Lexington Premier Nursing & Rehab

Fayette · KY · For profit - Limited Liability company · 120 certified beds · CCN 185463 · LEXINGTON SNF OPERATIONS LLC


Lexington Premier Nursing & Rehab operates 120 certified beds in Lexington, Kentucky. Its Medicare and Medicaid certification dates to 2007-05-25. It averages 115.8 residents a day.

What harm was found in the violations cited at Lexington Premier Nursing & Rehab?

CMS lists 42 health-inspection deficiencies for Lexington Premier Nursing & Rehab since 2019-12-20, 23 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2025-08-08.

Survey dateTagDeficiencySeverity
2025-08-08F0565, F0584, F0804, F0887Honor the resident's right to organize and participate in resident/family groups in the facility. / 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / 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
2025-08-08F0558, F0628, F0656, F0658, F0761, F0880Reasonably accommodate the needs and preferences of each resident. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / 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. / Provide and implement an infection prevention and control program.D
2023-09-05F0656, F0689Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2023-09-05F0835, F0867Administer the facility in a manner that enables it to use its resources effectively and efficiently. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.H
2023-09-05F0725, F0841Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.F
2023-09-05F0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.E
2023-09-05F0578, F0602, F0622, F0638, F0760, F0761Honor 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. / Protect each resident from the wrongful use of the resident's belongings or money. / 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. / Assure that each resident’s assessment is updated at least once every 3 months. / Ensure that residents are free from significant medication errors. / 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
2023-01-28F0656, F0689Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2023-01-28F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.G
2023-01-28F0695, F0812Provide safe and appropriate respiratory care for a resident when needed. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2023-01-28F0655, F0657, F0727, F0761Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / 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. / 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
2023-01-28F0580, F0636, F0684, F0690, F0692, F0693, F0698, F0755Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide enough food/fluids to maintain a resident's health. / 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. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2019-12-20F0693, F0761Ensure 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. / 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

Why was Lexington Premier Nursing & Rehab fined?

DateTypeAmount
2023-09-05Fine$240,331

Has Lexington Premier Nursing & Rehab had payment denied by Medicare?

Payment denial startLength in days
2023-09-0825

How is Lexington Premier Nursing & Rehab staffed relative to the KY average?

MeasureThis facilityKY average
Total nurse staffing hours per resident per day3.540123.95044
Total nursing staff turnover (%)53.246.4
Average number of residents per day115.881.9

Who owns Lexington Premier Nursing & Rehab?

Lexington Premier Nursing & Rehab is registered with CMS as For profit - Limited Liability company, operates under the legal business name LEXINGTON SNF OPERATIONS LLC.

RoleOwnerAssociation date
DIRECT OWNERSHIP INTERESTLEXINGTON SNF OPERATIONS HOLDINGS LLCsince 08/28/2025
INDIRECT OWNERSHIP INTERESTKOP TRUSTsince 08/28/2025
5% OR GREATER MORTGAGE INTEREST2770 PALUMBO REALTY LLCsince 08/28/2025
MANAGING CONTROL - GOVERNING BODYCHAFETZ, YISROELsince 08/28/2025
OPERATIONAL/MANAGERIAL CONTROLEMERALD HEALTHCARE LLC, EVOLVE THERAPY SERVICES LLC, LEXINGTON SNF OPERATIONS HOLDINGS LLC, LIMESTONE FISCAL SERVICES LLC, MERCH PAY INC, PRIVATE BANCORP INC, SAUL N FRIEDMAN & COMPANY, WELLSKY CORPORATION, ZIMMET HEALTHCARE SERVICES GROUP LLC, CHAFETZ, YISROEL, GOPIN, BRIAN, LEWIS, JESSICA, PHELPS, MARSHA, RICHARD, JOHNsince 08/28/2025
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFGITELIS, SIMCHAsince 09/17/2025
ADP OF THE SNF2770 PALUMBO MASTER TENANT LLC, 2770 PALUMBO REALTY LLC, EMERALD HEALTHCARE LLC, EVOLVE THERAPY SERVICES LLC, LIMESTONE FISCAL SERVICES LLC, MERCH PAY INC, PRIVATE BANCORP INC, SAUL N FRIEDMAN & COMPANY, WELLSKY CORPORATION, ZIMMET HEALTHCARE SERVICES GROUP LLC, CHAFETZ, YISROEL, GOPIN, BRIAN, LEWIS, JESSICA, PHELPS, MARSHA, RICHARD, JOHNsince 08/28/2025

Were you or a family member harmed at Lexington Premier Nursing & Rehab?