What is Lexington Country Place's Medicare star rating?

CMS rates Lexington Country Place 1 out of 5 stars overall, with 1 for health inspections, 2 for staffing and 3 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Lexington Country Place get at its last inspection?

7 health deficiencies at the standard inspection on May 1, 2026. The Kentucky average is 2.9.

Does Lexington Country Place 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 Lexington Country Place?

CMS lists 30 owners and managers, and links the home to Phoenix Senior Living. Legal business name: SNH DERBY TENANT LLC.

Lexington Country Place: Inspections, Staffing & Ratings

The record in brief

At its most recent standard inspection, on May 1, 2026, inspectors cited 7 health deficiencies (the Kentucky average is 2.9, the national average 9.2).

Of 9 health citations since January 2020, 3 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).

CMS lists 2 fines totaling $27,378 in the last three years; the largest was $13,689, and the latest is dated May 1, 2026.

Nurses and nurse aides worked 3.88 hours per resident per day, against 3.95 across Kentucky and 3.86 nationally. Registered nurses accounted for 0.35 of those hours.

56.8% of nursing staff left within the year CMS measured (Kentucky average 46.4%).

CMS links it to Phoenix Senior Living, an affiliated group of 2 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.

001/20

204/25

705/26

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 9 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

May 1, 2026Standard inspection · 7 citations

J

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

F580 · Resident Rights · Immediate jeopardy to resident health or safety, isolated · Corrected (the home has a date of correction) June 10, 2026

Inspectors wroteBased on interviews, record review, and review of the facility's policy, the facility failed to promptly notify the physician of a fall for 1 of 8 residents sampled for falls, Resident (R) 13. Record review and interviews revealed R13 sustained a fall on 03/08/2026 at approximately 8:00 PM. R13 was observed to have a significant change in condition related to her physical functioning, mobility, and pain level. Record review revealed, however, the resident's physician was not notified promptly of these changes until the resident's family requested staff to contact the physician. On 03/10/2026, approximately two days after the resident fell, Resident 13 was diagnosed to have a fracture of the distal femoral shaft (portion of the femur just above the knee) with malalignment and soft tissue swelling. [...]
J

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · Corrected (the home has a date of correction) June 10, 2026

Inspectors wroteBased on observation, interview, record review, and review of the facility's policies, the facility failed to ensure residents received adequate supervision and failed to keep residents free from falls for 1 of 8 sampled residents reviewed for falls, Resident (R) 13. Record review revealed R13 sustained a total of 10 falls from 12/29/2025 to 04/25/2026, including some with a documented injury. For one fall, on 03/08/2026, R13 suffered a non-displaced fracture of the right femur, extending to the resident's right knee. R13 was subsequently transferred to the emergency department and later returned to the facility on [DATE] and sustained a fall after transfer. Subsequent falls continued following hospitalization and surgical intervention. The falls occurred in the resident's room while attempting toileting, self-ambulating, or attempting to retrieve personal items. [...]
G

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F684 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) June 10, 2026

Inspectors wroteBased on interview, record review, and review of the facility's policies, the facility failed to ensure a resident received necessary care and services following a fall when staff failed to perform a thorough assessment, failed to accurately evaluate and document pain, and failed to obtain timely diagnostic services, resulting in a delay in identification of a femur fracture, for 1 of 8 sampled residents, Resident (R) 13.
E

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.

F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 10, 2026

Inspectors wroteBased on observation, interview, record review, and review of the facility's policies, the facility failed to provide a safe, clean, comfortable, and homelike environment for 5 of 25 sampled residents, Resident (R) 6, R13, R14, R26, and R93. Observations on 04/27/2026 and 04/28/2026 revealed in five resident rooms the privacy curtain was in disrepair. Further observation revealed trash on a bedside table and the floor, including used mouth swabs and a contaminated dressing and gloves; debris accumulation around the baseboards; and soiled bed linens on a bed.
E

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

F628 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 10, 2026

Inspectors wroteBased on interview, record review, and review of the facility's document and policy, the facility failed to send a written notice of transfer to the resident's representative, including the reason for the transfer, the effective date of the transfer, the duration of the bed hold, and the facility's bed hold policy, for 2 of 3 residents sampled for Admission, Transfer, and Discharge, Resident (R) 13 and R96. Record review and interviews revealed the facility failed to provide responsible parties with written notification of hospitalization for R13 on 03/10/2026 and for R96 on 04/16/2026.
D

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 10, 2026

Inspectors wroteBased on observation, interview, record review, and review of the facility's policy, the facility failed to promote and maintain resident dignity for 1 of 2 sampled residents, Resident (R) 93. Observations on 04/27/2026, 04/28/2026, and 04/29/2026 revealed staff failed to ensure R93's urinary catheter drainage bag remained covered with a dignity cover. The urinary drainage bag remained visible to individuals passing by R93's room.
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) June 10, 2026

Inspectors wroteBased on observation, interview, record review, review of the Centers for Disease Control and Prevention (CDC) guidelines, and review of the facility's policies, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent and control the development and transmission of communicable diseases. The facility failed to implement its infection prevention and control policies and procedures and identify and correct problems relating to infection prevention practices for 1 out of 10 sampled residents, R93. Observation on 04/27/2026 at 9:16 AM revealed Licensed Practical Nurse (LPN) 3 exited R93's room. The resident was on enhanced-barrier precautions (EBP) for wounds and gastrostomy tube (G-tube). The nurse failed to remove gloves upon exit. [...]

