Lexington Premier Nursing & Rehab
Nursing Home, Hospice Care & Respite Care · Lexington, KY
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Lexington Premier Nursing & Rehab

Nursing Home, Hospice Care & Respite Care · Lexington, KY
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Lexington Premier Nursing & Rehab accepts Medicare, Medicaid, and private pay.

Overview of Lexington Premier Nursing & Rehab

JW Kentucky Operations LLC operates Lexington Premier Nursing & Rehab, a 120-bed certified skilled nursing and rehabilitation center located at 2770 Palumbo Drive in Lexington, Kentucky. Established one year ago, the property processes resident billing through typical payment streams, including Medicare, Medicaid, and private pay options. The immediate surrounding area is car-dependent, meaning families and visitors will rely on a vehicle for transit and local commuting.

The building maintains a 91 percent occupancy rate across its 120 certified beds, providing medical housing for a resident population with an average length of stay tracking at 104 days. Shift logs indicate that the 24-hour nursing team averages 3 hours and 38 minutes of direct care per resident each day to monitor complex clinical requirements. Daily floor operations focus on post-acute rehabilitation, post-stroke recovery, orthopedic and neurological therapy, cardiac care, diabetes management, pain tracking, and specialty support for Parkinson’s disease and multiple sclerosis.

Private and companion bedrooms connect to shared indoor spaces equipped with Wi-Fi access. The staff balances basic clinical charting with discharge planning, family alignment meetings, daily retraining for physical mobility, and a meal service that includes heart-healthy dietary options. Recent state monitoring inspections evaluated the property on medication administration, environmental upkeep, and care processes, establishing a baseline for routine internal tracking.

Interested individuals can set up an appointment to inspect the physical bedroom choices, review the daily therapy schedules, and discuss the facility’s discharge transition protocols directly with the administrative team.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▼ 64.5% Below KY avg. ▼ 64.5% Below KY avg.KY average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▼ 65.7% Below KY avg. ▼ 65.7% Below KY avg.KY average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▼ 62.5% Below KY avg. ▼ 62.5% Below KY avg.KY average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▼ 65.5% Below KY avg. ▼ 65.5% Below KY avg.KY average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours breakdown

Info 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.

Hours per resident per day — compared to Kentucky state averages

Total nursing care / resident Info This home is ranked 55th out of 193 homes in Kentucky for nurse hours. 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.
3h 38m per day
Rank #55 / 193Nurse hours — State benchmarkedThis home is ranked 55th out of 193 homes in Kentucky. Shows adjusted nurse hours per resident per day benchmarked to the Kentucky average, with a ranking across 193 Kentucky facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
This facility Kentucky avg (3h 45m per day)
vs Kentucky avg
-3%

5 of 6 metrics below state avg

Standout metric LPN / LVN is +37% above state avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info 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. 15m per day ▼ 68% State avg: 46m per day · National avg: 41m per day
LPN / LVN Info 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. 1h 7m per day ▲ 37% State avg: 49m per day · National avg: 52m per day
Nurse Aide Info 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 10m per day ▼ 10% State avg: 2h 25m per day · National avg: 2h 21m per day
Weekend Total Nursing Info 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 15m per day ▼ 7% State avg: 3h 29m per day · National avg: 3h 26m per day
Physical Therapist Info 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. 2m per day ▼ 47% State avg: 4m per day · National avg: 4m per day
Weekend RN Info 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. 11m per day ▼ 63% State avg: 31m per day · National avg: 29m per day

