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29 Best Medicaid Nursing Homes in Kentucky

29 of the 267 Medicare-certified nursing homes in Kentucky (11%) are top-graded Medicaid-certified, and all are listed below. 29 of the 29 graded homes earn an A and 0 earn a D or F. They average 4.93 nursing hours per resident per day, 0.98 hours above the 3.95 for every home in Kentucky. Nazareth Home in Louisville grades highest at A (99 out of 100).

How top-graded Medicaid-certified homes in Kentucky compare

This group set against every nursing home in Kentucky, from the current CMS release.

Nursing hours per resident per day

4.93

All homes in Kentucky: 3.95

Better than the local average

Nurse staff turnover

35%

All homes in Kentucky: 46.4%

Better than the local average

Average ElderGrade score

89.8/100

All homes in Kentucky: 72.2/100

Better than the local average

Grade spread

A

29 grade A,

The best-graded top-graded Medicaid-certified home in Kentucky is Nazareth Home in Louisville, KY, grade A, 99/100.

Every top-graded Medicaid-certified nursing home in Kentucky

Showing 21 to 29 of 29, best-graded first.

A

87/100

The Willows At Harrodsburg

Harrodsburg, KY · Mercer County

CMS 3/536 bedsFor-profitMedicaid
Nurse hours
4.37 /day
Staff turnover
43%
Serious cites
0

The Willows At Harrodsburg runs 36 beds under corporate ownership, and its nurse staffing sits at 4.37 hours per resident day, roughly 13% above the national average, though weekends dip about 8% below its own weekday levels. Staff turnover lands at 42.9%, a bit better than the 45.8% national figure. The tradeoff shows up in inspections: a 2-out-of-5 health inspection rating, 8 deficiencies on record including one at the harm or jeopardy level, and two fines totaling $12,529. No abuse-related citations appear. A recent January 2026 inspection means the record is current. Strong quality and staffing scores coexist with real compliance problems here, worth asking about that harm-level deficiency directly.

A

87/100

Clinton-Hickman County Nursing Facility

Clinton, KY · Hickman County

CMS 4/546 bedsNon-profitMedicaid
Nurse hours
5.43 /day
Staff turnover
31%
Serious cites
0

Clinton-Hickman County Nursing Facility runs on unusually heavy staffing for its size, 5.43 nurse hours per resident day against a national average of 3.86. That's roughly 41% more hands-on time than the typical home, and it shows up in a 5-star staffing rating. Weekend coverage dips about 13% below weekdays, so ask how that plays out on Saturdays and Sundays. Turnover sits at 30.6%, well under the 45.8% national figure, which matters for whether residents see the same faces. Five deficiencies on record, none at harm level, none abuse-related, and the last inspection was June 2025. Quality measures score lower at 2 stars, worth asking about specific outcomes.

A

86.5/100

Willowbrook Healthcare

Carlisle, KY · Nicholas County

CMS 2/571 bedsFor-profitMedicaid
Nurse hours
5.93 /day
Staff turnover
n/a
Serious cites
0

Willowbrook Healthcare runs 71 certified beds in Carlisle under for-profit LLC ownership, and the numbers that stand out here are on the staffing side. At 5.93 total nurse hours per resident day, it's running well above the national average of 3.86, roughly 54% more nursing time per resident than the typical home. That margin holds up reasonably well on weekends too, dipping only about 8% below its own weekday level rather than falling off a cliff. What's on the record otherwise is quiet: zero deficiencies, none at the harm or jeopardy level, and no abuse-related citations. Its most recent inspection was in May 2025, so the picture is current rather than stale. For a family weighing a placement, the absence of problems plus unusually heavy staffing is the story.

A

86/100

Nazareth Home Clifton

Louisville, KY · Jefferson County

CMS 5/5113 bedsNon-profitMedicaid
Nurse hours
4.68 /day
Staff turnover
47%
Serious cites
0

Nazareth Home Clifton runs on more nursing hours than most places, 4.68 per resident day against a national average of 3.86, roughly a fifth more hands-on care than typical. Weekend coverage dips about 10% from weekday levels, which is worth asking about if your family visits mainly on Saturdays and Sundays. The inspection record shows 17 deficiencies, none rising to harm or jeopardy, though two are abuse-related; the most recent state visit was in May 2025. Staff turnover sits at 47.2%, a touch above the national 45.8%. As a nonprofit, it answers to a board rather than shareholders, and its quality measure score is perfect.

