Every Medicare-certified nursing home in Kentucky, graded on inspections, staffing, turnover
and enforcement history.
6 homes in the state sit in the federal Special Focus programme.
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.
Pioneer Trace runs 92 certified beds in Flemingsburg under for-profit LLC ownership, and its nurse staffing sits at 3.42 hours per resident day, roughly 11% under the national average. Weekends are thinner still, about 14% below what the home staffs on weekdays, right when families often visit. The inspection record is the harder part: 12 deficiencies, three serious enough to reach harm or jeopardy level, and two tied to abuse. Three fines total $27,493. Staff turnover, at 40.3%, is actually a little better than the 45.8% national figure, so retention isn't the main problem here. The most recent inspection was January 8, 2026.
The staffing numbers at Edgemont Healthcare are where I'd start. At 2.92 nurse hours per resident per day, it runs about a quarter below the national average, and weekend coverage dips even further below its own weekday level. That matters more than any single inspection finding, because thin staffing tends to be the condition that produces everything else.
The record backs that up: 26 deficiencies, three of them at the level where a resident was actually harmed or put in jeopardy, plus three abuse-related citations and a $133,225 fine. Annual staff turnover sits at 100 percent, the entire nursing workforce turning over in a year, against a national rate near 46 percent. The most recent inspection was in July 2025, so this is current, not stale.
Harrison Nursing and Rehabilitation Center runs on thin staffing. At 3.18 nurse hours per resident day, it sits about 18% under the national average of 3.86, and weekends drop roughly 11% below what the home manages on weekdays, meaning the thinnest coverage lands when backup is hardest to find. The inspection record backs that up: 39 deficiencies, six of them serious enough to threaten resident harm, plus five fines totaling $34,409. All three CMS ratings, health inspections, quality measures, staffing, come in at one star out of five. Corporate-owned and certified for 54 beds, its most recent inspection was April 2, 2026.
Elkton Nursing and Rehabilitation Center runs on thinner staffing than most homes in the country, 3.16 nurse hours per resident day against a national average of 3.86, and it gets worse on weekends, when coverage drops about 13% below the home's own weekday level. That kind of gap matters most when families visit on Saturdays and Sundays and find fewer hands on deck. Staff turnover sits at 62.5%, well above the 45.8% national figure, so the people caring for residents are cycling out faster than average. The current record shows 13 deficiencies, including one tied to abuse, plus seven fines totaling $30,641. State inspectors were last in the building in July 2025.
Auburn Nursing and Rehabilitation Center runs on 3.06 nurse hours per resident per day, about a fifth below the national average, and weekends drop roughly another 10% under its own weekday level. Staff turnover sits at 86.5% against a national 45.8%, meaning most of the people caring for residents weren't there a year ago. The current record carries 19 deficiencies, two of them serious enough to indicate harm or jeopardy, plus $24,850 in fines. All three CMS star ratings, health inspections, quality measures, staffing, sit at 1 out of 5. Ownership changed within the past year, and the most recent inspection was September 12, 2025.