These are the top 20 highest-rated nursing homes in Kentucky according to the CMS 5-Star Quality Rating System (2026). All facilities listed have an overall rating of 5 stars or higher. The average rating across this list is 5.0/5. 18 of these 20 facilities have no fines on record.
| # | Name | City | Overall | Fines |
|---|---|---|---|---|
| 1 | Laurel Heights Home for the Elderly | London | $0 | |
| 2 | Kenwood Health and Rehabilitation Center | Richmond | $0 | |
| 3 | Nazareth Home | Louisville | $0 | |
| 4 | Christian Health Center | Hopkinsville | $0 | |
| 5 | Riverview Health Care Center | Prestonsburg | $0 | |
| 6 | Signature Healthcare of Monroe County Rehab and We | Tompkinsville | $0 | |
| 7 | Grayson Nursing and Rehab Center | Leitchfield | $12,235 | |
| 8 | Helmwood Healthcare | Elizabethtown | $0 | |
| 9 | Hyden Health and Rehabilitation Center | Hyden | $5,346 | |
| 10 | Maysville Nursing and Rehabilitation Facility | Maysville | $0 | |
| 11 | Elkhorn Health & Rehabilitation | Elkhorn City | $0 | |
| 12 | Calvert City Convalescent Center | Calvert City | $0 | |
| 13 | Middlesboro Nursing and Rehabilitation Facility | Middlesboro | $0 | |
| 14 | Shady Lawn Nursing and Rehabilitation Center | Cadiz | $0 | |
| 15 | Jeffersontown Rehabilitation | Jeffersontown | $0 | |
| 16 | Loretto Living Center at Loretto Motherhouse, INC | Nerinx | $0 | |
| 17 | Redbanks Colonial Terrace | Sebree | $0 | |
| 18 | Maple Health and Rehabilitation | Greenville | $0 | |
| 19 | Prestonsburg Health Care Center | Prestonsburg | $0 | |
| 20 | Signature Healthcare at Rockford Rehab & Wellness | Louisville | $0 |
Rankings are based on the CMS 5-Star Quality Rating System, which evaluates nursing homes on health inspections, staffing, and quality measures. Ratings range from 1 star (much below average) to 5 stars (much above average). Data is updated monthly by CMS.