Downtown, Old Louisville and the West End include the downtown medical center (University of Louisville Hospital, UofL Health Jewish Hospital and Norton Hospital), the Victorian blocks of Old Louisville, and the West End neighborhoods of Portland, Shawnee, Russell, Chickasaw and Park DuValle. Norton West Louisville Hospital serves the West End directly.
The area has little purpose-built assisted living, but several of Louisville's small family care homes are licensed here, along with downtown nursing facilities that take many post-hospital rehab patients from the medical center.
How many licensed senior care options are in Downtown, Old Louisville & the West End?
OIG's October 2026 roster lists 0 assisted living licenses (0 licensed units), 3 nursing facilities and 2 adult day health programs in the Downtown, Old Louisville & the West End area of Louisville (ZIP codes 40202, 40203, 40208, 40210, 40211, 40212).
| Available in Downtown, Old Louisville & the West End | Not available in Downtown, Old Louisville & the West End | |
|---|---|---|
| Licensed here (OIG roster) | Nursing facilities: 3, Personal care beds in LTC campuses: 1, Family care homes: 4, Adult day health programs: 2, Home care (personal services) agencies: 9 | — |
| Not on the roster here | — | Assisted living licenses, Personal care homes, Home health agencies |
| Secured memory care (ALC-DC) | — | No ALC-DC license in Downtown, Old Louisville & the West End |
Licensed home care is also well represented: 9 personal services agencies list an office address here, though agencies serve clients across the county.
Is there assisted living in Downtown, Old Louisville & the West End?
No assisted living license is currently listed with an address in Downtown, Old Louisville & the West End; the nearest licensed communities are in neighboring parts of Jefferson County, and our Louisville assisted living page breaks them down by area.
What nursing homes serve Downtown, Old Louisville & the West End, and how does CMS rate them?
3 nursing facilities are licensed in Downtown, Old Louisville & the West End, with 274 licensed beds; 0 of the 3 with a CMS overall rating hold four or five stars from CMS.
| Facility | CMS overall rating | Licensed capacity | Last CMS health inspection | Deficiencies cited |
|---|---|---|---|---|
| Chestnut Ridge Health & Rehabilitation 1015 West Magazine Street, 40203 | 2 of 5 | 92 beds | December 13, 2025 | 4 |
| River Oaks Health & Rehabilitation 920 South 4th Street, 40203 | 2 of 5 | 122 beds | July 9, 2025 | 6 |
| Treyton Oak Towers 211 West Oak Street, 40203 | 3 of 5 | 60 beds | July 2, 2026 | 0 |
What other licensed care is based in Downtown, Old Louisville & the West End?
Beyond assisted living and nursing homes, the Downtown, Old Louisville & the West End area has 5 personal or family care licenses, 2 adult day health programs and 0 home health or hospice licenses on OIG's rosters.
- Activating God's Promises — family care home, 718 South 45th Street
- Daisy's Care Home LLC — family care home, 1815 S 22nd St
- Green Family Care Home — family care home, 3302 Garland Avenue (3 beds)
- Heartfelt Haven Family Care Home — family care home, 3134 Garland Avenue
- Treyton Oak Towers — personal care home, 211 West Oak Street (64 personal care beds)
- Elderclub at Oak and Acorn — adult day health, 631 South 28th Street
- Horizon Adult Health Care — adult day health, 960 South Fourth Street
Which hospitals are closest to Downtown, Old Louisville & the West End?
Measured from the center of its ZIP codes, the closest acute-care hospitals on Kentucky's OIG hospital roster are UofL Health - Jewish Hospital (about 1.8 miles) and University of Louisville Hospital (about 1.8 miles).
Norton Hospital is about 1.8 miles away. These are straight-line distances between ZIP-code centroids, useful for comparison but not drive times.