Fayette County, Kentucky · Nursing home
Lexington Premier Nursing & Rehab
1 of 5 overall from CMS
2770 Palumbo Drive, Lexington, KY 40509
At a glance
- Overall rating 1 of 5 Below the state average of 3.0
- Nurse time per resident, per day 3.54 hours Below the state average of 3.95
- Nursing staff who left in a year 53.2% Above the state average of 46.4%
- Health citations, last 3 inspection cycles 42 7 at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 96.5% of 120 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Lexington Premier Nursing & Rehab is a 120-bed nursing home in Lexington, Kentucky (Fayette County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 3.54 nurse staffing hours per resident per day, below the Kentucky average of 3.95. CMS lists no fines in the past three years.
- Certified beds
- 120
- Residents per day (average)
- 115.8
- Certified since
- 2007 (19 yrs)
For profit - Limited Liability company Participates in Medicare and Medicaid
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Lexington Premier Nursing & Rehab
Chosen from this home's public data.
- CMS counts 10 health deficiencies in the latest inspection cycle (the standard inspection on Aug 8, 2025 plus complaint and infection-control inspections); the Kentucky average is 2.9. Which have been corrected?Inspection results in CMS data
- Nursing staff turnover is 53.2%, above the Kentucky average of 46.4%. How often would the same aides care for my relative?Turnover in CMS data
- About 96.5% of certified beds are in use on an average day. Is there a waiting list, and how long is it?Certified beds and average residents in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 Kentucky average 3.0
- Health inspections 1 of 5 Kentucky average 3.0
- Staffing 1 of 5 Kentucky average 2.7
- Quality measures 1 of 5 Kentucky average 3.2
The vertical line marks the Kentucky average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.54 h Kentucky average 3.95
- Nurse aides 2.22 h Kentucky average 2.36
- Licensed practical nurses 1.11 h Kentucky average 0.80
- Registered nurses 0.21 h Kentucky average 0.79
- All staff, weekends 3.36 h Kentucky average 3.49
How much nurse staffing is enough? All bars share one scale, 0 to 9 hours. The vertical line marks the Kentucky average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover53.2%
- Kentucky average46.4%
- Registered nurse turnover72.2%
- Kentucky average41.8%
- Administrators who left2
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Kentucky and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Kentucky | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 17.2% | 13.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 12.0% | 6.6% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.2% | 0.5% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 3.6% | 1.6% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 7.0% | 17.7% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.2% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 1.3% | 3.9% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 87.1% | 94.3% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 24.5% | 14.0% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 23.9% | 29.8% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 91.3% | 96.2% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 9.2% | 4.8% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.2% | 19.0% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 15.6% | 16.1% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 2.54 | 1.94 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 2.38 | 2.14 | 1.78 |
Short-stay residents
| Measure | This home | Kentucky | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 46.2% | 84.0% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 1.8% | 1.7% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 38.5% | 83.5% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.8% | 24.2% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 13.1% | 13.7% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 42 health deficiencies in the three most recent inspection cycles. Of these, 4 were at the immediate jeopardy level and 3 involved actual harm; the rest were graded as no actual harm. 15 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Sep 5, 2023: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Aug 8, 2025 | 10 | 6 |
| Jan 28, 2023 | 17 | 6 |
| Dec 20, 2019 | 15 | 0 |
Kentucky homes averaged 2.9 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (42)
-
EPotential for more than minimal harm, pattern
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights · Deficient, Provider has date of correction (Sep 16, 2025)
-
EPotential for more than minimal harm, pattern
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.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Sep 16, 2025)
-
EPotential for more than minimal harm, pattern
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary · Deficient, Provider has date of correction (Sep 16, 2025)
-
EPotential for more than minimal harm, pattern
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.
Infection Control · Deficient, Provider has date of correction (Sep 16, 2025)
-
DPotential for more than minimal harm, isolated
Reasonably accommodate the needs and preferences of each resident.
Resident Rights · Deficient, Provider has date of correction (Sep 16, 2025)
Show 25 more
-
DPotential for more than minimal harm, isolated
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights · Deficient, Provider has date of correction (Sep 16, 2025)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Sep 16, 2025)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Sep 16, 2025)
-
DPotential for more than minimal harm, isolated
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.
Pharmacy Service · Deficient, Provider has date of correction (Sep 16, 2025)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Sep 16, 2025)
-
JImmediate jeopardy, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Oct 3, 2023)
-
JImmediate jeopardy, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Oct 3, 2023)
-
HActual harm, pattern
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Complaint investigation · Administration · Deficient, Provider has date of correction (Oct 3, 2023)
-
HActual harm, pattern
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Complaint investigation · Administration · Deficient, Provider has date of correction (Oct 3, 2023)
-
FPotential for more than minimal harm, widespread
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Oct 3, 2023)
-
FPotential for more than minimal harm, widespread
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Oct 3, 2023)
-
EPotential for more than minimal harm, pattern
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Oct 3, 2023)
-
DPotential for more than minimal harm, isolated
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.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Oct 3, 2023)
-
DPotential for more than minimal harm, isolated
Protect each resident from the wrongful use of the resident's belongings or money.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Oct 3, 2023)
-
DPotential for more than minimal harm, isolated
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.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Oct 3, 2023)
-
DPotential for more than minimal harm, isolated
Assure that each resident’s assessment is updated at least once every 3 months.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Oct 3, 2023)
-
DPotential for more than minimal harm, isolated
Ensure that residents are free from significant medication errors.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Oct 3, 2023)
-
DPotential for more than minimal harm, isolated
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.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Oct 3, 2023)
-
JImmediate jeopardy, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 11, 2023)
-
JImmediate jeopardy, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 11, 2023)
-
GActual harm, isolated
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary · Deficient, Provider has date of correction (Apr 11, 2023)
-
FPotential for more than minimal harm, widespread
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 11, 2023)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Apr 11, 2023)
-
EPotential for more than minimal harm, pattern
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 11, 2023)
-
EPotential for more than minimal harm, pattern
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 11, 2023)
Showing the 30 most recent of 42.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
CMS lists no fines or payment denials for this home in the past three years.
Kentucky homes averaged 0.7 fines and $15,373 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Kentucky
Common questions
What is the CMS star rating for Lexington Premier Nursing & Rehab?
Lexington Premier Nursing & Rehab has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 1 and quality measures is 1.
How many beds does Lexington Premier Nursing & Rehab have?
Lexington Premier Nursing & Rehab has 120 certified beds. It averages 115.8 residents per day, about 96.5% of its certified beds.
How much nursing care do residents get at Lexington Premier Nursing & Rehab?
The home reports 3.54 hours of nurse staffing per resident per day, including 0.21 hours from registered nurses. The Kentucky average is 3.95 hours and 0.79 hours from registered nurses.
Has Lexington Premier Nursing & Rehab been fined?
CMS lists no fines for this home in the past three years.
Does Lexington Premier Nursing & Rehab accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 2 of 5 The Willows at Hamburg 64beds 90.8%in use 5.24nurse hours a day
- 3 of 5 Bluegrass Care & Rehabilitation Center 124beds 89.8%in use 3.34nurse hours a day
- 1 of 5 Mayfair Manor 98beds 89.5%in use 3.67nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Fayette County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 185463. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.