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192 Chain-Owned Nursing Homes in Kentucky

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.

Nursing hours per resident per day

3.72

All homes in Kentucky: 3.95

Worse than the local average

Nurse staff turnover

46.6%

All homes in Kentucky: 46.4%

Worse than the local average

Average ElderGrade score

70.8/100

All homes in Kentucky: 72.2/100

Worse than the local average

Grade spread

B
C

12 grade A, 90 grade B, 79 grade C, 11 grade D,

The best-graded chain-owned home in Kentucky is Signature Healthcare At Jefferson Place Rehab & We in Louisville, KY, grade A, 92/100.

Every chain-owned nursing home in Kentucky

Showing 21 to 40 of 192, best-graded first.

B

83/100

Morgantown Care & Rehabilitation Center

Morgantown, KY · Butler County

CMS 3/5122 bedsFor-profitMedicaid
Nurse hours
3.75 /day
Staff turnover
36%
Serious cites
0

Morgantown Care & Rehabilitation Center runs 122 certified beds under for-profit LLC ownership, and the numbers suggest a home that's basically steady without being exceptional. Nurse staffing sits at 3.75 hours per resident day, a hair under the national average, and weekends drop about 13% below its own weekday levels, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover is the bright spot: 35.5% against a national 45.8%, meaning caregivers here tend to stick around longer than at the typical American nursing home. The inspection record shows 8 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent survey in April 2026.

B

82.5/100

Signature Healthcare At Colonial Rehab & Wellness

Bardstown, KY · Nelson County

CMS 1/565 bedsFor-profitMedicaid
Nurse hours
3.81 /day
Staff turnover
25%
Serious cites
0

Signature Healthcare at Colonial Rehab & Wellness runs on a corporate for-profit model with 65 certified beds, and the staffing picture is a mixed one. Nurse hours come to 3.81 per resident day, right around the national average of 3.86, but weekends drop roughly 18% below weekday coverage, that's when families tend to visit and notice. Turnover sits at 25%, well under the national 45.8%, so the people caring for your relative are more likely to stick around. The trouble is the inspection record. Six deficiencies, three of them serious enough to involve harm or jeopardy, plus one tied to abuse, and a $67,987 fine. A recent August 2025 inspection means the state has been watching closely. Strong quality scores don't erase that history.

B

81/100

Signature Healthcare At North Hardin Rehab & Welln

Radcliff, KY · Hardin County

CMS 2/5136 bedsFor-profitMedicaid
Nurse hours
3.75 /day
Staff turnover
47%
Serious cites
0

Signature Healthcare at North Hardin runs 136 certified beds as a for-profit LLC, and its staffing sits just under the national mark, 3.75 nurse hours per resident day against 3.86 nationwide. Weekends thin out further, dropping roughly 13% below the home's own weekday coverage, and turnover lands at 47.1% versus 45.8% nationally, so the people caring for residents are changing over at a steady clip. Inspectors were last in on May 29, 2025, and the current record shows 28 deficiencies, none at harm or jeopardy level, though one is abuse-related. Ownership, weekend dips, and that deficiency count are the things worth asking about directly.

B

81/100

Maple Grove Senior Living Llc

Shelbyville, KY · Shelby County

CMS 3/590 bedsFor-profitMedicaid
Nurse hours
4.02 /day
Staff turnover
51%
Serious cites
0

Maple Grove Senior Living runs about 90 certified beds in Shelbyville under for-profit LLC ownership, and its nurse staffing sits slightly above the national average, 4.02 hours per resident day. That edge shrinks on weekends, though, when coverage drops roughly 11% below what the home staffs during the week, and annual turnover of 50.5% tops the national figure of 45.8%. The inspection record shows six deficiencies, none at the harm or jeopardy level, but one is abuse-related, and the most recent state visit was in January 2026. Quality and staffing measures both score well; the inspection side is where the picture gets less tidy.

