Elsmere, KY · Kenton County
★★★★☆CMS 4/5127 bedsFor-profitMedicaid
- Nurse hours
- 3.50 /day
- Staff turnover
- 46%
- Serious cites
- 0
Woodcrest runs 127 certified beds under corporate ownership, and its staffing sits about 9% under the national average at 3.50 nurse hours per resident day. Weekends dip roughly another 8% below the home's own weekday coverage, which matters if your family visits or calls on Saturdays and Sundays. Turnover lands at 45.6%, essentially matching the national rate, so this isn't a retention crisis, just thin coverage. The inspection record is the bright spot: three deficiencies, none at harm or jeopardy level, none abuse-related, and the most recent survey was in May 2025, so the findings are current. The tradeoff is straightforward, a clean recent inspection and steady turnover against below-average daily staffing.
Alexandria, KY · Campbell County
★☆☆☆☆CMS 1/5117 bedsNon-profitMedicaid
- Nurse hours
- 4.43 /day
- Staff turnover
- 50%
- Serious cites
- 0
The Seasons At Alexandria runs a nonprofit shop with 117 beds, and the raw staffing number looks decent, 4.43 nurse hours per resident day, roughly 15% above the national average. But the inspection record is where this home falls apart: 17 deficiencies on the current record, seven of them serious enough to put residents in harm's way, two tied to abuse, and $246,139 in fines across two penalties. Weekend staffing also drops about 10% below its own weekday level, and turnover sits at 50.3% against a national 45.8%. A 2025-08-15 inspection means the record is recent, not stale. Strong quality scores can't offset that kind of enforcement history.
Union, KY · Boone County
★★★★☆CMS 4/5143 bedsFor-profitMedicaid
- Nurse hours
- 3.65 /day
- Staff turnover
- 48%
- Serious cites
- 0
Boonespring runs about 3.65 nursing hours per resident per day, roughly 5% under the national average, and weekend coverage drops about 11% below its own weekday level, so the days families visit most are the thinnest. Staff turnover sits at 47.8%, a bit above the national 45.8%. Inspectors found 12 deficiencies, none causing harm or jeopardy, though one is abuse-related, and the last visit was March 19, 2025. That combination, solid inspection and quality marks, weaker staffing, is the whole story here. The corporate owner keeps the building in decent regulatory shape; the question is whether there are enough hands on weekends.
Bowling Green, KY · Warren County
★★★★☆CMS 4/548 bedsFor-profitMedicaid
- Nurse hours
- 3.81 /day
- Staff turnover
- 43%
- Serious cites
- 0
Colonial Nursing and Rehabilitation Center runs 48 certified beds in Bowling Green under corporate for-profit ownership, and its staffing sits just under the national average at 3.81 nurse hours per resident day. That gap is small, but weekends run about 15% leaner than weekdays, which matters when care needs don't pause on Saturday. The 43.1% annual turnover is slightly better than the national 45.8%, so staff tenure isn't the main concern here.
What pulls the record down is the inspection history: 13 deficiencies, three at harm or jeopardy level and one abuse-related, plus a single $56,814 fine. The health and quality measure ratings both land at 4 out of 5, and the last inspection was April 2026, so the picture is recent. The staffing rating of 3 is the softer spot.
Somerset, KY · Pulaski County
★★☆☆☆CMS 2/593 bedsFor-profitMedicaid
- Nurse hours
- 3.40 /day
- Staff turnover
- 29%
- Serious cites
- 0
Cumberland Nursing and Rehabilitation Center runs 93 beds under for-profit limited liability ownership, and its nurse staffing sits at 3.40 hours per resident day, roughly 12 percent under the national average of 3.86. Weekends thin out further, about 17 percent below the home's own weekday coverage, so the hours when families tend to visit are the leanest. Turnover is the bright spot: 29.4 percent against a national 45.8 percent, meaning the aides and nurses you meet are likelier to still be there next year. The current record shows 11 deficiencies, including one at the harm level and two tied to abuse, with the last inspection in April 2025.
Leitchfield, KY · Grayson County
★★★★★CMS 5/572 bedsFor-profitMedicaid
- Nurse hours
- 3.95 /day
- Staff turnover
- 37%
- Serious cites
- 0
Grayson Nursing And Rehab Center sits in Leitchfield with 72 certified beds, run by a for-profit limited liability company. Nurse staffing runs 3.95 hours per resident day, a bit above the national average of 3.86, though weekend coverage drops roughly 17% below weekday levels, a gap families often notice on Saturdays and Sundays. The inspection record is the real bright spot: a single deficiency on file, none at the harm level, nothing abuse-related, and a perfect five-star health inspection rating. Staff turnover at 37.1% is better than the 45.8% national figure, which matters for continuity of care. Five fines totaling $12,235 and a three-star quality measure rating keep this from being a standout across the board.
