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The Overall CMS Rating is scored from 1 to 5 stars and 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 is scored from 1 to 5 stars and 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 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.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 180th out of 184 homes in Kentucky. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 42m per day | ▼ 9% State avg: 46m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 41m per day | ▼ 16% State avg: 49m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 2m per day | ▼ 16% State avg: 2h 25m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 8m per day | ▼ 10% State avg: 3h 29m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 7m per day | ▲ 75% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 49m per day | ▲ 58% State avg: 31m per day · National avg: 29m per day |
Higher than the Kentucky average: 81.3%Homestead Post Acute is legally operated by Homesteadidence Opco, Llc, and administrated by Justin.
Key information about the people who lead and staff this community.
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.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Kentucky state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | KY Average | vs. KY Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 10 | 6 | This facility has 67% more total deficiencies than a typical Kentucky nursing home (10 vs. KY avg 6).↑ 67% worse |
|
Deficiencies per year
Average deficiencies per year since 2019.
| 1.4 | 0.9 | This facility has 56% more deficiencies per year than a typical Kentucky nursing home (1.4 vs. KY avg 0.9).↑ 56% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on July 14, 2025, identified deficiencies related to medication cart security, food safety monitoring, and infection control practices. Earlier inspections showed a pattern of issues with care planning, grievance responses, and food safety, including trauma-informed care plans and addressing family council concerns. Inspectors cited problems mainly with medication storage, food temperature documentation, infection prevention, and resident grievance handling. Complaint investigations included concerns about resident care grievances, though substantiation was not clearly stated. The facility’s deficiencies have persisted over time without clear improvement or worsening trends.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsKentucky average 2.9
Last Health inspection on Sep 2024
Kentucky average 13.5
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.
100% better than Kentucky averageKentucky average: 1.1
100% better than Kentucky averageKentucky average: 0.6
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
46% better than Kentucky average
0% compared with Kentucky average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursThis role is partially covered by contractors.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
9,899 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 70 | 102 | 172 | 23,904 | 92 | 100% | 9.2 |
| Registered Nurse | 17 | 54 | 71 | 8,583 | 92 | 100% | 8.4 |
| Licensed Practical Nurse | 20 | 10 | 30 | 7,910 | 92 | 100% | 9.4 |
| Respiratory Therapy Technician | 6 | 0 | 6 | 1,262 | 71 | 77% | 6.6 |
| Dental Services Staff | 2 | 0 | 2 | 1,024 | 64 | 70% | 8 |
| Speech Language Pathologist | 4 | 0 | 4 | 1,001 | 67 | 73% | 6.9 |
| Medication Aide/Technician | 11 | 0 | 11 | 963 | 62 | 67% | 8.4 |
| Physical Therapy Assistant | 3 | 0 | 3 | 913 | 76 | 83% | 7.8 |
| Physical Therapy Aide | 2 | 0 | 2 | 911 | 72 | 78% | 7.2 |
| Qualified Social Worker | 2 | 0 | 2 | 516 | 71 | 77% | 5.6 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Dietitian | 1 | 0 | 1 | 498 | 61 | 66% | 8.2 |
| RN Director of Nursing | 1 | 0 | 1 | 497 | 64 | 70% | 7.8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 475 | 63 | 68% | 7.5 |
| Other Dietary Services Staff | 1 | 0 | 1 | 418 | 53 | 58% | 7.9 |
| Therapeutic Recreation Specialist | 1 | 0 | 1 | 416 | 55 | 60% | 7.6 |
| Medical Director | 0 | 2 | 2 | 317 | 56 | 61% | 4.8 |
| Other Physician | 0 | 1 | 1 | 104 | 26 | 28% | 4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 38 | 19 | 21% | 2 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
5.3%
69% better than Kentucky averageKentucky average: 16.8%
Percent of long-stay residents whose ability to move independently worsened
12.4%
37% better than Kentucky averageKentucky average: 19.6%
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%
Percent of long-stay residents experiencing one or more falls with major injury
2.8%
25% better than Kentucky averageKentucky average: 3.8%
Percent of long-stay high risk residents with pressure ulcers
2.9%
50% better than Kentucky averageKentucky average: 5.8%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Kentucky averageKentucky average: 1.9%
Percent of long-stay residents who lose too much weight
4.2%
39% better than Kentucky averageKentucky average: 6.8%
Percent of long-stay residents who have depressive symptoms
89.9%
530% worse than Kentucky averageKentucky average: 14.3%
Percent of long-stay residents who received an antipsychotic medication
10.0%
36% better than Kentucky averageKentucky average: 15.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.8%
6% better than Kentucky averageKentucky average: 93.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.2%
In line with Kentucky averageKentucky average: 96.2%
Number of hospitalizations per 1,000 long-stay resident days.
