Kentucky › Fayette County › Lexington
Lexington Premier Nursing & Rehab
2770 Palumbo Drive, Lexington, KY 40509
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Lexington Premier Nursing & Rehab is a For-profit, limited liability company nursing home in Lexington, Kentucky, certified for 120 beds and caring for about 116 residents a day.
CMS gives it 1 of 5 stars overall, below the Kentucky median of 3; the health inspection rating is 1, staffing 1 and quality measures 1.
Inspectors recorded 42 health deficiencies across the three most recent survey cycles (10, 17, 15 by cycle, most recent first), 7 of them at the actual-harm or immediate-jeopardy level. That is 35.0 per 100 beds, more than the state median of 12.1.
CMS lists 2 penalties in the period covered: fines totalling $240K and 1 payment denial.
Reported nurse staffing is 3.5 hours per resident per day (0.2 RN), close to the Kentucky median of 3.7; nursing staff turnover is 53.2%.
Compared with county, state and nation
| Measure | This facility | Fayette Co. median | Kentucky median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 42 | 11 | 10 | 28.7 |
| Citations per 100 beds | 35.0 | 13.3 | 12.1 | 26.8 |
| Total nurse hours per resident day | 3.5 | 3.7 | 3.7 | 3.9 |
| RN hours per resident day | 0.2 | 0.6 | 0.7 | 0.7 |
| Nursing staff turnover | 53.2% | 48.5% | 45.1% | 45.8% |
| Fines listed | $240,331 | $7,901 | $0 | — |
County and state figures are medians across facilities (12 in the county, 267 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Kentucky average per facility for the same cycle, as published by CMS. Standard health survey dates: 8 Aug 2025, 28 Jan 2023.
Severity mix: J ×4 G ×1 H ×2 D ×22 E ×9 F ×4
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 8 Aug 2025 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 16 Sep 2025 |
| 8 Aug 2025 | F0584 | 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. | E | Complaint investigation | 16 Sep 2025 |
| 8 Aug 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 16 Sep 2025 |
| 8 Aug 2025 | F0887 | 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. | E | Standard survey | 16 Sep 2025 |
| 8 Aug 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 16 Sep 2025 |
| 8 Aug 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 16 Sep 2025 |
| 8 Aug 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 16 Sep 2025 |
| 8 Aug 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 16 Sep 2025 |
| 8 Aug 2025 | F0761 | 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. | D | Standard survey | 16 Sep 2025 |
| 8 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 16 Sep 2025 |
| 5 Sep 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | J | Complaint investigation | 3 Oct 2023 |
| 5 Sep 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 3 Oct 2023 |
| 5 Sep 2023 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | H | Complaint investigation | 3 Oct 2023 |
| 5 Sep 2023 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | H | Complaint investigation | 3 Oct 2023 |
| 5 Sep 2023 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Complaint investigation | 3 Oct 2023 |
| 5 Sep 2023 | F0841 | Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | F | Complaint investigation | 3 Oct 2023 |
| 5 Sep 2023 | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | E | Complaint investigation | 3 Oct 2023 |
| 5 Sep 2023 | F0578 | 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. | D | Complaint investigation | 3 Oct 2023 |
| 5 Sep 2023 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 3 Oct 2023 |
| 5 Sep 2023 | F0622 | 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. | D | Complaint investigation | 3 Oct 2023 |
| 5 Sep 2023 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Complaint investigation | 3 Oct 2023 |
| 5 Sep 2023 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 3 Oct 2023 |
| 5 Sep 2023 | F0761 | 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. | D | Complaint investigation | 3 Oct 2023 |
| 28 Jan 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | J | Standard survey | 11 Apr 2023 |
| 28 Jan 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Standard survey | 11 Apr 2023 |
| 28 Jan 2023 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | G | Standard survey | 11 Apr 2023 |
| 28 Jan 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | F | Standard survey | 11 Apr 2023 |
| 28 Jan 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 11 Apr 2023 |
| 28 Jan 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Standard survey | 11 Apr 2023 |
| 28 Jan 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 11 Apr 2023 |
| 28 Jan 2023 | F0727 | 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. | E | Standard survey | 11 Apr 2023 |
| 28 Jan 2023 | F0761 | 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. | E | Standard survey | 11 Apr 2023 |
| 28 Jan 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 11 Apr 2023 |
| 28 Jan 2023 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 11 Apr 2023 |
| 28 Jan 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 11 Apr 2023 |
| 28 Jan 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 11 Apr 2023 |