Capacity and availability

Avg. Length of Stay
104 days
Bed community size
120-bed community Rank #52 / 341Bed count — State benchmarkedThis home is ranked 52nd out of 341 homes in Kentucky. Shows this facility's certified or reported bed count compared to other Kentucky facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
1 year in operation Rank #53 / 149Years in operation — State benchmarkedThis home is ranked 53rd out of 149 homes in Kentucky. Shows how long this facility has been in operation compared to other Kentucky facilities. Longer operating histories may benefit residents, families, and staff.Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A newer community that may feature more recent facilities and programs.
Walk Score
Walk Score: 0 / 100 Rank #407 / 423Walk Score — State benchmarkedThis home is ranked 407th out of 423 homes in Kentucky. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Kentucky facilities. Higher scores benefit residents, families, and staff.Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate
91%
Rank #65 / 209Occupancy rate — State benchmarkedThis home is ranked 65th out of 209 homes in Kentucky. Shows this facility's occupancy rate versus the Kentucky average, with its Statewide rank out of 209. Higher occupancy signals strong local demand and financial stability.Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the Kentucky average: 81.3%
Occupied beds
109 / 120
Average occupied beds in Kentucky homes 80 beds

License Details

Facility TypeLong Term Care (nursing Facility)
StatusActive
IssuanceMarch 1, 2025
CountyFayette
License Number100572
CMS Certification Number185463

Ownership & Operating Entity

Lexington Premier Nursing & Rehab is administered by Michael Fielden.

Owner NameBlc Lexington Snf, LLC

Safety & Compliance

Emergency SystemsEmergency call response in every room.

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

1 service
24-Hour Staffing

Amenities & Lifestyle

24-Hour Licensed Nursing Care
Individualized Care Plans And Transition Support
Resident And Family Care Meetings
Daily Activities And Programs
Daily Housekeeping And Laundry Service
Private Or Companion Accommodations
Spacious
Comfortable Common Areas
Ipads And Wi-Fi For Individual Engagement
Art
Technology
And Music Programs
Specific ProgramsPost-surgical Care, Pain Management, Oxygen Therapy, Continence Care, Catheter Care, Colostomy Care, Nutrition and Hydration Programs, Diabetes Care, Cardiac Care, CVA/Stroke Care, Infectious Diseases, Joint Replacement/Fracture Care, IV Therapy/TPN/Antibiotic Management, Orthopedic Rehab, Neurologic Rehab for Stroke, Multiple Sclerosis, and Parkinson’s, Fall Prevention Program, Adaptive/Assistive Equipment, Activities of Daily Living Retraining, Home Assessment/Visit for a Safe Discharge

Dining & Nutrition

Food DescriptionFine dining with heart-healthy options.

Contact Lexington Premier Nursing & Rehab

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.

Since 2018 · 8 years of data 32 deficiencies

Inspection Scorecard Info This scorecard compares key inspection, deficiency, 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.

Since 2018 vs. Kentucky state average
Overall vs. KY average 2 Worse Metrics worse than Kentucky average:
• Total deficiencies (433% above)
• Deficiencies per year (400% above)
0 Better No metrics in this bucket.
Latest Inspection August 8, 2025 Routine

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityKY Averagevs. KY Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 326 This facility has 433% more total deficiencies than a typical Kentucky nursing home (32 vs. KY avg 6).↑ 433% worse
Deficiencies per year Info Average deficiencies per year since 2018. 40.8 This facility has 400% more deficiencies per year than a typical Kentucky nursing home (4 vs. KY avg 0.8).↑ 400% worse

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • August 8, 2025 inspection found 2 deficiencies including unsafe medication administration and stained, unraveled carpets compromising a clean, homelike environment.
  • September 5, 2023 annual survey identified 13 deficiencies involving falls, elopements, staffing shortages, medication errors, missing advanced directive policies, and ineffective quality assurance.
  • January 28, 2023 inspection cited 12 deficiencies including failure to notify families of injuries, inadequate care planning, poor nutrition, medication errors, and unsafe supervision to prevent elopement.

