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23 Continuing Care Retirement Communities in Kentucky

23 of the 267 Medicare-certified nursing homes in Kentucky (9%) are CCRC, and all are listed below. 8 of the 23 graded homes earn an A and 0 earn a D or F. They average 4.62 nursing hours per resident per day, 0.67 hours above the 3.95 for every home in Kentucky. The Episcopal Church Home in Louisville grades highest at A (92 out of 100).

How CCRC homes in Kentucky compare

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

Nursing hours per resident per day

4.62

All homes in Kentucky: 3.95

Better than the local average

Nurse staff turnover

47%

All homes in Kentucky: 46.4%

Worse than the local average

Average ElderGrade score

79.3/100

All homes in Kentucky: 72.2/100

Better than the local average

Grade spread

A
B
C

8 grade A, 11 grade B, 4 grade C,

The best-graded CCRC home in Kentucky is The Episcopal Church Home in Louisville, KY, grade A, 92/100.

Every CCRC nursing home in Kentucky

Showing 1 to 20 of 23, best-graded first.

A

92/100

The Episcopal Church Home

Louisville, KY · Jefferson County

CMS 4/526 bedsNon-profitMedicaid
Nurse hours
5.02 /day
Staff turnover
27%
Serious cites
0

The Episcopal Church Home is a small nonprofit in Louisville, 26 certified beds, and its staffing is the strongest thing about it. At 5.02 nurse hours per resident day, it runs about 30 percent above the national average, and weekend coverage only dips roughly 7 percent below weekdays, which is a smaller gap than many homes carry. Turnover sits at 27 percent against a national average near 46 percent, so the people caring for residents tend to stay. What pulls the record down is the inspection side: seven deficiencies on file, one serious enough to involve harm or jeopardy, and a $10,364 fine. The most recent inspection was August 2025, so that record is current, not stale history.

A

90/100

The Willows At Citation

Lexington, KY · Fayette County

CMS 5/554 bedsFor-profitMedicaid
Nurse hours
4.04 /day
Staff turnover
39%
Serious cites
0

The Willows At Citation runs on 4.04 nurse hours per resident day, roughly 5% above the national average, with weekend coverage dropping only about 4% below its own weekday level, a fairly small dip. Staff turnover sits at 38.5%, below the 45.8% national figure, which matters for consistency of care. Nine deficiencies appear on the current record, none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated June 2025. CMS gives it 5 stars for quality measures and 4 for staffing, against 3 for health inspections, so the weaker mark is in the inspection history rather than in day-to-day staffing or clinical measures.

A

89/100

Cedar Ridge Health Campus

Cynthiana, KY · Harrison County

CMS 5/553 bedsFor-profitMedicaid
Nurse hours
3.99 /day
Staff turnover
44%
Serious cites
0

Cedar Ridge runs about 53 certified beds in Cynthiana under corporate for-profit ownership, and the staffing numbers are quietly decent: 3.99 nurse hours per resident day, a bit above the national average, with weekend coverage dropping roughly 8% from weekday levels. Turnover sits at 43.9%, slightly better than the national 45.8%. The current record shows five deficiencies, none at the harm or jeopardy level and none abuse-related, and the last inspection came in January 2026. Quality measure and staffing ratings both land at 4 or better out of 5. What you're looking at is a home that isn't perfect on paper but has no serious problems in the numbers that matter most.

A

89/100

Sam Swope Care Center

Masonic Home, KY · Jefferson County

CMS 2/5136 bedsNon-profitMedicaid
Nurse hours
5.11 /day
Staff turnover
42%
Serious cites
0

Sam Swope Care Center has real staffing strength: 5.11 nurse hours per resident day, roughly a third more than the national average, with a 4-star staffing rating to match. Turnover sits at 42.4%, slightly better than the national 45.8%. But the inspection record is where this home gets shakier, 12 deficiencies on file, two of them serious enough to involve harm or jeopardy, plus two abuse-related findings and two fines totaling $14,859. Weekend staffing also dips about 11% below weekday levels, which matters when families visit. The most recent inspection was February 2026. Good coverage day to day, yes, but the enforcement history is the number I'd ask about directly.

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

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.

B

84/100

The Willows At Springhurst

Louisville, KY · Jefferson County

CMS 3/552 bedsFor-profitMedicaid
Nurse hours
4.32 /day
Staff turnover
39%
Serious cites
0

The Willows At Springhurst runs 4.32 nurse hours per resident per day, roughly 12% above the national average, and weekend coverage dips about 12% below its own weekday level, a gap worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 38.6%, better than the 45.8% national figure, which suggests the aides and nurses here tend to stay. The health inspection record is the weak spot: 11 deficiencies, though none reached harm or jeopardy level and none involved abuse, with the most recent inspection in December 2025. Quality measures score well while inspection history drags.