1.49
20% better than Kentucky averageKentucky average: 1.87
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.99
9% better than Kentucky averageKentucky average: 2.19
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
94.8%
13% better than Kentucky averageKentucky average: 83.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Kentucky averageKentucky average: 1.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
91.5%
9% better than Kentucky averageKentucky average: 83.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.5%
8% better than Kentucky averageKentucky average: 24.5%
Percentage of short-stay residents who had an outpatient emergency department visit.
24.3%
75% worse than Kentucky averageKentucky average: 13.9%
Percentage of SNF residents who experience falls with major injury during their stay.
0.9%
12% worse than Kentucky averageKentucky average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
66.7%
24% better than Kentucky averageKentucky average: 53.7%
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.
42% of new residents, usually for short-term rehab.
36% of new residents, often for short stays.
22% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
125Residents meet regularly to discuss policies, care quality, and activities
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.
Historical financial and operational data for Homestead Post Acute based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #12 / 188Payroll — State benchmarkedThis home is ranked 12th out of 188 homes in Kentucky. Shows total annual staff payroll benchmarked to the Kentucky average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total Residents: 136
Building Type: Single-story
Most residents typically stay for a few weeks or months before returning home or moving on.
1.8 miles from city center
Estimated distance in miles from Lexington's city center to Homestead Post Acute's address, calculated via Google Maps.
— 0.46 miles to nearest hospital (Cardinal Hill Rehabilitation Hospital)
Add your location
Homestead Post Acute is located in Lexington, Kentucky.
Here are the financial assistance programs available to residents in Kentucky.
The information below is reported by the Kentucky Cabinet for Health and Family Services, Office of Inspector General.
| The Willows at Citation |
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.
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 (Griffin Gate) | 19 | 83.5% | +3% | 3.69 | -12% | -2% | $0 | 9 | 4.5 | - | 50 | - | 7 | Renee Moore | $10.7M | $6.2M | 58.2% | 185474 | ||||
| Cambridge Nursing & Rehabilitation Center |
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. | Lexington (Cardinal Valley) | 108 | 86.9% | +7% | 2.88 | -30% | -23% | $0 | 9 | 3.0 | - | 104 | A+ | 55 | Cambridge Operations Holdco LLC | $8.2M | $3.8M | 46.7% | 185444 | ||||
| The Willows at Fritz Farm |
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 (Pickway Korner) | 30 | 150.0% | +85% | 3.60 | -18% | -4% | $0 | 8 | 2.7 | - | 50 | - | 69 | Elizabeth Blair | $11.2M | $6.0M | 53.3% | 185482 | ||||
| Homestead Post Acute |
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. | Lexington (Cardinal Hill) | 136 | 89.7% | +10% | 2.24 | +110% | -40% | $0 | 7 | 1.8 | - | 122 | - | 38 | Providence Group Of Kentucky LLC | $23.7M | $9.2M | 38.8% | 185144 | ||||
| Mayfair Village Retirement Community |
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. | Lexington (Lansdowne Merrick) | 24 | 79.9% | -2% | 3.81 | -67% | +2% | $33.6k | 27 | 5.4 | 3 | 79 | A+ | 59 | LP O Holdings LLC | $12.1M | $5.1M | 42% | 185069 |
Homestead Post Acute is in the Cardinal Hill neighborhood of Lexington.
The legal owner and operator of Homestead Post Acute is Homesteadidence Opco, Llc.
Homestead Post Acute has a walk score of 38. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to KY state health department records, Homestead Post Acute's license number is 100108.
According to KY state health department records, Homestead Post Acute's license expires on May 31, 2026.
Homestead Post Acute's occupancy is 90%.
Justin is the administrator of Homestead Post Acute.
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