Health Inspection History

Inspections since 2018
Total health inspections 5

Kentucky average 2.9


Last Health inspection on Aug 2025

Total health citations
37 Rank #190 / 195Health citations — State benchmarkedThis home is ranked 190th out of 195 homes in Kentucky. Shows this facility's total health deficiency citations benchmarked to the Kentucky State average, with a ranking across all 195 KY facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Kentucky average 13.5

Citations per inspection
7.4 Rank #174 / 195Citations per inspection — State benchmarkedThis home is ranked 174th out of 195 homes in Kentucky. Shows average deficiency citations per CMS inspection for this facility versus the Kentucky mean across 195 facilities with citation data. Lower is better.Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Kentucky average 4.4


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

16 of 37 citations resulted from standard inspections; 15 of 37 resulted from complaint investigations; and 6 of 37 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 8 years)
Critical health citations
4
264% worse than Kentucky average

Kentucky average: 1.1


Serious health citations
3
400% worse than Kentucky average

Kentucky average: 0.6

4 critical citations Kentucky average: 1.1

3 serious citations Kentucky average: 0.6

30 moderate citations Kentucky average: 11.6

0 minor citations Kentucky average: 0.1
Citations history (last 8 years)
Care Planning moderate citation Aug 08, 2025
Corrected

Resident Rights moderate citation Aug 08, 2025
Corrected

Abuse/Neglect moderate citation Sep 05, 2023
Corrected

Administration serious citation Sep 05, 2023
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 171
Employees 159
Contractors 12
Staff to resident ratio 1.54 : 1
11% fewer staff per resident than Kentucky average
Kentucky average ratio: 1.72 : 1 Kentucky average ratio: 1.72 : 1See full Kentucky ranking
Avg staff/day 62
Average shift 8.2 hours
0% compared with Kentucky average
Kentucky average: 8.5 hours Kentucky average shift: 8.5 hoursSee full Kentucky ranking
Total staff hours (quarter) 47,052

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 6 RN Staff are full-time employees. No contractors work on this role. 6
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 11 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 38 total: 27 full-time employees and 11 contractors. 38
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.9 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 76 CNA Staff are full-time employees. No contractors work on this role. 76
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.9 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

0.4%

188 contractor hours this quarter

Licensed Practical Nurse: 11 Occupational Therapy Assistant: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant7607619,66392100%7.9
Licensed Practical Nurse27113811,14692100%9.9
Physical Therapist150155,00792100%8.1
Medication Aide/Technician100102,91492100%8.4
Registered Nurse6061,1666874%11
Other Dietary Services Staff50596192100%7
Clinical Nurse Specialist2029018087%6.7
Physical Therapy Aide3038917076%7
Speech Language Pathologist3038647076%7.1
Mental Health Service Worker3036226065%7.9
Physical Therapy Assistant2026066166%7.6
Administrator1015206571%8
Nurse Practitioner1015126470%8
RN Director of Nursing2024845762%7.9
Qualified Social Worker1014056166%6.6
Respiratory Therapy Technician2023685155%6.9
Occupational Therapy Assistant0112355%4.5
76 Certified Nursing Assistant
% of Days 100%
38 Licensed Practical Nurse
% of Days 100%
15 Physical Therapist
% of Days 100%
10 Medication Aide/Technician
% of Days 100%
6 Registered Nurse
% of Days 74%
5 Other Dietary Services Staff
% of Days 100%
2 Clinical Nurse Specialist
% of Days 87%
3 Physical Therapy Aide
% of Days 76%
3 Speech Language Pathologist
% of Days 76%
3 Mental Health Service Worker
% of Days 65%
2 Physical Therapy Assistant
% of Days 66%
1 Administrator
% of Days 71%
1 Nurse Practitioner
% of Days 70%
2 RN Director of Nursing
% of Days 62%
1 Qualified Social Worker
% of Days 66%
2 Respiratory Therapy Technician
% of Days 55%
1 Occupational Therapy Assistant
% of Days 5%

Penalties and fines

Includes penalties issued in 2023

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 (Data as of Jan 2026)

Total fines amount $256K Rank #193 / 199Federal fines — State benchmarkedThis home is ranked 193rd out of 199 homes in Kentucky. Shows this facility's cumulative CMS federal fine dollars versus the Kentucky average among facilities with fines, and where it ranks among 199 facilities in the pool. Lower total dollars mean a better rank.Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
306% higher than Kentucky average

Kentucky average: $63K

Number of fines 4
74% more fines than Kentucky average

Kentucky average: 2.3

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 2
513% more payment denials than Kentucky average

Kentucky average: 0.3

Fines amount comparison
Fines amount comparison
This facility $256K
Kentucky average $63K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

