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Nursing Home in Lexington

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.

Lexington Premier Nursing & Rehab

Nursing Home in Lexington

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.

Lexington Premier Nursing & Rehab

Overview of 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

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.
1/5
Kentucky average: 2.8/5
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.
1/5
Kentucky average: 2.9/5
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.
2/5
Kentucky average: 2.4/5
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.
1/5
Kentucky average: 2.9/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
3h 38m per day

This home provides 6% more nursing time per resident than the Kentucky average.

Kentucky average: 3h 27m per day

Staffing hours breakdown

Info Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Staff type Facility State avg National avg
Registered Nurse (RN) Info Registered nurse hours per resident per day. 20m per day 46m per day 41m per day
Nurse Aide Info Nurse aide hours per resident per day. 2h 19m per day 2h 25m per day 2h 21m per day
Total Nursing (Weekend) Info Total number of nurse staff hours per resident per day on weekends. 3h 29m per day 3h 29m per day 3h 26m per day
Physical Therapist Info Physical therapist staff hours per resident per day. 2m per day 4m per day 4m per day
RN (Weekend) Info Registered nurse hours per resident per day on weekends. 23m per day 31m per day 29m 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.

Similar demand to the Kentucky average
Occupancy rate 90.8%
Residents per day (avg) 110
Occupancy rate
90.8%
Residents per day (avg)
110

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

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

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
$12.6M
Operating loss
-$462.1K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.9M
39% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$8.2M
Total costs $13.1M
Bed community size
120-bed community
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
1 year in operation
A newer community that may feature more recent facilities and programs.

About this community

Occupancy

Occupancy rate
91%
In line with Kentucky average
Occupied beds
109 / 120
Average residents 80 per day

License Details

Facility TypeLong Term Care (nursing Facility)
StatusActive
IssuanceMarch 1, 2025
CountyFAYETTE

Additional Licensing Details

License Number100572
CMS Certification Number185463

Ownership & Operating Entity

Lexington Premier Nursing & Rehab is administrated 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

2 services
Skilled Nursing
24-Hour Staffing

Amenities & Lifestyle

13 amenities
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
Emergency Call Response In Every Room
Private Or Companion Accommodations
Spacious
Comfortable Common Areas
Ipads And Wi-Fi For Individual Engagement
Art
Technology
And Music Programs
Specific ProgramsSkilled 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 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.

5 visits/inspections

1 visits/inspections triggered by complaints

2 routine inspections

Results

5 with issues

0 without issues

Latest inspection

Date August 8, 2025
Routine

32 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Kentucky average: 6 deficiencies

Health Inspection History

Inspections
Total health inspections 5

Kentucky average 2.9


Last Health inspection on Aug 2025

Total health citations 37

Kentucky average 13.5

Citations per inspection
7.4

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 3 years)
Critical Health citations More info 4
264% worse than Kentucky average

Kentucky average: 1.1


Serious Health citations More info 3
400% worse than Kentucky average

Kentucky average: 0.6

4 critical citations More info Kentucky average: 1.1

3 serious citations More info Kentucky average: 0.6

30 moderate citations More info Kentucky average: 11.6

0 minor citations More info Kentucky average: 0.1
Citations history (last 3 years)
Care Planning moderate citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Aug 08, 2025
Corrected

Resident Rights moderate citation Info Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care. Aug 08, 2025
Corrected

Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Sep 05, 2023
Corrected

Administration serious citation Info Issues related to how the facility is managed, including policies, procedures, and compliance with regulations. Sep 05, 2023
Corrected

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 · Updated Apr 2026

Filter by care type
Cambridge Nursing & Rehabilitation Center
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.

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).

Lexington
108
86.9%
+7%
2.88
-16%
-23%
0
9
3.0
0
104
A+
55
Cambridge Operations Holdco Llc
$8.2M
$3.3M
40.9%
185444
Homestead Post Acute
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.

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).

