Lexington Premier Nursing & Rehab
2770 Palumbo Drive · Lexington, KY · 40509 · 8592632410
120 certified beds For profit - Limited Liability company
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- 3 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
4 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
RN staffing in the bottom 10% nationally
0.25 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.54 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.25 | 0.55–0.75 |
| Weekend hours / resident-day | 3.26 | ≈ weekday level |
| Nursing turnover / year | 54% | median 45% |
| Fines (3-yr window) | 1 · $240,331 |
Inspection citations (42 in the current record)
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Potential for harm · D August 8, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected September 16, 2025 · Resident Rights
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Potential for harm · E August 8, 2025
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected September 16, 2025 · Resident Rights
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Potential for harm · D August 8, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected September 16, 2025 · Resident Rights
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Potential for harm · D August 8, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 16, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 8, 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.
Corrected September 16, 2025 · Pharmacy Service
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Potential for harm · E August 8, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected September 16, 2025 · Nutrition and Dietary
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Potential for harm · D August 8, 2025
Provide and implement an infection prevention and control program.
Corrected September 16, 2025 · Infection Control
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Potential for harm · E August 8, 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.
Corrected September 16, 2025 · Infection Control
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Potential for harm · E August 8, 2025 · found via complaint
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.
Corrected September 16, 2025 · Resident Rights
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Potential for harm · D August 8, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 16, 2025 · Resident Assessment and Care Planning
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Immediate jeopardy · J September 5, 2023 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 3, 2023 · Resident Assessment and Care Planning
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Immediate jeopardy · J September 5, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 3, 2023 · Quality of Life and Care
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Actual harm · H September 5, 2023 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected October 3, 2023 · Administration
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Actual harm · H September 5, 2023 · found via complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected October 3, 2023 · Administration
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Potential for harm · D September 5, 2023 · found via complaint
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.
Corrected October 3, 2023 · Resident Rights
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Potential for harm · D September 5, 2023 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected October 3, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 5, 2023 · found via complaint
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.
Corrected October 3, 2023 · Resident Rights
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Potential for harm · D September 5, 2023 · found via complaint
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected October 3, 2023 · Resident Assessment and Care Planning
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Potential for harm · E September 5, 2023 · found via complaint
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected October 3, 2023 · Nursing and Physician Services
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Potential for harm · F September 5, 2023 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected October 3, 2023 · Nursing and Physician Services
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Potential for harm · D September 5, 2023 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected October 3, 2023 · Pharmacy Service
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Potential for harm · D September 5, 2023 · found via complaint
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.
Corrected October 3, 2023 · Pharmacy Service
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Potential for harm · F September 5, 2023 · found via complaint
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Corrected October 3, 2023 · Nursing and Physician Services
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Immediate jeopardy · J January 28, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 11, 2023 · Resident Assessment and Care Planning
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Immediate jeopardy · J January 28, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 11, 2023 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 5, 2023 | Fine | $240,331 |
| September 5, 2023 | Payment Denial | 25 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 185463 · certified since May 25, 2007. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.