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75 Independent Nursing Homes in Kentucky

75 of the 267 Medicare-certified nursing homes in Kentucky (28%) are independently owned, and all are listed below. 20 of the 75 graded homes earn an A and 6 earn a D or F. They average 4.58 nursing hours per resident per day, 0.63 hours above the 3.95 for every home in Kentucky. Nazareth Home in Louisville grades highest at A (99 out of 100).

How independently owned homes in Kentucky compare

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

Nursing hours per resident per day

4.58

All homes in Kentucky: 3.95

Better than the local average

Nurse staff turnover

45.9%

All homes in Kentucky: 46.4%

Better than the local average

Average ElderGrade score

75.8/100

All homes in Kentucky: 72.2/100

Better than the local average

Grade spread

A
B
C
D

20 grade A, 30 grade B, 19 grade C, 6 grade D,

The best-graded independently owned home in Kentucky is Nazareth Home in Louisville, KY, grade A, 99/100.

Every independently owned nursing home in Kentucky

Showing 41 to 60 of 75, best-graded first.

B

76/100

River Valley Nursing Home

Butler, KY · Pendleton County

CMS 5/560 bedsFor-profitMedicaid
Nurse hours
3.49 /day
Staff turnover
50%
Serious cites
0

River Valley runs 3.49 nurse hours per resident day, about ten percent under the national average, and weekends drop roughly another fourteen percent below its own weekday coverage. That thin weekend margin is the pattern worth asking about, because it's when families tend to visit and when staffing gaps show. Annual turnover sits at 50 percent, above the 45.8 percent national figure, so the aides and nurses on any given shift change often. The inspection side looks steadier: a 4-star health inspection rating, five deficiencies on record with none at harm or jeopardy level and none abuse-related, and a survey completed in June 2025, so the record is current. Quality measures score 5 stars. The tension is real, strong clinical outcomes and clean inspections, but staffing that's lean and always turning over. Ask how they cover a weekend callout.

B

75/100

Redbanks

Henderson, KY · Henderson County

CMS 3/5222 bedsFor-profitMedicaid
Nurse hours
4.56 /day
Staff turnover
40%
Serious cites
0

Redbanks runs on a corporate for-profit model with 222 certified beds in Henderson, and the staffing numbers are its strongest feature, 4.56 nurse hours per resident day, roughly 18% above the national average, with a 4-out-of-5 staffing rating to match. Turnover sits at 40.2%, a bit better than the 45.8% national figure, though weekend coverage dips about 5% below weekday levels. The softer spots are quality measures at 2 out of 5 and a 3-out-of-5 inspection rating, with 13 deficiencies on record, none at harm or jeopardy level, none abuse-related, and a June 2025 inspection that's still recent.

B

73/100

Helmwood Healthcare

Elizabethtown, KY · Hardin County

CMS 4/560 bedsFor-profitMedicaid
Nurse hours
3.66 /day
Staff turnover
49%
Serious cites
0

Helmwood Healthcare runs 60 certified beds in Elizabethtown under for-profit LLC ownership, and its inspection record is the strongest thing going for it, a five-star health inspection rating, six total deficiencies with none at the harm or jeopardy level and none abuse-related, and a recent survey from April 2025. Where it gives ground is staffing. At 3.66 total nurse hours per resident day, it sits about 5% under the national average, and weekends run roughly 13% thinner than its own weekdays, which matters when a family is deciding which days to visit. Annual turnover of 49.1% is also slightly above the national 45.8%. The quality measure rating lands at three stars, staffing at three.

B

73/100

Ridgewood Terrace Health And Rehabilitation Center

Madisonville, KY · Hopkins County

CMS 4/5110 bedsFor-profitMedicaid
Nurse hours
4.36 /day
Staff turnover
51%
Serious cites
0

Ridgewood Terrace runs a 110-bed for-profit operation in Madisonville, and the numbers tell a mixed story. Nurse staffing sits at 4.36 hours per resident day, roughly 13% above the national average, though weekends run about 14% thinner than weekdays, worth asking about if your family tends to visit Saturday or Sunday. The inspection record is the strong point: a recent May 2025 survey, 14 deficiencies on file but none at harm or jeopardy level and nothing abuse-related. Staff turnover at 50.7% is higher than the 45.8% national figure, which matters for continuity of care. Quality measure scores come in low even as the staffing and inspection ratings hold up, that gap is the real question to press the administrator on.