2 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Sep 5, 2023
$240K
Payment Denial Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. Sep 5, 2023
25 days

Last updated: Jan 2026

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 Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 14.6
40% worse than Kentucky average

Kentucky average: 10.5

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 26.9
42% worse than Kentucky average

Kentucky average: 18.9

Long-stay resident measures
Significantly below average Kentucky avg: 3.5 Info 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 Info Percent of long-stay residents whose need for help with daily activities has increased 23.0%
37% worse than Kentucky average

Kentucky average: 16.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 26.2%
34% worse than Kentucky average

Kentucky average: 19.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 31.5%
54% worse than Kentucky average

Kentucky average: 20.5%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 1.8%
52% better than Kentucky average

Kentucky average: 3.8%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 11.8%
105% worse than Kentucky average

Kentucky average: 5.8%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 3.7%
98% worse than Kentucky average

Kentucky average: 1.9%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 10.3%
52% worse than Kentucky average

Kentucky average: 6.8%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 5.3%
63% better than Kentucky average

Kentucky average: 14.3%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 16.5%
6% worse than Kentucky average

Kentucky average: 15.6%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 88.9%
5% worse than Kentucky average

Kentucky average: 93.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 91.3%
5% worse than Kentucky average

Kentucky average: 96.2%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.90
In line with Kentucky average

Kentucky average: 1.87

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 2.16
In line with Kentucky average

Kentucky average: 2.19

Short-stay resident measures
Significantly below average Kentucky avg: 2.2 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 26.3%
69% worse than Kentucky average

Kentucky average: 83.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Kentucky average

Kentucky average: 1.9%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 38.5%
54% worse than Kentucky average

Kentucky average: 83.6%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 28.0%
14% worse than Kentucky average

Kentucky average: 24.5%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 16.2%
17% worse than Kentucky average

Kentucky average: 13.9%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than Kentucky average

Kentucky average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 41.5%
23% worse than Kentucky average

Kentucky average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 42.7%
16% worse than Kentucky average

Kentucky average: 50.6%

Breakdown by payment type

Medicare

16% of new residents, usually for short-term rehab.

Typical stay 1 months

Private pay

8% of new residents, often for short stays.

Typical stay 6 - 7 months

Medicaid

76% of new residents, often for long-term daily care.

Typical stay 3 - 4 months

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 111
Medicare
5
4.5% of residents
Medicaid
82
73.9% of residents
Private pay or other
24
21.6% of residents
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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$12.0M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$467.7K
For-profit Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$12.0M Rank #64 / 197Revenue — State benchmarkedThis home is ranked 64th out of 197 homes in Kentucky. Shows this facility's annual revenue compared to the Kentucky average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$467.7K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$5.6K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #35 / 197Payroll — State benchmarkedThis home is ranked 35th out of 197 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.Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$5.6M 47% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #38 / 197Payroll % — State benchmarkedThis home is ranked 38th out of 197 homes in Kentucky. Shows payroll as a percentage of revenue versus the Kentucky average. Well-run Kentucky facilities typically land around 51–61% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$6.8M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$12.4M

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Most new residents arrive under Medicaid (76% of admissions), and a typical Medicaid stay runs around 3 - 4 months.

Admissions
378 total

Coverage residents most often arrive under.

Medicare 16%
Private pay 8%
Medicaid 76%
Discharges
362 total

Coverage residents most often leave under.

Medicare 10%
Private pay 14%
Medicaid 76%

Places of interest near Lexington Premier Nursing & Rehab

Address 8.3 miles from city center Info Estimated distance in miles from Lexington's city center to Lexington Premier Nursing & Rehab's address, calculated via Google Maps.

