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Kentucky Best Medicaid Nursing Homes 2026

261 of Kentucky's 267 nursing homes are certified to accept Medicaid and 261 of them also accept Medicare.

Medicaid homes against the rest of Kentucky

6 Kentucky homes are not certified for Medicaid. 0 of the 261 certified homes carry a harm-level citation on their current record, and 29 grade A while 17 grade D or F. The most certified homes sit in Louisville (35), Lexington (12) and Owensboro (6).

Nursing hours per resident per day

3.9

Homes not certified: 6.82

Nurse staff turnover

46.2%

Homes not certified: 58.4%

Average ElderGrade score

71.9/100

Homes not certified: 84.8/100

Best-graded Medicaid homes in Kentucky

#1
A

99/100

Nazareth Home

Louisville, KY · Jefferson County

CMS 5/5118 bedsFor-profitMedicaid
Nurse hours
5.43 /day
Staff turnover
30%
Serious cites
0

Nazareth Home runs 5.43 nurse staffing hours per resident day, roughly 41 percent above the national average of 3.86, and its weekend hours dip only about 11 percent below its own weekday levels, a modest drop for a nursing home. Staff turnover sits at 29.5 percent against a national average near 46 percent, and the current record shows no deficiencies at all: none at the harm or jeopardy level, none abuse-related, with the most recent inspection completed April 17, 2025. As a nonprofit corporation with 118 certified beds, it pairs that clean record with top marks across health inspections, quality measures, and staffing. For families weighing a move, the numbers describe steady hands and a well-kept building.

#2
A

96/100

Thomson-Hood Veterans Center

Wilmore, KY · Jessamine County

CMS 5/5285 bedsGovernmentMedicaid
Nurse hours
5.09 /day
Staff turnover
29%
Serious cites
0

Thomson-Hood Veterans Center runs on 5.09 nurse hours per resident day, roughly a third more than the national average, and its staff turnover of 29.4% sits well under the 45.8% national figure, a combination that tends to mean caregivers who know the residents and stay long enough to notice when something changes. Weekend coverage dips about 12% below weekday levels, which is worth asking about if you visit mainly on Saturdays. Five deficiencies on record, none at the harm level, though one is abuse-related and worth requesting details on. The most recent inspection was in May 2026. As a state-run veterans home, its numbers hold up well against most facilities.

#3
A

96/100

Joseph Eddie Ballard Western Kentucky Veterans Cen

Hanson, KY · Hopkins County

CMS 5/5156 bedsGovernmentMedicaid
Nurse hours
5.40 /day
Staff turnover
34%
Serious cites
0

The Western Kentucky Veterans Center in Hanson is state-run, and that shows in the numbers. Nurse staffing runs about 5.4 hours per resident per day, roughly 40% above the national average, with weekend coverage dipping about 14% below its own weekday level. Turnover sits at 34.3%, better than the 45.8% national figure but still meaning about a third of staff leaving each year. On inspections, there's little to argue with: two deficiencies on the current record, none causing harm or involving abuse, and a survey completed in February 2026. A recent, clean inspection record paired with that staffing level is what a strong home looks like in the data.

#4
A

96/100

Loretto Living Center At Loretto Motherhouse, Inc.

Nerinx, KY · Marion County

CMS 5/555 bedsNon-profitMedicaid
Nurse hours
5.98 /day
Staff turnover
27%
Serious cites
0

The numbers here tell a steady story. Nurse staffing runs about 5.98 hours per resident day, roughly 55% above the national average, and the weekend drop is modest, about 14% off its own weekday level, which matters because that's when many homes quietly thin out. Staff turnover sits at 27%, well under the national 45.8%, so the people caring for residents tend to stick around. On the inspection side, the home carries just two deficiencies, neither at the harm level and none abuse-related, with its most recent survey done in August 2025. It's a nonprofit corporation with 55 certified beds, small enough that consistency is easier to hold onto.

#5
A

94.5/100

Paul E Patton Eastern Ky Veterans Center

Hazard, KY · Perry County

CMS 5/5120 bedsGovernmentMedicaid
Nurse hours
5.49 /day
Staff turnover
13%
Serious cites
0

Paul E Patton Eastern Ky Veterans Center runs on unusually deep nurse staffing for a nursing home, 5.49 hours per resident day, roughly 42 percent above the national average of 3.86. Weekend coverage dips about 15 percent below its own weekday levels, so that strength thins out somewhat on Saturdays and Sundays. The state-run home in Hazard keeps just 3 deficiencies on its current record with none at the harm or jeopardy level, though 2 are abuse-related, and its last inspection was December 2024. Staff turnover sits at 13 percent against a national average near 46 percent, which matters for whether the same caregivers show up for residents week after week.

#6
A

94.5/100

Owensboro Health Muhlenberg Community Hospital Lon

Greenville, KY · Muhlenberg County

CMS 4/545 bedsNon-profitMedicaid
Nurse hours
5.77 /day
Staff turnover
39%
Serious cites
0

Owensboro Health Muhlenberg Community Hospital Ltc runs 45 certified beds in Greenville under nonprofit ownership, and the staffing numbers here are the story. At 5.77 nurse hours per resident day, it sits roughly 49% above the national average of 3.86, a margin few homes can match. Weekend coverage dips about 15% below its own weekday level, and annual turnover of 38.9% is better than the 45.8% national figure. Ten deficiencies appear on the current record, none at harm or jeopardy level, though one is abuse-related, and the health inspection rating sits at 2 out of 5 with a survey dated March 2026. Strong quality and staffing scores carry the weight; the inspection history is what keeps this from being an unqualified picture.

