35 Non-Profit Nursing Homes That Accept Medicaid in Kentucky
35 of the 267 Medicare-certified nursing homes in Kentucky (13%) are non-profit Medicaid-certified, and all are listed below. 11 of the 35 graded homes earn an A and 2 earn a D or F. They average 4.88 nursing hours per resident per day, 0.93 hours above the 3.95 for every home in Kentucky. Loretto Living Center At Loretto Motherhouse, Inc. in Nerinx grades highest at A (96 out of 100).
How non-profit Medicaid-certified homes in Kentucky compare
This group set against every nursing home in Kentucky, from the current CMS release.
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.
Owsley County Health Care Center runs on 4.08 nurse hours per resident day, about 6% above the national average, and its staff retention is unusually strong, 28.4% turnover against a national 45.8%. Weekend coverage drops roughly 15% below its own weekday level, so ask how that plays out on Saturdays and Sundays. The inspection record is clean where it counts: nine deficiencies, none at harm or jeopardy level, none abuse-related, with a survey as recent as July 2025. Where the picture weakens is quality measures, which sit at the low end even as staffing and inspections hold up. That split is worth asking about directly.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Staffing is the strongest part of the picture at Christian Health Center Corbin: 4.12 nurse hours per resident day, roughly 7% above the national average, with weekend coverage dipping about 13% below its own weekday level. Turnover sits at 41.1%, a bit better than the 45.8% national figure. The trouble is the inspection record. Seven deficiencies are on file, three at the harm or jeopardy level and three tied to abuse, plus a single $181,590 fine. The most recent inspection was March 2025, so the record is current, not old. Quality and staffing measures score well; the health inspection side, where a 1-out-of-5 rating reflects those harm-level findings, is what pulls the overall picture down.
Bourbon Heights sits in Paris, Kentucky, licensed for 99 beds and run as a nonprofit. The staffing numbers look strong on paper, 4.74 nurse hours per resident day, well above the national average, but that average comes with a catch: weekend coverage drops about 13% below weekday levels, and nearly 58% of staff turned over in the past year. The inspection record is the real concern. Twenty-nine deficiencies on file, eleven of them serious enough to put residents in harm's way, three tied to abuse, plus two fines totaling nearly $58,000. CMS has placed this home in its Special Focus Facility program, a designation reserved for the homes with the most persistent problems.
Carmel Manor has enough nurses on paper, about 4.03 hours per resident day, a bit above the national average, but that's the only number here that isn't alarming. Staff turnover sits at 79% against a national average near 46%, meaning most of the people caring for residents this year likely won't be there next year, and weekend coverage drops about 7% below weekday levels. The inspection record is worse: 38 deficiencies, 11 serious enough to put residents in harm's way, and 5 tied to abuse, with $305,116 in fines and a place in CMS's Special Focus Facility program. That program exists for homes with a persistent pattern of poor care, not a single bad survey.
Frequently asked questions
How many non-profit Medicaid-certified nursing homes are there in Kentucky?
There are 35 non-profit Medicaid-certified Medicare-certified nursing homes in Kentucky, 13% of the 267 nursing homes there.
Are non-profit Medicaid-certified nursing homes better staffed?
In Kentucky they average 4.88 total nursing hours per resident per day, against 3.95 for all nursing homes in Kentucky, a difference of +0.93 hours. Staff turnover averages 43.2% against 46.4%.
Which non-profit Medicaid-certified nursing home grades best in Kentucky?