B

80/100

Williamsburg Health & Rehabilitation Center

Williamsburg, KY · Whitley County

CMS 3/5125 bedsFor-profitMedicaid
Nurse hours
4.99 /day
Staff turnover
38%
Serious cites
0

Williamsburg Health & Rehabilitation Center runs on a for-profit, individually owned model with 125 certified beds, and its strongest number is staffing: 4.99 nurse hours per resident day, roughly 29% above the national average. Weekend coverage dips about 9% below its own weekday level, a gap worth asking about, and annual turnover sits at 38.2%, better than the 45.8% national figure, though still meaning more than a third of staff leaving each year. The inspection record shows 8 deficiencies, none at harm or jeopardy level, but one is abuse-related, which families should ask about directly. Quality measures score 1 out of 5, and the last inspection was December 2025.

B

80/100

Parkview Nursing & Rehabilitation Center

Paducah, KY · Mc Cracken County

CMS 4/5228 bedsFor-profitMedicaid
Nurse hours
3.65 /day
Staff turnover
37%
Serious cites
0

Parkview runs 228 beds in Paducah under corporate for-profit ownership, and its nurse staffing sits at 3.65 hours per resident day, about 6% under the national average of 3.86. Weekends get thinner still, roughly 14% below the home's own weekday coverage, which matters most when families visit and when problems tend to surface. Turnover is the brighter spot: 37.4% against a national 45.8%, meaning caregivers stick around longer here than at the typical home. The inspection record shows 12 deficiencies, none at harm or jeopardy level and none abuse-related, with one fine of $5,519 and a recent April 2026 survey. Quality measures score well; staffing and inspections land mid-range.

B

80/100

Hyden Health And Rehabilitation Center

Hyden, KY · Leslie County

CMS 5/594 bedsFor-profitMedicaid
Nurse hours
4.46 /day
Staff turnover
34%
Serious cites
0

Hyden Health And Rehabilitation Center runs on unusually strong nurse staffing for a for-profit home, 4.46 hours per resident day, about 16% above the national average, and weekend coverage only dips around 13% below its own weekday level, which is a smaller drop than many places manage. Staff turnover sits at 33.7%, well under the national 45.8%, and its last inspection in October 2024 produced no deficiencies at the harm or jeopardy level and no abuse citations. The tradeoff shows up in the quality measures, which score low, and in ten total deficiencies on record. One fine of $5,346 is modest. The day-to-day care presence looks solid; the clinical outcomes data is where questions remain.

B

80/100

Middlesboro Nursing And Rehabilitation Facility

Middlesboro, KY · Bell County

CMS 5/595 bedsFor-profitMedicaid
Nurse hours
3.94 /day
Staff turnover
44%
Serious cites
0

Middlesboro Nursing and Rehabilitation sits in Bell County with 95 certified beds and a for-profit corporate owner. The last inspection in September 2024 turned up a single deficiency, none of it at the harm level and nothing abuse-related, which is about as clean a federal record as you'll find. CMS gives it five stars for both inspections and quality measures. The catch is staffing, where two stars reflects a thinner crew than the inspection results would suggest: 3.94 nurse hours per resident day, only slightly above the 3.86 national average, and weekends run roughly 11% leaner than weekdays. Turnover at 44% is a hair under the national 45.8%.

B

80/100

Greenville Nursing And Rehabilitation

Greenville, KY · Muhlenberg County

CMS 5/560 bedsFor-profitMedicaid
Nurse hours
3.39 /day
Staff turnover
39%
Serious cites
0

Greenville Nursing and Rehabilitation runs a tight ship on inspections, a five-star health inspection rating and seven deficiencies on the current record, none of them serious enough to cause harm or involve abuse. The last state visit was in July 2025. Where it slips is staffing: 3.39 nurse hours per resident day against a national average of 3.86, and weekends run about 11 percent thinner than weekdays. Turnover sits at 39 percent, which is actually better than the 45.8 percent national figure, so the people who stay tend to stay. This is a for-profit, limited-liability operation with 60 beds. Read the pattern honestly: clean inspections, thin coverage.

