Lexington Premier Nursing & Rehab — nursing home in Lexington, KY

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 120 CMS-certified beds (not state-licensed beds)
Licensed beds: 120 state-licensed beds · Kentucky Cabinet for Health and Family Services
State license: 100572 active · licensee LEXINGTON SNF OPERATIONSLLC
Average residents per day: 114.1 CMS, MDS-derived
CMS Certification Number: 185463
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): May 25, 2007
Ownership type: For profit - Limited Liability company
Operator (legal business name): Lexington SNF Operations LLC
CMS chain: Not part of a CMS-reported chain
Phone: (859) 263-2410
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Aug 8, 2025

Citations

41

29 health · 12 fire

Harm or worse

3

2 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J2	K·	L·
Actual harm	G1	H·	I·
Potential harm	D17	E14	F7
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 185463
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 120
First approved: May 25, 2007
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 30, 2026
Evidence: Verified

State license

Authority: Kentucky Cabinet for Health and Family Services, Office of Inspector General
License number: 100572
State facility ID: 100572
License type: Long-term care license (120 nursing facility beds)
License status: active
Licensed beds: 120
Link to CMS record: Linked by exact street address + ZIP Inferred
Licensee: LEXINGTON SNF OPERATIONSLLC
Current license: Mar 1, 2026 → Feb 28, 2027
As of: Oct 30, 2026
Evidence: Inferred source ↗

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Aug 8, 2025	Fire safety	Fire Safety Standard	6	Potential harm	—	Open →
Aug 8, 2025	Health	Health Complaint, Health Standard	10	Potential harm	—	Open →
Jan 28, 2023	Fire safety	Fire Safety Standard	6	Potential harm	—	Open →
Jan 28, 2023	Health	Health Standard	17	Immediate jeopardy	—	Open →
Dec 20, 2019	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Dec 20, 2019	Health	Health Standard	2	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J2	K·	L·
Actual harm	G1	H·	I·
Potential harm	D17	E14	F7
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Aug 8, 2025	E-0004	Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Sep 16, 2025
Aug 8, 2025	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 16, 2025
Aug 8, 2025	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Sep 16, 2025
Aug 8, 2025	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 16, 2025
Aug 8, 2025	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 16, 2025
Aug 8, 2025	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 16, 2025
Aug 8, 2025	F-0558	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Sep 16, 2025
Aug 8, 2025	F-0565	Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Sep 16, 2025
Aug 8, 2025	F-0584	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Sep 16, 2025	Complaint
Aug 8, 2025	F-0628	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Sep 16, 2025
Aug 8, 2025	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 16, 2025
Aug 8, 2025	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 16, 2025	Complaint
Aug 8, 2025	F-0761	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Sep 16, 2025
Aug 8, 2025	F-0804	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Sep 16, 2025
Aug 8, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Sep 16, 2025
Aug 8, 2025	F-0887	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. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Sep 16, 2025
Jan 28, 2023	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	J · Immediate jeopardy Isolated	Corrected Apr 11, 2023
Jan 28, 2023	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	J · Immediate jeopardy Isolated	Corrected Apr 11, 2023
Jan 28, 2023	F-0805	Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	G · Actual harm Isolated	Corrected Apr 11, 2023
Jan 28, 2023	E-0004	Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Apr 11, 2023
Jan 28, 2023	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 11, 2023
Jan 28, 2023	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 11, 2023
Jan 28, 2023	K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 11, 2023
Jan 28, 2023	K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 11, 2023
Jan 28, 2023	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 11, 2023
Jan 28, 2023	F-0580	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Apr 11, 2023
Jan 28, 2023	F-0636	Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 11, 2023
Jan 28, 2023	F-0655	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Apr 11, 2023
Jan 28, 2023	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Apr 11, 2023
Jan 28, 2023	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 11, 2023
Jan 28, 2023	F-0690	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 11, 2023
Jan 28, 2023	F-0692	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 11, 2023
Jan 28, 2023	F-0693	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. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 11, 2023
Jan 28, 2023	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	F · Potential harm Widespread	Corrected Apr 11, 2023
Jan 28, 2023	F-0698	Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 11, 2023
Jan 28, 2023	F-0727	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. Nursing and Physician Services Deficiencies · Staffing & supervision	E · Potential harm Pattern	Corrected Apr 11, 2023
Jan 28, 2023	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Apr 11, 2023
Jan 28, 2023	F-0761	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. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Apr 11, 2023
Jan 28, 2023	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Apr 11, 2023
Dec 20, 2019	F-0693	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. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 18, 2020
Dec 20, 2019	F-0761	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jan 18, 2020

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3

Health inspectionsstate 2.9

Staffingstate 2.8

Quality measuresstate 3.3

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.40

State avg 3.99US avg 3.90

Registered nurse (RN)0.22

State avg 0.80US avg 0.69

Licensed practical nurse1.02

State avg 0.80US avg 0.86

Nurse aide2.16

State avg 2.39US avg 2.35

Weekend total nurse3.29

State avg 3.48US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.51 (case-mix index 1.35).

