Homestead Post Acute
1608 Versailles Road, Lexington, KY 40504 · Fayette County · (859) 252-0871
136 certified beds, about 132 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1977
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 185144 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 17, 2025, inspectors cited 3 health deficiencies (the Kentucky average is 2.9, the national average 9.2).
None of its 8 health citations since December 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 3.53 hours per resident per day, against 3.95 across Kentucky and 3.86 nationally. Registered nurses accounted for 0.80 of those hours.
48.5% of nursing staff left within the year CMS measured (Kentucky average 46.4%).
CMS links it to PACS Group, an affiliated group of 275 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.
212/19
309/24
307/25
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 8 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
4D
2E
2F
Potential for minimal harm
0A
0B
0C
July 17, 2025Standard inspection · 3 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, review of the Food and Drug Administration web site, and review of the facility's documents and policy, the facility failed to store and serve food in a sanitary manager. Observations on 07/15/2025 revealed 5 of 5 nourishment refrigerator/freezers did not have a thermometer, and the freezer temperatures were not recorded. Also, observations on 07/15/2025 during the breakfast tray line revealed not all modified texture foods were listed, and the temperatures were not recorded.
- D 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.
Inspectors wroteBased on observation, interview, and review of the facility's policy, the facility failed to store all drugs and biologicals in locked compartments for 1 of 6 treatment carts. Observation on 07/14/2025 at 2:45 PM revealed the 500-A Unit treatment cart was left unlocked and unattended.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, record review, and review of the facility's policy and protocol, it was determined the facility failed to protect residents from infection for 1 of 3 sampled residents who had an indwelling urinary catheter, Resident (R) 84. Observation on 07/14/2025 at 4:05 PM revealed R84's indwelling urinary catheter bag was dragging on the floor under the resident's wheelchair.
September 20, 2024Standard inspection · 3 citations
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on interview, record review, review of the facility's job descriptions for the Infection Preventionist and the Maintenance Director, and review of the facility's policy, the facility failed to establish written standards, policies, and procedures by having a documented water management program based on nationally accepted standards for all residents (census 122). The facility did not have a water management program that included a description of the building's water systems where Legionella and other opportunistic waterborne pathogens could grow and spread, flow diagrams, measures to prevent growth, testing protocols, acceptable ranges, and established ways to intervene when control limits were not met.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, interview, record review, and review of the facility's policy, the facility failed to develop and implement a comprehensive, resident-centered care plan for each resident that included measurable objectives and time frames to meet a resident's medical, nursing, mental, and psychosocial needs that were identified in the comprehensive assessment for 1 of 3 residents investigated for trauma-informed care, Resident (R) 85.
- D Provide care or services that was trauma informed and/or culturally competent.
Inspectors wroteBased on observation, interview, record review, and review of the facility's policy, the facility failed to ensure that residents who were trauma survivors received trauma-informed care, including accounting for the resident's experiences in order to eliminate or mitigate triggers that may have caused re-traumatization of the resident for 1 of 3 residents sampled for trauma informed care, Resident (R) 85.
December 12, 2019Standard inspection · 2 citations
- E Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, and interview, and review of facility Policy, it was determined the facility failed to provide each resident with food that is palatable, and at a safe and appetizing temperature. Staff interview and record review revealed food temperatures from the lunch meal tray line were not immediately documented on 12/10/19. [NAME] #1 stated she relied on memory to document food temperatures from tray line after meal service. Further, [NAME] #1 stated she obtained food temperatures for tray line from the stove and not from the steam table. In addition, observation of a test tray on 12/10/19, during the noon meal service for Unit B, revealed temperatures were not at acceptable temperatures for point of service. [...]
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and review of facility policy, it was determined the facility failed to ensure food was stored, prepared and distributed in accordance with professional standards for food safety service. Observation during initial tour of the kitchen on 12/10/19, revealed a shelving unit contained beverage pitchers which were randomly stored upside down or right side up, leaving the tops of some pitchers open. In addition, the shelves themselves were soiled with crusty dried debris. Also, during initial tour of the kitchen, the ice machine was observed to have a shield inside the ice compartment which was covered with gray-brown residue.
Fire safety inspections
21 fire safety citations on file: 7 on July 17, 2025, 13 on September 20, 2024, 1 on December 12, 2019.
Every fire safety citation21 citations
- E Install corridor and hallway doors that block smoke.
