Lexington Premier Nursing & Rehab

Nursing Home · Lexington, KY

CMS overall rating 1/5 For profit - Limited Liability company

CMS certification number185463

Contact & location

2770 Palumbo Drive
Lexington, KY 40509
Fayette County
Phone
(859) 263-2410
ZIP code
40509 – all care providers

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Facility details

Certified beds
120
Residents per day
115.8 (97% occupied)
Ownership
For profit - Limited Liability company
Legal name
Lexington SNF Operations LLC
Medicare certified since
May 25, 2007
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 3.0
Health inspections★★★★★ 1/5
State avg 3.0
Staffing★★★★★ 1/5
State avg 2.7
Quality measures★★★★★ 1/5
State avg 3.2
Long-stay quality★★★★★ 2/5
Short-stay quality★★★★★ 1/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.54 (state 3.95 · U.S. 3.86)
Registered nurses (RN)
0.21 (state 0.79 · U.S. 0.69)
Licensed practical nurses
1.11 (state 0.80 · U.S. 0.86)
Nurse aides
2.22 (state 2.36 · U.S. 2.32)
Weekend total
3.36 (state 3.48 · U.S. 3.42)
Nursing staff turnover
53.2 (state 46.4 · U.S. 45.8)%
RN turnover
72.2 (state 41.8 · U.S. 42.9)%
Administrators who left
2 in the last year

Inspections

Last standard inspection
August 8, 2025
Health deficiencies (last cycle)
10.0 (state 2.9 · U.S. 9.3)
From complaints
2
Citations on record (3 years)
42 health · 12 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2025-08-08 Honor the resident's right to organize and participate in resident/family groups in the facility.
F0565 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-09-16
2025-08-08 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.
F0584 · Resident Rights Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-09-16
2025-08-08 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 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.
F0887 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-09-16
2025-08-08 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-16
2025-08-08 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F0628 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 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.
F0656 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-16
2025-08-08 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 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.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-16
2025-08-08 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-16
2023-09-05 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2023-10-03
2023-09-05 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2023-10-03
2023-09-05 Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F0835 · Administration Deficiencies · complaint inspection		 H
Actual harm		 Corrected 2023-10-03
2023-09-05 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F0867 · Administration Deficiencies · complaint inspection		 H
Actual harm		 Corrected 2023-10-03
2023-09-05 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2023-10-03
2023-09-05 Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
F0841 · Nursing and Physician Services Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2023-10-03
2023-09-05 Ensure that the resident and his/her doctor meet face-to-face at all required visits.
F0712 · Nursing and Physician Services Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-10-03
2023-09-05 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.
F0578 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-10-03
2023-09-05 Protect each resident from the wrongful use of the resident's belongings or money.
F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-10-03
2023-09-05 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.
F0622 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-10-03
2023-09-05 Assure that each resident’s assessment is updated at least once every 3 months.
F0638 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-10-03
2023-09-05 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-10-03
2023-09-05 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.
F0761 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 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.
F0656 · Resident Assessment and Care Planning Deficiencies		 J
Immediate jeopardy to resident health or safety		 Corrected 2023-04-11
2023-01-28 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 J
Immediate jeopardy to resident health or safety		 Corrected 2023-04-11
2023-01-28 Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
F0805 · Nutrition and Dietary Deficiencies		 G
Actual harm		 Corrected 2023-04-11
2023-01-28 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 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.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 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
F0655 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 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.
F0657 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 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.
F0727 · Nursing and Physician Services Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 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.
F0761 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 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.
F0580 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 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.
F0636 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-04-11
2023-01-28 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 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.
F0690 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-04-11
2023-01-28 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 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.
F0693 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-04-11
2023-01-28 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 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.
F0755 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 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.
F0693 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 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.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2020-01-18

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

2 penalties in the last three years, including $240,331 in fines.

DateTypeAmount
2023-09-05Payment Denial25 days payment denial
2023-09-05Fine$240,331

Ownership & management

NameRoleSince
2770 Palumbo Realty LLC (organization)5%+ Mortgage Interest · NOT APPLICABLE
2770 Palumbo Master Tenant LLC (organization)Administrator · NOT APPLICABLE
2770 Palumbo Realty LLC (organization)Administrator · NOT APPLICABLE
Chafetz, Yisroel (individual)Administrator · NOT APPLICABLE
Emerald Healthcare LLC (organization)Administrator · NOT APPLICABLE
Evolve Therapy Services LLC (organization)Administrator · NOT APPLICABLE
Gopin, Brian (individual)Administrator · NOT APPLICABLE
Lewis, Jessica (individual)Administrator · NOT APPLICABLE
Limestone Fiscal Services LLC (organization)Administrator · NOT APPLICABLE
Merch Pay INC (organization)Administrator · NOT APPLICABLE
Phelps, Marsha (individual)Administrator · NOT APPLICABLE
Private Bancorp INC (organization)Administrator · NOT APPLICABLE
Richard, John (individual)Administrator · NOT APPLICABLE
Saul N Friedman & Company (organization)Administrator · NOT APPLICABLE
Wellsky Corporation (organization)Administrator · NOT APPLICABLE
Zimmet Healthcare Services Group LLC (organization)Administrator · NOT APPLICABLE
Lexington SNF Operations Holdings LLC (organization)Direct Ownership Interest · NOT APPLICABLE
Kop Trust (organization)Indirect Ownership Interest · NOT APPLICABLE
Gitelis, Simcha (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Chafetz, Yisroel (individual)Managing Control - Governing Body · NOT APPLICABLE
Chafetz, Yisroel (individual)Operational/managerial Control · NOT APPLICABLE
Emerald Healthcare LLC (organization)Operational/managerial Control · NOT APPLICABLE
Evolve Therapy Services LLC (organization)Operational/managerial Control · NOT APPLICABLE
Gopin, Brian (individual)Operational/managerial Control · NOT APPLICABLE
Lewis, Jessica (individual)Operational/managerial Control · NOT APPLICABLE
Lexington SNF Operations Holdings LLC (organization)Operational/managerial Control · NOT APPLICABLE
Limestone Fiscal Services LLC (organization)Operational/managerial Control · NOT APPLICABLE
Merch Pay INC (organization)Operational/managerial Control · NOT APPLICABLE
Phelps, Marsha (individual)Operational/managerial Control · NOT APPLICABLE
Private Bancorp INC (organization)Operational/managerial Control · NOT APPLICABLE
Richard, John (individual)Operational/managerial Control · NOT APPLICABLE
Saul N Friedman & Company (organization)Operational/managerial Control · NOT APPLICABLE
Wellsky Corporation (organization)Operational/managerial Control · NOT APPLICABLE
Zimmet Healthcare Services Group LLC (organization)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Lexington Premier Nursing & Rehab?

Lexington Premier Nursing & Rehab has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in Kentucky.

How many beds does Lexington Premier Nursing & Rehab have?

It has 120 certified beds and cares for about 116 residents per day.

Has Lexington Premier Nursing & Rehab been fined?

Yes. CMS lists 2 penalties totaling $240,331 in the last three years.

What is the phone number of Lexington Premier Nursing & Rehab?

(859) 263-2410. The facility is located at 2770 Palumbo Drive, Lexington, KY 40509.

Other nursing homes in Lexington

Compare all nursing homes in Lexington, KY →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.