A

86/100

Breckinridge Place

Morganfield, KY · Union County

CMS 5/524 bedsNon-profitMedicaid
Nurse hours
5.08 /day
Staff turnover
35%
Serious cites
0

Breckinridge Place runs on 5.08 nurse hours per resident day, roughly a third more staffing than the national average, and the inspection record backs it up with a top federal rating and a recent August 2025 survey. Turnover sits at 35.3%, well under the national 45.8%, which matters in a 24-bed nonprofit where residents see the same faces. Two things temper that: weekend hours dip about 14% below the home's own weekday pace, and four deficiencies remain on record, two of them serious enough to trigger harm or jeopardy citations, though none involve abuse. Quality measures land mid-pack, suggesting clinical outcomes don't fully track the strong staffing.

A

86/100

The Willows At Hamburg

Lexington, KY · Fayette County

CMS 2/564 bedsFor-profitMedicaid
Nurse hours
5.24 /day
Staff turnover
43%
Serious cites
0

The Willows At Hamburg runs 5.24 nurse hours per resident per day, roughly a third more than the national average, and weekend staffing doesn't drop off like it does at many homes. Turnover sits slightly under the national figure. That's the good news, and it's real. The inspection record tells a different story: 7 deficiencies, two of them serious enough to put residents at harm or jeopardy, and two tied to abuse. One fine of $61,627 is on file, and the last inspection was August 2025. A for-profit individual owner, 64 beds. Strong staffing doesn't cancel out what inspectors found, the care hours are there, but the state has documented real problems, including abuse-related ones. Ask about those directly.

A

85/100

Treyton Oak Towers

Louisville, KY · Jefferson County

CMS 1/560 bedsNon-profitMedicaid
Nurse hours
4.03 /day
Staff turnover
35%
Serious cites
0

Treyton Oak Towers runs 4.03 nurse hours per resident day, a bit above the national average of 3.86, though weekend coverage drops about 11% below what the home staffs on weekdays. Staff retention looks solid at 34.7% turnover against a 45.8% national figure. The problem sits on the inspection side: 28 deficiencies on the current record, four serious enough to reach harm or jeopardy, six tied to abuse, and a $16,724 fine. CMS gave the health inspection domain 1 out of 5 stars. That gap between steady staffing and a troubled inspection history is what pulls the overall picture down, despite a July 2025 inspection and the nonprofit ownership.

A

85/100

Life Care Center Of La Center

La Center, KY · Ballard County

CMS 5/570 bedsFor-profitMedicaid
Nurse hours
3.57 /day
Staff turnover
26%
Serious cites
0

Life Care Center Of La Center runs a tight ship on the things inspectors catch. Three deficiencies on the current record, none at the harm level, none tied to abuse, and a five-star health inspection rating behind that. Staff turnover sits at 25.9%, well under the 45.8% national average, which matters for whether your mother sees the same faces month to month. The tradeoff is coverage: 3.57 nurse hours per resident day is about 8% under the national figure, and weekends drop roughly 14% below the home's own weekday staffing. Recent inspection, February 2026. Corporate-owned, for profit.

A

85/100

Kingsbrook Lifecare Center

Ashland, KY · Boyd County

CMS 4/5137 bedsNon-profitMedicaid
Nurse hours
5.01 /day
Staff turnover
25%
Serious cites
0

Kingsbrook Lifecare Center runs on unusually deep nurse staffing, 5.01 hours per resident day, roughly 30% above the national average, and its staff retention is strong, with turnover at 24.6% against a national rate near 46%. That consistency matters, though weekend coverage dips about 11% below weekday levels, so families should ask how that gap gets covered. The trade-off shows up elsewhere: 16 deficiencies on the current record, two serious enough to involve harm or jeopardy, plus $11,154 in fines across two penalties. Its most recent inspection was in June 2025, so the picture is current, and this nonprofit's quality measure scores sit below its staffing marks.

Frequently asked questions

How many top-graded Medicaid-certified nursing homes are there in Kentucky?
There are 29 top-graded Medicaid-certified Medicare-certified nursing homes in Kentucky, 11% of the 267 nursing homes there.
Are top-graded Medicaid-certified nursing homes better staffed?
In Kentucky they average 4.93 total nursing hours per resident per day, against 3.95 for all nursing homes in Kentucky, a difference of +0.98 hours. Staff turnover averages 35% against 46.4%.
Which top-graded Medicaid-certified nursing home grades best in Kentucky?
Nazareth Home in Louisville, KY, grade A, 99 out of 100.
Does being top-graded Medicaid-certified mean a nursing home is safe?
No. Of the 29 graded top-graded Medicaid-certified homes in Kentucky, 29 grade A and 0 grade D or F.
Do top-graded Medicaid-certified nursing homes in Kentucky accept Medicaid?
29 of the 29 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in Kentucky