Federal inspection record · CMS data as of October 1, 2026
Lexington Premier Nursing & Rehab
2770 Palumbo Drive, Lexington, KY · (859) 263-2410
- Certified beds
- 120
- Residents per day
- 114
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 25, 2007
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Kentucky.
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Staffing
★★★★★no change (already 1)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change (already 1)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Kentucky homes
Lexington Premier Nursing & Rehab carries 103.25 inspection points. That is fewer than 8% of Kentucky's 265 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Kentucky: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–2 pts
- 4★ 2–11 pts
- 3★ 11–22 pts
- 2★ 22–45 pts
- 1★ over 45 pts
Bars show every rated home in Kentucky by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
29 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (3)
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J
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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G
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Everything else, by area of care
Quality of Life and Care7F
- F
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Resident Rights5E
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Assessment and Care Planning5E
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Pharmacy Service4E
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Nutrition and Dietary2F
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control2E
- E
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
- D
Provide and implement an infection prevention and control program.
Nursing and Physician Services1E
- E
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Inspection history
2025-08-08
10 health deficiencies · 6 fire-safety deficiencies
Top issue: Resident Rights (4 deficiencies)
2023-01-28
17 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
2019-12-20
2 health deficiencies · 0 fire-safety deficiencies
Top issue: Pharmacy Service (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 24 min of nursing staff time a day, 13 min of it from a registered nurse.
This home
3 h 24 min
Kentucky average
3 h 59 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 50% of nursing staff and 69% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.3 pts worse | 2.2 | 1.9 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts worse | 2.4 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.4 pts worse | 88.7% | 94.1% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine9.2 pts worse | 87.0% | 96.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.3 pts better | 1.5% | 3.8% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms12 pts better | 6.9% | 18.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight8 pts worse | 14.6% | 6.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.4 pts better | 24.5% | 29.9% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.1 pts worse | 17.3% | 16.2% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened13.9 pts worse | 26.2% | 12.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3 pts worse | 16.2% | 13.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts worse | 0.7% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.8 pts worse | 3.3% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence7 pts worse | 25.3% | 18.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.5 pts worse | 8.2% | 4.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine34.2 pts worse | 50.3% | 84.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.6 pts worse | 14.8% | 13.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.5 pts worse | 3.1% | 1.6% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine23.7 pts worse | 60.0% | 83.7% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2 pts worse | 25.9% | 23.9% | 23.4% |
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Who owns and runs it
34 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| 2770 Palumbo Master Tenant LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| 2770 Palumbo Realty LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 1 facilities |
| 2770 Palumbo Realty LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Chafetz, Yisroel | Managing Control - Governing Body · Individual | 0% | 16 facilities |
| Chafetz, Yisroel | Operational/Managerial Control · Individual | 0% | 16 facilities |
| Chafetz, Yisroel | Adp Of The SNF · Individual | 0% | 16 facilities |
| Emerald Healthcare LLC | Operational/Managerial Control · Organization | 0% | 10 facilities |
| Emerald Healthcare LLC | Adp Of The SNF · Organization | 0% | 10 facilities |
| Evolve Therapy Services LLC | Operational/Managerial Control · Organization | 0% | 11 facilities |
| Evolve Therapy Services LLC | Adp Of The SNF · Organization | 0% | 11 facilities |
| Gitelis, Simcha | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 1 facilities |
| Gopin, Brian | Operational/Managerial Control · Individual | 0% | 12 facilities |
| Gopin, Brian | Adp Of The SNF · Individual | 0% | 12 facilities |
| Kop Trust | Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Lewis, Jessica | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Lewis, Jessica | Adp Of The SNF · Individual | 0% | 2 facilities |
| Lexington SNF Operations Holdings LLC | Direct Ownership Interest · Organization | 0% | 1 facilities |
| Lexington SNF Operations Holdings LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Limestone Fiscal Services LLC | Operational/Managerial Control · Organization | 0% | 11 facilities |
| Limestone Fiscal Services LLC | Adp Of The SNF · Organization | 0% | 11 facilities |
| Merch Pay Inc | Operational/Managerial Control · Organization | 0% | 9 facilities |
| Merch Pay Inc | Adp Of The SNF · Organization | 0% | 9 facilities |
| Phelps, Marsha | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Phelps, Marsha | Adp Of The SNF · Individual | 0% | 1 facilities |
| Private Bancorp Inc | Operational/Managerial Control · Organization | 0% | 6 facilities |
| Private Bancorp Inc | Adp Of The SNF · Organization | 0% | 6 facilities |
| Richard, John | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Richard, John | Adp Of The SNF · Individual | 0% | 5 facilities |
| Saul N Friedman & Company | Operational/Managerial Control · Organization | 0% | 13 facilities |
| Saul N Friedman & Company | Adp Of The SNF · Organization | 0% | 13 facilities |
| Wellsky Corporation | Operational/Managerial Control · Organization | 0% | 8 facilities |
| Wellsky Corporation | Adp Of The SNF · Organization | 0% | 8 facilities |
| Zimmet Healthcare Services Group LLC | Operational/Managerial Control · Organization | 0% | 15 facilities |
| Zimmet Healthcare Services Group LLC | Adp Of The SNF · Organization | 0% | 15 facilities |
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Fire safety
12 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4F
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Gas, Vacuum, and Electrical Systems4F
- E
Ensure proper usage of power strips and extension cords.
- E
Have proper medical gas storage and administration areas.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E
Ensure proper usage of power strips and extension cords.
Emergency Preparedness2F
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Develop and maintain an Emergency Preparedness Program (EP).
Miscellaneous2F
- F
Have simulated fire drills held at unexpected times.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
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Other homes nearby
-
The Willows at Hamburg
Lexington, KY · Trilogy Health Services
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 5 h 19 min
- Fines
- $61,627
-
Bluegrass Care & Rehabilitation Center
Lexington, KY · Signature Healthcare
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 36 min
- Fines
- $0
-
Mayfair Manor
Lexington, KY · Signature Healthcare
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 34 min
- Fines
- $33,602