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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 61 to 80 of 192, best-graded first.

B

75/100

Louisville East Post Acute

Louisville, KY · Jefferson County

CMS 3/5178 bedsFor-profitMedicaid
Nurse hours
3.84 /day
Staff turnover
44%
Serious cites
0

Louisville East Post Acute runs 178 certified beds under corporate ownership, and its staffing sits at 3.84 nurse hours per resident day, just under the national average of 3.86, with weekends running about 11% lighter than weekdays. The health inspection record shows 16 deficiencies, two of them serious enough to reach harm or jeopardy level, plus two fines totaling $12,740, and the most recent inspection was September 2025. Staff turnover is 43.6%, a bit better than the 45.8% national figure, though the staffing star rating still comes in at 2 out of 5. What stands out is the gap: strong quality measure scores alongside weaker marks for inspections and staffing.

B

75/100

Wolfe County Health & Rehabilitation Center

Campton, KY · Wolfe County

CMS 4/5100 bedsFor-profitMedicaid
Nurse hours
4.58 /day
Staff turnover
52%
Serious cites
0

Wolfe County Health & Rehabilitation Center runs on decent staffing, 4.58 nurse hours per resident day, roughly 19% above the national average, which helps explain its four staffing stars. Inspections back that up: one deficiency on the current record, none involving harm or jeopardy, none tied to abuse, and the last survey was recent, from January 2025. The catch is in the quality measures, where it scores just one star out of five, and in turnover, which sits at 52% against a national 45.8%, more than half the staff leaving in a year is a lot of churn for residents to absorb. Weekend coverage also dips about 11% below weekdays, so care isn't perfectly even across the week.

B

75/100

Lake Way Rehabilitation And Healthcare Center

Benton, KY · Marshall County

CMS 4/596 bedsFor-profitMedicaid
Nurse hours
3.50 /day
Staff turnover
51%
Serious cites
0

Lake Way runs on 3.50 nurse hours per resident day, roughly 9% under the national average, and the gap widens on weekends, weekend staffing sits about 14% below the home's own weekday level. That thin weekend coverage matters more when you consider 51.2% of staff turned over in a year, higher than the 45.8% national rate, so the aides on Saturday may be new to the building. The inspection record, refreshed in July 2025, is a mixed bag: 23 deficiencies, including three tied to abuse and one serious enough to cause harm. A for-profit LLC operates the 96-bed home.

B

75/100

Owenton Healthcare And Rehabilitation

Owenton, KY · Owen County

CMS 4/5100 bedsFor-profitMedicaid
Nurse hours
3.10 /day
Staff turnover
37%
Serious cites
0

Owenton Healthcare and Rehabilitation runs 3.10 nurse hours per resident per day, roughly a fifth below the national average of 3.86, and weekends drop about 13% below its own weekday staffing. Turnover sits at 36.5%, better than the 45.8% national figure, which matters for consistency of care. On the record: 18 deficiencies, including one at the harm level and four tied to abuse, plus a single fine of $8,512. The last inspection was January 16, 2026. It's a for-profit LLC with 100 certified beds. The quality measure score is strong; staffing and inspection results are middling. If you're weighing this one, ask directly about weekend coverage and how those abuse-related citations were resolved.

B

75/100

Villaspring Of Erlanger

Erlanger, KY · Kenton County

CMS 3/5140 bedsFor-profitMedicaid
Nurse hours
3.82 /day
Staff turnover
45%
Serious cites
0

Villaspring Of Erlanger runs 140 certified beds as a for-profit corporation, and its staffing sits just under the national average, 3.82 nurse hours per resident day against 3.86 nationally. That's close enough to be a wash on paper, but weekend staffing drops about 8% below its own weekday level, so the coverage you'd see on a Tuesday isn't what a Saturday looks like. The 44.6% turnover rate is actually slightly better than the 45.8% national figure, which matters more than the small staffing gap. Where this home stands out is its record: 12 deficiencies, none at harm or jeopardy level, none abuse-related, with the last inspection in September 2025. Its quality measure rating is strong while its inspection and staffing ratings are middling, the pattern of a place that documents good clinical outcomes but runs lean.

