Lexington Premier Nursing & Rehab
2770 Palumbo Drive, Lexington, KY 40509 · All homes in Lexington
Lexington Premier Nursing & Rehab, a 120-bed for profit - limited liability company nursing facility in Lexington, KY, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #265 of 265 rated homes in KY on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 7 inspection findings reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 8592632410
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- 1 / 5
- Much below average · CMS overall · nat'l 3.0
- #265 of 265
- In-state rank among rated KY homes
- 3.54
- Below average · nurse hrs/day · nat'l 3.86
- 42
- Inspection findings · 7 serious
If a nursing-home resident is in immediate danger, call 911.
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The verdict
Lexington Premier Nursing & Rehab, a 120-bed for profit - limited liability company nursing facility in Lexington, KY, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #265 of 265 rated homes in KY on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 7 inspection findings reached the actual-harm or immediate-jeopardy level.
- 1 / 5
- CMS overall · national 3.0
- #265 of 265
- In-state rank among rated KY homes
- 3.54
- Nurse hrs/resident-day · national 3.86
- 42
- Inspection findings · 7 serious
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 267 KY nursing homes split by ownership sector
This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 185463
- Ownership
- For profit - Limited Liability company
- Provider Type
- Medicare and Medicaid
- Beds
- 120
- Residents
- 116
- In Hospital
- No
- County
- Fayette
- Last Inspection
- Aug 8, 2025
Staffing Data
How the 3.54 total nursing hours per resident-day are staffed:
- RN Hours
- 0.21 (nat'l avg: 0.69)
- LPN Hours
- 1.11
- CNA Hours
- 2.22
- Total Nursing Hours
- 3.54 (nat'l avg: 3.86)
- PT Hours
- 0.03
- Nursing Turnover
- 53.2%
- RN Turnover
- 72.2%
What the CMS Record Reveals About Lexington Premier Nursing & Rehab
According to CMS Nursing Home Compare, Lexington Premier Nursing & Rehab ranks #265 of 265 rated nursing homes in KY on overall stars (tie-broken by health+staffing+quality, then fewer fines). Lexington Premier Nursing & Rehab operates 120 certified beds in Lexington, KY with approximately 116 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 1★ · staffing 1★ · quality 1★).
The inspection file contains 42 deficiency records from recent surveys, of which 7 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider has been fined 1 time by CMS, for a combined $240K. Per resident day, this facility reports 3.54 total nursing hours (national average 3.86) and 0.21 RN hours.
Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Lexington Premier Nursing & Rehab falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 53.2% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (42 most recent)
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Sep 16, 2025
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.
Category: Pharmacy Service Deficiencies
Corrected: Sep 16, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Sep 16, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Sep 16, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Category: Resident Rights Deficiencies
Corrected: Sep 16, 2025
Reasonably accommodate the needs and preferences of each resident.
Category: Resident Rights Deficiencies
Corrected: Sep 16, 2025
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.
Category: Infection Control Deficiencies
Corrected: Sep 16, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Category: Nutrition and Dietary Deficiencies
Corrected: Sep 16, 2025
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.
Category: Resident Rights Deficiencies
Corrected: Sep 16, 2025
Honor the resident's right to organize and participate in resident/family groups in the facility.
Category: Resident Rights Deficiencies
Corrected: Sep 16, 2025
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.
Category: Pharmacy Service Deficiencies
Corrected: Oct 3, 2023
Ensure that residents are free from significant medication errors.
Category: Pharmacy Service Deficiencies
Corrected: Oct 3, 2023
Assure that each resident’s assessment is updated at least once every 3 months.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Oct 3, 2023
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Category: Resident Rights Deficiencies
Corrected: Oct 3, 2023
Protect each resident from the wrongful use of the resident's belongings or money.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Oct 3, 2023
Honor 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.
Category: Resident Rights Deficiencies
Corrected: Oct 3, 2023
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Category: Nursing and Physician Services Deficiencies
Corrected: Oct 3, 2023
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Category: Nursing and Physician Services Deficiencies
Corrected: Oct 3, 2023
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Category: Nursing and Physician Services Deficiencies
Corrected: Oct 3, 2023
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Category: Administration Deficiencies
Corrected: Oct 3, 2023
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Category: Administration Deficiencies
Corrected: Oct 3, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Oct 3, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Oct 3, 2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Category: Pharmacy Service Deficiencies
Corrected: Apr 11, 2023
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 11, 2023
Ensure 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.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 11, 2023
Provide enough food/fluids to maintain a resident's health.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 11, 2023
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 11, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 11, 2023
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Apr 11, 2023
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Category: Resident Rights Deficiencies
Corrected: Apr 11, 2023
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.
Category: Pharmacy Service Deficiencies
Corrected: Apr 11, 2023
Have 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.
Category: Nursing and Physician Services Deficiencies
Corrected: Apr 11, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Apr 11, 2023
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Apr 11, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Apr 11, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 11, 2023
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Category: Nutrition and Dietary Deficiencies
Corrected: Apr 11, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 11, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Apr 11, 2023
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.
Category: Pharmacy Service Deficiencies
Corrected: Jan 18, 2020
Ensure 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.
Category: Quality of Life and Care Deficiencies
Corrected: Jan 18, 2020
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 17.2% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.2% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.6% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.3% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 24.5% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 9.2% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 15.6% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.8% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 12.0% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 7.0% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 87.1% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 23.9% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 91.3% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 24.2% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 46.2% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 38.5% | No |
Penalty History 1 penalties totaling $240K
| Date | Type | Amount |
|---|---|---|
| Sep 5, 2023 | Fine | $240K |
| Sep 5, 2023 | Payment Denial | - |
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Lexington Premier Nursing & Rehab, both outside KY so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside KY (120 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside KY (3.71 here).
Nearby Nursing Homes in KY
266 other nursing homes are on record in KY; 6 are shown here.
Auburn Nursing and Rehabilitation Center
Auburn, KY
Baptist Health Hardin
Elizabethtown, KY
Barbourville Health and Rehabilitation Center
Barbourville, KY
Bardstown Health & Rehabilitation
Bardstown, KY
Barren County Nursing and Rehabilitation
Glasgow, KY
Beaver Dam Nursing & Rehab Center, INC
Beaver Dam, KY
Understanding Nursing Home Data
What the CMS records show for Lexington Premier Nursing & Rehab
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The KY registry aggregates state averages and the highest-rated homes in this cohort. View KY registry
- Peer homes near 120 beds show how CMS stars vary at a similar scale in KY. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Lexington Premier Nursing & Rehab?
Where does Lexington Premier Nursing & Rehab rank among nursing homes in KY?
What are the staffing levels at Lexington Premier Nursing & Rehab?
How many beds does Lexington Premier Nursing & Rehab have?
Does Lexington Premier Nursing & Rehab have any deficiencies on record?
Has Lexington Premier Nursing & Rehab received any fines or penalties?
Who owns Lexington Premier Nursing & Rehab?
When was Lexington Premier Nursing & Rehab last inspected?
What quality measures are tracked for Lexington Premier Nursing & Rehab?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
