Lexington Premier Nursing & Rehab
2770 Palumbo Drive, Lexington, KY 40509 · 120 beds · For profit - Limited Liability company
The records flag: 4 citations at the most serious level; $240,331 in fines over three years.
These are drawn straight from Medicare's records. We report what the record says — we don't rate facilities or judge the care given in them.
Who's actually on the floor
Staffing is the thing most closely tied to day-to-day quality of care, and it's the number families most often never see. This is registered nurses only — a smaller figure than the all-staff total above, because it counts the most highly qualified staff on their own — per resident, per day, comparing an average weekday against an average weekend.
Registered nurses only — hours per resident per day. Longer is better.
Registered nurse coverage is about 29% lower at weekends.
Staff turnover: 53%
High turnover matters because continuity does — a nurse who knows your mother notices when something is different about her. Someone on their second shift doesn't have that baseline.
What inspectors found
State inspectors visit at least once a year and after complaints. Over the last three years this facility received 42 citations. Raw counts mislead, though — a paperwork slip and a resident being harmed both count as one. Here they are by how serious inspectors judged them.
| Severity | Citations |
|---|---|
| Immediate jeopardy | 4 |
| Actual harm | 3 |
| Potential for harm | 35 |
| No harm | 0 |
15 of these came from someone filing a complaint rather than a routine visit — worth weighing differently, because it means a person picked up the phone. All findings are recorded as corrected.
Medicare has issued $240,331 in fines here over the past three years.
Disclosed affiliations
Medicare has not published ownership or affiliation information for this facility. That is a gap in the federal record, not a finding about the facility — the great majority of facilities do have entries, so it is a reasonable thing to ask about on a visit.
Other options nearby
Most families are choosing between whatever is close enough to visit often — and visiting often is itself one of the better protections a resident has. These are the closest 8 facilities.
| Facility | Miles | Rating | Nurse hrs | Weekend |
|---|---|---|---|---|
| The Willows at Hamburg | 1.5 | 3 | 0.96 | −32% |
| Bluegrass Care & Rehabilitation Center | 2.7 | 4 | 0.60 | −48% |
| Mayfair Manor | 3.3 | 1 | 0.48 | −70% |
| Hartland Park Health & Rehabilitation | 3.6 | 1 | 0.41 | −15% |
| Sayre Christian Village Nursing Home | 4.5 | 2 | 0.62 | −17% |
| Lexington Country Place | 5.4 | 3 | 0.36 | −40% |
| The Willows at Fritz Farm | 5.5 | 3 | 1.00 | −27% |
| The Willows at Citation | 5.8 | 4 | 1.17 | −5% |
Worth asking on a visit
Records only tell you so much. These are the questions this facility's particular numbers suggest you ask — go on a weekend if you possibly can.
- Can I visit on a Sunday rather than a weekday? How many registered nurses are on duty then, and for how many residents?
- Turnover here is about 53%. How long has the director of nursing been in post?
- Medicare's records show a citation at the most serious level. What happened, and what changed afterwards?
- Who will actually be caring for my relative at 3am on a Saturday — an agency nurse or someone on staff?