Facility type
Long Term Care (nursing Facility)
Status
Active
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Nursing Home
Lexington Premier Nursing & Rehab
LEXINGTON PREMIER NURSING & REHAB is a skilled nursing and rehabilitation facility located in Lexington, KY. It offers a range of services including post-surgical care, pain management, and various rehabilitation therapies. The facility is dedicated to providing a supportive environment for recovery and health.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
120
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
86.4%
Residents per day (avg)
110
Occupancy rate
86.4%
Residents per day (avg)
110
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
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
Finances and operations
Privately-owned community
Home revenue
$12.6M
Operating loss
-$462.1K
Privately-owned community
Home revenue
$12,614,967.00
Operating loss
$-462,123.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.9M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$8.2M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$13.1M
120-bed community
A larger shared setting that may offer more common spaces and organized community services.
1 year in operation
A newer community that may feature more recent facilities and programs.
About this community
License details
Issuance
March 1, 2025
County:
FAYETTE
Additional licensing details
License number:
100572
CMS Certification Number:
185463
Ownership & operating entity
Lexington Premier Nursing & Rehab is administrated by MICHAEL FIELDEN.
Owner name:
BLC LEXINGTON SNF, LLC
Safety & Compliance
Emergency Systems:
Emergency call response in every room.
Care Services
Nursing Services
Rehabilitation Services
Skilled Nursing
24-Hour Staffing
Amenities & Lifestyle
Programs & Activities
Specific Programs
Skilled Nursing, Rehabilitation, Post-surgical Care, Pain Management, Wound Care, 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, Physical Therapy, Occupational Therapy, Speech Therapy, 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 Description
Fine dining with heart-healthy options.
Health Inspection History
Inspections
Total health inspections
5
Kentucky average 2.9
Last Health inspection on Aug 2025
Total health citations
37
Citations per inspection
7.4
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 3 years)
Critical Health citations
4
4
264% worse than Kentucky averageKentucky average: 1.1
Serious Health citations
3
3
400% worse than Kentucky averageKentucky average: 0.6
4 critical citations
3 serious citations
30 moderate citations
0 minor citations
Citations history (last 3 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
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Lexington
The information below is reported by the Kentucky Cabinet for Health and Family Services, Office of Inspector General.
Cambridge Nursing & Rehabilitation Center
-16%
-23%
+7%
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IL
Independent Living For self-sufficient seniors seeking community and minimal assistance.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
SNF
Nursing Homes 24/7 care needed
Lexington
108
A+
55
CAMBRIDGE OPERATIONS HOLDCO LLC
86.9%
$8,162,903.00
$3,337,751.00
40.9%
104.20
2.8845
-
9
-
-16%-23%+7%
Homestead Post Acute
+133%
-40%
+8%
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IL
Independent Living For self-sufficient seniors seeking community and minimal assistance.
MC
Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.
SNF
Nursing Homes 24/7 care needed
Lexington
136
-
38
PROVIDENCE GROUP OF KENTUCKY LLC
87.7%
$23,683,366.00
$6,901,914.00
29.1%
124.70
2.2409
-
7
-
+133%-40%+8%
Lexington Premier Nursing & Rehab
-38%
-3%
+6%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
KY 40509
120
-
-
JW KENTUCKY OPERATIONS LLC
86.4%
$12,609,376.00
$4,918,481.00
39%
110.10
3.6410
4
37
7
-38%-3%+6%
Bluegrass Care & Rehabilitation
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
-
-
-
11
-
-
-
-
-
-
-
-
-
-
-
-
Hartland Park Health & Rehabilitation
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
KY 40515
150
-
-
-
-
-
-
-
-
-
-
-
-
-
-
Cambridge Nursing & Rehabilitation Center
Type of care:
AL
IL
MC
SNF
Community:
Lexington
Bed Count:
108
Operator:
CAMBRIDGE OPERATIONS HOLDCO LLC
CCN:
185444
Occupancy:
86.9%
Home Revenue:
$8,162,903.00
Payroll Costs:
$3,337,751.00
Payroll %:
40.9%
Avg Residents/Day:
104.20
Overall Rating:
Adj Nurse Hours:
2.8845
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
9
RN share vs State Avg:
-16%
-16%
Staffing vs State Avg:
-23%
-23%
Occupancy vs State Avg:
+7%
+7%
Homestead Post Acute
Type of care:
AL
IL
MC
SNF
Community:
Lexington
Bed Count:
136
Operator:
PROVIDENCE GROUP OF KENTUCKY LLC
CCN:
185144
Occupancy:
87.7%
Home Revenue:
$23,683,366.00
Payroll Costs:
$6,901,914.00
Payroll %:
29.1%
Avg Residents/Day:
124.70
Overall Rating:
Adj Nurse Hours:
2.2409
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
7
RN share vs State Avg:
+133%
+133%
Staffing vs State Avg:
-40%
-40%
Occupancy vs State Avg:
+8%
+8%
Lexington Premier Nursing & Rehab
Type of care:
SNF
AL
Community:
KY 40509
Bed Count:
120
Operator:
JW KENTUCKY OPERATIONS LLC
CCN:
185463
Occupancy:
86.4%
Home Revenue:
$12,609,376.00
Payroll Costs:
$4,918,481.00
Payroll %:
39%
Avg Residents/Day:
110.10
Overall Rating:
Adj Nurse Hours:
3.6410
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
4
Citations:
37
Severe Citations:
7
RN share vs State Avg:
-38%
-38%
Staffing vs State Avg:
-3%
-3%
Occupancy vs State Avg:
+6%
+6%
Places of interest near Lexington Premier Nursing & Rehab
8.3 miles from city center
LEXINGTON, KY 40509
Calculate Travel Distance to Lexington Premier Nursing & Rehab
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
187
Total Staff
184
Employees
3
Contractors
47,152
Total Hours (Quarter)
63
Avg Staff/Day
8.2
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 12 | 10.1 | No |
| Licensed Practical Nurse | 27 | 10.2 | Yes |