B

74.5/100

Signature Healthcare Of Hart County Rehab & Wellne

Horse Cave, KY · Hart County

CMS 5/5104 bedsFor-profitMedicaid
Nurse hours
3.80 /day
Staff turnover
49%
Serious cites
0

Signature Healthcare of Hart County runs 3.80 nurse hours per resident day, a hair under the national average, and weekends drop about 17% below what the home staffs on weekdays. That 2-out-of-5 staffing rating sits in the same building as a 4-out-of-5 inspection rating and a 5-out-of-5 quality measure rating, so the clinical picture and the workforce picture don't match up. Turnover is 48.5%, above the national 45.8%, and the current record carries five deficiencies, one tied to abuse, none at harm or jeopardy level. The last inspection was March 13, 2026. Corporate-owned, 104 beds, the numbers suggest care quality is holding even as the floor staff churns.

B

74.5/100

Highlandspring Of Ft Thomas

Fort Thomas, KY · Campbell County

CMS 3/5140 bedsFor-profitMedicaid
Nurse hours
4.25 /day
Staff turnover
48%
Serious cites
0

Highlandspring Of Ft Thomas runs a 140-bed for-profit operation in Campbell County, and its nurse staffing sits at 4.25 hours per resident day, roughly 10% above the national average. That cushion matters, though weekends dip about 21% below the home's own weekday coverage, so the weekday numbers aren't the whole story. Turnover is 48.3%, a bit higher than the national 45.8%, and the home carries 9 deficiencies on its current record with none at the harm level and none abuse-related. Its last inspection was February 2026, so the record is recent. Nothing here looks alarming; the staffing edge is real, but the weekend drop and above-average turnover are worth asking about directly.

B

74/100

Homestead Post Acute

Lexington, KY · Fayette County

CMS 3/5136 bedsFor-profitMedicaid
Nurse hours
3.53 /day
Staff turnover
49%
Serious cites
0

Homestead Post Acute runs 136 beds under for-profit LLC ownership, and its staffing is the number worth pausing on. At 3.53 nurse hours per resident day, it sits roughly 9% under the national average of 3.86, and weekends drop another 9% below its own weekday levels, so the thinnest coverage lands exactly when families tend to visit. Turnover runs 48.5%, above the 45.8% national figure, which means the people providing that care are often new. Inspections are current as of July 2025, and the record shows nine deficiencies with none at harm or jeopardy level and nothing abuse-related. Quality measures score well; staffing is where this home gives ground.

B

74/100

West Liberty Nursing And Rehabilitation

West Liberty, KY · Morgan County

CMS 3/548 bedsFor-profitMedicaid
Nurse hours
3.18 /day
Staff turnover
55%
Serious cites
0

West Liberty Nursing and Rehabilitation runs 3.18 nursing hours per resident per day, roughly 18% under the national average, and weekend coverage drops another 5% below its own weekday level. With 54.8% annual turnover, staff are cycling out faster than the national rate of 45.8%, which matters when consistent caregivers are what families actually rely on. The inspection record shows 14 deficiencies, two serious enough to involve harm or jeopardy, though none abuse-related. Quality measures look strong, but that sits against staffing and inspection ratings of 2 out of 5 each. Corporate for-profit ownership, 48 beds, and an inspection as recent as August 2025 round out the picture.

B

74/100

New Castle Nursing & Rehab

New Castle, KY · Henry County

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

New Castle Nursing & Rehab runs 60 certified beds in Henry County under for-profit LLC ownership, and the split in its federal scores is the whole story here. Inspections came back clean at five stars, five deficiencies on record, none causing harm or involving abuse, and the most recent survey was in July 2025. Quality measures also hit five stars. Where it slips is staffing: 3.81 nurse hours per resident day, just under the national 3.86, with weekends running about 12% thinner than weekdays and turnover at 50% against a 45.8% national figure. That combination, strong oversight, thin coverage, is what pulls the overall picture down to a solid but unremarkable place.