Louisville, KY · Jefferson County
★★☆☆☆CMS 2/5128 bedsFor-profitMedicaid
- Nurse hours
- 4.37 /day
- Staff turnover
- 55%
- Serious cites
- 0
Signature Healthcare of East Louisville runs 128 beds under for-profit limited liability ownership, and the staffing numbers are a mixed picture. Nurses provide 4.37 hours per resident day, about 13% above the national average, but weekends drop roughly 17% below the home's own weekday levels, and turnover sits at 55.4% against a national 45.8%. That churn matters more than the headline staffing figure.
The inspection record is where the real concern lives: 25 deficiencies, including two at harm or jeopardy level and one abuse-related, with two fines totaling $10,364. A 2/5 health inspection rating reflects that, even as quality measures score 4/5. The most recent inspection was February 2026, so the record is current. Ask about weekend coverage and that abuse citation specifically before deciding.
Madisonville, KY · Hopkins County
★☆☆☆☆CMS 1/540 bedsFor-profitMedicaid
- Nurse hours
- 4.39 /day
- Staff turnover
- 45%
- Serious cites
- 0
Brighton Cornerstone Group runs 40 certified beds in Madisonville under for-profit LLC ownership, and its federal scores sit at the low end across the board: one star each for staffing and quality measures, two for health inspections. Nine deficiencies sit on the current record, though none rose to the level of harm or jeopardy, and no abuse citations appear. Staff turnover of 44.6% is roughly in line with the national average, which is the one number here that isn't working against it. A single fine of $3,387 is modest. The last inspection was January 8, 2026. With 40 beds, this is a small home, so a handful of deficiencies can weigh heavily on the ratios.
Pikeville, KY · Pike County
★★★☆☆CMS 3/5106 bedsFor-profitMedicaid
- Nurse hours
- 3.06 /day
- Staff turnover
- 23%
- Serious cites
- 0
Pikeville Nursing and Rehab runs 106 certified beds under individual for-profit ownership, and its staffing sits at 3.06 nurse hours per resident day, roughly 21% under the national average of 3.86. Weekends dip about 14% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the bright spot: 22.9% against a national average near 46%, meaning far fewer familiar faces disappear each year. The current record shows 14 deficiencies, none causing harm, though two are abuse-related, and the last inspection was October 2024. Quality measures score 2 of 5 stars, and that gap between steady staff and middling outcomes is the real story here.
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.
Owingsville, KY · Bath County
★★★☆☆CMS 3/599 bedsFor-profitMedicaid
- Nurse hours
- 3.97 /day
- Staff turnover
- 48%
- Serious cites
- 0
Ridgeway runs 99 certified beds in Owingsville under for-profit LLC ownership, and its numbers pull in two directions. The health inspection record is the problem: 24 deficiencies on file, 8 of them serious enough to cause harm or put residents in jeopardy, plus 4 abuse-related citations, and a 1-out-of-5 inspection rating to match. Staffing looks better on paper, at 3.97 nurse hours per resident day, slightly ahead of the national average, but weekends dip about 11% below weekday coverage and turnover sits at 47.8%, a bit worse than the 45.8% national figure. The 5-out-of-5 quality measure score reflects clinical metrics, not oversight; the inspection history and weekend gaps are what families should weigh.
Warsaw, KY · Gallatin County
★★★★☆CMS 4/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.58 /day
- Staff turnover
- 33%
- Serious cites
- 0
Gallatin Nursing and Rehab runs 120 certified beds in Warsaw under for-profit limited liability ownership. Nurse staffing sits at 3.58 hours per resident day, roughly 7% under the national average, and weekends drop about 13% below the home's own weekday levels, a pattern families often notice as thinner coverage when they visit. Staff turnover is 32.8%, well below the national 45.8%, so the people caring for residents tend to stay. The current inspection record shows 12 deficiencies, none at the harm or jeopardy level, but five tied to abuse. Two fines total $13,800. Inspections are recent, dated January 2026.
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.
Hardinsburg, KY · Breckinridge County
★★★☆☆CMS 3/563 bedsFor-profitMedicaid
- Nurse hours
- 3.45 /day
- Staff turnover
- 47%
- Serious cites
- 0
Hardinsburg Nursing and Rehabilitation Center runs 63 certified beds under for-profit LLC ownership, and its state inspection record is the strongest part of the picture, 12 deficiencies on file, but three of those reached harm or jeopardy level and two were abuse-related, which matters more than the raw count suggests. Staffing is where the numbers pull the other way: 3.45 nurse hours per resident day sits about 11 percent under the national average, weekends drop roughly 16 percent below the home's own weekday level, and turnover runs 47.3 percent against a 45.8 percent national figure. The most recent inspection was July 10, 2025. Federal ratings put health inspections and quality measures at 4 stars each, staffing at 3.
