Skilled nursing facility · CMS certification number 185463

Lexington Premier Nursing & Rehab

Lexington, Kentucky · Medicare and Medicaid

Certified beds, as filed in Care Compare: 120

A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.

In Care Compare’s provider information: Penalties: 2 · Fines: 1 · Fines, total amount: $240,331.00 · Payment denials: 1. The most recent penalty on file: September 5, 2023, Fine, $240,331. Every penalty on file ↓

For this facility: the citable document with full history — $295 · an email when this record changes — $99/month

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, as submitted, processed by CMS on June 10, 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$15,945,743	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$939,479	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$15,006,264	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$13,254,845	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,751,419	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$13,005	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,764,424	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,764,424 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	43,920	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	3,895	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	31,317	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	5,056	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	40,268	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	59	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	279	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	58	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	396	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	66.02	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	112.25	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	101.69	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1427710, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended December 31, 2023

Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 15, 2025.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$12,609,376	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$631,578	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,977,798	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,445,512	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$467,714	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$5,591	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$462,123	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$462,123 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	37,830	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	362	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	54.64	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	109.67	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	104.5	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1421855, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended December 31, 2022

Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 16, 2024.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$10,813,004	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$800,551	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,012,453	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,740,004	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,727,551	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$27,089	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,700,462	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,700,462 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	31,992	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	390	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	36.06	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	151.66	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	82.03	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1396365, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended September 30, 2021

Cost report for January 1, 2021 to September 30, 2021 — a reporting period of 272 days, not a full year, on form CMS-2540-10, settled, processed by CMS on January 17, 2023.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$8,233,913	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,872,471	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,361,442	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,218,435	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,856,993	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$147,611	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,709,382	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,709,382 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,627	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	161	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	37.21	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	134.33	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1340087, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended December 31, 2020

Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 26, 2023.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$11,619,383	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,911,262	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,708,121	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,309,258	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$2,601,137	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$162,592	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$2,438,545	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,438,545 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	30,219	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	256	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	36.74	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	118.04	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1341001, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended December 31, 2019

Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 15, 2021.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$12,875,065	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,578,598	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,296,467	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$14,229,478	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$4,933,011	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,570	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$4,930,441	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$4,930,441 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	31,947	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	369	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	36.97	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	86.58	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1282471, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended December 31, 2018

Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 24, 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$12,394,410	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,659,693	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,734,717	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,445,914	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$2,711,197	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,254	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$2,709,943	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,709,943 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	30,882	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	334	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	31.72	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	92.46	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1244842, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended December 31, 2017

Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 20, 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$12,659,055	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,057,505	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,601,550	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$10,785,864	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,184,314	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,987	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,181,327	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,181,327 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	29,305	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	493	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	32.99	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	59.44	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1212047, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended December 31, 2016

Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on February 8, 2018.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$13,784,798	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,121,014	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,663,784	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,793,390	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$2,129,606	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$5,314	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$2,124,292	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,124,292 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	27,421	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	786	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	27.13	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	34.89	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1183504, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended December 31, 2015

Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 30, 2017.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$14,960,421	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,838,937	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$12,121,484	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,833,567	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$712,083	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,585	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$709,498	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$709,498 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	35,459	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	873	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	26.82	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	40.62	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1179051, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended December 31, 2014

Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 25, 2016.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$15,521,408	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,589,652	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$12,931,756	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$13,104,449	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$172,693	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$3,979	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$176,672	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$176,672 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	38,270	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	772	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	31.34	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	49.57	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1119526, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended December 31, 2013

Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 12, 2015.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$14,228,561	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,970,645	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$12,257,916	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,299,099	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$41,183	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$7,192	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$33,991	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$33,991 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	36,816	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	722	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	26.76	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	50.99	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1096131, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended December 31, 2012

Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on December 1, 2014.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$12,602,096	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$380,052	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$12,222,044	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,739,228	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$482,816	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$12,639	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$495,455	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $495,455 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	37,456	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	1,136	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	29.75	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	32.97	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1081254, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended December 31, 2011

Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 30, 2013.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$9,412,997	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$494,931	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$9,907,928	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,121,943	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$785,985	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$10,683	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$796,668	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $796,668 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	120	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	30,544	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	698	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	32.08	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	43.76	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1044381, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2010, ended December 31, 2010

Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 8, 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$9,113,958	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$7,929,211	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$1,184,747	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$7,319	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $1,192,066 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
Figure	As filed	Where it comes from
Total facility beds, all components	90	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	30,913	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	160	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	93.21	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	193.21	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 414807, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended December 31, 2009

Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 27, 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$5,354,557	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$6,126,650	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$772,093	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$4,497	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$767,596 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
Figure	As filed	Where it comes from
Total facility beds, all components	90	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	19,580	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	160	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	65.43	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	122.38	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 386530, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended December 31, 2008

Cost report for January 1, 2008 to December 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on August 13, 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$2,522,831	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,146,218	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$623,387	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$5,184	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$618,203 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
Figure	As filed	Where it comes from
Total facility beds, all components	32	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	10,734	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	96	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	35.79	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	111.81	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 354526, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended December 31, 2007

Cost report for May 25, 2007 to December 31, 2007 — a reporting period of 220 days, not a full year, on form CMS-2540-96, settled, processed by CMS on January 20, 2009.

None of these figures is carried on this report.

CMS report record 331558, read from the public cost report file SNFFY2007.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed (Care Compare ownership).

Owner or manager	Role	Type	Ownership percentage	Association
2770 PALUMBO REALTY LLC	5% OR GREATER MORTGAGE INTEREST	Organization	NOT APPLICABLE	since 08/28/2025
2770 PALUMBO MASTER TENANT LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 09/10/2025
2770 PALUMBO REALTY LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 08/28/2025
CHAFETZ, YISROEL	ADP OF THE SNF	Individual	NOT APPLICABLE	since 08/28/2025
EMERALD HEALTHCARE LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 11/14/2025
EVOLVE THERAPY SERVICES LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 11/14/2025
GOPIN, BRIAN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 08/28/2025
LEWIS, JESSICA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 08/28/2025
LIMESTONE FISCAL SERVICES LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 11/14/2025
MERCH PAY INC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 11/14/2025
PHELPS, MARSHA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 08/28/2025
PRIVATE BANCORP INC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 11/14/2025
RICHARD, JOHN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 08/28/2025
SAUL N FRIEDMAN & COMPANY	ADP OF THE SNF	Organization	NOT APPLICABLE	since 11/14/2025
WELLSKY CORPORATION	ADP OF THE SNF	Organization	NOT APPLICABLE	since 11/14/2025
ZIMMET HEALTHCARE SERVICES GROUP LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 11/14/2025
LEXINGTON SNF OPERATIONS HOLDINGS LLC	DIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 08/28/2025
KOP TRUST	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 08/28/2025
GITELIS, SIMCHA	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	Individual	NOT APPLICABLE	since 09/17/2025
CHAFETZ, YISROEL	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 08/28/2025
CHAFETZ, YISROEL	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 08/28/2025
EMERALD HEALTHCARE LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 08/28/2025
EVOLVE THERAPY SERVICES LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 08/28/2025
GOPIN, BRIAN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 08/28/2025
LEWIS, JESSICA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 08/28/2025
LEXINGTON SNF OPERATIONS HOLDINGS LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 08/28/2025
LIMESTONE FISCAL SERVICES LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 08/28/2025
MERCH PAY INC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 08/28/2025
PHELPS, MARSHA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 08/28/2025
PRIVATE BANCORP INC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 08/28/2025
RICHARD, JOHN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 08/28/2025
SAUL N FRIEDMAN & COMPANY	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 08/28/2025
WELLSKY CORPORATION	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 08/28/2025
ZIMMET HEALTHCARE SERVICES GROUP LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 08/28/2025

Medicare enrollment

As filed (Medicare enrollment ownership), under the enrollment of LEXINGTON SNF OPERATIONS LLC (enrollment ID O20251215002028).

CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
2770 PALUMBO REALTY LLC	Organization	5% OR GREATER MORTGAGE INTEREST	100	8/28/2025	Private equity company: No Real estate investment trust: No Holding company: No
2770 PALUMBO MASTER TENANT LLC	Organization	ADP OF THE SNF	Not stated in the filing	9/10/2025	Private equity company: No Real estate investment trust: No Holding company: No
2770 PALUMBO REALTY LLC	Organization	ADP OF THE SNF	Not stated in the filing	8/28/2025	Private equity company: No Real estate investment trust: No Holding company: No
BRIAN GOPIN	Individual	ADP OF THE SNF	Not stated in the filing	8/28/2025	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
EMERALD HEALTHCARE LLC	Organization	ADP OF THE SNF	Not stated in the filing	11/14/2025	Private equity company: No Real estate investment trust: No Holding company: No
EVOLVE THERAPY SERVICES LLC	Organization	ADP OF THE SNF	Not stated in the filing	11/14/2025	Private equity company: No Real estate investment trust: No Holding company: No
JESSICA LEWIS	Individual	ADP OF THE SNF	Not stated in the filing	8/28/2025	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
JOHN W RICHARD	Individual	ADP OF THE SNF	Not stated in the filing	8/28/2025	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
LIMESTONE FISCAL SERVICES LLC	Organization	ADP OF THE SNF	Not stated in the filing	11/14/2025	Private equity company: No Real estate investment trust: No Holding company: No
MARSHA PHELPS	Individual	ADP OF THE SNF	Not stated in the filing	8/28/2025	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
MERCH PAY INC	Organization	ADP OF THE SNF	Not stated in the filing	11/14/2025	Private equity company: No Real estate investment trust: No Holding company: No
PRIVATE BANCORP INC	Organization	ADP OF THE SNF	Not stated in the filing	11/14/2025	Private equity company: No Real estate investment trust: No Holding company: No
SAUL N FRIEDMAN & COMPANY	Organization	ADP OF THE SNF	Not stated in the filing	11/14/2025	Private equity company: No Real estate investment trust: No Holding company: No
WELLSKY CORPORATION	Organization	ADP OF THE SNF	Not stated in the filing	11/14/2025	Private equity company: No Real estate investment trust: No Holding company: No
YISROEL I CHAFETZ	Individual	ADP OF THE SNF	Not stated in the filing	8/28/2025	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
ZIMMET HEALTHCARE SERVICES GROUP LLC	Organization	ADP OF THE SNF	Not stated in the filing	11/14/2025	Private equity company: No Real estate investment trust: No Holding company: No
No owner named in the filing	Organization	ADP OF THE SNF	Not stated in the filing	11/13/2025	Private equity company: No Real estate investment trust: No Holding company: No
No owner named in the filing	Organization	ADP OF THE SNF	Not stated in the filing	8/28/2025	Private equity company: No Real estate investment trust: No Holding company: No
No owner named in the filing	Individual	ADP OF THE SNF	Not stated in the filing	8/28/2025	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
No owner named in the filing	Organization	ADP OF THE SNF	Not stated in the filing	8/28/2025	Private equity company: No Real estate investment trust: No Holding company: Yes
No owner named in the filing	Individual	ADP OF THE SNF	Not stated in the filing	8/28/2025	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
No owner named in the filing	Organization	ADP OF THE SNF	Not stated in the filing	11/6/2025	Private equity company: No Real estate investment trust: No Holding company: No
No owner named in the filing	Individual	ADP OF THE SNF	Not stated in the filing	8/28/2025	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
No owner named in the filing	Organization	ADP OF THE SNF	Not stated in the filing	8/28/2025	Private equity company: No Real estate investment trust: No Holding company: Yes
No owner named in the filing	Organization	ADP OF THE SNF	Not stated in the filing	8/28/2025	Private equity company: No Real estate investment trust: No Holding company: No
No owner named in the filing	Organization	ADP OF THE SNF	Not stated in the filing	8/28/2025	Private equity company: No Real estate investment trust: No Holding company: Yes
No owner named in the filing	Organization	ADP OF THE SNF	Not stated in the filing	8/28/2025	Private equity company: No Real estate investment trust: No Holding company: No
LEXINGTON SNF OPERATIONS HOLDINGS LLC	Organization	DIRECT OWNERSHIP INTEREST	100	8/28/2025	Private equity company: No Real estate investment trust: No Holding company: Yes
KOP TRUST	Organization	INDIRECT OWNERSHIP INTEREST	99	8/28/2025	Private equity company: No Real estate investment trust: No Holding company: No
No owner named in the filing	Organization	INDIRECT OWNERSHIP INTEREST	1	8/28/2025	Private equity company: No Real estate investment trust: No Holding company: No
No owner named in the filing	Organization	INDIRECT OWNERSHIP INTEREST	1	8/28/2025	Private equity company: No Real estate investment trust: No Holding company: No
YISROEL I CHAFETZ	Individual	MANAGING CONTROL - GOVERNING BODY	Not stated in the filing	8/28/2025	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
BRIAN GOPIN	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	8/28/2025	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
EMERALD HEALTHCARE LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	8/28/2025	Private equity company: No Real estate investment trust: No Holding company: No
EVOLVE THERAPY SERVICES LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	8/28/2025	Private equity company: No Real estate investment trust: No Holding company: No
JESSICA LEWIS	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	8/28/2025	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
JOHN W RICHARD	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	8/28/2025	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
LEXINGTON SNF OPERATIONS HOLDINGS LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	8/28/2025	Private equity company: No Real estate investment trust: No Holding company: Yes
LIMESTONE FISCAL SERVICES LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	8/28/2025	Private equity company: No Real estate investment trust: No Holding company: No
MARSHA PHELPS	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	8/28/2025	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
MERCH PAY INC	Organization	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	8/28/2025	Private equity company: No Real estate investment trust: No Holding company: No
PRIVATE BANCORP INC	Organization	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	8/28/2025	Private equity company: No Real estate investment trust: No Holding company: No
SAUL N FRIEDMAN & COMPANY	Organization	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	8/28/2025	Private equity company: No Real estate investment trust: No Holding company: No
WELLSKY CORPORATION	Organization	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	8/28/2025	Private equity company: No Real estate investment trust: No Holding company: No
YISROEL I CHAFETZ	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	8/28/2025	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
ZIMMET HEALTHCARE SERVICES GROUP LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	8/28/2025	Private equity company: No Real estate investment trust: No Holding company: No

