Louisville, KY · Jefferson County
★★★☆☆CMS 3/552 bedsFor-profitMedicaid
- Nurse hours
- 4.32 /day
- Staff turnover
- 39%
- Serious cites
- 0
The Willows At Springhurst runs 4.32 nurse hours per resident per day, roughly 12% above the national average, and weekend coverage dips about 12% below its own weekday level, a gap worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 38.6%, better than the 45.8% national figure, which suggests the aides and nurses here tend to stay. The health inspection record is the weak spot: 11 deficiencies, though none reached harm or jeopardy level and none involved abuse, with the most recent inspection in December 2025. Quality measures score well while inspection history drags.
Springfield, KY · Washington County
★★☆☆☆CMS 2/570 bedsFor-profitMedicaid
- Nurse hours
- 4.02 /day
- Staff turnover
- 52%
- Serious cites
- 0
Springfield Nursing and Rehabilitation Center runs 70 certified beds under individual for-profit ownership, and its nurse staffing sits at 4.02 hours per resident day, roughly 4% above the national average of 3.86. Weekend coverage dips about 5% below its own weekday level, and annual staff turnover is 51.7%, which is higher than the national 45.8%; that churn matters because new aides need time to learn residents' routines. The current inspection record shows 7 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection dated January 8, 2026, so the picture is fairly current. Its quality measure and staffing ratings each land at 4 out of 5 stars, while health inspections come in at 3.
Midway, KY · Woodford County
★★★☆☆CMS 3/528 bedsNon-profitMedicaid
- Nurse hours
- 5.18 /day
- Staff turnover
- 70%
- Serious cites
- 0
The Home Place At Midway runs 28 certified beds as a nonprofit, and its nurse staffing runs about 34% above the national average, enough to earn a 4/5 on CMS's staffing star. The catch is retention: 69.8% annual turnover, well above the 45.8% national figure, meaning the people delivering those hours keep changing. Weekend coverage dips modestly below the home's own weekday level. On the record: 13 deficiencies, none at harm or jeopardy level and none abuse-related, with one fine totaling $4,147. Its last inspection was in February 2026. A 5/5 quality measure rating sits against a 2/5 inspection rating, so the day-to-day care indicators look stronger than the survey history.
Mount Washington, KY · Bullitt County
★★★★★CMS 5/556 bedsFor-profitMedicaid
- Nurse hours
- 3.82 /day
- Staff turnover
- 41%
- Serious cites
- 0
Sanders Ridge runs about 3.82 nurse hours per resident day, a hair under the national average of 3.86. That number dips roughly 10% on weekends, so families should ask who's actually on the floor Saturday and Sunday. Staff turnover sits at 40.7%, better than the 45.8% national figure, which matters for consistency of care. The record shows 3 deficiencies, none at harm or jeopardy level, but one is abuse-related, worth asking about directly. The last inspection was May 2025, and the quality measure rating of 5/5 suggests clinical outcomes track well. It's a for-profit corporation with 56 beds, small enough that you can press for straight answers.
Shelbyville, KY · Shelby County
★★★★★CMS 5/558 bedsFor-profitMedicaid
- Nurse hours
- 3.43 /day
- Staff turnover
- 31%
- Serious cites
- 0
Crestview runs leaner on nurse hours than most homes, 3.43 per resident day against a national average of 3.86, and weekends dip about 15% below its own weekday numbers, so a Saturday shift may feel thinner than a Tuesday. What offsets that is stability: turnover sits at 31.3%, well under the 45.8% national figure, meaning the aides and nurses who are there tend to stay, which matters more for daily care than raw headcount. The inspection record backs it up: three deficiencies on file, none at harm or jeopardy level and none abuse-related, with a December 2025 survey still recent. This is a for-profit LLC with 58 beds, and the staffing number is the one thing worth asking about directly on a tour.
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.
