Which Kentucky counties does Louisville Senior Advisor cover?
We cover the seven counties of the KIPDA region: Jefferson (Louisville), Oldham, Bullitt, Shelby, Spencer, Henry and Trimble, which share one Area Agency on Aging, one long-term care ombudsman program and one OIG enforcement branch.
| County | Population | 65+ | 85+ | Median age | Assisted living licenses | Nursing facilities |
|---|---|---|---|---|---|---|
| Jefferson County | 795,222 | 147,293 | 15,506 | 38.9 | 59 | 46 |
| Oldham County | 70,986 | 12,155 | 999 | 41.1 | 5 | 3 |
| Bullitt County | 86,454 | 16,162 | 1,310 | 41.7 | 4 | 2 |
| Shelby County | 51,243 | 9,643 | 904 | 40.5 | 6 | 2 |
| Spencer County | 20,998 | 3,792 | 275 | 42.7 | 1 | 1 |
| Henry County | 16,447 | 3,445 | 292 | 42.3 | 1 | 1 |
| Trimble County | 8,701 | 1,861 | 198 | 43.9 | 0 | 1 |
U.S. Census Bureau, Vintage 2025 county population estimates by age (July 1, 2025); Kentucky OIG directories, October 2026.
Why group these seven counties together?
Because the agencies a family will deal with are organized that way: KIPDA's Aging & Disability Resource Center, Catholic Charities' ombudsman contract and OIG's Northern Branch all cover exactly these counties, so the same phone numbers apply whether a parent lives in Bedford or the Highlands.
Southern Indiana's Clark and Floyd counties are part of the Louisville metro area but follow Indiana law, so we do not list them. Trimble and Henry counties have the highest shares of residents 65 and older in the region; Jefferson has by far the most licensed care.
Which counties have PACE?
Only Jefferson and Bullitt: DMS's enrolled-PACE list shows two organizations serving Jefferson County and Care Guide Partners PACE serving Bullitt, and none for Oldham, Shelby, Spencer, Henry or Trimble.
Where is most of the region's licensed senior care?
Overwhelmingly in Jefferson County: Louisville and its suburban cities hold most of the region's assisted living licenses and nursing facilities, while Spencer, Henry and Trimble counties each have only one to three licensed facilities.
Families in the outer counties therefore often weigh staying close to home in a smaller market against a wider choice in Louisville's East End, Jeffersontown or Okolona. Each county page lists every licensed facility and the straight-line distance from the county seat to the nearest hospitals and to downtown Louisville. Census estimates show Trimble and Henry with the oldest populations and Oldham with the lowest share of residents 65 and older, which is close to the reverse of where licensed capacity sits outside Jefferson County.
At a glance
| Shared across all seven counties | Different county to county | |
|---|---|---|
| Agencies | KIPDA, Catholic Charities ombudsman, OIG Northern Branch | PACE availability |
| Rules | Kentucky licensing and Medicaid rules | How many licensed facilities exist locally |
| Hotlines | 1-877-597-2331 abuse hotline | Distance to the nearest hospital |
| Costs | The same Kentucky CareScout medians | Actual local quotes |
