What is a nursing home in Kentucky?
A Kentucky nursing home, or nursing facility, provides 24-hour licensed nursing care and rehabilitation under an OIG long-term-care license, and most are also certified by CMS for Medicare and Medicaid, which brings federal inspections and Care Compare star ratings.
OIG's long-term-care roster splits beds by type: NF (Medicaid nursing facility), NH (state-licensed nursing home), ICF, Alzheimer's and personal care. A few Louisville facilities hold only state NH beds and are not CMS-rated.
What does a nursing home cost in Kentucky?
CareScout's 2025 Kentucky medians are $116,618 a year (about $9,718 a month) for a semi-private room and $135,050 a year (about $11,254 a month) for a private room, both up more than 10% from 2024.
Medicare covers limited skilled stays after a qualifying inpatient admission; long stays are private pay, long-term care insurance or Kentucky Medicaid, which requires resources under $2,000 for one person.
How do I compare Louisville nursing homes?
Compare CMS's overall, health inspection, staffing and quality-measure ratings, then the latest inspection's deficiencies, nurse staffing hours per resident day and staff turnover, all of which our facility pages show for every CMS-certified nursing home in the seven counties.
Watch for the Special Focus Facility designation, which CMS gives nursing homes with persistent serious problems.
How many nursing homes are in the Louisville area?
OIG's long-term-care roster lists 56 nursing facility licenses in the seven Louisville-area counties (excluding a pediatric facility and intellectual-disability ICFs), 47 of which have CMS Care Compare records.
See them on the nursing home roster, sortable by CMS rating, beds and inspection date.
What should Louisville families ask a nursing home first?
Ask whether a long-term Medicaid bed is available, how many nurse aides cover your parent's hall on nights and weekends, who the attending physician is, and what changed after the latest inspection's deficiencies.
Bring the CMS figures with you; our facility pages show each certified home's staffing hours, turnover and fines.
Where is nursing homes licensed across the Louisville region?
Here is how OIG's October 2026 roster distributes nursing homes licenses across the seven KIPDA counties; capacity is the licensed units or beds OIG lists (agencies have no capacity figure).
| County | Licenses | Licensed capacity |
|---|---|---|
| Jefferson County | 46 | 4767 |
| Oldham County | 3 | 302 |
| Bullitt County | 2 | 178 |
| Shelby County | 2 | 175 |
| Spencer County | 1 | 120 |
| Henry County | 1 | 60 |
| Trimble County | 1 | 60 |
At a glance
| Nursing Homes in Kentucky is | Nursing Homes in Kentucky is not | |
|---|---|---|
| Care | 24-hour licensed nursing and rehab | Residential help only |
| Ratings | CMS stars and inspections | Unrated |
| Medicaid | Pays for eligible residents ($2,000 resource limit) | Free under Medicare for long stays |