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    📷 Lexington Premier Nursing & Rehab
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    📷 Lee Clater
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    📷 Todd Oldfield

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    Lexington Premier Nursing & Rehab

    2770 Palumbo Drive, Lexington, KY 40509

    120 beds · For profit - Limited Liability company Wheelchair accessible

    CMS Provider #185463

    Data updated: March 1, 2026

    Visiting hours
    • Monday: Open 24 hours
    • Tuesday: Open 24 hours
    • Wednesday: Open 24 hours
    • Thursday: Open 24 hours
    • Friday: Open 24 hours
    • Saturday: Open 24 hours
    • Sunday: Open 24 hours
    24
    IQ ScoreA composite score from 0–100 combining federal ratings, staffing, inspections, penalties, and complaint history.

    Overall Rating

    ★★★★

    Health Rating

    ★★★★

    Staffing Rating

    ★★★★

    Quality Rating

    ★★★★

    Daily nursing care

    3.7 hrs/resident

    Getting better

    Inspection findings

    42

    Fewer issues

    Ownership changes

    0

    For-profit Limited Liability Company ownership.

    Complaint trend

    Fewer complaints

    Fifteen complaint-related findings across the most recent cycles.

    Facility vs. Kentucky Averages

    Overall Rating

    Facility★★★★
    State Avg★★★★★
    Below State Avg

    Health Inspection

    Facility★★★★
    State Avg★★★★★
    Below State Avg

    Staffing Rating

    Facility★★★★
    State Avg★★★★★
    Below State Avg

    Quality Rating

    Facility★★★★
    State Avg★★★★★
    Below State Avg
    State staffing benchmarks:Nursing hours/resident/day 4.0RN hours/resident/day 0.8

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    NursingHomeIQ Analysis

    Summary

    Lexington Premier Nursing & Rehab is characterized by the lowest possible federal ratings across all categories, significant historical financial penalties, and high nursing turnover rates compared to state averages.

    Detailed Analysis

    Lexington Premier Nursing & Rehab currently holds a 1-star overall rating from the Centers for Medicare & Medicaid Services, the lowest possible federal score across all categories including health inspections, staffing, and quality measures. The data shows significant staffing challenges; while total nursing care hours have increased by approximately 11% recently, registered nurse care remains at 0.33 hours per resident per day, which is less than half the Kentucky state average of 0.77 hours. Resident care continuity is impacted by a nursing staff turnover rate of 59%, with registered nurse turnover reaching 70.6%. One administrator departure was also recorded, which serves as a caution signal for leadership stability.

    Records indicate a history of significant regulatory actions, including a single fine of over $240,000 and a period where the facility was denied federal payments. The most recent health inspection cycle documented 10 findings, a decrease from the 30 findings identified in the previous cycle, though 42 findings remain uncorrected according to current records. These findings include issues related to drug labeling, care plan implementation, and the accommodation of resident needs. Despite these challenges, the facility utilizes 0% contract or agency staff, indicating that all care is provided by direct employees. Weekend staffing levels show a 6.6% decrease in total nursing hours compared to weekdays, which is within a stable range relative to industry benchmarks.

    Key Findings

    The facility received a federal fine of $240,331 and a 25-day payment denial in September 2023.

    Total nursing staff turnover is 59%, including 70.6% turnover for registered nurses, compared to a state average of 46.7%.

    Registered nurse care is 0.33 hours per resident per day, which is 57% lower than the Kentucky state average of 0.77 hours.

    Performance Trends (24 months)

    This shows how the facility's federal ratings have changed over the past 24 months. Consistent high ratings suggest stable quality, while declining trends may warrant further investigation.