Changes in ownership

August 1, 2026: JW KENTUCKY OPERATIONS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: BECKY S STOCKER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: JACOB I WALDEN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: JACOB I WALDEN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: JACOB I WALDEN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: EMERALD HEALTHCARE LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since November 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: EMERALD HEALTHCARE LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: WELLSKY CORPORATION (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since November 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: WELLSKY CORPORATION (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: MERCH PAY INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since November 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: MERCH PAY INC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: ZIMMET HEALTHCARE SERVICES GROUP LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since November 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: ZIMMET HEALTHCARE SERVICES GROUP LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: 2770 PALUMBO REALTY LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: 2770 PALUMBO REALTY LLC (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: 2770 PALUMBO MASTER TENANT LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since September 10, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: A listing under INDIRECT OWNERSHIP INTEREST, with no owner named, first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: SAUL N FRIEDMAN & COMPANY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since November 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: SAUL N FRIEDMAN & COMPANY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: MARSHA PHELPS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: MARSHA PHELPS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: KOP TRUST (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: LIMESTONE FISCAL SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since November 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: LIMESTONE FISCAL SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: BRIAN GOPIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: BRIAN GOPIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: YISROEL I CHAFETZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: YISROEL I CHAFETZ (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: YISROEL I CHAFETZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: JESSICA LEWIS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: JESSICA LEWIS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: LEXINGTON SNF OPERATIONS HOLDINGS LLC (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: LEXINGTON SNF OPERATIONS HOLDINGS LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: JOHN W RICHARD (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: JOHN W RICHARD (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since November 13, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: EVOLVE THERAPY SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since November 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: EVOLVE THERAPY SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: PRIVATE BANCORP INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since November 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: PRIVATE BANCORP INC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv

