What is Bluegrass Care & Rehabilitation Center's Medicare star rating?

CMS rates Bluegrass Care & Rehabilitation Center 3 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Bluegrass Care & Rehabilitation Center get at its last inspection?

3 health deficiencies at the standard inspection on July 25, 2025. The Kentucky average is 2.9.

Has Bluegrass Care & Rehabilitation Center been fined?

CMS lists no fines in the last three years.

Does Bluegrass Care & Rehabilitation Center accept Medicaid?

It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.

Who owns Bluegrass Care & Rehabilitation Center?

CMS lists 8 owners and managers, and links the home to Signature Healthcare. Legal business name: LP LEXINGTON PIMLICO, LLC.

Bluegrass Care & Rehabilitation Center: Inspections

The record in brief

At its most recent standard inspection, on July 25, 2025, inspectors cited 3 health deficiencies (the Kentucky average is 2.9, the national average 9.2).

None of its 12 health citations since November 2019 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.34 hours per resident per day, against 3.95 across Kentucky and 3.86 nationally. Registered nurses accounted for 0.62 of those hours.

43.0% of nursing staff left within the year CMS measured (Kentucky average 46.4%).

CMS links it to Signature Healthcare, an affiliated group of 67 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

311/19

508/24

307/25

107/26

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 12 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

10D

Potential for minimal harm

July 16, 2026Complaint inspection · 1 citation

D

Ensure services provided by the nursing facility meet professional standards of quality.

F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · deficient, provider has August 7, 2026

Inspectors wroteBased on interview, record review, review of Mosby's Clinical Nursing Skills and Techniques, 11th edition, review of Kentucky Board of Nursing (KBN) standards, and review of the facility's documents and policies, the facility failed to ensure services provided met professional standards of practice for 1 of 26 sampled residents, Resident (R) 133. The facility discharged R133 on 12/30/2025, and R133 was given a medication that belonged to a different resident, R71.

July 25, 2025Standard inspection · 3 citations

D

Ensure each resident receives an accurate assessment.

F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 19, 2025

Inspectors wroteBased on interview and record review, the facility failed to accurately reflect with the Minimum Data Set (MDS) assessment, the resident's status for 1 of 29 sampled residents. (Resident (R)15). The Significant Change MDS dated [DATE] and the Quarterly MDS dated [DATE], did not document R15 as receiving Hospice Care.
D

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 19, 2025

Inspectors wroteBased on observation, interview, record review and review of the facility's policy, the facility failed to develop and implement a baseline care plan for each resident that included the instructions needed to provide effective and person-centered care of the resident that meet professional standards of quality care which included the minimum healthcare information necessary to properly care for a resident, Resident (R)144 and R154. R144 was admitted with diagnoses of dysarthria which was not documented with any goals or interventions/strategies for staff to use when communicating with R144. R154 was admitted with needs for dialysis and oxygen therapy which were not accurately documented on his baseline care plan.
D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 19, 2025

Inspectors wroteBased on interview, record review, and review of the facility's policy, the facility failed to develop and implement a comprehensive care plan for each resident that included measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment, Resident (R) 99. R99 had been discharged to the hospital and upon her return on 06/25/2025 her Baseline Care Plan (BCP) documented R99 was assessed as not verbalizing or exhibiting signs of pain but was at risk for pain. Review of R99's Comprehensive Care Plan (CCP) revealed no active care plan for pain had not been initiated until 07/23/2025, after State Survey Agency requested it. [...]

August 30, 2024Standard inspection, Complaint inspection · 5 citations

E

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) September 26, 2024

Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to store medications and biologicals in accordance with professional standards for 2 of 6 residents observed for medication administration, Resident (R) 121 and R122 and 2 of 2 medication refrigerators.
D

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 26, 2024

Inspectors wroteBased on interview, record review, and review of the facility's policy, the facility failed to send a copy of the transfer or discharge notice to a representative of the Office of the State Long-Term Care (LTC) Ombudsman for 1 of 4 residents investigated for the discharge process, Resident (R) 111.
D

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 26, 2024

Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to develop and implement a Baseline Care Plan within 48 hours for each resident that included the instructions needed to provide effective and person-centered care of the resident that met professional standards of quality of care for 1 of 30 sampled residents, Resident (R) 212. The facility admitted R212 on 08/21/2022 after a fall that resulted in a vertebrae fracture and facial bruises. R212's care plan for pain was not developed within 48 hours.
D

Provide safe, appropriate pain management for a resident who requires such services.