Calculate Travel Distance to Lexington Premier Nursing & Rehab

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Address

Compare Nursing Homes around Lexington

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

5 facilities compared · CMS & KY Dept. of Health data

The Willows at Citation
NH
AL
MC
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19
Facility 19
KY AVG 82
Rank #331 / 341
83.5%
Facility 83.5%
KY AVG 81.3%
Rank #123 / 209
+3%
3.69
Facility 3.69
KY AVG 3.75
Rank #47 / 193
-12%-2%
$0
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KY AVG $65.4k
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9
Facility 9
KY AVG 13.5
Rank #67 / 195
4.5
Facility 4.5
KY AVG 4.4
Rank #111 / 195
-49-
7
Facility 7
KY AVG 41
Rank #382 / 423
Renee Moore
$9.3M
Facility $9.3M
KY AVG $10.5M
Rank #94 / 197
$5.7M
Facility $5.7M
KY AVG $4.0M
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61%
Facility 61%
KY AVG 40.7%
Rank #37 / 197
185474
The Willows at Fritz Farm
NH
AL
Lexington (Pickway Korner)
30
Facility 30
KY AVG 82
Rank #310 / 341
100.0%
Facility 100.0%
KY AVG 81.3%
Rank #1 / 209
+23%
3.60
Facility 3.60
KY AVG 3.75
Rank #55 / 193
-18%-4%
$0
Facility $0
KY AVG $65.4k
Rank #1 / 199
8
Facility 8
KY AVG 13.5
Rank #49 / 195
2.7
Facility 2.7
KY AVG 4.4
Rank #37 / 195
-50-
69
Facility 69
KY AVG 41
Rank #58 / 423
Elizabeth Blair
$9.7M
Facility $9.7M
KY AVG $10.5M
Rank #89 / 197
$5.2M
Facility $5.2M
KY AVG $4.0M
Rank #61 / 197
53.4%
Facility 53.4%
KY AVG 40.7%
Rank #59 / 197
185482
Sayre Christian Village
NH
AL
IL
MC
RC
Lexington (Belleau Wood)
164
Facility 164
KY AVG 82
Rank #15 / 341
98.8%
Facility 98.8%
KY AVG 81.3%
Rank #11 / 209
+22%
4.42
Facility 4.42
KY AVG 3.75
Rank #22 / 193
-17%+18%
$7.9k
Facility $7.9k
KY AVG $65.4k
Rank #142 / 199
20
Facility 20
KY AVG 13.5
Rank #158 / 195
5.0
Facility 5.0
KY AVG 4.4
Rank #128 / 195
2155-
43
Facility 43
KY AVG 41
Rank #206 / 423
Christian Benevolent Outreach, Inc
$16.6M
Facility $16.6M
KY AVG $10.5M
Rank #14 / 197
$9.7M
Facility $9.7M
KY AVG $4.0M
Rank #8 / 197
58.3%
Facility 58.3%
KY AVG 40.7%
Rank #18 / 197
185248
Cambridge Nursing & Rehabilitation Center
NH
NC
Lexington (Cardinal Valley)
108
Facility 108
KY AVG 82
Rank #76 / 341
86.9%
Facility 86.9%
KY AVG 81.3%
Rank #97 / 209
+7%
2.88
Facility 2.88
KY AVG 3.75
Rank #162 / 193
-30%-23%
$0
Facility $0
KY AVG $65.4k
Rank #1 / 199
9
Facility 9
KY AVG 13.5
Rank #67 / 195
3.0
Facility 3.0
KY AVG 4.4
Rank #48 / 195
-106A+
55
Facility 55
KY AVG 41
Rank #126 / 423
Cambridge Operations Holdco LLC
$7.6M
Facility $7.6M
KY AVG $10.5M
Rank #138 / 197
$3.8M
Facility $3.8M
KY AVG $4.0M
Rank #130 / 197
50.3%
Facility 50.3%
KY AVG 40.7%
Rank #90 / 197
185444
Lexington Premier Nursing & Rehab
NH
HC
RC
Lexington
120
Facility 120
KY AVG 82
Rank #52 / 341
90.8%
Facility 90.8%
KY AVG 81.3%
Rank #65 / 209
+12%
3.64
Facility 3.64
KY AVG 3.75
Rank #55 / 193
-67%-3%
$240.3k
Facility $240.3k
KY AVG $65.4k
Rank #193 / 199
37
Facility 37
KY AVG 13.5
Rank #190 / 195
7.4
Facility 7.4
KY AVG 4.4
Rank #174 / 195
7113-
0
Facility 0
KY AVG 41
Rank #407 / 423
Jw Kentucky Operations LLC
$12.0M
Facility $12.0M
KY AVG $10.5M
Rank #64 / 197
$5.6M
Facility $5.6M
KY AVG $4.0M
Rank #35 / 197
47%
Facility 47%
KY AVG 40.7%
Rank #38 / 197
185463

