facebook tracking Lexington Premier Nursing & Rehab, Lexington KY: CMS Ratings
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Lexington Premier Nursing & Rehab

All states › Kentucky › Lexington › Lexington Premier Nursing & Rehab

2770 Palumbo Drive Lexington, KY 40509 · Fayette County

(859) 263-2410

All 12 nursing homes in Lexington, KY (12 take Medicaid)

Accepts Medicare Accepts Medicaid 120 certified beds For profit

CMS certification number 185463 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Lexington Premier Nursing & Rehab a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Lexington Premier Nursing & Rehab as of October 2026.

CMS rates it 1 out of 5 stars overall, below the Kentucky average of 3.0. Inspectors issued 29 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 1 out of 5; for long-term residents, 2 out of 5.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 3.40 hours per resident per day at Lexington Premier Nursing & Rehab, below the Kentucky median of 3.75 (US median: 3.72). About 0.22 of those hours are from registered nurses. Weekend staffing is close to its all-week average. 50% of nursing staff left within a year (Kentucky median 44.3%).

Nursing care per resident per day 3.40 hours
Below the Kentucky median of 3.75 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.22 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.29 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 50% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 69.2% a year Share of registered nurses who left over a year.
Administrators who left 1 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds120
Residents per day 114 About 95% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceMay 2007
Legal business nameLEXINGTON SNF OPERATIONS LLC

Paying for care at Lexington Premier Nursing & Rehab: Medicare and Medicaid

Lexington Premier Nursing & Rehab is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Kentucky's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on August 8, 2025 and found 8 deficiencies, plus 2 from complaint inspections in the same period. In total, inspectors issued 29 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 29 citations at Lexington Premier Nursing & Rehab across 3 inspection dates, 2 of them from complaint investigations. 2 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on January 28, 2023. The most common areas cited were quality of life and care (8) and resident assessment and care planning (6). The most serious was cited under the CMS rule to "develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured" (tag F0656, level J, January 28, 2023).

August 8, 2025 · 10 citations · includes complaint inspection

EHonor the resident's right to organize and participate in resident/family groups in the facility.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0565 · Deficient, Provider has date of correction (Sep 16, 2025)

EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Complaint inspection · Deficient, Provider has date of correction (Sep 16, 2025)

EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0804 · Deficient, Provider has date of correction (Sep 16, 2025)

EEducate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0887 · Deficient, Provider has date of correction (Sep 16, 2025)

DReasonably accommodate the needs and preferences of each resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0558 · Deficient, Provider has date of correction (Sep 16, 2025)

DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0628 · Deficient, Provider has date of correction (Sep 16, 2025)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Sep 16, 2025)

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Complaint inspection · Deficient, Provider has date of correction (Sep 16, 2025)

DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Sep 16, 2025)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Sep 16, 2025)

January 28, 2023 · 17 citations, includes immediate jeopardy

JDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Immediate jeopardy · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Apr 11, 2023)

JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Apr 11, 2023)

GEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Actual harm · Nutrition and Dietary Deficiencies · Tag F0805 · Deficient, Provider has date of correction (Apr 11, 2023)

FProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Apr 11, 2023)

FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Apr 11, 2023)

ECreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0655 · Deficient, Provider has date of correction (Apr 11, 2023)

EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Apr 11, 2023)

EHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0727 · Deficient, Provider has date of correction (Apr 11, 2023)

EEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Apr 11, 2023)

DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0580 · Deficient, Provider has date of correction (Apr 11, 2023)

DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0636 · Deficient, Provider has date of correction (Apr 11, 2023)

DProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Apr 11, 2023)

DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0690 · Deficient, Provider has date of correction (Apr 11, 2023)

DProvide enough food/fluids to maintain a resident's health.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0692 · Deficient, Provider has date of correction (Apr 11, 2023)

DEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0693 · Deficient, Provider has date of correction (Apr 11, 2023)

DProvide safe, appropriate dialysis care/services for a resident who requires such services.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0698 · Deficient, Provider has date of correction (Apr 11, 2023)

DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (Apr 11, 2023)

December 20, 2019 · 2 citations

DEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0693 · Deficient, Provider has date of correction (Jan 18, 2020)

DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Jan 18, 2020)

Questions to ask on a tour of Lexington Premier Nursing & Rehab

  1. Inspectors cited the home at the immediate-jeopardy level on January 28, 2023 under the rule on resident assessment and care planning. What changed afterwards, and can I see the plan of correction?
  2. CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  3. CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
  4. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  5. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 1/5 1/5 1/5 1/5
August 2026 1/5 1/5 1/5 1/5
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Location

Hospitals near Lexington Premier Nursing & Rehab

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

The Willows at Hamburg Lexington · 1.5 mi away ★★☆☆☆ Inspection 1/5 · Staffing 5/5 64 beds · Medicaid
Bluegrass Care & Rehabilitation Center Lexington · 2.7 mi away ★★★☆☆ Inspection 3/5 · Staffing 3/5 124 beds · Medicaid
Mayfair Manor Lexington · 3.3 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 2/5 98 beds · Medicaid
Hartland Park Health & Rehabilitation Lexington · 3.6 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 1/5 150 beds · Medicaid
Sayre Christian Village Nursing Home Lexington · 4.4 mi away ★☆☆☆☆ Inspection 2/5 · Staffing 4/5 164 beds · Medicaid

More nursing homes near Lexington Premier Nursing & Rehab ›   All nursing homes in Lexington ›

Compare Lexington Premier Nursing & Rehab with the 3 closest homes side by side ›

Higher-rated nursing homes within 10 miles

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/kentucky/lexington/lexington-premier-nursing-and-rehab/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.