B

71.5/100

Home Of The Innocents

Louisville, KY · Jefferson County

CMS 2/576 bedsNon-profitMedicaid
Nurse hours
n/a /day
Staff turnover
n/a
Serious cites
0

Home Of The Innocents is a 76-bed nonprofit in Louisville with a recent inspection, September 13, 2025, so the record is current. What that record shows is mixed: ten deficiencies, including two at the harm or jeopardy level and four tied to abuse. Its inspection star rating sits at 2 out of 5, while quality measures come in at 3. Roughly one in five of those deficiencies involves actual harm or abuse concerns, which is the kind of thing worth asking the administrator about directly. The nonprofit structure and fresher inspection help, but the harm-level findings are the part I would not gloss over when you call.

B

71.5/100

Cal Turner Rehab And Specialty Care

Scottsville, KY · Allen County

CMS 5/5110 bedsNon-profitMedicaid
Nurse hours
3.57 /day
Staff turnover
35%
Serious cites
0

Cal Turner Rehab runs a tight ship on the things that show up in writing: a five-star inspection record, nine total deficiencies with nothing abuse-related, and staff turnover at 34.7%, well under the 45.8% national average, which matters for whether you see the same faces month to month. A nonprofit's balance sheet shows up too, with just one fine on record for $5,519. The softer spots are real, though. Total nurse staffing sits at 3.57 hours per resident day, about 7% under the national average, and weekends drop roughly 18% below the home's own weekday levels, so ask what a Saturday actually looks like. The two-star quality measure rating is the other piece worth pressing on.

B

71.5/100

St Elizabeth Ft Thomas Snf

Fort Thomas, KY · Campbell County

CMS 4/520 bedsNon-profit
Nurse hours
n/a /day
Staff turnover
n/a
Serious cites
0

St Elizabeth Ft Thomas runs a small 20-bed unit as a nonprofit, and its inspection record is genuinely clean, five stars, one deficiency on the books, none involving harm or abuse, and the last survey was in January 2025. The catch is staffing, which scores one star. That's the number to press on when you visit: ask what nurse and aide coverage looks like on nights and weekends, because a single deficiency total means little if there aren't enough hands on shift. Quality measures land mid-range at three stars. With this few beds, staffing can change fast, so ask for current numbers rather than trusting the rating alone.

B

71/100

The Seasons At Alexandria

Alexandria, KY · Campbell County

CMS 1/5117 bedsNon-profitMedicaid
Nurse hours
4.43 /day
Staff turnover
50%
Serious cites
0

The Seasons At Alexandria runs a nonprofit shop with 117 beds, and the raw staffing number looks decent, 4.43 nurse hours per resident day, roughly 15% above the national average. But the inspection record is where this home falls apart: 17 deficiencies on the current record, seven of them serious enough to put residents in harm's way, two tied to abuse, and $246,139 in fines across two penalties. Weekend staffing also drops about 10% below its own weekday level, and turnover sits at 50.3% against a national 45.8%. A 2025-08-15 inspection means the record is recent, not stale. Strong quality scores can't offset that kind of enforcement history.

B

70/100

Brighton Cornerstone Group, Llc

Madisonville, KY · Hopkins County

CMS 1/540 bedsFor-profitMedicaid
Nurse hours
4.39 /day
Staff turnover
45%
Serious cites
0

Brighton Cornerstone Group runs 40 certified beds in Madisonville under for-profit LLC ownership, and its federal scores sit at the low end across the board: one star each for staffing and quality measures, two for health inspections. Nine deficiencies sit on the current record, though none rose to the level of harm or jeopardy, and no abuse citations appear. Staff turnover of 44.6% is roughly in line with the national average, which is the one number here that isn't working against it. A single fine of $3,387 is modest. The last inspection was January 8, 2026. With 40 beds, this is a small home, so a handful of deficiencies can weigh heavily on the ratios.

