Nursing homes in Lexington, KY
Compare 13 Medicare- and Medicaid-certified nursing homes in Lexington, part of the Fayette area. Average overall CMS Five-Star rating is 2.7★ — below the national average (3.1★). Ratings are sourced from the latest CMS Care Compare provider extract.
Located within Fayette County, Lexington currently hosts 13 nursing homes serving residents across ZIP codes such as 40502, 40504, 40515, and 40517. According to data from CMS Care Compare, these local facilities maintain an average overall rating of 2.7 out of 5 stars. Homestead Post Acute, operated by PACS GROUP, currently holds the highest local standing with a 4-star rating, though no facilities in the city have achieved a 5-star designation.
Rating distribution
avg 2.7★ · 13 homesProvider mix in Lexington
9 organisations operate homes in this suburb.
- TRILOGY HEALTH SERVICES3 homes
- SIGNATURE HEALTHCARE2 homes
- PACS GROUP2 homes
- PHOENIX SENIOR LIVING1 home
- LYON HEALTHCARE1 home
- SAYRE CHRISTIAN VILLAGE NURSING HOME, INC.1 home
- BLUEGRASS HEALTH KY1 home
- Legal Business Name Not Available1 home
What to look for in Lexington
- 4 homes score below 3★ on compliance. Ask about recent regulatory audits and any current notices.
- 4 of 13 homes meet a 4★+ staffing benchmark — ask about RN coverage at night.
- No 5★ overall homes in this suburb. The strongest performer is Homestead Post Acute at 4★.
- 8 of 13 homes sit below the national average (3.1★). Use the comparison tool to weigh trade-offs.
Top 10 highest rated nursing homes in Lexington
- 1Homestead Post Acute4.0PACS GROUP · Large
- 2Bluegrass Care & Rehabilitation Center4.0SIGNATURE HEALTHCARE · Large
- 3Cardinal Hill Skilled Rehabilitation Unit4.0ENCOMPASS HEALTH REHABILITATION HOSPITAL OF CARDINAL HILL, LLC · Medium
- 4THE WILLOWS AT CITATION4.0TRILOGY HEALTH SERVICES · Medium
- 5The Willows at Fritz Farm4.0TRILOGY HEALTH SERVICES · Medium
- 6Lexington Country Place3.0PHOENIX SENIOR LIVING · Medium
- 7The Willows at Hamburg3.0TRILOGY HEALTH SERVICES · Medium
- 8Pine Meadows Post Acute2.0PACS GROUP · Large
- 9Sayre Christian Village Nursing Home2.0SAYRE CHRISTIAN VILLAGE NURSING HOME, INC. · Large
- 10CAMBRIDGE NURSING & REHABILITATION CENTER2.0BLUEGRASS HEALTH KY · Medium
All homes in Lexington
| Homestead Post Acute PACS GROUP · Large · For Profit | 4.0 | 3 | 0 | 2 | 5 |
| Bluegrass Care & Rehabilitation Center SIGNATURE HEALTHCARE · Large · For Profit | 4.0 | 4 | 0 | 2 | 4 |
| Cardinal Hill Skilled Rehabilitation Unit ENCOMPASS HEALTH REHABILITATION HOSPITAL OF CARDINAL HILL, LLC · Medium · For Profit | 4.0 | 3 | 0 | 5 | 3 |
| THE WILLOWS AT CITATION TRILOGY HEALTH SERVICES · Medium · For Profit | 4.0 | 3 | 0 | 4 | 5 |
| The Willows at Fritz Farm TRILOGY HEALTH SERVICES · Medium · For Profit | 4.0 | 3 | 0 | 3 | 5 |
| Lexington Country Place PHOENIX SENIOR LIVING · Medium · For Profit | 3.0 | 3 | 0 | 2 | 3 |
| The Willows at Hamburg TRILOGY HEALTH SERVICES · Medium · For Profit | 3.0 | 2 | 0 | 5 | 4 |
| Pine Meadows Post Acute PACS GROUP · Large · For Profit | 2.0 | 3 | 0 | 1 | 4 |
| Sayre Christian Village Nursing Home SAYRE CHRISTIAN VILLAGE NURSING HOME, INC. · Large · Not for Profit | 2.0 | 3 | 0 | 4 | 1 |
| CAMBRIDGE NURSING & REHABILITATION CENTER BLUEGRASS HEALTH KY · Medium · For Profit | 2.0 | 3 | 0 | 1 | 4 |
| Mayfair Manor SIGNATURE HEALTHCARE · Medium · For Profit | 1.0 | 1 | 0 | 2 | 3 |
| Hartland Park Health & Rehabilitation LYON HEALTHCARE · Large · For Profit | 1.0 | 2 | 0 | 1 | 2 |
| Lexington Premier Nursing & Rehab Legal Business Name Not Available · Large · For Profit | 1.0 | 1 | 0 | 1 | 1 |
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New to Star Ratings?
Each home is scored 1–5★ across compliance, residents' experience, staffing, and quality measures, then combined into an overall rating.