B

74/100

Martin County Health Care Facility

Inez, KY · Martin County

CMS 4/565 bedsFor-profitMedicaid
Nurse hours
3.87 /day
Staff turnover
30%
Serious cites
0

Martin County Health Care Facility in Inez runs 3.87 nurse hours per resident day, essentially matching the national average of 3.86, right at the line, not above it in any meaningful way. Weekend staffing drops about 11% below weekday levels, a gap worth asking about. What stands out is the turnover: 30%, well below the national 45.8%, so the people caring for residents tend to stay. Inspections look solid, 4 stars, with the most recent visit in November 2025 and five deficiencies total, none causing harm. But two of those five are abuse-related, and with 65 beds under for-profit partnership ownership, that's the detail I'd press on before deciding.

B

74/100

Tri Cities Rehabilitation And Healthcare Center

Cumberland, KY · Harlan County

CMS 1/585 bedsFor-profitMedicaid
Nurse hours
3.75 /day
Staff turnover
41%
Serious cites
0

Tri Cities runs on a for-profit corporate model with 85 certified beds in Cumberland, and its staffing sits slightly under the national average, 3.75 nurse hours per resident day against 3.86 nationally. Weekends dip about 8% below its own weekday levels, so coverage thins out when families tend to visit. Turnover at 41.4% is actually a bit better than the 45.8% national figure, which matters for continuity of care. The current inspection record shows 14 deficiencies, none at harm or jeopardy level, though one is abuse-related, and a single fine of $5,346. The last inspection was in October 2024, so the record is recent.

B

74/100

Magnolia Village Nursing And Rehabilitation Center

Bowling Green, KY · Warren County

CMS 5/560 bedsFor-profitMedicaid
Nurse hours
3.29 /day
Staff turnover
42%
Serious cites
0

Magnolia Village runs on thinner nursing hours than most homes, 3.29 per resident day against a national average of 3.86, with weekends dipping about 6% below its own weekday coverage. That gap is worth asking about directly, since it's the kind of shortfall families feel on Saturday afternoons. The inspection record tells a different story: a recent June 2025 survey, eight deficiencies and none at the harm or jeopardy level. Staff turnover sits at 42%, slightly better than the national figure, and the building is a for-profit LLC with 60 certified beds. Strong inspections and weak staffing don't cancel each other out, they just tell you where to look.

B

74/100

Bluegrass Care & Rehabilitation Center

Lexington, KY · Fayette County

CMS 3/5124 bedsFor-profitMedicaid
Nurse hours
3.34 /day
Staff turnover
43%
Serious cites
0

Bluegrass Care & Rehabilitation Center runs 124 certified beds under corporate for-profit ownership, and its inspection record is the strongest part of the picture: a four-out-of-five health inspection rating, with the most recent survey completed in July 2025. The 11 deficiencies on file include none at the harm or jeopardy level and none related to abuse. Staffing is where it thins out. At 3.34 nurse hours per resident day, this home sits roughly 13 percent under the national average of 3.86, and weekends drop about 11 percent below its own weekday coverage. Turnover, at 43 percent, is slightly better than the 45.8 percent national figure, so the concern isn't retention so much as how many hands are actually present on a given shift.

B

73.5/100

Signature Healthcare Of Hartford Rehab & Wellness

Hartford, KY · Ohio County

CMS 4/5110 bedsFor-profitMedicaid
Nurse hours
3.87 /day
Staff turnover
45%
Serious cites
0

Signature Healthcare of Hartford sits in a small Kentucky county and runs 110 certified beds under for-profit LLC ownership. Its nurse staffing works out to 3.87 hours per resident day, essentially matching the national average of 3.86, but weekends drop about 17% below its own weekday coverage, so the hours your relative gets on a Saturday won't mirror a Tuesday. Staff turnover of 45.1% is right at the national rate, meaning roughly half the caregivers turn over in a year. The current record shows five deficiencies, none at harm or jeopardy level, though one is abuse-related. Inspectors were last on site in July 2025, so the record is recent enough to trust.

