192 of the 267 Medicare-certified nursing homes in Kentucky (72%) are chain-owned, and all are listed below. They average 3.72 nursing hours per resident per day, 0.23 hours below the 3.95 for every home in Kentucky. 12 of the 192 graded homes earn an A and 11 earn a D or F. Signature Healthcare At Jefferson Place Rehab & We in Louisville grades highest at A (92 out of 100).
How chain-owned homes in Kentucky compare
This group set against every nursing home in Kentucky, from the current CMS release.
River Haven runs on noticeably less nursing time than the typical home, about 3.39 hours per resident day against a national average near 3.86, and weekends drop another 13% below its own weekday level. That thin coverage shows up in a 58.8% annual turnover rate, well above the 45.8% national figure, so the people caring for residents keep changing. The current inspection record carries 28 deficiencies, including three at the harm or jeopardy level and three tied to abuse. The most recent inspection was January 22, 2026, so the findings are recent, not historical. It's a for-profit limited liability company, and quality measures score one out of five.
Barbourville Health and Rehabilitation Center runs 135 certified beds under corporate ownership, and the inspection record is the part that stands out. Nineteen deficiencies are on file, seven of them serious enough to involve harm or jeopardy, plus two tied to abuse, and a single CMS fine of $87,077 came out of that history. Staffing sits at 3.73 hours per resident day, slightly under the national figure, with weekends about 11% leaner than weekdays. Annual turnover of 55.6% is well above the 45.8% national average, meaning the aides and nurses caring for your relative are likely to change often. The most recent inspection was in August 2025.
Lyndon Crossing runs on thinner staffing than most homes, and the gap is worse than it looks: weekends drop about 9% below its own weekday levels, right when families tend to visit. The bigger warning sign is turnover, nearly two-thirds of nursing staff leave each year, well above the national rate. Then there's the record itself: 50 deficiencies, 13 of them serious enough to put residents in harm's way, and 6 tied to abuse. Federal regulators have flagged this Louisville home for the Special Focus Facility program, a designation reserved for the worst performers. Inspectors were last there in July 2025. If you're considering this place, ask hard questions and visit unannounced on a weekend.
Salyersville Nursing and Rehabilitation Center is a for-profit corporate home in Magoffin County with 142 certified beds, and the numbers behind its record are hard to get past. Its 39 deficiencies include 18 at the harm or jeopardy level and 6 tied to abuse, and CMS has placed it in the Special Focus Facility program, a designation reserved for the homes with the most persistent problems. Two fines total $447,485. Staffing looks adequate at 4.03 hours per resident day, slightly above the national average, but weekend coverage drops about 10% below weekday levels, and turnover runs 52.9% against a national 45.8%. The last inspection was May 2025.
Stanford Crossing runs 128 certified beds under for-profit LLC ownership, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.45 hours per resident day, roughly 11% under the national average, and weekends drop about 8% below what the home itself staffs on weekdays, so the thinnest coverage lands when families tend to visit. Annual turnover is 53%, well above the 45.8% national figure. The inspection history is the heavier concern: 22 deficiencies on the current record, 11 of them at harm or jeopardy level, plus two fines totaling $26,685. Its most recent inspection was December 8, 2025. No abuse deficiencies appear in the record.
Spring View runs on 3.34 nurse hours per resident day, about 13 percent under the national average, and weekends dip slightly below its own weekday staffing. That thinner coverage matters more here because the inspection record is heavy: 14 deficiencies, four of them at harm or jeopardy level, two tied to abuse, plus three fines totaling $17,346. Staff turnover sits at 50 percent against a 45.8 percent national figure, so caregivers are cycling through steadily. A corporation owns the 71-bed building, and its last inspection was August 2025, so the record is current rather than stale. The quality and staffing measures both come in at two stars, with the health inspection piece at one, worth asking about before you tour.
Chestnut Ridge runs 3.40 nurse hours per resident day, about 12% under the national average, and weekends drop roughly 9% below its own weekdays, so coverage thins out exactly when families tend to visit. Staff turnover sits at 61.3% against a national 45.8%, meaning more than half the nursing staff leaves each year. Those numbers sit behind the federal findings: 36 deficiencies, seven serious enough to cause harm, two tied to abuse, and a single $306,141 fine. CMS has placed the home in its Special Focus Facility program, reserved for the country's most persistently troubled nursing homes, and the last inspection was August 2023.
Carter Nursing and Rehabilitation runs 120 beds in Grayson under corporate ownership, and the numbers behind its federal record are worth knowing before you visit. Nurse staffing sits at 3.21 hours per resident day against a national average of 3.86, weekend coverage drops about 21% below its own weekday level, and annual turnover hits 68.5%, well above the 45.8% national figure. Inspections tell a similar story: 18 deficiencies on the current record, four of them at harm or jeopardy level and five abuse-related, with three fines totaling $105,165. That record, combined with a one-star inspection and staffing rating, is what drives the low overall grade. Ask direct questions about who's on the floor on weekends and how the abuse findings were resolved.
Christian Heights runs on 3.24 nurse hours per resident per day, roughly 16 percent under the national average, and weekends drop about a fifth below its own weekday staffing. That thin coverage is compounded by 62.5 percent annual turnover, well above the 45.8 percent national figure, so the aides and nurses around your family member are frequently new. Federal inspectors cited five deficiencies on the current record, including one at the harm level and one related to abuse. CMS gives this for-profit LLC-owned home one star for staffing and one for quality measures, with three for health inspections after a March 2026 visit. Ask directly how weekends are covered and what changed since that abuse citation.
Nicholasville Nursing and Rehabilitation runs on thin staffing. At 3.19 nurse hours per resident day, it sits about 17% under the national average of 3.86, and weekends drop roughly another 9% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover tells its own story: 83.1% a year, nearly double the 45.8% national figure, meaning most of the people caring for residents are new to the building. The state's most recent inspection, in August 2025, left 25 deficiencies on record, one tied to abuse; none rose to the level of immediate harm. Federal ratings land at 2 out of 5 for health inspections and quality measures, and 1 out of 5 for staffing.
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.
Henson Park runs a 90-bed for-profit operation in Danville, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.10 hours per resident day, roughly a fifth under the national average, and weekends drop about 11% below what the home itself staffs on weekdays, so coverage is thinnest exactly when families tend to visit. Annual turnover of 51.6% tops the national rate, meaning more than half the nursing staff leaves each year. On inspections: 30 deficiencies, 12 serious enough to involve harm or jeopardy, 5 tied to abuse, and 19 fines totaling $364,900. The most recent inspection was July 2025.
Frequently asked questions
How many chain-owned nursing homes are there in Kentucky?
There are 192 chain-owned Medicare-certified nursing homes in Kentucky, 72% of the 267 nursing homes there.
Are chain-owned nursing homes better staffed?
In Kentucky they average 3.72 total nursing hours per resident per day, against 3.95 for all nursing homes in Kentucky, a difference of -0.23 hours. Staff turnover averages 46.6% against 46.4%.
Which chain-owned nursing home grades best in Kentucky?