    CategoryApr 24Jun 24Aug 24Oct 24Dec 24Mar 25May 25Jul 25Nov 25Jan 26Mar 26Trend
    Overall1★1★1★1★1★1★1★1★1★1★1★
    Staffing1★1★1★1★1★2★2★3★2★2★1★
    Health1★1★1★1★1★1★1★1★1★1★1★
    4-5 Stars 3 Stars 1-2 Stars

    Staffing Deep Dive

    Staffing depth is the strongest predictor of care quality. Facilities routinely cut staff on evenings and weekends — the shifts when falls happen and call lights go unanswered.

    Weekend vs. Weekday Staffing

    Weekday3.7 hrs/resident/day
    Weekend3.5 hrs/resident/day
    Drop7% — Consistent

    RN Hours Specifically

    Weekday RN0.33
    Weekend RN0.38
    RN Drop-14%

    State avg total staffing: 4.0 hrs/resident/day

    Administrator Turnover

    1

    administrator departed in past year

    Some change

    Nursing Staff Turnover

    Total NursingVery high

    59.0%

    State avg: 46.7%

    RN TurnoverVery high

    70.6%

    State avg: 41.9%

    Agency/Contract Staff

    0.0%

    of nursing hours from contract/agency staff

    Low — good continuity
    RN contract %0.0%
    CNA contract %0.0%

    Source: PBJ data, 2025Q3

    Location & Neighborhood

    A facility's location matters — nearby hospitals, pharmacies, and public transit can make visits easier and ensure quick access to emergency care.

    Walk Score

    62

    Somewhat Walkable

    Transit Score

    31

    Some Transit

    Neighborhood Demographics (40509)

    Median Income

    $90,503

    Median Home Value

    $317,500

    Poverty Rate

    6.8%

    Age 65+

    13.0%

    Median Age

    36

    Pop. Density

    45,181/mi²

    Median Rent

    $1,235

    Google Reviews

    Google reviews provide firsthand accounts from residents' families and visitors.

    4.6

    ★★★★★

    133 reviews

    Page 1 of 5

    Inspection & Deficiency History

    Federal and state inspectors conduct regular surveys of every nursing home. Deficiencies listed here are problems found during those inspections.

    DateTagCategoryDescriptionSeverityCorrectedTypeIC
    8/8/20250558Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.
    Minimal harm
    9/16/2025Standard
    8/8/20250565Resident Rights DeficienciesHonor the resident's right to organize and participate in resident/family groups in the facility.
    Actual harm
    9/16/2025Standard
    8/8/20250628Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    Minimal harm
    9/16/2025Standard
    8/8/20250656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    Minimal harm
    9/16/2025Standard
    8/8/20250761Pharmacy Service DeficienciesEnsure 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.
    Minimal harm
    9/16/2025Standard
    8/8/20250804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    Actual harm
    9/16/2025Standard
    8/8/20250880Infection Control DeficienciesProvide and implement an infection prevention and control program.
    Minimal harm
    9/16/2025Standard
    8/8/20250887Infection Control DeficienciesEducate 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.
    Actual harm
    9/16/2025Standard
    8/8/20250584Resident Rights DeficienciesHonor 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.
    Actual harm
    9/16/2025Complaint
    8/8/20250658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.
    Minimal harm
    9/16/2025Complaint
    Page 1 of 5

    Penalties & Fines

    When inspection deficiencies are serious enough, the government may impose financial penalties or deny Medicare/Medicaid payments.

    Total Penalties

    2

    Total Fines

    $240,331

    DateTypeFine AmountPayment Denial

    Ownership Records

    Ownership structure and changes can affect facility quality.

    Years Operating

    18

    Owner NameTypeRoleOwnership %Association Date

    News & Media

    Recent news articles, lawsuits, and media coverage mentioning this facility.

    No recent news coverage found for this facility.

    Data updated: March 1, 2026 · CMS, OSCAR, state inspection records

    NursingHomeIQ provides informational synthesis to help families make informed decisions. This does not constitute legal, financial, or medical advice.

    NursingHomeIQ

    Data sourced from CMS, OSCAR, and state inspection records. Not affiliated with the U.S. government.

    © 2026 NursingHomeIQ

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