F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 26, 2024

Inspectors wroteBased on observation, interview, record review, and review of the facility's policies, the facility failed to ensure pain management was provided to residents who required such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the resident's goals and preferences for 1 of 2 residents investigated for pain management, Resident (R) 212. R212 did not receive oxycodone (an opioid pain reliever) as scheduled on 08/26/2024 because the nurse said it was unavailable. However, the medication was in the facility's emergency medication kit (EMK).
D

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 26, 2024

Inspectors wroteBased on observation, interview, record review, and review of the facility's policy, the facility failed to implement enhanced barrier precautions (EBP) related to medication administration and resident care for 1 of 28 residents in EBP, Resident (R) 53. Observation on 08/30/2024 revealed Licensed Practical Nurse (LPN) 3 failed to don (put on) a gown and gloves when providing direct resident care to R53 related to application of a medication patch and taking a blood pressure.

November 21, 2019Standard inspection · 3 citations

E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 5, 2020

Inspectors wroteBased on observation, interview, and review of facility policy, it was determined the facility failed to prepare food under sanitary conditions. Observation on 11/18/19, during initial kitchen tour, revealed there was an accumulation of dust behind the production equipment and in front of the cook's preparation table. Further observation revealed the fry pan which was stored under the cook's table was not stored in such a way as to prevent dust or other accumulation of particles onto the cooking surface.
D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 5, 2020

Inspectors wroteBased on observation, interview, record review, and review of facility Policy, it was determined the facility failed to develop and implement a Comprehensive Care Plan (CCP) for each resident, that includes measurable objectives to meet a residents needs for one (1) of twenty-three (23) sampled residents (Resident #30). Although Resident #30 had a contracture of the right hand, there was no documented evidence the CCP was developed and implemented with interventions to address the resident's limited ROM. (Refer to F-688)
D

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 5, 2020

Inspectors wroteBased on observation, interview, and record review, it was determined the facility failed to ensure a resident with limited mobility receives appropriate services, equipment, and assistance to maintain or improve mobility for one (1) of five (5) sampled residents reviewed for limited Range of Motion (ROM) out of a total of twenty-three (23) sampled residents (Resident #30). Observation on 11/18/19, revealed Resident #30 had a rolled wash cloth positioned inside his/her right hand between the palm and the resident's contracted digits, and the resident's right hand had moderate swelling to the digits. Interview with the resident during the observation revealed staff did not perform ROM for his/her contracture of the right hand, nor did the resident have a device/splint for the right hand. (Refer to F-656)

Fire safety inspections

6 fire safety citations on file: 2 on July 25, 2025, 1 on August 30, 2024, 3 on November 21, 2019.

Every fire safety citation6 citations

D
Have simulated fire drills held at unexpected times.

K 712 · July 25, 2025 · Corrected (the home has a date of correction)
D
Ensure proper usage of power strips and extension cords.

K 920 · July 25, 2025 · Corrected (the home has a date of correction)
F
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · August 30, 2024 · Corrected (the home has a date of correction)
F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · November 21, 2019 · Corrected (the home has a date of correction)
F
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · November 21, 2019 · Corrected (the home has a date of correction)
D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

K 741 · November 21, 2019 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

Measure	This home	Kentucky	United States
All nursing staff (RN, LPN and aides)	3.34	3.95	3.86
Registered nurses	0.62	0.79	0.69
All nursing staff on weekends	2.98	3.49	3.42
Nurse aides	1.86
Licensed practical nurses	0.86
Nursing staff turnover (share who left in a year)	43.0%	46.4%	45.8%
Registered nurse turnover	36.8%	41.8%	42.9%
Administrators who left	0

CMS expects 3.96 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.49 on weekdays and 2.98 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.00 in April to June 2025 to 3.34 in January to March 2026.

