See every facility — official ratings, family reviews, no referral fees.
Nursing HomeMedicaid Investigative

Nicholasville Nursing and Rehabilitation

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

100 Sparks Avenue, Nicholasville, KY 4035673 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.1/5

based on 75 Google reviews

5
4
3
2
1
Nicholasville Nursing and Rehabilitation Nursing Home in Nicholasville, KY — Street View
Street View

Watch Nicholasville Nursing and Rehabilitation

Get an email when new inspections, ratings, or penalties are published for this facility.

We’ll only email you about this — no spam, unsubscribe anytime.

5/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • High staff turnover (82%)
  • High RN turnover (83%)

Bottom 25% in KY · Below recommended RN staffing · Very high staff turnover · Worst in DAVID MARX chain · $16,104 in fines · Very few deficiencies

Source: Medicare data

What this means for your family

While the facility is frequently praised for its effective rehabilitation therapy and friendly frontline staff, there are recurring, serious reports of understaffing and neglect. We strongly advise families to conduct unannounced visits during weekends or evenings to observe staffing levels firsthand and to ask specifically about the facility's plan for addressing hygiene and resident care consistency.

Google Reviews

Google Reviews

75 reviews on Google
Nicholasville Nursing and Rehabilitation receives highly polarized feedback, with many five-star reviews praising the therapy department and staff kindness, while critical reviews highlight severe concerns regarding neglect, hygiene, and understaffing. Families should be aware of a significant divide between positive experiences and reports of residents being left in soiled conditions or suffering from preventable health issues like bedsores. The facility has undergone ownership changes, but recent negative reports suggest ongoing challenges with administrative responsiveness and staffing levels.

Quality Themes

Tap a score for details
FoodN/AStaff5.0Clean4.0Activities7.0Meds2.0MemoryN/AComms3.0ValueN/A

Strengths

  • Highly effective physical therapy and rehabilitation program
  • Warm and compassionate nursing assistants
  • Clean and modern facility environment
  • Convenient location for local families

Concerns

  • Chronic understaffing leading to neglect (mentioned by 6 reviewers)
  • Poor hygiene and sanitation (soiled linens, bug infestation) (mentioned by 3 reviewers)
  • Unresponsive or rude administration (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'16(1)'18(1)'21(1)'23(16)'25(27)'26(4)

Distribution · 80 analyzed

5
59
4
1
3
3
2
1
1
16
18 reviews posted between Jul 1, 2025Jul 1, 2025 · 16 were 5-star

How They Respond to Reviews

100%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed your physical therapy program is highly praised; could you walk me through how you integrate those rehabilitation services into a resident's daily routine?
  • 2With a capacity of 73 residents, how do you ensure that nursing assistants have enough time to provide consistent, personalized attention to each individual throughout the day?
  • 3I appreciate that you are very active in responding to family feedback online; how do you use that communication to address concerns about facility cleanliness and sanitation standards?
  • 4Given the current CMS staffing rating, what specific steps are you taking to ensure that residents receive timely assistance with hygiene and daily personal care?
  • 5Could you explain your current process for medication management and how you keep families informed if there is a change in a resident's medical status?
  • 6What kind of social activities or engagement programs do you have in place to ensure residents feel connected and active within the facility?

Personalized based on this facility's data


Key Review Excerpts

My mother has bed soars on every place of pressure and bone that touches her skin. She went to the hospital because of not eating and found out she has stage 4 cancer and is on her deathbed going to hospice.

Long-term resident's family · 2024☆☆☆☆

My grandmother is a current resident. Since the day she arrived to now - there has been problems with the facility. Bug infestation. Poor care. Low staff.

Long-term resident's family · 2024☆☆☆☆

All staff made my stay for rehab pleasant. The employees are all kind, caring, and efficient that I dealt with while there. They are very professional. The facility runs like a well run machine.

Rehab patient · 2025★★★★★
Source: 75 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.49hrs
66%
Registered nurses for medical care
Total Nursing
3.31hrs
81%
All nurses + aides combined
Staff Turnover
80%
Lower is better (< 30% = good)
RN Turnover
83%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

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

Medicare Rating
2/ 5
Better Than Avg

7

measures

Worse Than Avg

10

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
15.3%
KY
15.5%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility1.8%
Better than Avg
Here
1.8%
US
14.4%
KY
14.7%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility17.5%
Better than Avg
Here
17.5%
US
19.5%
KY
29.6%
😔

Residents with depression symptoms

↓ Lower is better
This Facility22.5%
Worse than Avg
Here
22.5%
US
12.1%
KY
16.5%

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

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility7.0%
Better than Avg
Here
7.0%
US
15.4%
KY
16.4%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility85.4%
Worse than Avg
Here
85.4%
US
93.4%
KY
94.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility38.0%
Worse than Avg
Here
38.0%
US
81.8%
KY
83.9%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility58.7%
Worse than Avg
Here
58.7%
US
79.7%
KY
83.6%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility5.3%
Worse than Avg
Here
5.3%
US
1.6%
KY
1.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

2deficiencies
Near state avg (3.4)
13 complaint-triggered
$16,104 in fines

Families have filed multiple complaints triggering 13 deficiencies, with recurring issues in care planning, medication management, and infection control appearing across multiple surveys from 2019 to 2024. While all 42 total deficiencies show correction dates, the pattern of repeated problems in core care areas—including serious concerns about resident protection from abuse and adequate nursing staffing—suggests persistent operational challenges that families should carefully evaluate during visits.

Aug 22, 2025Routine
3
0761Potential for harm · PatternCorrected

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.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Aug 22, 2025Complaint
1
0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Sep 12, 2024Routine
16
0755Potential for harm · WidespreadCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0761Potential for harm · WidespreadCorrected

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 · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0372Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0883Potential for harm · PatternCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0640Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

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.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0678Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

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.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Sep 12, 2024Complaint
2
0725Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

Jul 13, 2023Complaint
4
0661Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

0622Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

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.

0660Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Plan the resident's discharge to meet the resident's goals and needs.

May 5, 2023Complaint
6
0656Actual 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.

0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0661Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0622Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0660Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Plan the resident's discharge to meet the resident's goals and needs.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Nicholasville Nursing and Rehabilitation

Organization Type

for profit

Chain Affiliation

Chain Name

David Marx

Chain Size

10 facilities nationwide

Chain avg rating: 2.4/5 · Rank 10 of 10 (Worst)

Ownership & Management

Owners

Nicholasville Nursing and Rehabilitation Holdings LLC

Owner · Organization

100%

Key personnel

Pruitt, PaulManaging Control - Governing Body100 Sparks Ave Snf Realty LLCManagerBluegrass Consulting Group LLCManagerAlexander, JamesManagerChamberlain, MargaretManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

Call