Recent changes on this record

August 1, 2026: JW KENTUCKY OPERATIONS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: BECKY S STOCKER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: JACOB I WALDEN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: JACOB I WALDEN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: JACOB I WALDEN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: EMERALD HEALTHCARE LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since November 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: EMERALD HEALTHCARE LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: WELLSKY CORPORATION (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since November 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: WELLSKY CORPORATION (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: MERCH PAY INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since November 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: MERCH PAY INC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: ZIMMET HEALTHCARE SERVICES GROUP LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since November 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: ZIMMET HEALTHCARE SERVICES GROUP LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: 2770 PALUMBO REALTY LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: 2770 PALUMBO REALTY LLC (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: 2770 PALUMBO MASTER TENANT LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since September 10, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: A listing under INDIRECT OWNERSHIP INTEREST, with no owner named, first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: SAUL N FRIEDMAN & COMPANY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since November 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: SAUL N FRIEDMAN & COMPANY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: MARSHA PHELPS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: MARSHA PHELPS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: KOP TRUST (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: LIMESTONE FISCAL SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since November 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: LIMESTONE FISCAL SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: BRIAN GOPIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: BRIAN GOPIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: YISROEL I CHAFETZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: YISROEL I CHAFETZ (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: YISROEL I CHAFETZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: JESSICA LEWIS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: JESSICA LEWIS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: LEXINGTON SNF OPERATIONS HOLDINGS LLC (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: LEXINGTON SNF OPERATIONS HOLDINGS LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: JOHN W RICHARD (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: JOHN W RICHARD (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since November 13, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: EVOLVE THERAPY SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since November 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: EVOLVE THERAPY SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: PRIVATE BANCORP INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since November 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
August 1, 2026: PRIVATE BANCORP INC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2026; associated with this enrollment since August 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	August 8, 2025	August 8, 2025	10	6
2	January 28, 2023	January 28, 2023	17	6
3	December 20, 2019	December 20, 2019	15	0

From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.