Financial Assistance for
Nursing Home in Kentucky

Lexington Premier Nursing & Rehab is located in LEXINGTON, Kentucky.
Here are the financial assistance programs available to residents in Kentucky.

Get Financial aid guidance

Home and Community Based Waiver

Kentucky Medicaid HCB Waiver

Age 65+ or disabled
General Kentucky resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
KY

Rural focus; waitlists possible.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Homemaker services Home modifications

Hart-Supported Living Program

KY Hart-Supported Living

Age 65+ or disabled
General Kentucky resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
KY

Competitive grants; limited availability.

Benefits
In-home support (up to 10 hours/week) Respite (varies) Adaptive equipment (~$500 avg.)

Kentucky Homecare Program

Kentucky Homecare Program

Age 60+
General Kentucky resident, at risk of nursing home placement, not eligible for Medicaid waivers.
Income Limits (2025) No strict limit; prioritizes low-income ~$24,980/year individual
Asset Limits Not assessed; need-based focus.
KY

15 AAAs; rural focus; not in nursing homes.

Benefits
Personal care (4-6 hours/day) Respite (5 days/year) Chore services Meal delivery ($7/meal) Minor home repairs

Medicare Savings Program (MSP)

Kentucky Medicare Savings Program

Age 65+ or disabled
General Kentucky resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
KY

Three tiers; no waitlist; auto Extra Help for Part D.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

National Family Caregiver Support Program (NFCSP) Respite

Kentucky NFCSP Respite Care

Age
General Caregivers of 60+ needing care or 55+ caregivers of others; Kentucky resident; functional needs (2+ ADLs).
Income Limits (2025) Prioritizes ~$24,980/year (individual); no strict cap.
Asset Limits Not assessed; need-based.
KY

15 AAAs; prioritizes low-income, rural caregivers.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($55/day) Caregiver training Supplies (~$500/year)

Kentucky Family Caregiver Program

Kentucky Family Caregiver Program

Age
General Grandparents (often 55+) as primary caregivers to grandchildren under 18, Kentucky resident, not on Kinship Care.
Income Limits (2025) ~$31,225/year (individual); varies by AAA.
Asset Limits Not strictly assessed; need-based.
KY

Max $1,500/year; statewide via AAAs.

Benefits
Grants (~$500-$1,500/year) for respite Supplies Care costs; counseling Training

VA Aid and Attendance (A&A) and Housebound Benefits

Kentucky VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Kentucky resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
KY

High veteran demand in rural areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Frequently Asked Questions about Lexington Premier Nursing & Rehab

Who is the owner of Lexington Premier Nursing & Rehab?

The legal owner and operator of Lexington Premier Nursing & Rehab is Blc Lexington Snf, Llc.

What is the license number of Lexington Premier Nursing & Rehab?

According to KY state health department records, Lexington Premier Nursing & Rehab's license number is 100572.

What is the occupancy rate at Lexington Premier Nursing & Rehab?

Lexington Premier Nursing & Rehab's occupancy is 91%.

Does Lexington Premier Nursing & Rehab operate as a for-profit or non-profit?

Lexington Premier Nursing & Rehab is registered as a for-profit in KY.

Who is the administrator of Lexington Premier Nursing & Rehab?

Michael Fielden is the administrator of Lexington Premier Nursing & Rehab.

How many beds does Lexington Premier Nursing & Rehab have?

Lexington Premier Nursing & Rehab has 120 beds.

Are there photos of Lexington Premier Nursing & Rehab?

Yes — there are 2 photos of Lexington Premier Nursing & Rehab in the photo gallery on this page.

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