How much licensed senior care is there in Louisville and Jefferson County?
Jefferson County had about 147,293 residents 65 and older and 15,506 aged 85 and older on July 1, 2025, and Kentucky's OIG roster lists 59 assisted living licenses (2,544 units), 46 nursing facilities and 29 adult day health programs in the county.
| Louisville area | Assisted living licenses | of which ALC-DC | Nursing facilities | Adult day programs |
|---|---|---|---|---|
| St. Matthews & Lyndon | 11 | 3 | 8 | 4 |
| Middletown, Anchorage & the East End | 15 | 7 | 3 | 1 |
| Prospect & Northeast Jefferson County | 10 | 5 | 2 | 0 |
| Jeffersontown & Fern Creek | 13 | 6 | 2 | 6 |
| The Highlands & Crescent Hill | 1 | 0 | 10 | 1 |
| Downtown, Old Louisville & the West End | 0 | 0 | 3 | 2 |
| Germantown, Audubon Park & the South End | 0 | 0 | 4 | 3 |
| Shively, Pleasure Ridge Park & Valley Station | 3 | 1 | 5 | 5 |
| Okolona, Buechel & Hikes Point | 6 | 2 | 9 | 7 |
Population: U.S. Census Bureau, Vintage 2025 county population estimates by age (July 1, 2025).
Why does Louisville's senior care cluster in the East End?
Most new assisted living licenses in Jefferson County have gone to the East End, St. Matthews, Prospect and Jeffersontown, where land along the Gene Snyder and Shelbyville Road corridors was available, while the Highlands, downtown and the South End rely on older nursing facilities, personal care beds and family care homes.
For families that means a parent in Shively or the Portland neighborhood may have fewer assisted living choices nearby than a parent in Middletown, and may need to weigh distance against the type of license that fits. The area pages below show exactly what is licensed in each part of the county.
Which hospitals serve Louisville seniors?
Kentucky's OIG hospital roster lists 9 acute-care hospitals in Jefferson County, run by UofL Health, Norton Healthcare and Baptist Health, and most rehab and nursing home referrals in Louisville start with a discharge from one of them.
- UofL Health - Jewish Hospital
- University of Louisville Hospital
- Norton Hospital
- Baptist Health Louisville
- Norton Audubon Hospital
- Norton Brownsboro Hospital
- Norton Women's and Children's Hospital
- UofL Health - Mary and Elizabeth Hospital
- Norton West Louisville Hospital
Where do Louisville families get free help?
KIPDA's Aging & Disability Resource Center at (502) 266-5571 is the Area Agency on Aging for Louisville, the long-term care ombudsman program is run by Catholic Charities of Louisville, and Jefferson County is one of only two counties in the region with PACE.
The two Jefferson County PACE organizations on DMS's list are Senior CommUnity Care of Jefferson County, (502) 676-7520, and Senior CommUnity Care of Kentucky, (502) 676-7550. Licensing complaints go to OIG's Northern Branch at 502-595-4958.
Care types in Louisville
Assisted living in Louisville
See by area →Memory care in Louisville
See by area →Personal care homes in Louisville
See by area →Nursing homes in Louisville
See by area →In-home care in Louisville
See by area →Louisville at a glance
| Senior care in Louisville is | Senior care in Louisville is not | |
|---|---|---|
| Licensing | Kentucky OIG for every facility type | Licensed by Louisville Metro |
| Geography | Concentrated in the East End and southeastern suburbs | Evenly spread across neighborhoods |
| Programs | KIPDA, Catholic Charities ombudsman, two PACE organizations | Covered by an assisted living Medicaid waiver |
| Across the river | Kentucky law only | The same as Jeffersonville or New Albany |
