Spencer County is a small, largely rural county southeast of Louisville, with Taylorsville as its county seat and Taylorsville Lake State Park as its best-known landmark. It has no hospital of its own.
With only a handful of licensed providers in the county, Spencer families commonly look to Jeffersontown, Shelbyville or Mount Washington, each roughly a half-hour drive, for wider choice. Spencer County's population grew faster than any other in the region over the 2020 to 2025 period, according to Census estimates.
How many seniors and licensed care options are in Spencer County, Kentucky?
Spencer County had about 3,792 residents 65 and older (18.1% of 20,998) and 275 aged 85 and older on July 1, 2025, and Kentucky's OIG roster lists 1 assisted living license, 1 nursing facility and 0 personal or family care licenses there.
| Available in Spencer County | Not available in Spencer County | |
|---|---|---|
| Licensed here (OIG roster) | Assisted living licenses: 1, Nursing facilities: 1, Home care (personal services) agencies: 1 | — |
| Not on the roster here | — | Personal care homes, Personal care beds in LTC campuses, Family care homes, Adult day health programs, Home health agencies |
| Secured memory care (ALC-DC) | — | No ALC-DC license in Spencer County |
Population: U.S. Census Bureau, Vintage 2025 county population estimates by age (July 1, 2025).
Which senior care facilities are licensed in Spencer County?
Every licensed facility in Spencer County on OIG's October 2026 directories is listed below with its license type, capacity and status, and CMS ratings appear on each nursing facility's own page.
| Facility | License type | License # | Licensed capacity | City | License status |
|---|---|---|---|---|---|
| Beehive Homes of Taylorsville 164 Industrial Road, 40071 | ALC | 101541 | 20 units | Taylorsville | Active through 06/30/2027 |
| Signature Healthcare of Spencer County 625 Taylorsville Road, 40071 | NF | 100603 | 120 beds | Taylorsville | Active through 02/28/2027 |
Who helps seniors and caregivers in Spencer County, KY?
Spencer County is part of the KIPDA region, so its Area Agency on Aging is KIPDA (Aging & Disability Resource Center, (502) 266-5571), its long-term care ombudsman program is run by Catholic Charities of Louisville, and licensing complaints go to OIG's Northern Branch at 502-595-4958.
PACE: as of DMS's December 2024 list, no PACE organization serves Spencer County; the HCB waiver is the main Medicaid option for care at home.
Medicaid applications go through kynect or DCBS at (855) 306-8959, and suspected abuse is reported to 1-877-597-2331.
How far do Spencer County residents travel for hospital care?
From Taylorsville, the county seat, the closest acute-care hospital on Kentucky's OIG roster is UofL Health - Shelbyville Hospital, about 15 miles away in a straight line, and downtown Louisville is about 25 miles away.
The next closest hospitals are UofL South Hospital (about 18 miles) and Norton Brownsboro Hospital (about 21 miles). Distances are between ZIP-code centroids, not driving routes.
