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Nursing HomeMedicaid

Homestead Post Acute

Strong Medicare quality ratings; families often praise effective physical and occupational therapy. Still worth an in-person visit.

1608 Versailles Road, Lexington, KY 40504136 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
3.4/5

based on 53 Google reviews

5
4
3
2
1
Homestead Post Acute Nursing Home in Lexington, KY — Street View
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What this means for your family

This facility offers a strong rehabilitation program that has helped many residents return home, but the consistency of daily care is a significant concern. Families should be prepared to be highly involved in monitoring their loved one's care, particularly regarding call-bell response times and medical updates, as communication and responsiveness are frequent pain points.

Google Reviews

Google Reviews

53 reviews on Google
Homestead Post Acute (formerly Pine Meadows) receives highly polarized feedback, with some families praising the dedicated therapy team and compassionate care, while others report severe neglect and communication failures. Recurring complaints involve slow response times to call bells, lost personal belongings, and difficulty reaching staff by phone. Prospective families should be aware that experiences appear inconsistent, ranging from excellent rehabilitation outcomes to serious concerns regarding patient safety and responsiveness.

Quality Themes

Tap a score for details
Food5.0Staff5.0Clean8.0Activities8.0Meds3.0MemoryN/AComms2.0ValueN/A

Strengths

  • Effective physical and occupational therapy
  • Clean and well-maintained facility
  • Compassionate and attentive nursing staff
  • Engaging activities and programs

Concerns

  • Slow or non-existent response to call bells and requests for assistance (mentioned by 7 reviewers)
  • Poor communication and difficulty reaching staff via phone (mentioned by 4 reviewers)
  • Loss of patient personal belongings and clothing (mentioned by 2 reviewers)
  • Understaffing leading to neglect or delayed medical attention (mentioned by 5 reviewers)

Rating Trends

Tap a year to see what changed

234'15(1)'17(3)'19(6)'21(2)'23(6)'25(2)'26(4)

Distribution · 57 analyzed

5
30
4
5
3
1
2
2
1
19

How They Respond to Reviews

18%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1Given the importance of timely assistance, what is your current protocol for monitoring and responding to call bells during peak hours or shift changes?
  • 2How does your team ensure consistent communication with families, especially when we are trying to reach staff by phone to check on a loved one's status?
  • 3With your facility's focus on physical and occupational therapy, how do you integrate these sessions into the daily activity schedule to ensure residents stay engaged?
  • 4What specific systems or protocols do you have in place to track and safeguard residents' personal belongings and clothing to prevent loss?
  • 5How are you currently addressing staffing levels to ensure that residents receive prompt medical attention and consistent daily care?
  • 6Could you walk me through your process for medication management and how you keep families informed if there are any changes to a resident's care plan?

Personalized based on this facility's data


Key Review Excerpts

My call button calls were responded to promptly, the workers were so uplifting that it would have been hard to get depressed, the physical and occupational therapists were so helpful and interested in helping me improve my mobility.

Rehab patient · 2015★★★★★

I had to call Adult Protective Services on this facility for neglect of my mom who has been there for 3 weeks. Among many other things, she fell twice and no one bothered to help her up for over 20 minutes.

Memory care family member · 2018★★★★★

My mother-in-law spent the last three months of her life at Homestead. She was kept clean, loved, and given excellent care. The facility is very clean, with no smell,

Long-term resident's family · 2026★★★★★
Source: 53 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.80hrs
OK
Registered nurses for medical care
Total Nursing
3.58hrs
87%
All nurses + aides combined
Staff Turnover
50%
Lower is better (< 30% = good)
RN Turnover
31%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

16

measures

Worse Than Avg

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility95.7%
Worse than Avg
Here
95.7%
US
12.1%
KY
16.5%
Fayette
10.5%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility10.2%
Better than Avg
Here
10.2%
US
19.5%
KY
29.6%
Fayette
25.1%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility4.7%
Better than Avg
Here
4.7%
US
19.4%
KY
19.4%
Fayette
22.2%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility5.6%
Better than Avg
Here
5.6%
US
15.3%
KY
15.5%
Fayette
15.2%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility5.3%
Better than Avg
Here
5.3%
US
14.4%
KY
14.7%
Fayette
14.3%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility9.3%
Better than Avg
Here
9.3%
US
15.4%
KY
16.4%
Fayette
15.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility96.7%
Better than Avg
Here
96.7%
US
81.8%
KY
83.9%
Fayette
83.5%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility91.5%
Better than Avg
Here
91.5%
US
79.7%
KY
83.6%
Fayette
81.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
KY
1.7%
Fayette
1.4%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

3deficiencies
Near state avg (3.4)
1 complaint-triggered

Homestead Post Acute has recurring issues with fire safety systems, electrical equipment, and food safety that persist across multiple years, with families filing at least one complaint about grievance procedures. The facility shows repeated deficiencies in sprinkler maintenance, smoke doors, electrical grounding, and food storage from 2019 through 2025. While all violations were reportedly corrected, the pattern of similar safety issues reappearing suggests ongoing maintenance challenges that families should discuss during visits.

Jul 17, 2025Routine
10
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0761Potential for harm · PatternCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0325Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have properly installed hallway dispensers for alcohol-based hand rub.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0912Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have power receptacles that are properly grounded.

Sep 20, 2024Routine
16
0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0291Potential for harm · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0293Potential for harm · WidespreadCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0222Potential for harm · PatternCorrected

Egress Deficiencies

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.

0271Potential for harm · PatternCorrected

Egress Deficiencies

Have exits that are accessible at all times.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0325Potential for harm · PatternCorrected

Smoke Deficiencies

Have properly installed hallway dispensers for alcohol-based hand rub.

0351Potential for harm · PatternCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0912Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have power receptacles that are properly grounded.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0699Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care or services that was trauma informed and/or culturally competent.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Aug 29, 2023Complaint
1
0585Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Dec 12, 2019Routine
3
0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

Ownership & Operations

Who Operates This Facility

Owner / Operator

Homestead Post Acute

Organization Type

for profit

Chain Affiliation

Chain Name

Pacs Group

Chain Size

279 facilities nationwide

Chain avg rating: 2.9/5 · Rank 143 of 260

Ownership & Management

Owners

Providence Group of Kentucky LLC

Owner · Organization

100%

Providence Group Nh, LLC

Owner (parent company) · Organization

100%

Key personnel

Richard, JohnContracted Managing EmployeeHolman, JustinW-2 Managing EmployeeApt, FrederickOfficer / DirectorHancock, MarkOfficer / DirectorJergensen, JoshuaOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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