April 3, 2025Standard inspection · 2 citations

F

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, widespread · Corrected (the home has a date of correction) May 9, 2025

Inspectors wroteBased on observation, interview, review of the United States Department of Agriculture (USDA) web page, review of the facility's signage, and review of the facility's procedure, the facility failed to prepare and serve food under sanitary conditions as determined by observations during the initial kitchen tour and return tours. Observation on 04/01/2025 and on 04/02/2025 revealed dome lids were stacked wet. Observation on 04/01/2025 of food temperatures for the lunch service revealed an inaccurate temperature for puree food, but it was placed on the tray line for service. Additionally, observation on 04/02/2025 revealed staff changed gloves and performed tasks without proper hand hygiene.
E

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 9, 2025

Inspectors wroteBased on observation, interview, record review, review of the Centers for Disease Control and Prevention (CDC) signage for enhanced barrier precautions (EBP), and review of the facility's policies, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 5 of 19 sampled residents, Resident (R) 18, R41, R56, R68, and R73. R18, R41, R56, R68, and R73 all had active orders to be on EBP. However, observations on 04/01/2025 to 04/03/2025 revealed none of the residents had EBP signage posted on their room doors of what the infection control requirements were when entering and exiting their rooms, for the resident, staff, and visitors.

January 23, 2020Standard inspection · 0 citations

Fire safety inspections

21 fire safety citations on file: 7 on May 1, 2026, 10 on April 3, 2025, 4 on January 23, 2020.

Every fire safety citation21 citations

F
Install a fire alarm system that can be heard throughout the facility.

K 341 · May 1, 2026 · Corrected (the home has a date of correction)
F
Provide a written emergency evacuation plan.

K 711 · May 1, 2026 · Corrected (the home has a date of correction)
F
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.

K 901 · May 1, 2026 · Corrected (the home has a date of correction)
F
Have a battery powered remote alarm panel in a location accessible by operating personnel.

K 916 · May 1, 2026 · Corrected (the home has a date of correction)
E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

K 372 · May 1, 2026 · Corrected (the home has a date of correction)
D
Install corridor and hallway doors that block smoke.

K 363 · May 1, 2026 · Corrected (the home has a date of correction)
D
To conduct inspection, testing and maintenance of fire doors by qualified individuals.

K 761 · May 1, 2026 · Corrected (the home has a date of correction)
F
Establish policies and procedures for volunteers.

E 24 · April 3, 2025 · Corrected (the home has a date of correction)
F
Conduct testing and exercise requirements.

E 39 · April 3, 2025 · Corrected (the home has a date of correction)
F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.

K 761 · April 3, 2025 · Corrected (the home has a date of correction)
E
Provide properly protected cooking facilities.

K 324 · April 3, 2025 · Corrected (the home has a date of correction)
E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

K 372 · April 3, 2025 · Corrected (the home has a date of correction)
D
Install emergency lighting that can last at least 1 1/2 hours.

K 291 · April 3, 2025 · Corrected (the home has a date of correction)
D
Have properly located and lighted "Exit" signs.

K 293 · April 3, 2025 · Corrected (the home has a date of correction)
D
Have properly installed electrical wiring and gas equipment.

K 511 · April 3, 2025 · Corrected (the home has a date of correction)
D
Have simulated fire drills held at unexpected times.

K 712 · April 3, 2025 · Corrected (the home has a date of correction)
D
Have restrictions on the use of portable space heaters.

K 781 · April 3, 2025 · Corrected (the home has a date of correction)
D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K 321 · January 23, 2020 · Corrected (the home has a date of correction)
D
Install corridor and hallway doors that block smoke.

K 363 · January 23, 2020 · Corrected (the home has a date of correction)
D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

K 372 · January 23, 2020 · Corrected (the home has a date of correction)
D
Meet requirements for the use of electrical equipment.

