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Nursing homes and assisted living in Lexington, Kentucky

Our directory lists 31 places to live with care in Lexington, Kentucky: 12 nursing homes certified by Medicare or Medicaid and 19 assisted living communities. 12 of the 12 nursing homes are certified by Medicaid, and 1 has 4 or 5 stars in Medicare’s overall rating. All of them are in Fayette County.

Call the place you’re interested in directly: hogaresparamayores.com doesn’t charge families or act as a go-between.

Lexington on the map of Kentucky. Each dot is a place with official data.

See only the 12 that accept Medicaid in Lexington

The map loads as you scroll. Locations are approximate, based on the official records.

Sorted by Medicare’s overall rating (when there is one) and by name. Phone numbers and addresses come from the official records: confirm them when you call. Where the data comes from.

More care options in Lexington

Adult day centers6Home care agencies45Home health agencies12Hospice providers1

Nearby cities

Nicholasville4 places · 8.7 miles awayGeorgetown6 places · 13 miles awayWilmore1 place · 13 miles awayMidway2 places · 14 miles awayWinchester3 places · 16 miles awayParis1 place · 17 miles awayRichmond7 places · 22 miles awayLawrenceburg2 places · 22 miles awayFrankfort6 places · 24 miles awayHarrodsburg2 places · 25 miles away

Frequently asked questions

How many nursing homes and assisted living communities are in Lexington?
Our directory lists 31 in Lexington, Kentucky: 12 nursing homes certified by Medicare or Medicaid and 19 state-licensed assisted living or residential care homes. The data comes from CMS and the state’s licensing records.
How many accept Medicaid in Lexington?
12 of the 12 nursing homes are certified by Medicaid. Being certified doesn’t guarantee an open Medicaid spot: ask when you call. How Medicaid works.
How much does a nursing home cost in Lexington?
Each place sets its own prices. As a reference, the median cost of a nursing home in Kentucky is $320 a day for a semi-private room (about $9,733 a month), and assisted living is $5,528 a month, according to CareScout 2025. Costs in Kentucky.
Are there places with Spanish-speaking staff in Lexington?
No place in Lexington has told us yet whether its staff speaks Spanish. Ask when you call: it’s on the list of questions on every listing.
What’s the difference between a nursing home and assisted living?
A nursing home provides nursing and personal care for people who need a lot of help or are recovering after a hospital stay. Assisted living is housing with help bathing, dressing and taking medications, for people who don’t need nursing care around the clock. Types of care, explained.

Family guide to Kentucky: what care settings are called there and how Medicaid helps. Questions about Medicaid, Medicare or a license? Who to call in Kentucky.

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