Premier Nursing & Rehab
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.
Lexington
-
-
-
-
-
0
0
0.0
0
-
-
62
-
-
-
-
-
Places of interest near Homestead Post Acute
1.8 miles from city center — 0.46 miles to nearest hospital (Cardinal Hill Rehabilitation Hospital)
Calculate Travel Distance to Homestead Post Acute
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
207
Employees
125
Contractors
82
Staff to resident ratio
1.66:1
5% worse than Kentucky averageKentucky average ratio: 1.75:1
Avg staff/day
58
Average shift
9 hours
6% better than Kentucky averageKentucky average: 8.5 hours
Total staff hours (quarter)
47,239
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
50
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
28
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
94
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
11.1%
5,253 contractor hours this quarter
Registered Nurse: 37
Certified Nursing Assistant: 34
Licensed Practical Nurse: 9
Medical Director: 1
Occupational Therapy Assistant: 1
Staff by category
| Certified Nursing Assistant | 60 | 34 | 94 | 21,627 | 91 | 100% | 9.6 |
| Licensed Practical Nurse | 19 | 9 | 28 | 7,703 | 91 | 100% | 9.8 |
| Registered Nurse | 13 | 37 | 50 | 6,828 | 91 | 100% | 8.6 |
| Medication Aide/Technician | 7 | 0 | 7 | 1,586 | 89 | 98% | 8.9 |
| Respiratory Therapy Technician | 6 | 0 | 6 | 1,468 | 69 | 76% | 6.9 |
| Dental Services Staff | 2 | 0 | 2 | 1,024 | 64 | 70% | 8 |
| Physical Therapy Aide | 2 | 0 | 2 | 921 | 67 | 74% | 7.3 |
| Qualified Social Worker | 2 | 0 | 2 | 919 | 65 | 71% | 7.6 |
| Speech Language Pathologist | 3 | 0 | 3 | 843 | 65 | 71% | 6.9 |
| Physical Therapy Assistant | 3 | 0 | 3 | 795 | 70 | 77% | 7 |
| RN Director of Nursing | 2 | 0 | 2 | 545 | 68 | 75% | 7.5 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Dietitian | 1 | 0 | 1 | 509 | 65 | 71% | 7.8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 469 | 57 | 63% | 8.2 |
| Other Dietary Services Staff | 1 | 0 | 1 | 465 | 61 | 67% | 7.6 |
| Therapeutic Recreation Specialist | 1 | 0 | 1 | 408 | 63 | 69% | 6.5 |
| Medical Director | 0 | 1 | 1 | 62 | 30 | 33% | 2.1 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 44 | 11 | 12% | 4 |
94 Certified Nursing Assistant
% of Days
100%
28 Licensed Practical Nurse
% of Days
100%
50 Registered Nurse
% of Days
100%
7 Medication Aide/Technician
% of Days
98%
6 Respiratory Therapy Technician
% of Days
76%
2 Dental Services Staff
% of Days
70%
2 Physical Therapy Aide
% of Days
74%
2 Qualified Social Worker
% of Days
71%
3 Speech Language Pathologist
% of Days
71%
3 Physical Therapy Assistant
% of Days
77%
2 RN Director of Nursing
% of Days
75%
1 Administrator
% of Days
70%
1 Nurse Practitioner
% of Days
70%
1 Dietitian
% of Days
71%
1 Clinical Nurse Specialist
% of Days
63%
1 Other Dietary Services Staff
% of Days
67%
1 Therapeutic Recreation Specialist
% of Days
69%
1 Medical Director
% of Days
33%
1 Occupational Therapy Assistant
% of Days
12%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
125 residents
Residents by payment source
Medicare
11 residents (8.8%)
Medicaid
95 residents (76%)
Private pay or other
19 residents (15.2%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
5.5
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
5.5
48% better than Kentucky averageKentucky average: 10.5
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
7.1
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
7.1
62% better than Kentucky averageKentucky average: 18.9
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
5.3%
Percent of long-stay residents whose need for help with daily activities has increased
5.3%
69% better than Kentucky averageKentucky average: 16.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
12.4%
Percent of long-stay residents whose ability to move independently worsened
12.4%
37% better than Kentucky averageKentucky average: 19.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
3.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
3.8%
82% better than Kentucky averageKentucky average: 20.5%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.8%
Percent of long-stay residents experiencing one or more falls with major injury
2.8%
25% better than Kentucky averageKentucky average: 3.8%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.9%
Percent of long-stay high risk residents with pressure ulcers
2.9%
50% better than Kentucky averageKentucky average: 5.8%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Kentucky averageKentucky average: 1.9%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
4.2%
Percent of long-stay residents who lose too much weight
4.2%
39% better than Kentucky averageKentucky average: 6.8%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
89.9%
Percent of long-stay residents who have depressive symptoms
89.9%
530% worse than Kentucky averageKentucky average: 14.3%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
10.0%
Percent of long-stay residents who received an antipsychotic medication
10.0%
36% better than Kentucky averageKentucky average: 15.6%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.8%
6% better than Kentucky averageKentucky average: 93.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.2%
In line with Kentucky averageKentucky average: 96.2%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.49
Number of hospitalizations per 1,000 long-stay resident days.
1.49
20% better than Kentucky averageKentucky average: 1.87
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.99
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.99
9% better than Kentucky averageKentucky average: 2.19
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
94.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
94.8%
13% better than Kentucky averageKentucky average: 83.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Kentucky averageKentucky average: 1.9%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
91.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
91.5%
9% better than Kentucky averageKentucky average: 83.6%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.5%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.5%
8% better than Kentucky averageKentucky average: 24.5%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
24.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
24.3%
75% worse than Kentucky averageKentucky average: 13.9%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.9%
Percentage of SNF residents who experience falls with major injury during their stay.
0.9%
12% worse than Kentucky averageKentucky average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
66.7%
Percentage of residents at or above expected ability to care for themselves at discharge.
66.7%
24% better than Kentucky averageKentucky average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
42.6%
Rate of successful return to home or community from a skilled nursing facility.
42.6%
16% worse than Kentucky averageKentucky average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Homestead Post Acute based on CMS SNF Cost Reports.
Occupancy Rate
87.7%
↓ 3.6pp vs 2022
Net Income
$1.7M
↑ ~$443.6K vs 2022
Total Payroll
$9.2M
↓ ~$189.8K vs 2022
Profit Margin
7.0%
↑ 1.8pp vs 2022
Loading trend charts...
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