Lexington
136
87.7%
+8%
2.24
+133%
-40%
0
7
1.8
0
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
-
-
Jw Kentucky Operations Llc
$12.6M
$4.9M
39%
185463
Bluegrass Care & Rehabilitation
-
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
-
-
-
-
-
-
-
-
-
0
0
0.0
0
-
-
11
-
-
-
-
-
Hartland Park Health & Rehabilitation
-
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
150
-
-
-
-
-
-
-
-
0
0
0.0
0
-
-
-
-
-
-
-
-

Places of interest near Lexington Premier Nursing & Rehab

Address 8.3 miles from city center

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 187
Employees 184
Contractors 3
Staff to resident ratio 1.68:1
0% compared with Kentucky average

Kentucky average ratio: 1.75:1

Avg staff/day 63
Average shift 8.2 hours
0% compared with Kentucky average

Kentucky average: 8.5 hours

Total staff hours (quarter) 47,152
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 12
Average shift length Info 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.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 27
Average shift length Info 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.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 89
Average shift length Info 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.

Contractor staffing

Total hours from contractors

0.1%

59 contractor hours this quarter

Licensed Practical Nurse: 3
Staff by category
Certified Nursing Assistant8908919,96491100%7.9
Licensed Practical Nurse243277,96991100%10.2
Physical Therapist180185,81091100%8.1
Registered Nurse120122,9789099%10.1
Medication Aide/Technician110112,65091100%7.8
RN Director of Nursing5052,0777279%7.7
Other Dietary Services Staff7079798998%7.4
Physical Therapy Aide3039537077%7.3
Speech Language Pathologist3039127279%7.1
Physical Therapy Assistant2025956167%7.8
Nurse Practitioner1015126470%8
Clinical Nurse Specialist2024826167%7.9
Qualified Social Worker2023756066%6.2
Respiratory Therapy Technician2023534954%7.2
Mental Health Service Worker2022963741%8
Administrator1012483134%8
89 Certified Nursing Assistant
% of Days 100%
27 Licensed Practical Nurse
% of Days 100%
18 Physical Therapist
% of Days 100%
12 Registered Nurse
% of Days 99%
11 Medication Aide/Technician
% of Days 100%
5 RN Director of Nursing
% of Days 79%
7 Other Dietary Services Staff
% of Days 98%
3 Physical Therapy Aide
% of Days 77%
3 Speech Language Pathologist
% of Days 79%
2 Physical Therapy Assistant
% of Days 67%
1 Nurse Practitioner
% of Days 70%
2 Clinical Nurse Specialist
% of Days 67%
2 Qualified Social Worker
% of Days 66%
2 Respiratory Therapy Technician
% of Days 54%
2 Mental Health Service Worker
% of Days 41%
1 Administrator
% of Days 34%

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.

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: 3.6 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: 2.3 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%

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 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.

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
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jan 28, 2023
$5K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jan 28, 2023
$5K

Last updated: Jan 2026

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Financial Aid for Kentucky Seniors

Get financial aid guidance

Home and Community Based Waiver

Kentucky Medicaid HCB Waiver

Age 65+ or disabled, Kentucky resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Rural focus; waitlists possible.

Hart-Supported Living Program

KY Hart-Supported Living

Age 65+ or disabled, Kentucky resident.

No strict limit; prioritizes low-income.

Not applicable.

Competitive grants; limited availability.

Kentucky Homecare Program

Kentucky Homecare Program

Age 60+, Kentucky resident, at risk of nursing home placement, not eligible for Medicaid waivers.

No strict limit; prioritizes low-income (~$24,980/year individual).

Not assessed; need-based focus.

15 AAAs; rural focus; not in nursing homes.

Medicare Savings Program (MSP)

Kentucky Medicare Savings Program

Age 65+ or disabled, Kentucky resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

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

National Family Caregiver Support Program (NFCSP) Respite

Kentucky NFCSP Respite Care

Caregivers of 60+ needing care or 55+ caregivers of others; Kentucky resident; functional needs (2+ ADLs).

Prioritizes ~$24,980/year (individual); no strict cap.

Not assessed; need-based.

15 AAAs; prioritizes low-income, rural caregivers.

Kentucky Family Caregiver Program

Kentucky Family Caregiver Program

Grandparents (often 55+) as primary caregivers to grandchildren under 18, Kentucky resident, not on Kinship Care.

~$31,225/year (individual); varies by AAA.

Not strictly assessed; need-based.

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

Senior Community Service Employment Program (SCSEP)

Kentucky SCSEP

Age 55+, unemployed, low-income, Kentucky resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents.

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

Kentucky VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Kentucky resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural areas.