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.
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)
-
Potential for harm · D August 8, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected September 16, 2025 · Resident Rights
-
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
-
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
-
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
-
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
-
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
-
Potential for harm · D August 8, 2025
Provide and implement an infection prevention and control program.
Corrected September 16, 2025 · Infection Control
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
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.