Lexington Premier Nursing & Rehab
Lexington, Fayette County, Kentucky · CCN 185463 · For-profit (LLC) · not part of a chain
CMS rates Lexington Premier Nursing & Rehab 1 of 5 overall as of August 2026. 120 certified beds, 116 residents a day on average. 42 citations on record from the current inspection cycles, 4 at immediate jeopardy; 1 fine totalling $240,331 and 1 payment denial.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★☆☆☆☆ 1 of 5 |
|---|---|
| Health inspections | ★☆☆☆☆ 1 of 5 |
| Staffing | ★☆☆☆☆ 1 of 5 |
| Quality measures | ★☆☆☆☆ 1 of 5 |
| Quality: long-stay / short-stay | 2 / 1 of 5 |
Staffing
| Total nurse staffing | 3.54012 hours per resident per day |
|---|---|
| Registered nurses | 0.21493 hours per resident per day |
| Weekend total | 3.35898 hours per resident per day |
| Nursing staff turnover | 53.2% (registered nurses 72.2%) |
| Administrators who left | 2 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2025-08-08 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · tag F0565 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-09-16 |
| 2025-08-08 complaint survey |
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · tag F0584 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-09-16 |
| 2025-08-08 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-09-16 |
| 2025-08-08 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · tag F0887 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-09-16 |
| 2025-08-08 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · tag F0558 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-16 |
| 2025-08-08 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · tag F0628 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-16 |
| 2025-08-08 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-16 |
| 2025-08-08 complaint survey |
Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-16 |
| 2025-08-08 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-16 |
| 2025-08-08 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-16 |
| 2023-09-05 complaint survey |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2023-10-03 |
| 2023-09-05 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2023-10-03 |
| 2023-09-05 complaint survey |
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · tag F0835 |
H Actual harm that is not immediate jeopardy; pattern | Deficient, Provider has date of correction 2023-10-03 |
| 2023-09-05 complaint survey |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · tag F0867 |
H Actual harm that is not immediate jeopardy; pattern | Deficient, Provider has date of correction 2023-10-03 |
| 2023-09-05 complaint survey |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · tag F0725 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2023-10-03 |
| 2023-09-05 complaint survey |
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. Nursing and Physician Services Deficiencies · tag F0841 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2023-10-03 |
| 2023-09-05 complaint survey |
Ensure that the resident and his/her doctor meet face-to-face at all required visits. Nursing and Physician Services Deficiencies · tag F0712 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-10-03 |
| 2023-09-05 complaint survey |
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. Resident Rights Deficiencies · tag F0578 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-03 |
| 2023-09-05 complaint survey |
Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0602 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-03 |
| 2023-09-05 complaint survey |
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. Resident Rights Deficiencies · tag F0622 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-03 |
| 2023-09-05 complaint survey |
Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · tag F0638 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-03 |
| 2023-09-05 complaint survey |
Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-03 |
| 2023-09-05 complaint survey |
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-03 |
| 2023-01-28 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2023-04-11 |
| 2023-01-28 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2023-04-11 |
| 2023-01-28 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · tag F0805 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2023-04-11 |
| 2023-01-28 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2023-04-11 |
| 2023-01-28 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2023-04-11 |
| 2023-01-28 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · tag F0655 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-04-11 |
| 2023-01-28 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-04-11 |
| 2023-01-28 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · tag F0727 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-04-11 |
| 2023-01-28 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · tag F0761 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-04-11 |
| 2023-01-28 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · tag F0580 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-04-11 |
| 2023-01-28 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · tag F0636 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-04-11 |
| 2023-01-28 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-04-11 |
| 2023-01-28 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · tag F0690 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-04-11 |
| 2023-01-28 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · tag F0692 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-04-11 |
| 2023-01-28 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · tag F0693 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-04-11 |
| 2023-01-28 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0698 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-04-11 |
| 2023-01-28 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-04-11 |
| 2019-12-20 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · tag F0693 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2020-01-18 |
| 2019-12-20 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2020-01-18 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2023-09-05 | Payment denial for 25 days from 2023-09-08 | — |
| 2023-09-05 | Fine | $240,331 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| 2770 Palumbo Realty LLC Organization | 5% or greater mortgage interest | — | 2025-08-28 |
| 2770 Palumbo Master Tenant LLC Organization | adp of the snf | — | 2025-09-10 |
| 2770 Palumbo Realty LLC Organization | adp of the snf | — | 2025-08-28 |
| Emerald Healthcare LLC Organization | adp of the snf | — | 2025-11-14 |
| Evolve Therapy Services LLC Organization | adp of the snf | — | 2025-11-14 |
| Limestone Fiscal Services LLC Organization | adp of the snf | — | 2025-11-14 |
| Merch Pay Inc. Organization | adp of the snf | — | 2025-11-14 |
| Private Bancorp Inc. Organization | adp of the snf | — | 2025-11-14 |
| Saul N Friedman & Company Organization | adp of the snf | — | 2025-11-14 |
| Wellsky Corporation Organization | adp of the snf | — | 2025-11-14 |
| Zimmet Healthcare Services Group LLC Organization | adp of the snf | — | 2025-11-14 |
| Lexington Snf Operations Holdings LLC Organization | direct ownership interest | — | 2025-08-28 |
| Kop Trust Organization | indirect ownership interest | — | 2025-08-28 |
| Emerald Healthcare LLC Organization | operational/managerial control | — | 2025-08-28 |
| Evolve Therapy Services LLC Organization | operational/managerial control | — | 2025-08-28 |
| Lexington Snf Operations Holdings LLC Organization | operational/managerial control | — | 2025-08-28 |
| Limestone Fiscal Services LLC Organization | operational/managerial control | — | 2025-08-28 |
| Merch Pay Inc. Organization | operational/managerial control | — | 2025-08-28 |
| Private Bancorp Inc. Organization | operational/managerial control | — | 2025-08-28 |
| Saul N Friedman & Company Organization | operational/managerial control | — | 2025-08-28 |
| Wellsky Corporation Organization | operational/managerial control | — | 2025-08-28 |
| Zimmet Healthcare Services Group LLC Organization | operational/managerial control | — | 2025-08-28 |
| Chafetz, Yisroel Individual | adp of the snf | — | 2025-08-28 |
| Gopin, Brian Individual | adp of the snf | — | 2025-08-28 |
| Lewis, Jessica Individual | adp of the snf | — | 2025-08-28 |
| Phelps, Marsha Individual | adp of the snf | — | 2025-08-28 |
| Richard, John Individual | adp of the snf | — | 2025-08-28 |
| Gitelis, Simcha Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-09-17 |
| Chafetz, Yisroel Individual | managing control - governing body | — | 2025-08-28 |
| Chafetz, Yisroel Individual | operational/managerial control | — | 2025-08-28 |
| Gopin, Brian Individual | operational/managerial control | — | 2025-08-28 |
| Lewis, Jessica Individual | operational/managerial control | — | 2025-08-28 |
| Phelps, Marsha Individual | operational/managerial control | — | 2025-08-28 |
| Richard, John Individual | operational/managerial control | — | 2025-08-28 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Lexington Premier Nursing & Rehab.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Fayette County.