All states › Kentucky › Lexington › Lexington Premier Nursing & Rehab
2770 Palumbo Drive Lexington, KY 40509 · Fayette County
All 12 nursing homes in Lexington, KY (12 take Medicaid)
CMS certification number 185463 · See this home on Medicare Care Compare
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.
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%).
About this nursing home
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.
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.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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.
DReasonably accommodate the needs and preferences of each resident.
DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure services provided by the nursing facility meet professional standards of quality.
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.
DProvide and implement an infection prevention and control program.
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.
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
GEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
FProvide safe and appropriate respiratory care for a resident when needed.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
ECreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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.
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.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DProvide enough food/fluids to maintain a resident's health.
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.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
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.
Questions to ask on a tour of Lexington Premier Nursing & Rehab
- 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?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- 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?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- 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 month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| 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.
- 0.4 mi
-
0.6 mi
Saint Joseph East LexingtonEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 11m for patients treated and sent home
- 4.1 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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
- The Willows at Citation · Lexington · 5 stars · 5.8 mi
- Bluegrass Care & Rehabilitation Center · Lexington · 3 stars · 2.7 mi
- The Willows at Fritz Farm · Lexington · 3 stars · 5.5 mi
- Homestead Post Acute · Lexington · 3 stars · 6.0 mi
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.