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

Jordan Rehabilitation And Healthcare Center

Louisa, KY · Lawrence County

CMS 1/5104 bedsFor-profitMedicaid
Nurse hours
3.60 /day
Staff turnover
47%
Serious cites
0

Jordan Rehabilitation and Healthcare Center runs 104 certified beds in Louisa under for-profit LLC ownership, and the staffing numbers are the first thing to look at. At 3.60 nurse hours per resident day, it sits about 7% under the national average of 3.86, and weekends dip roughly 6% below its own weekday coverage, so the thinnest shifts are the ones families visit. Turnover is 47.4%, slightly above the 45.8% national figure. Nine deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, which matters. But the health inspection rating is 2 out of 5 and quality measures just 1 out of 5, suggesting the last inspection in June 2025 found real problems 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.

C

67.5/100

Carmel Home

Owensboro, KY · Daviess County

CMS 2/518 bedsNon-profitMedicaid
Nurse hours
n/a /day
Staff turnover
n/a
Serious cites
0

Carmel Home is a small place, 18 certified beds, run by a nonprofit corporation, and that size shapes what the inspection record looks like. Three deficiencies on the current record with none at the harm or jeopardy level and nothing abuse-related is a thin record, and the most recent inspection came in April 2025, so what you're seeing is recent. What pulls the picture down is the money: four fines totaling $40,173 against a home this small. Ask what those fines were for and when they were issued, because the totals don't match the mild inspection findings. Staffing relative to the national average is the other thing to press on, along with how a nonprofit board this size handles turnover.

C

67.5/100

Western State Nursing Facility

Hopkinsville, KY · Christian County

CMS 4/5144 bedsGovernmentMedicaid
Nurse hours
n/a /day
Staff turnover
n/a
Serious cites
0

Western State is state-run, and the inspection record backs that up: 12 deficiencies on the current record, but none at harm or jeopardy level and nothing abuse-related, with a survey completed December 10, 2025. That's a home getting walked through recently and coming out without serious tags. The weaker number is quality measures at 2 out of 5, which tells you the clinical side, things like falls, weight loss, or antipsychotic use, isn't tracking as well as the inspection side. Staffing is where this home separates from the national average, and it's the main reason the overall picture lands where it does. Ask to see the last survey report and current staffing levels before you visit.

C

67/100

Bowling Green Nursing And Rehabilitation Center

Bowling Green, KY · Warren County

CMS 4/566 bedsFor-profitMedicaid
Nurse hours
3.63 /day
Staff turnover
64%
Serious cites
0

Bowling Green Nursing and Rehabilitation Center runs 66 certified beds under for-profit LLC ownership, and its recent inspection record is genuinely decent, a four-star health inspection rating with six deficiencies, none at the harm level. The trouble sits elsewhere. Nurse staffing comes in at 3.63 hours per resident day, about 6% under the national average, and it thins out further on weekends. Annual turnover of 64.4% against a national 45.8% means the people caring for residents are frequently new. Two of those deficiencies are abuse-related, which deserves a direct question when you tour. Ask who's on the floor on a Sunday afternoon.

C

67/100

Rosedale Green

Covington, KY · Kenton County

CMS 4/5176 bedsNon-profitMedicaid
Nurse hours
3.52 /day
Staff turnover
44%
Serious cites
0

Rosedale Green runs 176 certified beds as a nonprofit, and its staffing sits at 3.52 nurse hours per resident day, roughly 9% under the national average of 3.86. Weekends drop about 12% below its own weekday coverage, so the gaps aren't just relative to other homes; they're relative to itself. Turnover lands at 43.5%, slightly better than the 45.8% national figure, which matters because consistent caregivers know residents. The current record shows 10 deficiencies, 2 serious enough to reach harm or jeopardy level and none abuse-related, with the last inspection in April 2025. The quality measure rating sits at 1 out of 5, the lowest tier, while staffing is 2 and inspections 3.