Deficiencies cited

42 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
August 8, 2025	Health	F 0558	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	D	No	Deficient, Provider has date of correction	September 16, 2025
August 8, 2025	Health	F 0565	Resident Rights Deficiencies	Honor the resident's right to organize and participate in resident/family groups in the facility.	E	No	Deficient, Provider has date of correction	September 16, 2025
August 8, 2025	Health	F 0584	Resident Rights Deficiencies	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.	E	Yes	Deficient, Provider has date of correction	September 16, 2025
August 8, 2025	Health	F 0628	Resident Rights Deficiencies	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.	D	No	Deficient, Provider has date of correction	September 16, 2025
August 8, 2025	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	No	Deficient, Provider has date of correction	September 16, 2025
August 8, 2025	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D	Yes	Deficient, Provider has date of correction	September 16, 2025
August 8, 2025	Health	F 0761	Pharmacy Service Deficiencies	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	No	Deficient, Provider has date of correction	September 16, 2025
August 8, 2025	Health	F 0804	Nutrition and Dietary Deficiencies	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	E	No	Deficient, Provider has date of correction	September 16, 2025
August 8, 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	September 16, 2025
August 8, 2025	Health	F 0887	Infection Control Deficiencies	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.	E	No	Deficient, Provider has date of correction	September 16, 2025
September 5, 2023	Health	F 0578	Resident Rights Deficiencies	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.	D	Yes	Deficient, Provider has date of correction	October 3, 2023
September 5, 2023	Health	F 0602	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from the wrongful use of the resident's belongings or money.	D	Yes	Deficient, Provider has date of correction	October 3, 2023
September 5, 2023	Health	F 0622	Resident Rights Deficiencies	Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.	D	Yes	Deficient, Provider has date of correction	October 3, 2023
September 5, 2023	Health	F 0638	Resident Assessment and Care Planning Deficiencies	Assure that each resident’s assessment is updated at least once every 3 months.	D	Yes	Deficient, Provider has date of correction	October 3, 2023
September 5, 2023	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	J	Yes	Deficient, Provider has date of correction	October 3, 2023
September 5, 2023	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	J	Yes	Deficient, Provider has date of correction	October 3, 2023
September 5, 2023	Health	F 0712	Nursing and Physician Services Deficiencies	Ensure that the resident and his/her doctor meet face-to-face at all required visits.	E	Yes	Deficient, Provider has date of correction	October 3, 2023
September 5, 2023	Health	F 0725	Nursing and Physician Services Deficiencies	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.	F	Yes	Deficient, Provider has date of correction	October 3, 2023
September 5, 2023	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	D	Yes	Deficient, Provider has date of correction	October 3, 2023
September 5, 2023	Health	F 0761	Pharmacy Service Deficiencies	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	Yes	Deficient, Provider has date of correction	October 3, 2023
September 5, 2023	Health	F 0835	Administration Deficiencies	Administer the facility in a manner that enables it to use its resources effectively and efficiently.	H	Yes	Deficient, Provider has date of correction	October 3, 2023
September 5, 2023	Health	F 0841	Nursing and Physician Services Deficiencies	Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.	F	Yes	Deficient, Provider has date of correction	October 3, 2023
September 5, 2023	Health	F 0867	Administration Deficiencies	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.	H	Yes	Deficient, Provider has date of correction	October 3, 2023
January 28, 2023	Health	F 0580	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D	No	Deficient, Provider has date of correction	April 11, 2023
January 28, 2023	Health	F 0636	Resident Assessment and Care Planning Deficiencies	Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.	D	No	Deficient, Provider has date of correction	April 11, 2023
January 28, 2023	Health	F 0655	Resident Assessment and Care Planning Deficiencies	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	E	No	Deficient, Provider has date of correction	April 11, 2023
January 28, 2023	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	J	No	Deficient, Provider has date of correction	April 11, 2023
January 28, 2023	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	E	No	Deficient, Provider has date of correction	April 11, 2023
January 28, 2023	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	No	Deficient, Provider has date of correction	April 11, 2023
January 28, 2023	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	J	No	Deficient, Provider has date of correction	April 11, 2023
January 28, 2023	Health	F 0690	Quality of Life and Care Deficiencies	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	No	Deficient, Provider has date of correction	April 11, 2023
January 28, 2023	Health	F 0692	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	D	No	Deficient, Provider has date of correction	April 11, 2023
January 28, 2023	Health	F 0693	Quality of Life and Care Deficiencies	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	No	Deficient, Provider has date of correction	April 11, 2023
January 28, 2023	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	F	No	Deficient, Provider has date of correction	April 11, 2023
January 28, 2023	Health	F 0698	Quality of Life and Care Deficiencies	Provide safe, appropriate dialysis care/services for a resident who requires such services.	D	No	Deficient, Provider has date of correction	April 11, 2023
January 28, 2023	Health	F 0727	Nursing and Physician Services Deficiencies	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.	E	No	Deficient, Provider has date of correction	April 11, 2023
January 28, 2023	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D	No	Deficient, Provider has date of correction	April 11, 2023
January 28, 2023	Health	F 0761	Pharmacy Service Deficiencies	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	No	Deficient, Provider has date of correction	April 11, 2023
January 28, 2023	Health	F 0805	Nutrition and Dietary Deficiencies	Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.	G	No	Deficient, Provider has date of correction	April 11, 2023
January 28, 2023	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	April 11, 2023
December 20, 2019	Health	F 0693	Quality of Life and Care Deficiencies	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	No	Deficient, Provider has date of correction	January 18, 2020
December 20, 2019	Health	F 0761	Pharmacy Service Deficiencies	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	No	Deficient, Provider has date of correction	January 18, 2020

From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.

Penalties

Penalty date	Type	Fine amount	Payment denial began	Payment denial, days	Fine ID
September 5, 2023	Fine	$240,331			24077
September 5, 2023	Payment Denial		September 8, 2023	25

From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on August 1, 2026.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Limited Liability company
Legal Business Name	LEXINGTON SNF OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid Services	2007-05-25
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Fayette
Telephone Number	8592632410
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Resident
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	120
Average Number of Residents per Day	115.8
Overall Rating	1
Health Inspection Rating	1
QM Rating	1
Long-Stay QM Rating	2
Short-Stay QM Rating	1
Processing Date	2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on August 1, 2026.

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One email a day naming what moved on Lexington Premier Nursing & Rehab: the field, the value before, the value after, and the date of the file that first showed it.

The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.

On August 1, 2026: JW KENTUCKY OPERATIONS LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. That is one line of the alert.

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