| Certified Nursing Assistant | 89 | 7.9 | No |
Staff by Category
Administration ⓘ
1 staff
8hs shift avg
Nursing Staff ⓘ
144 staff
8.5hs shift avg
Physicians & Practitioners ⓘ
3 staff
8hs shift avg
Therapy Services ⓘ
28 staff
7.8hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
2 staff
6.2hs shift avg
Dietary Services ⓘ
7 staff
7.4hs shift avg
Other Services ⓘ
2 staff
8hs shift avg
Contractor Analysis
0.1%
of total hours from contractors
59 contractor hours this quarter
Licensed Practical Nurse: 3
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| 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 |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
111 residents
Residents by payment source
Medicare
5 residents (4.5%)
Medicaid
82 residents (73.9%)
Private pay or other
24 residents (21.6%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.6
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 averageKentucky average: 10.5
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
26.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
26.9
42% worse than Kentucky averageKentucky average: 18.9
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
23.0%
Percent of long-stay residents whose need for help with daily activities has increased
23.0%
37% worse than Kentucky averageKentucky average: 16.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
26.2%
Percent of long-stay residents whose ability to move independently worsened
26.2%
34% worse than Kentucky averageKentucky average: 19.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
31.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
31.5%
54% worse than Kentucky averageKentucky average: 20.5%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
1.8%
Percent of long-stay residents experiencing one or more falls with major injury
1.8%
52% better than Kentucky averageKentucky average: 3.8%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
11.8%
Percent of long-stay high risk residents with pressure ulcers
11.8%
105% worse than Kentucky averageKentucky average: 5.8%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
3.7%
Percent of long-stay residents with a urinary tract infection
3.7%
98% worse than Kentucky averageKentucky average: 1.9%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
10.3%
Percent of long-stay residents who lose too much weight
10.3%
52% worse than Kentucky averageKentucky average: 6.8%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
5.3%
Percent of long-stay residents who have depressive symptoms
5.3%
63% better than Kentucky averageKentucky average: 14.3%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
16.5%
Percent of long-stay residents who received an antipsychotic medication
16.5%
6% worse than Kentucky averageKentucky average: 15.6%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
88.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
88.9%
5% worse than Kentucky averageKentucky average: 93.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
91.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
91.3%
5% worse than Kentucky averageKentucky average: 96.2%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.90
Number of hospitalizations per 1,000 long-stay resident days.
1.90
In line with Kentucky averageKentucky average: 1.87
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.16
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.16
In line with Kentucky averageKentucky average: 2.19
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
26.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
26.3%
69% worse than Kentucky averageKentucky average: 83.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Kentucky averageKentucky average: 1.9%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
38.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
38.5%
54% worse than Kentucky averageKentucky average: 83.6%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
28.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
28.0%
14% worse than Kentucky averageKentucky average: 24.5%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
16.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
16.2%
17% worse than Kentucky averageKentucky average: 13.9%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Kentucky averageKentucky average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
41.5%
Percentage of residents at or above expected ability to care for themselves at discharge.
41.5%
23% worse than Kentucky averageKentucky average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
42.7%
Rate of successful return to home or community from a skilled nursing facility.
42.7%
16% worse than Kentucky averageKentucky average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
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
306% higher than Kentucky averageKentucky average: $63K
Number of fines
4
74% more fines than Kentucky averageKentucky average: 2.3
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
2
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
2
513% more payment denials than Kentucky averageKentucky 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.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 5, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 5, 2023
$240K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Sep 5, 2023
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Sep 5, 2023
25 days
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 28, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 28, 2023
$5K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 28, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 28, 2023
$5K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Lexington Premier Nursing & Rehab based on CMS SNF Cost Reports.
Occupancy Rate
86.4%
↑ 13.3pp vs 2022
Net Income
-$462,123
↑ ~$1.2M vs 2022
Total Payroll
$7,323,072
↑ ~$169K vs 2022
Profit Margin
-3.7%
↑ 12.1pp vs 2022
Loading trend charts...
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