2770 Palumbo Drive, Lexington, KY 40509 (opens Google Maps) · Fayette County · (859) 263-2410· 120 certified beds · avg 116 residents/day · certified since May 25, 2007 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
New to these records? How to read an inspection report →
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
▲ Immediate jeopardy, isolated · Sep 5, 2023 · F-0656 · triggered by a complaint
The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Why it matters: Without a complete, working care plan, important needs can slip through the cracks and no one is accountable for results.
Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Oct 3, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, isolated · Sep 5, 2023 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Oct 3, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, isolated · Jan 28, 2023 · F-0656
The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Why it matters: Without a complete, working care plan, important needs can slip through the cracks and no one is accountable for results.
Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Apr 11, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, isolated · Jan 28, 2023 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Apr 11, 2023 (Deficient, Provider has date of correction)
▲ Actual harm, pattern · Sep 5, 2023 · F-0835 · triggered by a complaint
The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents.
Why it matters: Poor administration often shows up as understaffing, supply shortages, and care problems across the whole facility.
Severity (H): Actual harm was cited, below immediate jeopardy. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Oct 3, 2023 (Deficient, Provider has date of correction)
▲ Actual harm, pattern · Sep 5, 2023 · F-0867 · triggered by a complaint
The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
Why it matters: Without a working quality program, the same care problems tend to repeat instead of getting fixed.
Severity (H): Actual harm was cited, below immediate jeopardy. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Oct 3, 2023 (Deficient, Provider has date of correction)
▲ Actual harm, isolated · Jan 28, 2023 · F-0805
The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems.
Why it matters: Food served in the wrong texture can cause choking or lead residents to stop eating and lose weight.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Apr 11, 2023 (Deficient, Provider has date of correction)
Showing the latest 3 of 42 inspection findings. Open the full record below to read every finding.
The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. F-0565
The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint F-0584
The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. F-0804
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Aug 8, 2025 | E · Potential for more than minimal harm, pattern | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. · F-0565 |
| Aug 8, 2025 | E · Potential for more than minimal harm, pattern | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint · F-0584 |
| Aug 8, 2025 | E · Potential for more than minimal harm, pattern | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804 |
| Aug 8, 2025 | E · Potential for more than minimal harm, pattern | The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. · F-0887 |
| Aug 8, 2025 | D · Potential for more than minimal harm, isolated | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · F-0558 |
| Aug 8, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). · F-0628 |
| Aug 8, 2025 | D · Potential for more than minimal harm, isolated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656 |
| Aug 8, 2025 | D · Potential for more than minimal harm, isolated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint · F-0658 |
| Aug 8, 2025 | D · Potential for more than minimal harm, isolated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761 |
| Aug 8, 2025 | D · Potential for more than minimal harm, isolated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Sep 5, 2023 | ▲ J · Immediate jeopardy, isolated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint · F-0656 |
| Sep 5, 2023 | ▲ J · Immediate jeopardy, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689 |
| Sep 5, 2023 | ▲ H · Actual harm, pattern | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · from a complaint · F-0835 |
| Sep 5, 2023 | ▲ H · Actual harm, pattern | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · from a complaint · F-0867 |
| Sep 5, 2023 | F · Potential for more than minimal harm, widespread | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint · F-0725 |
| Sep 5, 2023 | F · Potential for more than minimal harm, widespread | The facility did not designate a physician to serve as medical director — the doctor responsible for overseeing resident care policies and coordinating medical care across the facility. · from a complaint · F-0841 |
| Sep 5, 2023 | E · Potential for more than minimal harm, pattern | The facility did not make sure residents actually saw their doctor face-to-face at all required visits. Doctors must examine nursing home residents in person on a regular schedule. · from a complaint · F-0712 |
| Sep 5, 2023 | D · Potential for more than minimal harm, isolated | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · from a complaint · F-0578 |
| Sep 5, 2023 | D · Potential for more than minimal harm, isolated | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint · F-0602 |
| Sep 5, 2023 | D · Potential for more than minimal harm, isolated | The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out. · from a complaint · F-0622 |
| Sep 5, 2023 | D · Potential for more than minimal harm, isolated | The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition. · from a complaint · F-0638 |
| Sep 5, 2023 | D · Potential for more than minimal harm, isolated | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint · F-0760 |
| Sep 5, 2023 | D · Potential for more than minimal harm, isolated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint · F-0761 |
| Jan 28, 2023 | ▲ J · Immediate jeopardy, isolated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656 |
| Jan 28, 2023 | ▲ J · Immediate jeopardy, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Jan 28, 2023 | ▲ G · Actual harm, isolated | The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. · F-0805 |