#7
A

94/100

Breckinridge Memorial Nursing Facility

Hardinsburg, KY · Breckinridge County

CMS 4/518 bedsNon-profitMedicaid
Nurse hours
5.07 /day
Staff turnover
43%
Serious cites
0

Breckinridge Memorial runs a small 18-bed nonprofit home in Hardinsburg, and the people on the floor are the strongest part of it. Nurse staffing sits at 5.07 hours per resident day, roughly 31% above the national average, and turnover at 43.3% is a touch better than the 45.8% norm. Weekends thin out by about 14% against weekdays, worth asking about if your family member needs help then. The harder reading is on inspections: two health deficiencies at the harm or jeopardy level, one tied to abuse, plus two fines totaling $10,364, with the most recent inspection in March 2026. Strong care hours and a recent abuse-related finding can both be true; weigh which matters more for your situation.

#8
A

92/100

Signature Healthcare At Jefferson Place Rehab & We

Louisville, KY · Jefferson County

CMS 4/596 bedsFor-profitMedicaid
Nurse hours
3.88 /day
Staff turnover
28%
Serious cites
0

Signature Healthcare at Jefferson Place sits right at the national average for total nurse staffing, 3.88 hours per resident day against 3.86, so this isn't a home running thin, but it isn't running rich either. What stands out is retention: 27.9% turnover against a 45.8% national average means the people caring for residents tend to stay, which matters more for daily life than a small staffing edge. The 12 deficiencies on record include none at the harm level and none related to abuse, and the most recent inspection was in mid-2025, so the picture is current. Weekend coverage dips about 13% below weekdays, worth asking about if your family visits Saturdays or Sundays.

#9
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.

#10
A

91/100

Radcliff Veterans Center

Radcliff, KY · Hardin County

CMS 3/5120 bedsGovernmentMedicaid
Nurse hours
5.60 /day
Staff turnover
34%
Serious cites
0

Radcliff Veterans Center is state-run, so it answers to Kentucky rather than a chain or a private operator. The staffing is the strongest part of the picture: 5.60 nurse hours per resident day, well above the 3.86 national average, though weekends drop off by roughly 14 percent compared with weekdays. Turnover sits at 34.2 percent, better than the 45.8 percent national figure. The inspection record pulls the other way. Seven deficiencies are on file, two of them serious enough to involve harm or jeopardy, and two tied to abuse. One fine totaling $9,331 has been levied, and the most recent inspection was in March 2025. Good coverage on paper, but a citation history worth asking about directly.

#11
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.

#12
A

89/100

The Springs At Stony Brook

Louisville, KY · Jefferson County

CMS 5/566 bedsFor-profitMedicaid
Nurse hours
4.08 /day
Staff turnover
38%
Serious cites
0

The Springs At Stony Brook runs about 4.08 nurse hours per resident per day, roughly 6% above the national average of 3.86, though weekend coverage dips about 9% below its own weekday level. Staff turnover sits at 38.2%, better than the 45.8% national figure, which matters for consistency of care. The current record shows three deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in May 2025, recent enough to trust what's on file. Quality measures scored 5/5 and staffing 4/5 under CMS, and this for-profit corporate home holds 66 certified beds.

#13
A

89/100

Westport Place Health Campus

Louisville, KY · Jefferson County

CMS 5/564 bedsFor-profitMedicaid
Nurse hours
4.37 /day
Staff turnover
37%
Serious cites
0

Westport Place Health Campus runs on 4.37 nursing hours per resident per day, roughly 13 percent above the national average, though weekends drop about 14 percent below its own weekday staffing. That dip matters more than the headline number, since weekends are when problems tend to surface. Staff turnover sits at 36.9 percent, meaningfully better than the 45.8 percent national figure, a real signal that workers are sticking around. The inspection record is clean where it counts: eight deficiencies total, none at harm or jeopardy level, none abuse-related, with the most recent survey from February 2026. At 64 beds and corporate for-profit ownership, this is a small building with steady staffing and no serious safety findings on file.

#14
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.

#15
A

89/100

Riverside Care & Rehabilitation Center

Calhoun, KY · Mc Lean County

CMS 5/579 bedsFor-profitMedicaid
Nurse hours
3.88 /day
Staff turnover
44%
Serious cites
0

Riverside Care & Rehabilitation Center runs 79 certified beds in Calhoun under for-profit LLC ownership, and the numbers here mostly hold up. Nurse staffing sits at 3.88 hours per resident day, barely above the national average, but weekends drop about 13% below its own weekday level, so coverage thins out when families tend to visit. Turnover at 43.5% edges below the national rate of 45.8%, which matters less than it sounds since nearly half the staff still leaves each year. Four deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, with a recent inspection in April 2026. Strong marks on health inspections and quality measures round out a record without obvious red flags.