B

84/100

The Home Place At Midway

Midway, KY · Woodford County

CMS 3/528 bedsNon-profitMedicaid
Nurse hours
5.18 /day
Staff turnover
70%
Serious cites
0

The Home Place At Midway runs 28 certified beds as a nonprofit, and its nurse staffing runs about 34% above the national average, enough to earn a 4/5 on CMS's staffing star. The catch is retention: 69.8% annual turnover, well above the 45.8% national figure, meaning the people delivering those hours keep changing. Weekend coverage dips modestly below the home's own weekday level. On the record: 13 deficiencies, none at harm or jeopardy level and none abuse-related, with one fine totaling $4,147. Its last inspection was in February 2026. A 5/5 quality measure rating sits against a 2/5 inspection rating, so the day-to-day care indicators look stronger than the survey history.

B

81/100

Laurel Heights Home For The Elderly

London, KY · Laurel County

CMS 5/5160 bedsNon-profitMedicaid
Nurse hours
4.10 /day
Staff turnover
32%
Serious cites
0

Laurel Heights runs on more nursing hours than most homes, 4.10 per resident day against a national average of 3.86, and its staff tends to stick around, with turnover at 32.1% versus 45.8% nationally. That stability matters, though weekend coverage dips about 9% below weekday levels, so ask how weekends are actually staffed. The inspection record is clean where it counts: five total deficiencies, none at the harm level, none abuse-related, and the most recent inspection was in April 2025. As a nonprofit, it answers to a board rather than shareholders. The weaker spot is quality measures, which sit mid-range, so ask what those scores reflect.

B

80.5/100

Wesley Manor

Louisville, KY · Jefferson County

CMS 4/568 bedsNon-profitMedicaid
Nurse hours
4.04 /day
Staff turnover
27%
Serious cites
0

Wesley Manor runs on 4.04 nurse hours per resident day, a bit above the national figure, and its staff tends to stay, 27% turnover against a national average near 46%. Weekend coverage dips roughly 15% below weekday levels, so ask how that plays out on Saturdays. The health inspection record is clean where it matters: six deficiencies, none causing harm or jeopardy, none tied to abuse, with an inspection as recent as July 2025. Quality measures score lower than the inspection and staffing marks, which is the tension worth asking about directly. Louisville's Jefferson County has plenty of options; this one's case rests on stable staffing and a sound inspection history, not on its clinical quality numbers.

B

79/100

Christian Health Center

Bowling Green, KY · Warren County

CMS 4/539 bedsNon-profitMedicaid
Nurse hours
4.76 /day
Staff turnover
60%
Serious cites
0

Christian Health Center runs about 4.76 nurse hours per resident per day, roughly 23% above the national average, which is the kind of margin that shows up in everyday care. The tradeoff is turnover: 59.5% of staff leave each year against a national average of 45.8%, and weekend coverage drops about 10% below weekday levels, so consistency can slip even when raw hours look strong. The inspection record is clean where it counts, three deficiencies, none at the harm level and none abuse-related, with the most recent survey in January 2026, and this nonprofit's 45 beds have earned 4 out of 5 stars across health inspections, quality measures, and staffing.

B

78/100

Christian Health Center

Hopkinsville, KY · Christian County

CMS 5/5114 bedsNon-profitMedicaid
Nurse hours
4.29 /day
Staff turnover
54%
Serious cites
0

Christian Health Center runs on more nursing hours than most homes nationally, 4.29 per resident day against an average of 3.86, and that staffing shows up in a clean inspection record: four deficiencies total, none at harm or jeopardy level, none abuse-related, with a 5/5 health inspection rating. The tradeoffs are real, though. Weekend coverage dips about 7% below weekday levels, and staff turnover sits at 54%, noticeably above the 45.8% national figure. Quality measure scores land at 2/5, which means the clinical outcomes data doesn't match the inspection story. For a church-affiliated nonprofit with 114 beds, the care presence is there; the question is whether it holds steady across weekends and staffing changes.

B

78/100

The Willows At Fritz Farm

Lexington, KY · Fayette County

CMS 3/554 bedsFor-profitMedicaid
Nurse hours
3.98 /day
Staff turnover
52%
Serious cites
0

The Willows At Fritz Farm runs a 54-bed for-profit operation in Lexington, and its numbers land mostly in decent territory. Nurse staffing sits at 3.98 hours per resident day, a bit above the national average, though weekend coverage dips roughly 6% below what the home provides on weekdays, worth asking about if you're planning visits or worrying about a Saturday fall. Staff turnover is 52% against a national 45.8%, meaning more than half the nursing staff left within a year. The current inspection record shows nine deficiencies, none involving harm or abuse, and the most recent state visit was in May 2026.