Quarter	All nursing staff	Registered nurses	Weekdays	Weekends	Contract staff share	Days with no RN hours	Residents a day
Jan to Mar 2026	3.34	0.62	3.49	2.98	0.0%	0 of 90	111
Oct to Dec 2025	3.23	0.60	3.38	2.84	0.0%	0 of 92	111
Jul to Sep 2025	3.52	0.64	3.73	2.99	0.0%	0 of 92	109
Apr to Jun 2025	3.00	0.56	3.17	2.57	0.0%	0 of 91	114
United States, Jan to Mar 2026	3.75	0.62	3.92	3.33	5.3%	0.5% of days
Kentucky, Jan to Mar 2026	3.85	0.71	4.04	3.40	3.2%	0.1% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

Measure	This home	Kentucky	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	4.5	13.8	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.3	0.5	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	0.3	1.6	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	6.2	3.9	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	1.1	1.7	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	6.9	14.0	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	4.3	4.8	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	7.5	16.1	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	26.2	24.2	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	20.4	13.7	12.0

Owners and operators

Legal business name: LP LEXINGTON PIMLICO, LLC. CMS links this home to Signature Healthcare, a group of 67 nursing homes averaging 3.1 stars overall.

Name	Role	Type	Share	Since
Shc LP Holdings II LLC	5% or greater direct ownership interest	Organization	100%	06/01/2014
Jjla LLC	5% or greater indirect ownership interest	Organization		09/16/2018
Lpsnf LLC	5% or greater indirect ownership interest	Organization		09/16/2008
Spring Holdings, LLC	5% or greater indirect ownership interest	Organization		05/01/2018
Wheaten LLC	5% or greater indirect ownership interest	Organization		09/16/2018
Steier III, Elmer	5% or greater indirect ownership interest	Individual		09/16/2008
Phillips, Ann	W-2 managing employee	Individual		11/16/2021
Harrison, John	Corporate officer	Individual		09/16/2008

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

When is the care plan meeting, and can family attend it?Inspectors cited 6 problems in this area, most recently on July 16, 2026: "Ensure services provided by the nursing facility meet professional standards of quality."
How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on August 30, 2024: "Provide safe, appropriate pain management for a resident who requires such services."
How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on August 30, 2024: "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."
How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on August 30, 2024: "Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.98 hours per resident per day, below the Kentucky average of 3.49.

Other nursing homes nearby

Hartland Park Health & Rehabilitation
Lexington, 0.9 mi · 1 of 5 stars · 28 citations
Mayfair Manor
Lexington, 1.8 mi · 1 of 5 stars · 27 citations
Sayre Christian Village Nursing Home
Lexington, 1.9 mi · 1 of 5 stars · 14 citations
Lexington Premier Nursing & Rehab
Lexington, 2.7 mi · 1 of 5 stars · 42 citations
The Willows at Fritz Farm
Lexington, 3.1 mi · 3 of 5 stars · 9 citations
The Willows at Hamburg
Lexington, 4 mi · 2 of 5 stars · 10 citations
Lexington Country Place
Lexington, 5 mi · 1 of 5 stars · 9 citations
Pine Meadows Post Acute
Lexington, 5.7 mi · 2 of 5 stars · 16 citations

Kentucky contacts for a concern about a nursing home

These are the official offices in Kentucky. NursingHomeClear cannot take or act on complaints.

Inspections and complaints: Kentucky Office of Inspector General, Division of Health Care, the state agency that inspects nursing homes for CMS and takes complaints about care.
Resident advocate: Kentucky State Long-Term Care Ombudsman Program, Nursing Home Ombudsman Agency of the Bluegrass, (800) 372-2991. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
State inspection reports: Kentucky OIG Nursing Home Inspection Findings, where Kentucky publishes its own records on licensed homes.

Common questions

What is Bluegrass Care & Rehabilitation Center's Medicare star rating?: CMS rates Bluegrass Care & Rehabilitation Center 3 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Bluegrass Care & Rehabilitation Center get at its last inspection?: 3 health deficiencies at the standard inspection on July 25, 2025. The Kentucky average is 2.9.
Has Bluegrass Care & Rehabilitation Center been fined?: CMS lists no fines in the last three years.
Does Bluegrass Care & Rehabilitation Center accept Medicaid?: It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Bluegrass Care & Rehabilitation Center?: CMS lists 8 owners and managers, and links the home to Signature Healthcare. Legal business name: LP LEXINGTON PIMLICO, LLC.

Sources

Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
Owners: CMS Ownership. Penalties: CMS Penalties.
Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.