K 919 · January 23, 2020 · Corrected (the home has a date of correction)

Fines and payment denials

Date	Penalty	Amount or length
May 1, 2026	Fine	$13,689
May 1, 2026	Fine	$13,689
May 1, 2026	Payment Denial	11 days from May 30, 2026

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

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)	3.88	3.95	3.86
Registered nurses	0.35	0.79	0.69
All nursing staff on weekends	3.65	3.49	3.42
Nurse aides	2.64
Licensed practical nurses	0.89
Nursing staff turnover (share who left in a year)	56.8%	46.4%	45.8%
Registered nurse turnover	80.0%	41.8%	42.9%
Administrators who left	0

CMS expects 3.72 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 3.97 on weekdays and 3.65 on weekends, 8% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.56 in April to June 2025 to 3.88 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	3.88	0.35	3.97	3.65	0.8%	0 of 90	83
Oct to Dec 2025	3.67	0.27	3.76	3.45	0.7%	0 of 92	84
Jul to Sep 2025	3.42	0.31	3.52	3.17	0.2%	0 of 92	84
Apr to Jun 2025	3.56	0.36	3.67	3.28	0.5%	0 of 91	83
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	11.9	13.8	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.2	0.5	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	2.8	1.6	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	5.8	3.9	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	1.5	1.7	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	24.8	14.0	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	4.8	4.8	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	7.8	16.1	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	22.8	24.2	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	18.2	13.7	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.2	1.9	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.6	2.1	1.8

Owners and operators

Legal business name: SNH DERBY TENANT LLC. CMS links this home to Phoenix Senior Living, a group of 2 nursing homes averaging 2 stars overall.

Name	Role	Type	Share	Since
Snh Proj Lincoln Trs LLC	5% or greater direct ownership interest	Organization	100%	01/01/2020
Diversified Healthcare Trust	5% or greater indirect ownership interest	Organization		01/01/2020
Silver Point Capital Offshore Fund	5% or greater indirect ownership interest	Organization		06/30/2023
Snh Trs Licensee Holdco LLC	5% or greater indirect ownership interest	Organization		01/01/2020
Snh Trs, Inc.	5% or greater indirect ownership interest	Organization		01/01/2020
Abp Trust	Indirect ownership interest	Organization		04/30/2014
Blackrock Inc	Indirect ownership interest	Organization		12/31/1999
Flat Footed LLC	Indirect ownership interest	Organization		12/31/2021
H/2 Special Opportunities IV L.P.	Indirect ownership interest	Organization		12/31/2020
Vanguard Group Inc	Indirect ownership interest	Organization		12/31/1999
Portnoy, Adam	Indirect ownership interest	Individual		05/31/2007
Bilotto, Christopher	Managing control - governing body	Individual		01/01/2024
Brown, Matthew	Managing control - governing body	Individual		10/01/2023
Clark, Jennifer	Managing control - governing body	Individual		01/01/2020
Paula, Anthony	Managing control - governing body	Individual		12/18/2024
Portnoy, Adam	Corporate director	Individual		01/01/2020
Phoenix Senior Living LLC	Operational/managerial control	Organization		09/08/2021
Cheek, Allison	Operational/managerial control	Individual		09/01/2021
Doodnauth, Davanand	Operational/managerial control	Individual		03/01/2017
Marinko, Jesse	Operational/managerial control	Individual		09/01/2021
Pesek, Seth	Operational/managerial control	Individual		08/14/2023
Ramey, Courtney	Operational/managerial control	Individual		02/28/2025
Whitt, Tina	Operational/managerial control	Individual		04/01/2023
Wicks, Chasidy	Operational/managerial control	Individual		04/12/2024
Diversified Healthcare Trust	Adp of the SNF	Organization		01/01/2020
Cheek, Allison	Adp of the SNF	Individual		09/01/2021
Doodnauth, Davanand	Adp of the SNF	Individual		07/22/2025
Pesek, Seth	Adp of the SNF	Individual		08/14/2023
Whitt, Tina	Adp of the SNF	Individual		04/01/2022
Wicks, Chasidy	Adp of the SNF	Individual		04/12/2024

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.

How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on May 1, 2026: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
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 May 1, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
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 May 1, 2026: "Provide and implement an infection prevention and control program."
Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on April 3, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."

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Mayfair Manor
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The Willows at Citation
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The Willows at Fritz Farm
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Sayre Christian Village Nursing Home
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Bluegrass Care & Rehabilitation Center
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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 Lexington Country Place's Medicare star rating?: CMS rates Lexington Country Place 1 out of 5 stars overall, with 1 for health inspections, 2 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Lexington Country Place get at its last inspection?: 7 health deficiencies at the standard inspection on May 1, 2026. The Kentucky average is 2.9.
Has Lexington Country Place been fined?: Yes. CMS lists 2 fines totaling $27,378 in the last three years.
Does Lexington Country Place 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 Lexington Country Place?: CMS lists 30 owners and managers, and links the home to Phoenix Senior Living. Legal business name: SNH DERBY TENANT 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.