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Lexington Premier Nursing & Rehab
Nursing Home, Hospice Care, Respite Care & Skilled Nursing · 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 in Lexington, KY — A caregiver interacting with an elderly woman in a bright indoor space Lexington Premier Nursing & Rehab, Nursing Home in Lexington, KY — Two seniors toasting with drinks at a table

Lexington Premier Nursing & Rehab

Nursing Home, Hospice Care, Respite Care & Skilled Nursing · 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.
2770 Palumbo Drive, Lexington, KY 40509 View map Calculator: See prices in your area
Lexington Premier Nursing & Rehab accepts Medicare, Medicaid, and private pay.
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Lexington Premier Nursing & Rehab accepts Medicare, Medicaid, and private pay.

Overview of Lexington Premier Nursing & Rehab

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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.

Facility Direct Line (859) 263-2410
Facility Direct Line (859) 263-2410 info@lexpremier.com
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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 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 vs Kentucky averages

Rank #52 / 188Nurse hours — State benchmarkedThis home is ranked 52nd out of 188 homes we track in Kentucky for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Kentucky average, with a ranking across 188 Kentucky facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Kentucky that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 52nd out of 188 homes we track 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

3% below state avg
Staff type
Hours / day / resident
vs 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
−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
+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
−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 22m
−3% 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
−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
−63% State avg: 31m per day · National avg: 29m per day

5 of 6 metrics below state avg

Standout metric: LPN / LVN is +37% above Kentucky average

Capacity and availability

Residents per day
109
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
104 days
Bed community size
120-bed community Rank #52 / 341Bed count — State benchmarkedThis home is ranked 52nd out of 341 homes we track in Kentucky for bed count. 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.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Kentucky that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.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 #54 / 161Years in operation — State benchmarkedThis home is ranked 54th out of 161 homes we track in Kentucky for years in operation. Shows how long this facility has been in operation compared to other Kentucky facilities. Longer operating histories may benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Kentucky that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.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.

About this community

Occupancy

Occupancy rate
91%
Rank #65 / 168Occupancy rate — State benchmarkedThis home is ranked 65th out of 168 homes we track in Kentucky for occupancy. Shows this facility's occupancy rate versus the Kentucky average, with its Statewide rank out of 168. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Kentucky that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.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

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Activities
Housekeeping
Laundry
Wi-Fi
Arts & Crafts
Private Or Companion Accommodations
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

Contact Lexington Premier Nursing & Rehab

CMS Health Inspection History

Inspections Since 2018 · 8 years of data
Total health inspections 5

Kentucky average 2.9

Last Health inspection on Aug 2025

Total health citations
37 Rank #185 / 190Health citations — State benchmarkedThis home is ranked 185th out of 190 homes we track in Kentucky for health citations. Shows this facility's total health deficiency citations benchmarked to the Kentucky State average, with a ranking across all 190 KY facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Kentucky that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.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 #169 / 190Citations per inspection — State benchmarkedThis home is ranked 169th out of 190 homes we track in Kentucky for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Kentucky mean across 190 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Kentucky that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.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
Show Inspection Reports

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.

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%
View All Staffing Data in Lexington

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 #188 / 194Federal fines — State benchmarkedThis home is ranked 188th out of 194 homes we track in Kentucky for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Kentucky average among facilities with fines, and where it ranks among 194 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Kentucky that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.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%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

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.

Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.

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 #47 / 183Net patient revenue — State benchmarkedThis home is ranked 47th out of 183 homes we track in Kentucky. Shows this facility's net patient revenue compared to the Kentucky average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Kentucky that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
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 #49 / 183Payroll costs — State benchmarkedThis home is ranked 49th out of 183 homes we track in Kentucky. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Kentucky average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Kentucky that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$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 #97 / 183Payroll % of net patient revenue — State benchmarkedThis home is ranked 97th out of 183 homes we track in Kentucky. Shows payroll as a percentage of net patient revenue versus the Kentucky average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Kentucky that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
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
How we calculate these figures

This home is administered by Michael Fielden.

This home is owned by Jw Kentucky Operations LLC

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 185463

Show certification details

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%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

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

Info below is compiled from CMS reports & the KY Cabinet for Health & Family Services (CHFS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. PC (Palliative Care):
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level D or higher — meaning actual harm occurred or residents were placed in immediate jeopardy. Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Kentucky average is: 48.8% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Homestead Post Acute
NH
HOS
MC
PC
RC
SNF
Lexington (Cardinal Hill)
136
Facility 136
KY AVG 82
Rank #33 / 341
89.7%
Facility 89.7%
KY AVG 84.3
Rank #78 / 168
+6%
2.24
Facility 2.24
KY AVG 3.75
Rank #184 / 188
 +110%-40%
$0
Facility $0
KY AVG $65.4k
Rank #1 / 194
7
Facility 7
KY AVG 13.5
Rank #36 / 190
1.8
Facility 1.8
KY AVG 4.4
Rank #13 / 190
-122-
38
Facility 38
KY AVG 43
Rank #231 / 403
Providence Group Of Kentucky LLC
$16.7MFiscal year ending 12/2023
Facility $16.7MFiscal year ending 12/2023
KY AVG $9.8M
Rank #11 / 183
$7.9MFiscal year ending 12/2023
Facility $7.9MFiscal year ending 12/2023
KY AVG $4.8M
Rank #14 / 183
47.2%Fiscal year ending 12/2023
Facility 47.2%Fiscal year ending 12/2023
KY AVG 48.8%
Rank #94 / 183
185144
The Willows at Fritz Farm
NH
AL
SNF
Lexington (Pickway Korner)
30
Facility 30
KY AVG 82
Rank #310 / 341
--
3.60
Facility 3.60
KY AVG 3.75
Rank #52 / 188
 -18%-4%
$0
Facility $0
KY AVG $65.4k
Rank #1 / 194
8
Facility 8
KY AVG 13.5
Rank #47 / 190
2.7
Facility 2.7
KY AVG 4.4
Rank #36 / 190
-45-
69
Facility 69
KY AVG 43
Rank #58 / 403
Elizabeth Blair
$9.7MFiscal year ending 12/2023
Facility $9.7MFiscal year ending 12/2023
KY AVG $9.8M
Rank #80 / 183
$5.2MFiscal year ending 12/2023
Facility $5.2MFiscal year ending 12/2023
KY AVG $4.8M
Rank #61 / 183
53.4%Fiscal year ending 12/2023
Facility 53.4%Fiscal year ending 12/2023
KY AVG 48.8%
Rank #44 / 183
185482
The Willows at Citation
NH
AL
MC
SNF
Lexington (Griffin Gate)
19
Facility 19
KY AVG 82
Rank #331 / 341
--
3.69
Facility 3.69
KY AVG 3.75
Rank #44 / 188
 -12%-2%
$0
Facility $0
KY AVG $65.4k
Rank #1 / 194
9
Facility 9
KY AVG 13.5
Rank #64 / 190
4.5
Facility 4.5
KY AVG 4.4
Rank #107 / 190
-49-
7
Facility 7
KY AVG 43
Rank #382 / 403
Renee Moore
$9.3MFiscal year ending 12/2023
Facility $9.3MFiscal year ending 12/2023
KY AVG $9.8M
Rank #90 / 183
$5.7MFiscal year ending 12/2023
Facility $5.7MFiscal year ending 12/2023
KY AVG $4.8M
Rank #48 / 183
61%Fiscal year ending 12/2023
Facility 61%Fiscal year ending 12/2023
KY AVG 48.8%
Rank #16 / 183
185474
Lexington Country Place
NH
AL
RC
SNF
Lexington (Headley Green)
22
Facility 22
KY AVG 82
Rank #325 / 341
--
3.52
Facility 3.52
KY AVG 3.75
Rank #66 / 188
 0%-6%
$0
Facility $0
KY AVG $65.4k
Rank #1 / 194
10
Facility 10
KY AVG 13.5
Rank #76 / 190
5.0
Facility 5.0
KY AVG 4.4
Rank #124 / 190
-85-
35
Facility 35
KY AVG 43
Rank #253 / 403
Phoenix Senior Living LLC
$10.8MFiscal year ending 12/2023
Facility $10.8MFiscal year ending 12/2023
KY AVG $9.8M
Rank #61 / 183
$5.4MFiscal year ending 12/2023
Facility $5.4MFiscal year ending 12/2023
KY AVG $4.8M
Rank #54 / 183
50.6%Fiscal year ending 12/2023
Facility 50.6%Fiscal year ending 12/2023
KY AVG 48.8%
Rank #61 / 183
185160
Lexington Premier Nursing & Rehab
NH
HOS
RC
SNF
Lexington
120
Facility 120
KY AVG 82
Rank #52 / 341
90.8%
Facility 90.8%
KY AVG 84.3
Rank #65 / 168
+8%
3.64
Facility 3.64
KY AVG 3.75
Rank #52 / 188
 -67%-3%
$240.3k
Facility $240.3k
KY AVG $65.4k
Rank #188 / 194
37
Facility 37
KY AVG 13.5
Rank #185 / 190
7.4
Facility 7.4
KY AVG 4.4
Rank #169 / 190
7109--Jw Kentucky Operations LLC
$12.0MFiscal year ending 12/2023
Facility $12.0MFiscal year ending 12/2023
KY AVG $9.8M
Rank #47 / 183
$5.6MFiscal year ending 12/2023
Facility $5.6MFiscal year ending 12/2023
KY AVG $4.8M
Rank #49 / 183
47%Fiscal year ending 12/2023
Facility 47%Fiscal year ending 12/2023
KY AVG 48.8%
Rank #97 / 183
185463
Nursing Home Explorer

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?

Lexington Premier Nursing & Rehab is legally operated by Blc Lexington Snf, LLC, and administered by Michael Fielden.

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%.

How long has Lexington Premier Nursing & Rehab been in business?

Lexington Premier Nursing & Rehab has been operating for approximately 1 year, based on available licensing and registration records.

Are pets allowed at Lexington Premier Nursing & Rehab?

No, Lexington Premier Nursing & Rehab has a no-pet policy.

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.

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