B

76.5/100

Telford Terrace

Richmond, KY · Madison County

CMS 5/526 bedsNon-profit
Nurse hours
4.71 /day
Staff turnover
89%
Serious cites
0

Telford Terrace runs a small 26-bed nonprofit home in Richmond, and the raw staffing number looks strong: 4.71 nurse hours per resident day, roughly 22% above the national average. The catch is who's providing that care. Annual turnover sits at 89.3%, nearly double the national figure, and weekends run about 18% thinner than weekdays, so the coverage families see on a Tuesday may not resemble a Sunday. Inspections are recent and the health rating is strong, but seven deficiencies are on record, one serious enough to reach harm or jeopardy level. Nothing here suggests danger, just a home where consistent hands are harder to keep than the numbers alone imply.

B

76/100

Little Sisters Of The Poor

Louisville, KY · Jefferson County

CMS 2/535 bedsNon-profitMedicaid
Nurse hours
5.89 /day
Staff turnover
59%
Serious cites
0

Little Sisters of the Poor runs a small home, 35 beds, and staffs it heavily: 5.89 nurse hours per resident day, well above the national figure. That nurse coverage is the strongest thing here, though weekends dip about 10% below weekdays and staff turnover sits at 59.3%, noticeably higher than the 45.8% national rate. Ten deficiencies show on the current record, none at the harm or jeopardy level, with the last inspection in May 2025. The 1/5 quality measure rating is the weak spot, that's resident care outcomes, separate from how many nurses are on the floor. So the picture splits: plenty of hands, mixed care results, and a workforce that keeps changing.

B

72/100

Madonna Manor

Villa Hills, KY · Kenton County

CMS 1/560 bedsNon-profitMedicaid
Nurse hours
6.85 /day
Staff turnover
63%
Serious cites
0

Madonna Manor has the staffing hours most families are told to look for, 6.85 per resident day, well above the national average, and the church-affiliated nonprofit ownership that often signals stability. The inspection record tells a different story. Twenty-one deficiencies on file, six of them serious enough to put residents at risk of harm, two tied to abuse, and $181,278 in fines across two penalties. Staff turnover sits at 63.3% against a national 45.8%, so the generous hours are delivered by a workforce that keeps changing. Weekend coverage also drops below weekday levels. The last inspection was recent, December 2025, meaning the problems are current rather than past.

B

70/100

Sayre Christian Village Nursing Home

Lexington, KY · Fayette County

CMS 1/5164 bedsNon-profitMedicaid
Nurse hours
4.02 /day
Staff turnover
37%
Serious cites
0

Sayre Christian Village runs a nonprofit home with 164 beds in Lexington, and its staffing is genuinely its strong point, 4.02 nurse hours per resident day, roughly 4% above the national average, with turnover at 37.1% against a national 45.8%. That stability matters, though weekend coverage drops about 10% below weekday levels, so ask how that gap gets covered. The harder questions sit in the inspection record: 20 deficiencies, including 2 at harm or jeopardy level and 2 tied to abuse, plus $7,901 in fines across two penalties. Quality measure scores land at the bottom of CMS's scale. The most recent inspection was April 2025, so the record is current, worth asking about directly.

C

68/100

River's Bend Retirement Community

Kuttawa, KY · Lyon County

CMS 4/540 bedsNon-profitMedicaid
Nurse hours
3.79 /day
Staff turnover
57%
Serious cites
0

River's Bend is a small nonprofit home in Kuttawa, 40 beds, inspected recently enough that its record is current. Six deficiencies on file, none causing harm and none abuse-related, and a 4-star health inspection rating backs that up. Where it slips is the care side: the quality measure rating sits at 2 stars, staffing is a little under the national average and thins out further on weekends, and turnover runs 56.8% against a national 45.8%. That last number matters more than it looks. At a 40-bed home, a few departures a year reshuffle a large share of the people who know your mother's routine. Ask how long the current aides have actually been there.

Frequently asked questions

How many CCRC nursing homes are there in Kentucky?
There are 23 CCRC Medicare-certified nursing homes in Kentucky, 9% of the 267 nursing homes there.
Are CCRC nursing homes better staffed?
In Kentucky they average 4.62 total nursing hours per resident per day, against 3.95 for all nursing homes in Kentucky, a difference of +0.67 hours. Staff turnover averages 47% against 46.4%.
Which CCRC nursing home grades best in Kentucky?
The Episcopal Church Home in Louisville, KY, grade A, 92 out of 100.
Does being CCRC mean a nursing home is safe?
No. Of the 23 graded CCRC homes in Kentucky, 8 grade A and 0 grade D or F.
Do CCRC nursing homes in Kentucky accept Medicaid?
22 of the 23 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in Kentucky