Elsmere, KY · Kenton County
★★☆☆☆CMS 2/554 bedsNon-profitMedicaid
- Nurse hours
- 6.34 /day
- Staff turnover
- 53%
- Serious cites
- 0
Emerald Trace runs on unusually heavy staffing for a 54-bed nonprofit home, 6.34 nurse hours per resident day, roughly two and a half hours more than the national average. That's the strongest thing in its file, and it shows up in a 4-out-of-5 staffing rating. The catch is consistency and oversight: weekend coverage slips about 8% below weekdays, turnover sits at 52.5%, and the last inspection (August 2025) left eight deficiencies, two serious enough to involve harm or jeopardy, plus a $9,318 fine. Good hands-on coverage, uneven follow-through on the compliance side.
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.
Mount Vernon, KY · Rockcastle County
★★★★★CMS 5/5143 bedsNon-profitMedicaid
- Nurse hours
- 7.05 /day
- Staff turnover
- 26%
- Serious cites
- 0
Rockcastle Regional runs a genuinely heavy nursing floor: 7.05 nurse hours per resident day, roughly 83% above the national average, with weekend coverage dipping about 14% below its own weekday level. Staff turnover sits at 26.1%, well under the 45.8% national figure, which matters for residents who need consistent caregivers. The inspection record is clean where it counts, four deficiencies, none at harm or jeopardy level, no abuse citations, and the most recent survey was in March 2025. Quality measures score 5/5. The softer spot is staffing stars at 3/5 despite the raw hours, likely reflecting case-mix or weekend consistency rather than thin coverage overall.
London, KY · Laurel County
★★★★★CMS 5/5160 bedsNon-profitMedicaid
- Nurse hours
- 4.10 /day
- Staff turnover
- 32%
- Serious cites
- 0
Laurel Heights runs on more nursing hours than most homes, 4.10 per resident day against a national average of 3.86, and its staff tends to stick around, with turnover at 32.1% versus 45.8% nationally. That stability matters, though weekend coverage dips about 9% below weekday levels, so ask how weekends are actually staffed. The inspection record is clean where it counts: five total deficiencies, none at the harm level, none abuse-related, and the most recent inspection was in April 2025. As a nonprofit, it answers to a board rather than shareholders. The weaker spot is quality measures, which sit mid-range, so ask what those scores reflect.
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.
Beaver Dam, KY · Ohio County
★★★☆☆CMS 3/558 bedsFor-profitMedicaid
- Nurse hours
- 3.99 /day
- Staff turnover
- 39%
- Serious cites
- 0
Beaver Dam Nursing & Rehab Center runs 58 certified beds under for-profit LLC ownership, and the staffing picture is the strongest thing it has going. At 3.99 nurse hours per resident day, it sits slightly above the national average of 3.86, and its 39.4% turnover is meaningfully better than the 45.8% typical elsewhere, a real signal that caregivers tend to stay. The trade-off is consistency: weekend staffing drops about 10% below its own weekday level, so coverage thins when families visit most. Eight deficiencies on record, none at harm or jeopardy level and none abuse-related, with an inspection dated April 2026. Quality and inspection ratings both land mid-range, so this reads as a steady, adequately staffed home rather than an exceptional one.
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.
Louisville, KY · Jefferson County
★★★★☆CMS 4/568 bedsNon-profitMedicaid
- Nurse hours
- 4.04 /day
- Staff turnover
- 27%
- Serious cites
- 0
Wesley Manor runs on 4.04 nurse hours per resident day, a bit above the national figure, and its staff tends to stay, 27% turnover against a national average near 46%. Weekend coverage dips roughly 15% below weekday levels, so ask how that plays out on Saturdays. The health inspection record is clean where it matters: six deficiencies, none causing harm or jeopardy, none tied to abuse, with an inspection as recent as July 2025. Quality measures score lower than the inspection and staffing marks, which is the tension worth asking about directly. Louisville's Jefferson County has plenty of options; this one's case rests on stable staffing and a sound inspection history, not on its clinical quality numbers.
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.
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.
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.
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%.
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.
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.