- E To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E Ensure proper usage of power strips and extension cords.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Have properly installed hallway dispensers for alcohol-based hand rub.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Have power receptacles that are properly grounded.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Have properly located and lighted "Exit" signs.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have simulated fire drills held at unexpected times.
- E Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E Have exits that are accessible at all times.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Have properly installed hallway dispensers for alcohol-based hand rub.
- E Install an approved automatic sprinkler system.
- E Have power receptacles that are properly grounded.
- E Ensure proper usage of power strips and extension cords.
- D Install corridor and hallway doors that block smoke.
- D Have proper medical gas storage and administration areas.
- F Inspect, test, and maintain automatic sprinkler systems.
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) | 3.53 | 3.95 | 3.86 |
| Registered nurses | 0.80 | 0.79 | 0.69 |
| All nursing staff on weekends | 3.20 | 3.49 | 3.42 |
| Nurse aides | 2.06 | ||
| Licensed practical nurses | 0.67 | ||
| Nursing staff turnover (share who left in a year) | 48.5% | 46.4% | 45.8% |
| Registered nurse turnover | 36.7% | 41.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 5.59 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 3.66 on weekdays and 3.20 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 19.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.46 in April to June 2025 to 3.53 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 | 3.53 | 0.80 | 3.66 | 3.20 | 19.0% | 0 of 90 | 132 |
| Oct to Dec 2025 | 3.58 | 0.80 | 3.71 | 3.23 | 22.0% | 0 of 92 | 130 |
| Jul to Sep 2025 | 3.43 | 0.70 | 3.58 | 3.03 | 23.6% | 0 of 92 | 127 |
| Apr to Jun 2025 | 3.46 | 0.69 | 3.59 | 3.14 | 13.1% | 0 of 91 | 125 |
| 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 | 5.6 | 13.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.3 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 3.4 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.3 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.8 | 16.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 18.0 | 24.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 16.8 | 13.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.9 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.0 | 2.1 | 1.8 |
Owners and operators
Legal business name: HOMESTEADIDENCE OPCO LLC. CMS links this home to PACS Group, a group of 275 nursing homes averaging 2.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Providence Group of Kentucky LLC | 5% or greater direct ownership interest | Organization | 100% | 02/03/2014 |
| Providence Group Nh, LLC | 5% or greater indirect ownership interest | Organization | 100% | 06/30/2023 |
| Richard, John | Contracted managing employee | Individual | 01/01/2015 | |
| Holman, Justin | W-2 managing employee | Individual | 07/09/2024 | |
| Apt, Frederick | Corporate officer | Individual | 01/01/2024 | |
| Hancock, Mark | Corporate officer | Individual | 01/01/2024 | |
| Jergensen, Joshua | Corporate officer | Individual | 01/01/2024 | |
| Mitchell, John | Corporate officer | Individual | 01/01/2024 |
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.
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on July 17, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on July 17, 2025: "Provide and implement an infection prevention and control program."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on July 17, 2025: "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."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on September 20, 2024: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.20 hours per resident per day, below the Kentucky average of 3.49.
Other nursing homes nearby
- Pine Meadows Post Acute Lexington, 0.1 mi · 2 of 5 stars · 16 citations
- Cambridge Nursing & Rehabilitation Center Lexington, 0.9 mi · 2 of 5 stars · 10 citations
- Lexington Country Place Lexington, 0.9 mi · 1 of 5 stars · 9 citations
- The Willows at Citation Lexington, 3.5 mi · 5 of 5 stars · 9 citations
- Mayfair Manor Lexington, 4.1 mi · 1 of 5 stars · 27 citations
- The Willows at Fritz Farm Lexington, 5 mi · 3 of 5 stars · 9 citations
- Sayre Christian Village Nursing Home Lexington, 5.5 mi · 1 of 5 stars · 14 citations
- The Willows at Hamburg Lexington, 5.7 mi · 2 of 5 stars · 10 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 Homestead Post Acute's Medicare star rating?
- CMS rates Homestead Post Acute 3 out of 5 stars overall, with 2 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Homestead Post Acute get at its last inspection?
- 3 health deficiencies at the standard inspection on July 17, 2025. The Kentucky average is 2.9.
- Has Homestead Post Acute been fined?
- CMS lists no fines in the last three years.
- Does Homestead Post Acute 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 Homestead Post Acute?
- CMS lists 8 owners and managers, and links the home to PACS Group. Legal business name: HOMESTEADIDENCE OPCO 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.