B

79.5/100

Signature Healthcare At Summit Manor Rehab & Welln

Columbia, KY · Adair County

CMS 2/5104 bedsFor-profitMedicaid
Nurse hours
3.90 /day
Staff turnover
42%
Serious cites
0

Signature Healthcare at Summit Manor runs a 104-bed for-profit operation in Columbia, and the staffing picture is roughly a wash against the national average, 3.90 nurse hours per resident day versus 3.86 nationally. The catch is weekends, when coverage drops about 19% below what the home staffs on weekdays. Staff turnover sits at 42.4%, a bit better than the 45.8% national figure, which matters in a rural market where replacing nurses is hard. Twelve deficiencies are on the current record, none at the harm level and none abuse-related, and the most recent inspection came in January 2025, so the record is reasonably fresh.

B

79/100

Nhc Healthcare, Glasgow

Glasgow, KY · Barren County

CMS 2/5194 bedsFor-profitMedicaid
Nurse hours
3.85 /day
Staff turnover
53%
Serious cites
0

Nhc Healthcare in Glasgow runs 194 certified beds under corporate ownership, and its nurse staffing sits right at the national average, 3.85 hours per resident day against 3.86 nationwide. That headline number hides a wrinkle: weekends run about 15% thinner than weekdays, so care can look different depending on when you visit. Staff turnover is the bigger concern at 53.2%, well above the 45.8% national average, which matters because familiar faces tend to know residents' routines. Sixteen deficiencies sit on the current record, three tied to abuse, though none reached harm or jeopardy level, and one fine of $4,017 has been levied. The most recent inspection was in March 2026.

B

79/100

Knott County Health & Rehabilitation Center

Hindman, KY · Knott County

CMS 3/592 bedsFor-profitMedicaid
Nurse hours
4.88 /day
Staff turnover
35%
Serious cites
0

Knott County Health & Rehabilitation Center sits in Hindman with 92 certified beds under individual for-profit ownership. The numbers that stand out are on the staffing side: 4.88 total nurse hours per resident day, roughly a quarter above the national average, with turnover at 34.7% against a national 45.8%. Weekend coverage does dip about 12% below its own weekday level, so ask how that plays out on Saturdays and Sundays. Inspections tell a similar story, five deficiencies on record, none at harm or jeopardy level, none abuse-related, and the most recent survey was September 2025. The weak spot is quality measures, where CMS scores it 1 out of 5, meaning clinical outcomes like falls, infections, or antipsychotic use lag even though the hands-on care and survey record look solid.

B

79/100

Signature Healthcare At Rockford Rehab & Wellness

Louisville, KY · Jefferson County

CMS 5/5110 bedsFor-profitMedicaid
Nurse hours
3.65 /day
Staff turnover
43%
Serious cites
0

Signature Healthcare at Rockford Rehab & Wellness sits in Louisville with 110 certified beds, run by a for-profit corporation. The inspection record is genuinely strong, a five-star health inspection rating, no abuse deficiencies, and a survey completed in late February 2026. Quality measures also score five stars. Where it slips is staffing: 3.65 nurse hours per resident day, roughly 5% under the national average of 3.86, earning just two stars. Weekend coverage drops about 15% below its own weekday levels, so care can thin out when families visit most. Turnover at 43% is slightly better than the 45.8% national figure, but nine deficiencies remain on record, three of them at harm or jeopardy level.

B

79/100

Seneca Place

Louisville, KY · Jefferson County

CMS 5/5130 bedsFor-profitMedicaid
Nurse hours
3.38 /day
Staff turnover
41%
Serious cites
0

Seneca Place runs about 3.38 nurse hours per resident each day, roughly 12 percent under the national average, and weekends drop another 13 percent below its own weekday staffing. That thin weekend coverage sits alongside 34 deficiencies on the current record, 12 of them serious enough to cause harm or jeopardy, including 2 tied to abuse. The inspection history matters here too: the last survey was July 2025, so the record is recent, not stale. Turnover at 40.6 percent is actually a bit better than the national 45.8 percent, which suggests the problem isn't constant churn so much as how few hands are scheduled when they're needed most.