| Jan 28, 2023 | F · Potential for more than minimal harm, widespread | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695 |
| Jan 28, 2023 | F · Potential for more than minimal harm, widespread | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Jan 28, 2023 | E · Potential for more than minimal harm, pattern | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · F-0655 |
| Jan 28, 2023 | E · Potential for more than minimal harm, pattern | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657 |
| Jan 28, 2023 | E · Potential for more than minimal harm, pattern | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. · F-0727 |
| Jan 28, 2023 | E · Potential for more than minimal harm, pattern | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761 |
| Jan 28, 2023 | D · Potential for more than minimal harm, isolated | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · F-0580 |
| Jan 28, 2023 | D · Potential for more than minimal harm, isolated | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. · F-0636 |
| Jan 28, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Jan 28, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690 |
| Jan 28, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692 |
| Jan 28, 2023 | D · Potential for more than minimal harm, isolated | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. · F-0693 |
| Jan 28, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698 |
| Jan 28, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755 |
| Dec 20, 2019 | D · Potential for more than minimal harm, isolated | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. · F-0693 |
| Dec 20, 2019 | D · Potential for more than minimal harm, isolated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761 |
Citations from standard inspections decreased between the last two inspection cycles (17 → 10).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 2 | 0 | D |
| 2023 | 30 | 7 | J ▲ |
| 2025 | 10 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
How to file a complaint about care →
1 fine totaling $240,331, plus 1 Medicare payment denial period.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
| Date | Type | Amount / length |
|---|---|---|
| Sep 5, 2023 | Fine | $240,331 |
| Sep 5, 2023 | Payment Denial | 25 days from Sep 8, 2023 |
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Kentucky avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.71 | 3.71 | 3.95 | top 35% in Kentucky; bottom 47% in the U.S. |
| Registered Nurse hours | 0.23 | 0.74 | 0.69 | bottom 1% in Kentucky; bottom 4% in the U.S. |
| Weekend total nurse staffing | 3.52 | 3.27 | 3.50 | top 23% in Kentucky; top 41% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.16 | 0.53 | 0.48 | bottom 4% in Kentucky; bottom 6% in the U.S. |
| Total nursing staff turnover (%) | 53.2 | 46.4 | 45.8 | bottom 24% in Kentucky; bottom 29% in the U.S. |
| RN turnover (%) | 72.2 | 41.8 | 42.9 | bottom 8% in Kentucky; bottom 10% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.54, RN 0.21, weekend 3.36.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.54 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 1/5 · long-stay residents: 2/5 · short-stay residents: 1/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Lexington Premier Nursing & Rehab. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Kop Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 08/28/2025 |
| Lexington SNF Operations Holdings LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 08/28/2025 |
| 2770 Palumbo Master Tenant LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/10/2025 |
| 2770 Palumbo Realty LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 08/28/2025 |
| 2770 Palumbo Realty LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/28/2025 |
| Chafetz, Yisroel | Individual | Managing Control - Governing Body | NOT APPLICABLE | 08/28/2025 |
| Chafetz, Yisroel | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/28/2025 |
| Chafetz, Yisroel | Individual | ADP of the SNF | NOT APPLICABLE | 08/28/2025 |
| Emerald Healthcare LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/28/2025 |
| Emerald Healthcare LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/14/2025 |
| Evolve Therapy Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/28/2025 |
| Evolve Therapy Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/14/2025 |
| Gitelis, Simcha | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 09/17/2025 |
| Gopin, Brian | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/28/2025 |
| Gopin, Brian | Individual | ADP of the SNF | NOT APPLICABLE | 08/28/2025 |
| Lewis, Jessica | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/28/2025 |
| Lewis, Jessica | Individual | ADP of the SNF | NOT APPLICABLE | 08/28/2025 |
| Lexington SNF Operations Holdings LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/28/2025 |
| Limestone Fiscal Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/28/2025 |
| Limestone Fiscal Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/14/2025 |
Showing 20 of 34 parties CMS has on file for this facility; 14 are not displayed. The full list is in the CMS Ownership dataset.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| The Willows at Hamburg | 1.5 mi | Lexington, KY | ★★★☆☆ | 2/5 | |
| Bluegrass Care & Rehabilitation Center | 2.7 mi | Lexington, KY | ★★★★☆ | 4/5 | |
| Mayfair Manor | 3.3 mi | Lexington, KY | ★☆☆☆☆ | 1/5 | |
| Hartland Park Health & Rehabilitation | 3.6 mi | Lexington, KY | ★☆☆☆☆ | 1/5 | |
| Sayre Christian Village Nursing Home | 4.5 mi | Lexington, KY | ★☆☆☆☆ | 2/5 | |
| Lexington Country Place | 5.4 mi | Lexington, KY | ★☆☆☆☆ | 1/5 | |
| The Willows at Fritz Farm | 5.5 mi | Lexington, KY | ★★★☆☆ | 3/5 | |
| The Willows at Citation | 5.8 mi | Lexington, KY | ★★★★☆ | 3/5 | |
| Pine Meadows Post Acute | 6.0 mi | Lexington, KY | ★★☆☆☆ | 3/5 | |
| Homestead Post Acute | 6.0 mi | Lexington, KY | ★★★★☆ | 3/5 | |
| Cambridge Nursing & Rehabilitation Center | 6.9 mi | Lexington, KY | ★★☆☆☆ | 2/5 | |
| Nicholasville Nursing and Rehabilitation | 11.0 mi | Nicholasville, KY | ★☆☆☆☆ | 2/5 |
Facility data as of CMS processing date 2026-08-01. CCN 185463.
This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).
May we use Google Analytics cookies to measure visits and pages viewed? Optional — every feature works without them. Privacy details