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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.
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 48th out of 170 homes in Kentucky.| Staff type | Hours / day | vs state avg |
|---|---|---|
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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.
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20m per day | ▼ 57% State avg: 46m per day · National avg: 41m per day |
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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.
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1h 5m per day | ▲ 33% State avg: 49m per day · National avg: 52m per day |
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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.
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2h 19m per day | ▼ 4% State avg: 2h 25m per day · National avg: 2h 21m per day |
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Total Nursing (Weekend)
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.
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3h 23m per day | ▼ 3% State avg: 3h 29m per day · National avg: 3h 26m per day |
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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.
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2m per day | ▼ 50% State avg: 4m per day · National avg: 4m per day |
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RN (Weekend)
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.
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23m per day | ▼ 26% State avg: 31m per day · National avg: 29m per day |
Most residents stay for extended periods and receive ongoing daily care.
16% of new residents, usually for short-term rehab.
8% of new residents, often for short stays.
76% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #40 / 173Payroll — state benchmarkedThis home is ranked 40th out of 173 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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Higher than the Kentucky average: 81.3%
Lexington Premier Nursing & Rehab is administrated by Michael Fielden.
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 are formal regulatory issues recorded during state inspections.
| Metric | This Facility | KY Average | vs. KY Avg |
|---|---|---|---|
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Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
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32 | 6 | This facility has 433% more total deficiencies than a typical Kentucky nursing home (32 vs. KY avg 6).↑ 433% worse |
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Deficiencies per year
Average deficiencies per year since 2018.
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4 | 0.8 | This facility has 400% more deficiencies per year than a typical Kentucky nursing home (4 vs. KY avg 0.8).↑ 400% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on August 8, 2025, identified deficiencies related to maintaining a safe, clean, and homelike environment due to stained and unraveled carpets, as well as medication administration practices where medications prepared by one nurse were given by another. Earlier inspections showed multiple deficiencies involving resident care, medication management, supervision to prevent falls and elopements, care planning, and quality assurance. Prior reports also noted issues with infection control, catheter care, and labeling of medical supplies. A substantiated complaint investigation in 2018 found failures in catheter care and infection prevention. The pattern of findings suggests ongoing challenges in care and environmental standards, with no clear improvement trend evident.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsKentucky average 2.9
Last Health inspection on Aug 2025
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.
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).
264% worse than Kentucky average
Kentucky average: 1.1
3
400% worse than Kentucky average
Kentucky average: 0.6
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Aug 08, 2025
Corrected
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Aug 08, 2025
Corrected
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Sep 05, 2023
Corrected
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Sep 05, 2023
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Lexington Premier Nursing & Rehab is located in LEXINGTON, Kentucky.
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8.3 miles from city center
Estimated distance in miles from Lexington's city center to Lexington Premier Nursing & Rehab's address, calculated via Google Maps.
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
0% compared with Kentucky average
Kentucky average ratio: 1.75:1
0% compared with Kentucky average
Kentucky average: 8.5 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.1 hours
No contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.2 hours
This 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.
7.9 hours
No contractors work on this role.
Total hours from contractors
59 contractor hours this quarter
| Certified Nursing Assistant | 89 | 0 | 89 | 19,964 | 91 | 100% | 7.9 |
| Licensed Practical Nurse | 24 | 3 | 27 | 7,969 | 91 | 100% | 10.2 |
| Physical Therapist | 18 | 0 | 18 | 5,810 | 91 | 100% | 8.1 |
| Registered Nurse | 12 | 0 | 12 | 2,978 | 90 | 99% | 10.1 |
| Medication Aide/Technician | 11 | 0 | 11 | 2,650 | 91 | 100% | 7.8 |
| RN Director of Nursing | 5 | 0 | 5 | 2,077 | 72 | 79% | 7.7 |
| Other Dietary Services Staff | 7 | 0 | 7 | 979 | 89 | 98% | 7.4 |
| Physical Therapy Aide | 3 | 0 | 3 | 953 | 70 | 77% | 7.3 |
| Speech Language Pathologist | 3 | 0 | 3 | 912 | 72 | 79% | 7.1 |
| Physical Therapy Assistant | 2 | 0 | 2 | 595 | 61 | 67% | 7.8 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 482 | 61 | 67% | 7.9 |
| Qualified Social Worker | 2 | 0 | 2 | 375 | 60 | 66% | 6.2 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 353 | 49 | 54% | 7.2 |
| Mental Health Service Worker | 2 | 0 | 2 | 296 | 37 | 41% | 8 |
| Administrator | 1 | 0 | 1 | 248 | 31 | 34% | 8 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
111
Residents 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.
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.
14.6
40% worse than Kentucky average
Kentucky average: 10.5
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
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
23.0%
37% worse than Kentucky average
Kentucky average: 16.8%
Percent of long-stay residents whose ability to move independently worsened
26.2%
34% worse than Kentucky average
Kentucky average: 19.6%
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%
Percent of long-stay residents experiencing one or more falls with major injury
1.8%
52% better than Kentucky average
Kentucky average: 3.8%
Percent of long-stay high risk residents with pressure ulcers
11.8%
105% worse than Kentucky average
Kentucky average: 5.8%
Percent of long-stay residents with a urinary tract infection
3.7%
98% worse than Kentucky average
Kentucky average: 1.9%
Percent of long-stay residents who lose too much weight
10.3%
52% worse than Kentucky average
Kentucky average: 6.8%
Percent of long-stay residents who have depressive symptoms
5.3%
63% better than Kentucky average
Kentucky average: 14.3%
Percent of long-stay residents who received an antipsychotic medication
16.5%
6% worse than Kentucky average
Kentucky average: 15.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
88.9%
5% worse than Kentucky average
Kentucky average: 93.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
91.3%
5% worse than Kentucky average
Kentucky average: 96.2%
Number of hospitalizations per 1,000 long-stay resident days.
1.90
In line with Kentucky average
Kentucky average: 1.87
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.16
In line with Kentucky average
Kentucky 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
26.3%
69% worse than Kentucky average
Kentucky average: 83.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Kentucky average
Kentucky average: 1.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
38.5%
54% worse than Kentucky average
Kentucky average: 83.6%
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%
Percentage of short-stay residents who had an outpatient emergency department visit.
16.2%
17% worse than Kentucky average
Kentucky average: 13.9%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Kentucky average
Kentucky average: 0.8%
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%
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.
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)
306% higher than Kentucky average
Kentucky average: $63K
74% more fines than Kentucky average
Kentucky average: 2.3
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
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.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 5, 2023
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Sep 5, 2023
Last updated: Jan 2026
The information below is reported by the Kentucky Cabinet for Health and Family Services, Office of Inspector General.
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| 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 | -16% | -23% | 0 | 9 | 3.0 | - | 104 | A+ | 55 | Cambridge Operations Holdco LLC | $8.2M | $3.3M | 40.9% | 185444 | ||||
| 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 | 87.7% | +8% | 2.24 | +133% | -40% | 0 | 7 | 1.8 | - | 125 | - | 38 | Providence Group Of Kentucky LLC | $23.7M | $6.9M | 29.1% | 185144 | ||||
| Lexington Premier Nursing & Rehab |
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. |
Lexington | 120 | 86.4% | +6% | 3.64 | -38% | -3% | 4 | 37 | 7.4 | 7 | 110 | - | 0 | Jw Kentucky Operations LLC | $12.6M | $4.9M | 39% | 185463 |
Historical financial and operational data for Lexington Premier Nursing & Rehab based on CMS SNF Cost Reports.
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The legal owner and operator of Lexington Premier Nursing & Rehab is Blc Lexington Snf, Llc.
According to KY state health department records, Lexington Premier Nursing & Rehab's license number is 100572.
Lexington Premier Nursing & Rehab's occupancy is 91%.
Michael Fielden is the administrator of Lexington Premier Nursing & Rehab.
Lexington Premier Nursing & Rehab has 120 beds.
Yes — there are 6 photos of Lexington Premier Nursing & Rehab in the photo gallery on this page.
Lexington Premier Nursing & Rehab is located at 2770 PALUMBO DRIVE.
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