Lexington, KY · Fayette County
★★★★★CMS 5/554 bedsFor-profitMedicaid
- Nurse hours
- 4.04 /day
- Staff turnover
- 39%
- Serious cites
- 0
The Willows At Citation runs on 4.04 nurse hours per resident day, roughly 5% above the national average, with weekend coverage dropping only about 4% below its own weekday level, a fairly small dip. Staff turnover sits at 38.5%, below the 45.8% national figure, which matters for consistency of care. Nine deficiencies appear on the current record, none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated June 2025. CMS gives it 5 stars for quality measures and 4 for staffing, against 3 for health inspections, so the weaker mark is in the inspection history rather than in day-to-day staffing or clinical measures.
Lexington, KY · Fayette County
★★☆☆☆CMS 2/564 bedsFor-profitMedicaid
- Nurse hours
- 5.24 /day
- Staff turnover
- 43%
- Serious cites
- 0
The Willows At Hamburg runs 5.24 nurse hours per resident per day, roughly a third more than the national average, and weekend staffing doesn't drop off like it does at many homes. Turnover sits slightly under the national figure. That's the good news, and it's real. The inspection record tells a different story: 7 deficiencies, two of them serious enough to put residents at harm or jeopardy, and two tied to abuse. One fine of $61,627 is on file, and the last inspection was August 2025. A for-profit individual owner, 64 beds. Strong staffing doesn't cancel out what inspectors found, the care hours are there, but the state has documented real problems, including abuse-related ones. Ask about those directly.
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.
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.
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.
Lexington, KY · Fayette County
★★☆☆☆CMS 2/5108 bedsFor-profitMedicaid
- Nurse hours
- 3.64 /day
- Staff turnover
- 49%
- Serious cites
- 0
Cambridge Nursing & Rehabilitation Center runs 108 certified beds in Lexington under for-profit LLC ownership. The staffing picture is thin: 3.64 total nurse hours per resident per day, about 6% under the national average, with weekends dropping roughly 14% below the home's own weekday coverage. Turnover sits near 49%, a few points above the national figure. The federal staffing rating lands at 1 out of 5.
What offsets that is the care record. Ten deficiencies on file, none at harm or jeopardy level and none abuse-related, and the most recent inspection was February 19, 2026, recent enough to trust. The quality measure rating is 5 out of 5. So the clinical outcomes look strong even though the daily hours behind them don't. If your family member needs consistent weekday attention, ask how weekends get covered.
Lexington, KY · Fayette County
★☆☆☆☆CMS 1/5164 bedsNon-profitMedicaid
- Nurse hours
- 4.02 /day
- Staff turnover
- 37%
- Serious cites
- 0
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.
Lexington, KY · Fayette County
★☆☆☆☆CMS 1/598 bedsFor-profitMedicaid
- Nurse hours
- 3.67 /day
- Staff turnover
- 48%
- Serious cites
- 0
Mayfair Manor runs about 3.67 nurse hours per resident per day, roughly 5% under the national average, and weekend coverage drops another 17% below what the home staffs on weekdays. That thin weekend margin matters more when you look at the inspection record: 27 deficiencies, three of them serious enough to put residents in harm's way, plus two tied to abuse. Staff turnover sits at 48.2%, a few points above the national figure. The federal inspection rating is 1 out of 5, and the home has paid $33,602 across three fines. The most recent inspection was February 2026. Corporate-owned, 98 beds.
Lexington, KY · Fayette County
★★☆☆☆CMS 2/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.62 /day
- Staff turnover
- 49%
- Serious cites
- 0
Pine Meadows Post Acute runs 120 beds in Lexington under for-profit LLC ownership. Its staffing is the weak spot: 3.62 nurse hours per resident day sits about 6% under the national average, weekends drop roughly 12% below its own weekday levels, and turnover runs 48.8% against a 45.8% national figure. That combination earned a 1-star staffing rating from CMS, even though quality measures scored 4 stars and health inspections came in at 3. The current record shows 16 deficiencies, none involving harm or abuse, and the last inspection was recent, in September 2025. So you're looking at a home that can point to decent clinical measures but asks families to accept thin, unstable coverage, especially on weekends.
Lexington, KY · Fayette County
★☆☆☆☆CMS 1/5111 bedsFor-profitMedicaid
- Nurse hours
- 3.88 /day
- Staff turnover
- 57%
- Serious cites
- 0
Lexington Country Place runs 111 certified beds under for-profit LLC ownership, and its staffing sits essentially at the national mark, 3.88 nurse hours per resident day against 3.86 nationwide. That balance is thinner than it looks, though, because weekend coverage drops roughly 6% below the home's own weekday level, and annual turnover hits 56.8% compared with 45.8% nationally. Inspectors visited recently, in April 2025, and found 10 deficiencies, none involving harm or jeopardy and none abuse-related. The state inspection and quality-measure ratings both land at 3 out of 5, while staffing scores 2. If you're weighing this one, ask how they hold nurse coverage steady on Saturdays and Sundays and how they keep experienced aides from walking out the door.
Lexington, KY · Fayette County
★☆☆☆☆CMS 1/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.54 /day
- Staff turnover
- 53%
- Serious cites
- 0
Lexington Premier runs 120 certified beds under for-profit LLC ownership, and the staffing numbers tell you a lot. At 3.54 nurse hours per resident day, it sits about 8% under the national average of 3.86, and weekends dip roughly 5% below its own weekdays, so coverage thins out exactly when families tend to visit. Turnover is 53.2% against a national 45.8%, meaning more than half the nursing staff leaves each year. The current record shows 42 deficiencies, seven of them serious enough to involve harm or jeopardy, plus one abuse-related citation and a $240,331 fine. Last inspection: August 2025.
Lexington, KY · Fayette County
★☆☆☆☆CMS 1/5150 bedsFor-profitMedicaid
- Nurse hours
- 3.44 /day
- Staff turnover
- 46%
- Serious cites
- 0
Hartland Park runs 150 certified beds under for-profit LLC ownership, and the staffing numbers tell you most of what you need to know. Nurses provide 3.44 hours per resident day, roughly 11% below the national average of 3.86, and weekends dip another 10% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Turnover sits at 46.2%, essentially matching the national rate, which means this isn't a retention crisis so much as a staffing floor that never gets high enough. The inspection record is the harder read: 33 deficiencies, two at harm or jeopardy level, one abuse-related, and two fines totaling $12,925, with the most recent inspection in June 2025.