B

79/100

Park Terrace Health Campus

Louisville, KY · Jefferson County

CMS 4/588 bedsFor-profitMedicaid
Nurse hours
3.57 /day
Staff turnover
34%
Serious cites
0

Park Terrace runs a tight ship on inspections, six deficiencies on record, none causing harm, and the state visited as recently as July 2025. That's a good sign. Staffing is where it thins out: 3.57 nurse hours per resident day sits about 7% under the national average, and weekends dip roughly 8% below the home's own weekday level, so your visit timing matters. Turnover at 33.8% is well below the national 45.8%, meaning caregivers tend to stick around, which helps continuity. Two abuse-related deficiencies are worth asking about directly. For-profit corporate ownership.

B

79/100

Coldspring Transitional Care Center

Cold Spring, KY · Campbell County

CMS 3/5143 bedsFor-profitMedicaid
Nurse hours
3.91 /day
Staff turnover
41%
Serious cites
0

Coldspring Transitional Care Center runs 143 certified beds in Campbell County under for-profit limited liability ownership. Nurse staffing sits at 3.91 hours per resident day, barely above the national average, and weekends dip roughly 9% below what the home staffs during the week, worth asking about if your family visits or calls on Saturdays and Sundays. Annual turnover of 41.1% is lower than the national 45.8%, which suggests somewhat steadier hands than average. The current record shows 11 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in May 2025. Quality measures score well; the health inspection side is where this home gives up ground.

B

79/100

The Springs At Oldham Reserve

La Grange, KY · Oldham County

CMS 4/550 bedsFor-profitMedicaid
Nurse hours
4.15 /day
Staff turnover
51%
Serious cites
0

The Springs At Oldham Reserve runs a 50-bed for-profit operation in La Grange, and its nurse staffing sits at 4.15 hours per resident day, roughly 8% above the national average of 3.86, though weekends run about 10% thinner than weekdays. Quality measure scores come in at the top of CMS's range, but staff turnover is 50.8% against a national 45.8%, meaning more than half the nursing team turns over in a year. On the health inspection side, three deficiencies are on record with none tied to harm or abuse, and seven fines total $18,878. The last inspection was December 19, 2025.

B

78.5/100

Signature Healthcare Of Monroe County Rehab And We

Tompkinsville, KY · Monroe County

CMS 5/5104 bedsFor-profitMedicaid
Nurse hours
3.89 /day
Staff turnover
33%
Serious cites
0

Signature Healthcare of Monroe County Rehab and We sits in Tompkinsville with 104 certified beds, run by a for-profit limited liability company. Its last inspection came in November 2025 and turned up just two deficiencies, neither tied to harm or abuse, a clean record that helps explain the strong inspection rating. Nurse staffing runs 3.89 hours per resident day, only a hair above the national average of 3.86, and weekends drop roughly 20% below weekday coverage, so the floor can feel thinner on Saturdays and Sundays. Annual turnover of 32.9% is meaningfully better than the 45.8% national figure, which matters for consistency of care.

B

78/100

Maysville Nursing And Rehabilitation Facility

Maysville, KY · Mason County

CMS 5/5130 bedsFor-profitMedicaid
Nurse hours
3.88 /day
Staff turnover
34%
Serious cites
0

Maysville Nursing and Rehabilitation runs 130 certified beds under corporate ownership, and its inspection record is the strongest thing it has going: a five-star health inspection rating, four total deficiencies with none rising to harm or jeopardy, and no abuse citations. The last survey was in June 2025, so the picture is recent. Where it slips is staffing, rated two stars. Total nurse hours land at 3.88 per resident day, essentially the national average, not better, and weekends drop roughly 9% below the home's own weekday coverage. Turnover of 33.6% does beat the 45.8% national figure, which matters for consistency of care. Strong oversight, thin staffing margin, especially on weekends.

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.

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?
Signature Healthcare At Jefferson Place Rehab & We in Louisville, KY, grade A, 92 out of 100.
Does being chain-owned mean a nursing home is safe?
No. Of the 192 graded chain-owned homes in Kentucky, 12 grade A and 11 grade D or F.
Do chain-owned nursing homes in Kentucky accept Medicaid?
191 of the 192 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in Kentucky