What types of senior care are available around Louisville?
Louisville-area families choose among assisted living (Kentucky ALC, ALC-BH or ALC-DC licenses), memory care (ALC-DC), personal care and family care homes, nursing facilities, in-home care from personal services or home health agencies, adult day health, and hospice.
Independent living, which provides housing without assisted living services, needs no Kentucky license. Each guide below explains what the license allows, what it costs at Kentucky's 2025 medians, and how many licenses OIG lists in the seven counties.
How do I choose the right care type?
Work from needs, not labels: medications that must be administered rule out social-model ALC licenses, wandering points to ALC-DC memory care, daily skilled nursing points to a nursing facility, and SSI-level income points toward personal care homes where State Supplementation applies.
Our comparisons put two options side by side, and the situation guides start from what just happened.
Which care types does Medicare or Kentucky Medicaid pay for?
Medicare pays for short skilled nursing stays after a qualifying inpatient admission, intermittent home health and hospice; Kentucky Medicaid pays for nursing facility care, and through the HCB waiver and PACE for services at home, but neither pays for assisted living or memory care.
State Supplementation, a separate state cash program, helps SSI-level residents of personal care homes and family care homes. VA Aid and Attendance can help veterans and surviving spouses with any of these costs.
Care types guides
Assisted living in the Louisville area
What Kentucky assisted living provides, the ALC, ALC-BH and ALC-DC licenses, the 2025 Kentucky median of $5,290/month, and how to find licensed Louisville-area communities.
Read →Memory care in the Louisville area
Memory care in Kentucky means an ALC-DC license and a secured dementia unit with dementia-trained staff. What it provides, what it costs and how to find licensed Louisville-area units.
Read →Personal care homes and family care homes
Kentucky personal care homes and family care homes provide supervision, meals and personal care, and are the settings State Supplementation helps pay for. Louisville-area roster and rules.
Read →Nursing homes in the Louisville area
Kentucky nursing facilities provide 24-hour nursing and rehab, are licensed by OIG and rated by CMS. 2025 Kentucky median $9,718/month semi-private. Louisville-area roster with CMS data.
Read →In-home care in the Louisville area
Kentucky licenses non-medical home care as personal services agencies and clinical care as home health agencies. 2025 Kentucky home care median about $32.50/hour. Louisville-area rosters.
Read →Hospice care in the Louisville area
Hospice in Kentucky is delivered at home, in assisted living or in nursing facilities by licensed hospice programs. What Medicare covers and how to choose a Louisville hospice.
Read →