Campbellsville, KY · Taylor County
★★★★☆CMS 4/567 bedsFor-profitMedicaid
- Nurse hours
- 3.88 /day
- Staff turnover
- 41%
- Serious cites
- 0
Campbellsville Nursing and Rehabilitation Center runs 67 certified beds under for-profit LLC ownership, and its staffing picture is more mixed than the headline number suggests. Total nurse staffing sits at 3.88 hours per resident day, essentially matching the national average of 3.86, but weekends run about 15 percent below the home's own weekday level, and the federal staffing rating lands at just 2 out of 5. Turnover is 40.8 percent, better than the 45.8 percent national figure. On inspections, the record is cleaner: a 4-star health inspection rating, six deficiencies with none at harm or jeopardy level and none abuse-related, and a recent survey dated January 6, 2026. Quality measures rate 3 out of 5.
Louisville, KY · Jefferson County
★★☆☆☆CMS 2/547 bedsFor-profitMedicaid
- Nurse hours
- 6.62 /day
- Staff turnover
- 39%
- Serious cites
- 0
Kindred Hospital - Louisville runs 47 beds as a for-profit partnership, and its nurse staffing comes in at 6.62 hours per resident day, roughly 71% above the national average of 3.86. That sounds impressive until you look at how it's spread: weekends run about 15% thinner than weekdays, so the coverage families actually visit isn't the coverage on paper. Turnover sits at 39.4%, a bit better than the 45.8% national figure, and the home avoids the worst marks on quality measures, though its inspection record shows 10 deficiencies, two of them serious enough to involve harm or jeopardy, plus a $64,799 fine. The most recent inspection was December 31, 2025.
Berea, KY · Madison County
★★★☆☆CMS 3/5102 bedsFor-profitMedicaid
- Nurse hours
- 3.92 /day
- Staff turnover
- 41%
- Serious cites
- 0
The Terrace sits at 102 certified beds in Berea, run by a for-profit LLC. Its most recent inspection was in March 2025, and the record shows five deficiencies, none at the harm level and none tied to abuse, that's a relatively clean inspection history, reflected in a five-star health inspection rating. The staffing picture is more uneven. Overall nurse hours run slightly above the national average, but weekends drop about 14% below weekdays, and the staffing star rating is just one out of five. Turnover at 41.2% is a bit below the national average, which helps. Quality measures land mid-range at three stars. The split is real: strong inspections, thin staffing depth.
Frankfort, KY · Franklin County
★★☆☆☆CMS 2/5100 bedsFor-profitMedicaid
- Nurse hours
- 2.96 /day
- Staff turnover
- 49%
- Serious cites
- 0
Frankfort Trails runs a 100-bed building, and its staffing is the number that should worry you. At 2.96 nurse hours per resident per day it sits about 23% under the national average, and weekends dip another 7% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover near 50% means the aides and nurses you meet may not be there in six months, which matters more than any single inspection result. The record itself is cleaner than that suggests: seven deficiencies, none at harm or jeopardy level, no abuse findings, and a recent July 2025 inspection. A 3/5 on health inspections and 4/5 on quality measures say the care delivered is adequate. The question is capacity.
Louisville, KY · Jefferson County
★☆☆☆☆CMS 1/5110 bedsFor-profitMedicaid
- Nurse hours
- 3.61 /day
- Staff turnover
- 79%
- Serious cites
- 0
Clifton Heights runs 3.61 nurse staffing hours per resident day against a national average of 3.86, and weekends drop about 9% below its own weekday levels, meaning the thinnest coverage lands exactly when families tend to visit. The bigger number is turnover: 78.9% of staff leave each year, well above the 45.8% national rate, so the people caring for your relative are often new and still learning the building. Its current record carries 35 deficiencies, 10 at harm or jeopardy level and 4 abuse-related, and CMS has placed it in the Special Focus Facility program. For-profit, LLC-owned, last inspected December 2025.
Bowling Green, KY · Warren County
★★☆☆☆CMS 2/5128 bedsFor-profitMedicaid
- Nurse hours
- 3.67 /day
- Staff turnover
- 64%
- Serious cites
- 0
Greenwood Rehabilitation and Healthcare Center runs 128 certified beds under for-profit LLC ownership, and its staffing numbers sit below what you'd want to see. Nurse coverage averages 3.67 hours per resident day against a national figure of 3.86, and weekends dip roughly 14% below the home's own weekday levels, meaning the thinnest coverage lands when families tend to visit. Annual turnover of 64.3% is well above the 45.8% national average, so aides and nurses cycle through quickly. The inspection record carries 18 deficiencies, including two at harm or jeopardy level and one tied to abuse, with the most recent survey in August 2025. Quality measure scores look strong, but that's a narrow slice of the picture.