Staff turnover

Total nursing staff turnover50.0%

State avg 45.4%US avg 45.3%

Registered nurse turnover69.2%

State avg 40.8%US avg 42.5%

Administrators who left1

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: Aug 8, 2025
Cycle 1 health score: 56
Total weighted score: 103.25

Operating entity

Lexington SNF Operations LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

34

Organizations

12

Individuals

12

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Lexington SNF Operations Holdings LLC	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Aug 28, 2025
Kop Trust	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Aug 28, 2025

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Lexington SNF Operations Holdings LLC	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Aug 28, 2025
Kop Trust	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Aug 28, 2025
Simcha Gitelis	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Sep 17, 2025
Yisroel Chafetz	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Aug 28, 2025
Emerald Healthcare LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 28, 2025
Evolve Therapy Services LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 28, 2025
Lexington SNF Operations Holdings LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 28, 2025
Limestone Fiscal Services LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 28, 2025
Merch Pay Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 28, 2025
Private Bancorp Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 28, 2025
Saul N Friedman & Company	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 28, 2025
Wellsky Corporation	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 28, 2025
Zimmet Healthcare Services Group LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 28, 2025
Yisroel Chafetz	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 28, 2025
Brian Gopin	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 28, 2025
Jessica Lewis	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 28, 2025
Marsha Phelps	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 28, 2025
John Richard	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 28, 2025
2770 Palumbo Realty LLC	Organization	Mortgage / security interest	5% OR GREATER MORTGAGE INTEREST	not provided	Aug 28, 2025
2770 Palumbo Master Tenant LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Sep 10, 2025
2770 Palumbo Realty LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Aug 28, 2025
Emerald Healthcare LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Nov 14, 2025
Evolve Therapy Services LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Nov 14, 2025
Limestone Fiscal Services LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Nov 14, 2025
Merch Pay Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Nov 14, 2025
Private Bancorp Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Nov 14, 2025
Saul N Friedman & Company	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Nov 14, 2025
Wellsky Corporation	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Nov 14, 2025
Zimmet Healthcare Services Group LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Nov 14, 2025
Yisroel Chafetz	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Aug 28, 2025
Brian Gopin	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Aug 28, 2025
Jessica Lewis	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Aug 28, 2025
Marsha Phelps	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Aug 28, 2025
John Richard	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Aug 28, 2025

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 2770 Palumbo Drive, Lexington, KY 40509
ZIP: 40509
County: Fayette County FIPS 21067
State: Kentucky
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
The Willows at Hamburg 2531 Old Rosebud Road, Lexington, KY 40509 CCN 185470	2.4 km	64	Jul 10, 2026	172 IJ	$62k
Bluegrass Care & Rehabilitation Center 3576 Pimlico Parkway, Lexington, KY 40517 CCN 185446	4.4 km	124	Jul 16, 2026	18	—
Mayfair Manor 3300 Tates Creek Road, Lexington, KY 40502 CCN 185069	5.4 km	98	Feb 12, 2026	313 IJ	$34k
Hartland Park Health & Rehabilitation 1500 Trent Boulevard, Lexington, KY 40515 CCN 185197	5.7 km	150	Jul 2, 2026	452 harm	$13k
Sayre Christian Village Nursing Home 3775 Belleau Wood Drive, Lexington, KY 40517 CCN 185248	7.2 km	164	May 15, 2026	282 harm	$7,901
Lexington Country Place 700 Mason Headley Road, Lexington, KY 40504 CCN 185160	8.7 km	111	May 1, 2026	302 IJ1 harm	$18k
The Willows at Fritz Farm 2710 Man O War Boulevard, Lexington, KY 40515 CCN 185482	8.9 km	54	May 15, 2026	10	—
The Willows at Citation 1376 Silver Springs Drive, Lexington, KY 40511 CCN 185474	9.4 km	54	Apr 9, 2026	10	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	185463	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	185463	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026
Kentucky OIG Long Term Care Directory KY	100572	state_license, licensed_beds, licensee Linked to the CMS record by exact normalized street address and ZIP (the state roster does not publish the CCN).	Inferred	Oct 30, 2026	Nov 7, 2026

Record-level source links for CCN 185463

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction