Nicholasville Nursing and Rehabilitation
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 75 Google reviews

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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
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 detailsStrengths
- 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
Distribution · 80 analyzed
How They Respond to Reviews
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.”
“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.”
“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.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
7
measures
10
measures
Residents whose walking got worse
Residents needing more daily help over time
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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, 2025Routine3
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.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Aug 22, 2025Complaint1
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Sep 12, 2024Routine16
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
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.
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
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.
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.
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.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Sep 12, 2024Complaint2
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.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Jul 13, 2023Complaint4
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.
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.
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.
Resident Assessment and Care Planning Deficiencies
Plan the resident's discharge to meet the resident's goals and needs.
May 5, 2023Complaint6
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.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
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.
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.
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
Nicholasville Nursing and Rehabilitation
for profit
Chain Affiliation
David Marx
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
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
75 reviews from families & visitors
Official Website
Visit nicholasvillenr.com
Medicare data downloads
Original nursing home datasets
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