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2770 Palumbo Drive, Lexington, KY 40509
120 beds · For profit - Limited Liability company Wheelchair accessible
CMS Provider #185463
Data updated: March 1, 2026
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.
Overall Rating
Health Inspection
Staffing Rating
Quality Rating
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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.
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.
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.
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.
| Category | Apr 24 | Jun 24 | Aug 24 | Oct 24 | Dec 24 | Mar 25 | May 25 | Jul 25 | Nov 25 | Jan 26 | Mar 26 | Trend |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall | 1★ | 1★ | 1★ | 1★ | 1★ | 1★ | 1★ | 1★ | 1★ | 1★ | 1★ | |
| Staffing | 1★ | 1★ | 1★ | 1★ | 1★ | 2★ | 2★ | 3★ | 2★ | 2★ | 1★ | |
| Health | 1★ | 1★ | 1★ | 1★ | 1★ | 1★ | 1★ | 1★ | 1★ | 1★ | 1★ |
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.
RN Hours Specifically
State avg total staffing: 4.0 hrs/resident/day
1
administrator departed in past year
Some change59.0%
State avg: 46.7%
70.6%
State avg: 41.9%
0.0%
of nursing hours from contract/agency staff
Low — good continuitySource: PBJ data, 2025Q3
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
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 provide firsthand accounts from residents' families and visitors.
★★★★★
133 reviews
"My Father is a client of your rehab program due to a severe neck injury! And although stubborn he is, he’s one of best people who you can ever cross paths with! Thanks for looking after him."
"They are very kind to my mom while she’s residing there they show her respect and if you have a loved one that needs to go anywhere I would recommend Lexington Premier. Thank you for all the help you have given my mother."
"So far my uncle is recovering from a massive stroke and each visit i see progress in his awareness. The facilities are clean as i could tell seemed to be a busy place so im sure they were moving the best the could. The nurses helping in the section we are in have been really nice and very helpful considering how tough it is for the family dealing with such a life changing emotional situation. So far so good we keep pray and working one day at a time. God is good!"
"The place was friendly and courteous. I feel at ease having my sister there. It takes special people to care for the elderly and disabled."
"The staff here are so nice we came today on Thanksgiving to see our mom and every worker was polite and very caring they did Thanksgiving meals today for residence and they all looked so happy. 😊"
"The care my husband received at Lexington Premier Rehab was more than outstanding. Every nurse listened and addressed every care and concern with kindness and understanding. They explained what to expect and helped me fill out forms for insurance. I would not hesitate to go there myself if needed. Your parents will be in good care there..and the rooms are private. Mary Ann Van Dyke"
"My mother came to Lexington Premier for rehabilitation in December. When she was admitted, she couldn’t walk, feed herself and was barely speaking. After 97 days of rehabilitation, I was absolutely amazed at her progress. The rehab staff is absolutely amazing. They are so patient and kind. Additionally, the nursing staff, administrators and the activities director is an absolute joy to work with. They take care of your needs and concerns and I’m so grateful that I picked Lexington Premier. If you have a loved one that needs a great place to heal or to live, I would highly recommend bringing them to this facility."
"There are some angels that work at Lexington Premier. Joe (female nursing assistant) on 100 wing is one of them. Her patients love her and their families love her too. There are others that are caring and kind as well but it’s obvious Joe wants her patients well cared for mentally and physically. You never want your family member in a nursing home, however, sometimes it’s a necessity for their safety and I would recommend this one. Shout out to Trevor in the business office. He’s always kind and helpful when you need him. Jennifer the unit manager has always been responsive to my needs and questions concerning my mom."
"I couldn’t ask for a better place of care for my dad to rehabilitate. He has been treated very well with a smile and getting the medical attention he needs. The staff is amazing and I can’t thank them enough for doing what I can’t. This is an experience I’ll never forget. The love and compassion they have for the residents is contagious!!! I strive to be as caring as this facility!!"
"In early March 2024, after a ten day hospitalization at UK Chandler Hospital my 99 year-old mother was transferred to Lexington Premier for Rehabilitation so she may resume her life in assisted living. She had contacted RSV and a secondary respiratory bacterial infection and upon hospital discharge still required supplemental oxygen, oral medication and physical therapy. Mother received very good care at Lexington Premier Nursing and Rehabilitation. I comfortably recommend it. My introduction to the facility was by Tiffany the hospital liaison when I completed the enrollment process. Tiffany gave me a tour of the facility and introduced me to the department heads which proved to be extremely beneficial. I met with Nurse Practitioner Flynn as she was reviewing mother's chart and spoke of her requirements and progress. She received therapies from at least 3 therapists, Kim, Margaret and Holly. All effective and very good with mother. The people mother and I spent most time with were the nurse's aides, Madeline, Mikalya, Monica and Jean. Very nice, effective and watchful women. Perhaps, I did not meet all aides. Mother was never alone at Lexington Premier which was very important as she has profound dementia. I had been very apprehensive about mother's residence at Lexington Premier but now I know I can recommend it as it offers Professional care."
Federal and state inspectors conduct regular surveys of every nursing home. Deficiencies listed here are problems found during those inspections.
| Date | Tag | Category | Description | Severity | Corrected | Type | IC |
|---|---|---|---|---|---|---|---|
| 8/8/2025 | 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | Minimal harm | 9/16/2025 | Standard | |
| 8/8/2025 | 0565 | Resident Rights Deficiencies | Honor the resident's right to organize and participate in resident/family groups in the facility. | Actual harm | 9/16/2025 | Standard | |
| 8/8/2025 | 0628 | Resident Rights Deficiencies | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Minimal harm | 9/16/2025 | Standard | |
| 8/8/2025 | 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Minimal harm | 9/16/2025 | Standard | |
| 8/8/2025 | 0761 | Pharmacy Service Deficiencies | Ensure 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 | 9/16/2025 | Standard | |
| 8/8/2025 | 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Actual harm | 9/16/2025 | Standard | |
| 8/8/2025 | 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | Minimal harm | 9/16/2025 | Standard | |
| 8/8/2025 | 0887 | Infection Control Deficiencies | Educate 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 | 9/16/2025 | Standard | |
| 8/8/2025 | 0584 | Resident Rights Deficiencies | Honor 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 | 9/16/2025 | Complaint | |
| 8/8/2025 | 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | Minimal harm | 9/16/2025 | Complaint |
When inspection deficiencies are serious enough, the government may impose financial penalties or deny Medicare/Medicaid payments.
Total Penalties
2
Total Fines
$240,331
| Date | Type | Fine Amount | Payment Denial |
|---|---|---|---|
| 9/5/2023 | Fine | $240,331 | — |
| 9/5/2023 | Payment Denial | — | 9/8/2023 (25 days) |
Ownership structure and changes can affect facility quality.
Years Operating
18
| Owner Name | Type | Role | Ownership % | Association Date |
|---|---|---|---|---|
| — | — | — | — | — |
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
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