B

73/100

Rivers Edge Rehabilitation And Healthcare Center

Prospect, KY · Jefferson County

CMS 3/5100 bedsFor-profitMedicaid
Nurse hours
2.93 /day
Staff turnover
42%
Serious cites
0

Rivers Edge runs lean on nursing staff: 2.93 hours per resident day against a national average of 3.86, roughly a quarter below it, and weekends drop further. Thirteen deficiencies sit on the current record, none rising to harm or jeopardy and none tied to abuse, with a single fine of $5,519; the last inspection was March 2026. Staff turnover of 42.2% is slightly better than the national 45.8%, which matters for continuity. The quality measure score of 5/5 stands out sharply against a 2/5 staffing rating and 2/5 on health inspections. For-profit, limited liability ownership. If your family member needs consistent hands-on attention, especially on weekends, ask how the floor is covered then.

B

73/100

Maple Health And Rehabilitation

Greenville, KY · Muhlenberg County

CMS 5/597 bedsFor-profitMedicaid
Nurse hours
3.41 /day
Staff turnover
30%
Serious cites
0

Maple Health And Rehabilitation runs a tight ship on inspections, a five-star health inspection rating and just seven deficiencies on the books, none of them serious enough to cause harm and none tied to abuse. That's a clean record, and it's recent, with the last survey wrapping up in July 2025. The trade-off shows up in the day-to-day. Nurse staffing sits at 3.41 hours per resident, roughly 12 percent under the national average, and weekends drop another 13 percent below the home's own weekday levels. Turnover is the bright spot: under 30 percent, well below the national 45.8. Quality measures land at two stars, which is worth asking about directly.

B

73/100

Clinton Place

Clinton, KY · Hickman County

CMS 2/591 bedsFor-profitMedicaid
Nurse hours
n/a /day
Staff turnover
35%
Serious cites
0

Clinton Place runs 91 certified beds in Hickman County under for-profit LLC ownership, and its nurse staffing sits at 2.93 hours per resident day, roughly a quarter below the national average of 3.86. Weekends dip about 17% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. On the positive side, turnover is 34.7%, better than the 45.8% national figure, which suggests some stability in the workforce. The current record shows 14 deficiencies, one serious enough to reach harm or jeopardy level, plus one fine of $8,512. The last inspection was August 2025, so that picture is recent.

B

72.5/100

Rockcastle Health & Rehabilitation Center

Brodhead, KY · Rockcastle County

CMS 2/5104 bedsFor-profitMedicaid
Nurse hours
3.56 /day
Staff turnover
49%
Serious cites
0

Rockcastle Health & Rehabilitation Center runs 104 certified beds under corporate ownership, and the staffing numbers are the first thing worth noticing. At 3.56 nurse hours per resident day, it sits about 8% under the national average, and weekends drop roughly 17% below its own weekday coverage, so care thins out exactly when families tend to visit. Annual turnover of 48.5% runs slightly above the national figure, which usually means less continuity for residents who need consistent hands. The inspection record shows 20 deficiencies, including two at the harm level and one abuse-related, plus a $15,646 fine; its last inspection was August 2025.

B

72.5/100

Signature Healthcare Of Spencer County

Taylorsville, KY · Spencer County

CMS 2/5120 bedsFor-profitMedicaid
Nurse hours
3.83 /day
Staff turnover
56%
Serious cites
0

Signature Healthcare of Spencer County runs 120 certified beds as a for-profit LLC, and its nurse staffing sits at 3.83 hours per resident day, just under the national average of 3.86. The bigger issue is consistency: weekend staffing drops roughly 18% below its own weekday level, and annual turnover hits 55.8% against a national average of 45.8%. The current record shows 17 deficiencies, none at harm or jeopardy level, but two tied to abuse. Inspectors were last in on January 23, 2026, and the health inspection rating came back 2 out of 5, even as quality measures scored 4. Families weighing this one should ask specifically who covers weekends and how abuse-related findings were resolved.

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