ElderGrade
F

22/100

Poor

Lexington Premier Nursing & Rehab

2770 Palumbo Drive, Lexington, KY 40509

CMS 1/5 stars #12 of 12 in Fayette County (859) 263-2410
Certified beds
120
Occupancy
97%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 7 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $240,331 in federal fines

    CMS has fined this facility across 1 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

0/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -20 for 2 immediate-jeopardy citation(s) in the last 3 years
  • -8 for 2 actual-harm citation(s) in the last 3 years
  • -2.1 for 23 total citations against a national median of 17

Staffing

13/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.71 total nurse hours per resident per day (national median 3.77)
  • 0.21 RN hours per resident per day
  • Weekend staffing drops 5% against weekdays

Staff stability

7/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 53% of nursing staff left in the last year
  • -2 for 2 administrator departures

Resident outcomes

2/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 1 of 5 stars on the CMS quality-measure rating

Enforcement history

0/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $240,331 in federal fines across 1 action(s)
  • -0 for 1 denial(s) of Medicare payment for new admissions

Grade ceiling applied

  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.54 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.21 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.36 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 53.20%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 42 citations

Last standard health inspection: August 8, 2025 (1 year ago).

E Aug 8, 2025 F0565

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

No actual harm, potential for more than minimal harm

E Aug 8, 2025 F0584 From a complaint

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

No actual harm, potential for more than minimal harm

E Aug 8, 2025 F0804

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

No actual harm, potential for more than minimal harm

E Aug 8, 2025 F0887

Infection Control Deficiencies

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

No actual harm, potential for more than minimal harm

D Aug 8, 2025 F0558

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

No actual harm, potential for more than minimal harm

D Aug 8, 2025 F0628

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

No actual harm, potential for more than minimal harm

D Aug 8, 2025 F0656

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

No actual harm, potential for more than minimal harm

D Aug 8, 2025 F0658 From a complaint

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

No actual harm, potential for more than minimal harm

What families say

Write a review

No family reviews yet for Lexington Premier Nursing & Rehab. If you or a relative have experience of this home, other families would find it useful.

Be the first to review

Every review is confirmed by email and read by a moderator before it appears. We remove reviews written by or for a facility. If something is wrong right now, report a concern — that routes you to your state ombudsman, who can actually intervene.

Common questions about Lexington Premier Nursing & Rehab

What is the ElderGrade for Lexington Premier Nursing & Rehab? +

Lexington Premier Nursing & Rehab holds an ElderGrade of F (22 out of 100), which we describe as "poor". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Lexington Premier Nursing & Rehab? +

Residents receive an average of 3.54 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Lexington Premier Nursing & Rehab been cited for harming residents? +

Yes. 7 of the 42 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Lexington Premier Nursing & Rehab accept Medicaid? +

Yes, Lexington Premier Nursing & Rehab is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.