C

66/100

Brandenburg Nursing And Rehabilitation Center

Brandenburg, KY · Meade County

CMS 3/557 bedsFor-profitMedicaid
Nurse hours
3.40 /day
Staff turnover
52%
Serious cites
0

Brandenburg Nursing and Rehabilitation Center runs on thinner nurse coverage than most homes, about 3.40 hours per resident day against a national average near 3.86, with weekends dipping roughly another 10% below its own weekday pace. Staff turnover sits at 52%, compared to 45.8% nationally, so the people caring for your relative are changing fairly often. The inspection record is the bright spot: one deficiency on file, nothing at the harm level, no abuse findings, and the most recent survey was in April 2026. It's a for-profit LLC with 57 beds. The quality measures land mid-range. What you're weighing is a clean inspection history against staffing that's consistently under the norm.

C

65.5/100

Metcalfe Nursing And Rehabilitation Center

Edmonton, KY · Metcalfe County

CMS 1/571 bedsNon-profitMedicaid
Nurse hours
3.53 /day
Staff turnover
54%
Serious cites
0

Metcalfe Nursing and Rehabilitation Center runs on thinner nurse coverage than most homes nationally, 3.53 hours per resident day against a 3.86 average, and weekends drop roughly 18% below what it staffs on weekdays, which is when gaps tend to show up. Staff turnover sits at 54.3%, well above the 45.8% national figure, so familiar faces are not a given. Its last health inspection was October 2022, and the record carries 14 deficiencies, none flagged for harm or abuse. As a nonprofit, it answers to a board rather than shareholders, but that structure hasn't translated into stronger staffing or quality scores here.

C

65.5/100

Mountain Manor Of Paintsville

Paintsville, KY · Johnson County

CMS 1/5126 bedsFor-profitMedicaid
Nurse hours
3.68 /day
Staff turnover
39%
Serious cites
0

Mountain Manor Of Paintsville runs 126 certified beds under for-profit LLC ownership, and the nurse staffing number comes in at 3.68 hours per resident day, about 5% under the national average of 3.86. Weekends are thinner still, roughly 18% below the home's own weekday coverage. Turnover sits at 39.4%, which is actually better than the 45.8% national figure, so that's one number working in its favor. Inspections are recent (July 2025) with 17 deficiencies on record, none at harm or jeopardy level, though two are abuse-related. CMS gives it 2 stars each for health inspections and staffing, and 1 star on quality measures, a split record worth asking about directly.

C

65/100

Elkhorn Health & Rehabilitation

Elkhorn City, KY · Pike County

CMS 5/5106 bedsFor-profitMedicaid
Nurse hours
2.95 /day
Staff turnover
39%
Serious cites
0

Elkhorn Health & Rehabilitation runs lean on nurse staffing, 2.95 hours per resident day, roughly a quarter below the national average, and weekends get thinner still. That's the number to weigh, because direct care hours are what your family member actually feels. Turnover, at 38.8%, is better than the national 45.8%, so the crew that's there tends to stay, which matters for consistency. Inspections are where this home shines: a 5/5 health inspection rating, just four deficiencies on record, none involving harm or abuse, and the most recent visit was April 2025. The tension is real, though, strong inspection results alongside a 2/5 on both staffing and quality measures. A for-profit LLC with 106 beds, it's a home that keeps things clean and compliant while running tight on the floor.

Frequently asked questions

How many independently owned nursing homes are there in Kentucky?
There are 75 independently owned Medicare-certified nursing homes in Kentucky, 28% of the 267 nursing homes there.
Are independently owned nursing homes better staffed?
In Kentucky they average 4.58 total nursing hours per resident per day, against 3.95 for all nursing homes in Kentucky, a difference of +0.63 hours. Staff turnover averages 45.9% against 46.4%.
Which independently owned nursing home grades best in Kentucky?
Nazareth Home in Louisville, KY, grade A, 99 out of 100.
Does being independently owned mean a nursing home is safe?
No. Of the 75 graded independently owned homes in Kentucky, 20 grade A and 6 grade D or F.
Do independently owned nursing homes in Kentucky accept Medicaid?
70 of the 75 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in Kentucky