Nursing Homes in Kentucky: Staffing, Turnover, and Penalties
Kentucky has 267 Medicare- or Medicaid-certified nursing homes in 153 cities. On CMS's August 2026 figures, nurse aides there log 2.36 hours per resident per day, about the same as the US average of 2.32, and 46.4% of nursing staff leave in a year (US 45.8%).
Kentucky averages
Aide hours per resident per day is the nurse aide time a home logged for each resident across a whole day, from the payroll records every home submits to CMS. More hours per resident means more hands on the floor for the same number of residents. Turnover is the share of nursing staff who left over a year. Fines and payment denials are CMS penalties from the last three years.
CMS Care Compare State and US Averages, August 2026 release
Nursing homes by city
The most nursing homes are in Louisville (35), Lexington (12), Owensboro (7). Each city page compares every home on staffing, turnover, CMS stars, and fines.
- Albany (1)
- Alexandria (1)
- Annville (1)
- Ashland (3)
- Auburn (1)
- Augusta (1)
- Barbourville (1)
- Bardstown (2)
- Bardwell (1)
- Beattyville (1)
- Beaver Dam (1)
- Bedford (1)
- Benton (1)
- Berea (2)
- Booneville (1)
- Bowling Green (6)
- Brandenburg (1)
- Brodhead (1)
- Brownsville (1)
- Burkesville (1)
- Butler (1)
- Cadiz (1)
- Calhoun (1)
- Calvert City (2)
- Campbellsville (2)
- Campton (1)
- Carlisle (1)
- Carrollton (1)
- Clinton (2)
- Cold Spring (1)
- Columbia (1)
- Corbin (4)
- Covington (2)
- Cumberland (1)
- Cynthiana (3)
- Danville (2)
- Dawson Springs (2)
- Edgewood (1)
- Edmonton (1)
- Elizabethtown (5)
- Elkhorn City (1)
- Elkton (1)
- Elsmere (2)
- Erlanger (2)
- Flatwoods (1)
- Flemingsburg (1)
- Florence (2)
- Fordsville (1)
- Fort Thomas (3)
- Frankfort (2)
- Franklin (1)
- Frenchburg (1)
- Fulton (1)
- Georgetown (2)
- Glasgow (5)
- Grayson (1)
- Greensburg (1)
- Greenville (3)
- Hanson (1)
- Hardinsburg (2)
- Harlan (1)
- Harrodsburg (2)
- Hartford (1)
- Hazard (2)
- Henderson (2)
- Hindman (1)
- Hodgenville (1)
- Hopkinsville (3)
- Horse Cave (1)
- Hyden (1)
- Inez (1)
- Irvine (1)
- Jackson (1)
- Jamestown (1)
- Jeffersontown (1)
- Kuttawa (2)
- La Center (1)
- La Grange (2)
- Lancaster (1)
- Lawrenceburg (1)
- Lebanon (1)
- Leitchfield (2)
- Lewisport (1)
- Lexington (12)
- Liberty (1)
- London (1)
- Louisa (1)
- Louisvile (1)
- Louisville (35)
- Madisonville (4)
- Manchester (1)
- Marion (1)
- Masonic Home (1)
- Mayfield (2)
- Maysville (1)
- Middlesboro (1)
- Midway (1)
- Monticello (1)
- Morehead (1)
- Morganfield (2)
- Morgantown (1)
- Mount Olivet (1)
- Mount Sterling (1)
- Mount Vernon (1)
- Mount Washington (2)
- Murray (1)
- Nerinx (1)
- New Castle (1)
- Nicholasville (1)
- Owensboro (7)
- Owenton (1)
- Owingsville (1)
- Paducah (4)
- Paintsville (1)
- Paris (1)
- Pembroke (1)
- Phelps (1)
- Pikeville (1)
- Pine Knot (1)
- Pineville (1)
- Prestonsburg (2)
- Princeton (1)
- Prospect (1)
- Radcliff (2)
- Richmond (3)
- Russellville (1)
- Saint Catharine (1)
- Salem (1)
- Salyersville (1)
- Sandy Hook (1)
- Scottsville (1)
- Sebree (1)
- Shelbyville (2)
- Somerset (4)
- South Shore (1)
- South Williamson (1)
- Springfield (1)
- Stanford (1)
- Stanton (1)
- Taylorsville (1)
- Tompkinsville (1)
- Union (1)
- Vanceburg (1)
- Villa Hills (1)
- Warsaw (1)
- West Liberty (1)
- Whitesburg (1)
- Williamsburg (1)
- Williamstown (1)
- Wilmore (1)
- Winchester (1)
- Woodburn (1)
- Wurtland (1)
Largest nursing home chains in Kentucky
CMS links 173 of Kentucky's homes to these 15 chains. A chain is a group of homes under common ownership or management, as CMS records it.
| Chain | Homes in KY | Homes nationwide |
|---|---|---|
| Signature Healthcare | 38 | 67 |
| Simcha Hyman & Naftali Zanziper | 24 | 79 |
| Benjamin Landa | 17 | 48 |
| Bluegrass Health Ky | 15 | 15 |
| Trilogy Health Services | 14 | 123 |
| Encore Health Partners | 12 | 12 |
| David Marx | 10 | 10 |
| Seky Holding Co. | 9 | 9 |
| Lyon Healthcare | 8 | 11 |
| Pacs Group | 7 | 274 |
| Journey Healthcare | 6 | 32 |
| Carespring | 4 | 16 |
| Life Care Centers of America | 3 | 194 |
| Principle Long Term Care | 3 | 40 |
| Venza Care Management | 3 | 25 |
Chain as recorded in the CMS Provider Information file, August 2026 release