| 28 Jan 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 11 Apr 2023 |
| 28 Jan 2023 | F0693 | 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. | D | Standard survey | 11 Apr 2023 |
| 28 Jan 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 11 Apr 2023 |
| 28 Jan 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 11 Apr 2023 |
| 20 Dec 2019 | F0693 | 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. | D | Standard survey | 18 Jan 2020 |
| 20 Dec 2019 | F0761 | 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. | D | Standard survey | 18 Jan 2020 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 5 Sep 2023 | Payment denial | — | 25 days |
| 5 Sep 2023 | Fine | $240,331 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Kentucky average. Turnover: nursing staff 53.2%, RNs 72.2%; 2 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Kentucky median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 17.2% | 13.0% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.2% | 0.2% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.6% | 1.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.3% | 3.5% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.8% | 1.1% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 24.5% | 13.0% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 9.2% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 15.6% | 15.0% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Lexington Snf Operations Llc.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Lexington SNF Operations Holdings LLC | Direct ownership interest | NOT APPLICABLE | 08/28/2025 |
| 2770 Palumbo Realty LLC | 5% or greater mortgage interest | NOT APPLICABLE | 08/28/2025 |
| Emerald Healthcare LLC | Operational/managerial control | NOT APPLICABLE | 08/28/2025 |
| Evolve Therapy Services LLC | Operational/managerial control | NOT APPLICABLE | 08/28/2025 |
| Lexington SNF Operations Holdings LLC | Operational/managerial control | NOT APPLICABLE | 08/28/2025 |
| Limestone Fiscal Services LLC | Operational/managerial control | NOT APPLICABLE | 08/28/2025 |
| Merch Pay Inc | Operational/managerial control | NOT APPLICABLE | 08/28/2025 |
| Private Bancorp Inc | Operational/managerial control | NOT APPLICABLE | 08/28/2025 |
| Saul N Friedman & Company | Operational/managerial control | NOT APPLICABLE | 08/28/2025 |
| Wellsky Corporation | Operational/managerial control | NOT APPLICABLE | 08/28/2025 |
| Zimmet Healthcare Services Group LLC | Operational/managerial control | NOT APPLICABLE | 08/28/2025 |
| 2770 Palumbo Master Tenant LLC | Adp of the snf | NOT APPLICABLE | 09/10/2025 |
| 2770 Palumbo Realty LLC | Adp of the snf | NOT APPLICABLE | 08/28/2025 |
| Emerald Healthcare LLC | Adp of the snf | NOT APPLICABLE | 11/14/2025 |
| Evolve Therapy Services LLC | Adp of the snf | NOT APPLICABLE | 11/14/2025 |
| Limestone Fiscal Services LLC | Adp of the snf | NOT APPLICABLE | 11/14/2025 |
| Merch Pay Inc | Adp of the snf | NOT APPLICABLE | 11/14/2025 |
| Private Bancorp Inc | Adp of the snf | NOT APPLICABLE | 11/14/2025 |
| Saul N Friedman & Company | Adp of the snf | NOT APPLICABLE | 11/14/2025 |
| Wellsky Corporation | Adp of the snf | NOT APPLICABLE | 11/14/2025 |
| Zimmet Healthcare Services Group LLC | Adp of the snf | NOT APPLICABLE | 11/14/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Fayette County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Bluegrass Care & Rehabilitation Center | Lexington | 124 | 4 | 4 | 3 | 11 | 8.9 | — | 25 Jul 2025 |
| Homestead Post Acute | Lexington | 136 | 4 | 3 | 2 | 9 | 6.6 | — | 17 Jul 2025 |
| The Willows At Citation | Lexington | 54 | 4 | 3 | 4 | 9 | 16.7 | — | 26 Jun 2025 |
| The Willows At Fritz Farm | Lexington | 54 | 3 | 3 | 4 | 9 | 16.7 | — | 15 May 2026 |
| The Willows At Hamburg | Lexington | 64 | 3 | 2 | 5 | 7 | 10.9 | $62K | 8 Aug 2025 |
| Cambridge Nursing & Rehabilitation Center | Lexington | 108 | 2 | 2 | 1 | 10 | 9.3 | — | 19 Feb 2026 |
| Pine Meadows Post Acute | Lexington | 120 | 2 | 3 | 1 | 16 | 13.3 | — | 5 Sep 2025 |
| Hartland Park Health & Rehabilitation | Lexington | 150 | 1 | 1 | 1 | 33 | 22.0 | $13K | 24 Apr 2026 |
All 12 facilities in Fayette County
Questions and answers
How many deficiencies has Lexington Premier Nursing & Rehab been cited for?
42 health deficiencies across the three most recent survey cycles, 7 at the actual-harm or immediate-jeopardy level. The Kentucky median is 10 per facility.
Has Lexington Premier Nursing & Rehab been fined?
Yes. CMS lists fines totalling $240K in the period covered, plus 1 payment denial.
How does staffing at Lexington Premier Nursing & Rehab compare?
Reported total nurse staffing is 3.5 hours per resident per day against a Kentucky median of 3.7 and a national average of 3.9.
Who operates Lexington Premier Nursing & Rehab?
Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Lexington SNF Operations Holdings LLC, Emerald Healthcare LLC and Evolve Therapy Services LLC. Individual owners and managers are not listed on this site.
When was Lexington Premier Nursing & Rehab last inspected?
The most recent survey or investigation in the CMS record is dated 8 Aug 2025; the most recent standard health survey was 8 Aug 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.