All states › Kentucky › Nicholasville › Nicholasville Nursing and Rehabilitation
100 Sparks Avenue Nicholasville, KY 40356 · Jessamine County
CMS certification number 185220 · See this home on Medicare Care Compare
Is Nicholasville Nursing and Rehabilitation 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 Nicholasville Nursing and Rehabilitation 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 3.29 hours per resident per day at Nicholasville Nursing and Rehabilitation, below the Kentucky median of 3.75 (US median: 3.72). About 0.57 of those hours are from registered nurses. On weekends it falls to 2.89 hours, 12% below its all-week average. 84.3% of nursing staff left within a year (Kentucky median 44.3%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Nicholasville Nursing and Rehabilitation: Medicare and Medicaid
Nicholasville Nursing and Rehabilitation 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 22, 2025 and found 1 deficiency, plus 1 from complaint inspections in the same period. In total, inspectors issued 21 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 21 citations at Nicholasville Nursing and Rehabilitation across 3 inspection dates, 3 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 21 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were resident assessment and care planning (5) and pharmacy service (4). The most serious was cited under the CMS rule to "provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist" (tag F0755, level F, September 12, 2024). 1 citation was under CMS's abuse, neglect and exploitation rules.
August 22, 2025 · 2 citations · includes complaint inspection
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.
EProvide and implement an infection prevention and control program.
September 12, 2024 · 12 citations · includes complaint inspection
FProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
FEnsure 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.
FProvide and implement an infection prevention and control program.
EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
EDevelop and implement policies and procedures for flu and pneumonia vaccinations.
DHonor 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.
DEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
DProvide enough food/fluids to maintain a resident's health.
DProvide safe and appropriate respiratory care for a resident when needed.
August 29, 2019 · 7 citations
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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DTry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Questions to ask on a tour of Nicholasville Nursing and Rehabilitation
- CMS cited the home under its abuse and neglect rules on August 29, 2019. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 84.3% a year. How many of the staff come from agencies?
- 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 | 2/5 | 1/5 | 2/5 |
| August 2026 | 1/5 | 2/5 | 1/5 | 2/5 |
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Location
Hospitals near Nicholasville Nursing and Rehabilitation
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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9.6 mi
Central Baptist Hospital LexingtonEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 3m for patients treated and sent home
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10.4 mi
Saint Joseph Hospital LexingtonEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 8m for patients treated and sent home
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10.4 mi
Saint Joseph East LexingtonEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 11m for patients treated and sent home
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 Nicholasville Nursing and Rehabilitation › All nursing homes in Nicholasville ›
Compare Nicholasville Nursing and Rehabilitation with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Thomson-Hood Veterans Center · Wilmore · 5 stars · 4.5 mi
- The Willows at Fritz Farm · Lexington · 3 stars · 6.5 mi
- Bluegrass Care & Rehabilitation Center · Lexington · 3 stars · 8.3 mi
Other David Marx nursing homes in Kentucky
- Greenville Nursing and Rehabilitation · Greenville · 5 stars
- Highlands Nursing and Rehabilitation · Louisville · 4 stars
- Seneca Place · Louisville · 4 stars
- South Shore Nursing and Rehabilitation · South Shore · 4 stars
- West Liberty Nursing and Rehabilitation · West Liberty · 3 stars
- Boyd Nursing and Rehabilitation · Ashland · 3 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 10 David Marx nursing homes ›
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.