Kentucky

Nursing Home Staffing Profile — 2025Q3

267 facilities21,602 residents4.05 avg HPRD

vs National Average

+0.15 HPRD

National avg: 3.90 · Kentucky: 4.05

📋

Kentucky ranks among the higher-performing states for nursing home staffing, with an average of 4.05 HPRD — 0.15 hours above the national average. Only 72.3% of facilities meet the CMS staffing benchmark of 3.48 HPRD, compared to 65.8% nationally. RN staffing averages 0.79 HPRD, with 37.1% of facilities meeting the 0.75 research recommendation.

4.05

Average Total HPRD

All nursing staff combined

▲ 0.15 vs national

0.79

Average RN HPRD

Recommended: 0.75

▲ 0.10 vs national

72.3%

Meet CMS Benchmark

193 of 267 facilities

16.5%

Avg Weekend Drop-off

Staffing reduction on Sat/Sun

3.1%

Avg Agency Staff

Contractor/temp worker hours

—

Had Zero-RN Days

Data unavailable

3.76

Median HPRD

50th percentile (less skewed by outliers)

F-Rated Facilities

Under 2.5 HPRD — critically understaffed

Grade Distribution

How Kentucky's 267 facilities grade out

HPRD Distribution

Where facilities fall across the staffing spectrum

Staffing by Ownership Type

For-profit facilities consistently staff lower than non-profit and government-run homes

For-Profit

3.80

avg HPRD

219 facilities (82%)

Non-Profit

5.15

avg HPRD

43 facilities (16%)

Government

5.54

avg HPRD

5 facilities (2%)

💡 Non-profit facilities in Kentucky average 1.35 more HPRD than for-profit ones — about 36% higher staffing.

▲ Best Staffed in Kentucky

Top 5 by total nurse HPRD

A+

WILLOWBROOK HEALTHCARE

HOME OF THE INNOCENTS

ST ELIZABETH EDGEWOOD SNF

The Transitional Care Center of Owensboro

ST ELIZABETH FT THOMAS SNF

Fort Thomas

8.29 HPRD

RN: 3.75

▼ Most Understaffed in Kentucky

Bottom 5 by total nurse HPRD

267

TJ Samson Community Hospital

Carter Nursing and Rehabilitation

Fulton Nursing and Rehabilitation, LLC

River Valley Nursing Home

Elkhorn Health & Rehabilitation

Elkhorn City

2.90 HPRD

RN: 0.44

⚖️

Compare Two Facilities Side by Side

Pick any two Kentucky nursing homes and see how they stack up across every metric

Open Comparison Tool →

County Breakdown

Staffing metrics by county in Kentucky — click a county to see individual facilities

Avg HPRD— total nurse hours per resident per day:≥ 3.48 meets federal benchmark,3.0–3.47 below benchmark,< 3.0 critically low

Meet Benchmark— share of facilities in the county at or above the 3.48 HPRD federal minimum:≥ 50%35–49%< 35%

County	Facilities ↓	Avg HPRD	RN HPRD	Meet Benchmark	Grades
▸Jefferson	39	4.06	0.90	71.8%	Mixed B/C
▸Fayette	13	3.89	0.65	84.6%	Mixed B/D
▸Kenton	8	4.91	1.06	87.5%	Mixed D/A+
▸Warren	7	3.91	0.64	71.4%	Mostly B
▸Hopkins	7	4.29	0.66	85.7%	Mixed C/B
▸Hardin	7	4.54	1.32	100.0%	Mostly B
▸Daviess	6	4.53	1.19	83.3%	Mostly B
▸Barren	6	3.60	0.71	50.0%	Mixed B/C
▸Madison	5	4.02	0.55	100.0%	Mostly D
▸Campbell	5	5.00	1.30	100.0%	Mostly B
▸Whitley	5	4.43	0.74	100.0%	Mostly B
▸Mc Cracken	4	3.69	0.60	100.0%	Mostly B
▸Pulaski	4	4.09	1.34	100.0%	Mixed A+/A
▸Pike	4	4.10	0.92	50.0%	Mixed A+/B
▸Christian	3	3.85	0.53	66.7%	Mixed B/C
▸Ohio	3	3.69	0.69	66.7%	Mostly C
▸Muhlenberg	3	4.24	0.80	66.7%	Mostly C
▸Greenup	3	3.70	0.52	66.7%	Mixed B/C
▸Harrison	3	3.43	0.70	33.3%	Mostly C
▸Boyd	3	4.08	0.56	66.7%	Mixed A/C
▸Boone	3	3.91	0.50	100.0%	Mixed B/C
▸Marshall	3	4.11	0.72	66.7%	Mostly B
▸Union	2	4.52	0.93	100.0%	Mixed A+/B
▸Logan	2	3.39	0.39	50.0%	Mixed C/D
▸Lyon	2	3.51	0.71	50.0%	Mixed B/C
▸Washington	2	4.27	0.81	50.0%	Mixed A/C
▸Harlan	2	4.46	0.86	100.0%	Mostly A
▸Marion	2	5.38	0.67	100.0%	Mixed A/C
▸Henderson	2	3.98	0.54	50.0%	Mostly C
▸Breckinridge	2	4.30	1.22	50.0%	Mixed A+/C
▸Mercer	2	3.78	0.66	100.0%	Mixed B/C
▸Hickman	2	4.30	0.56	50.0%	Mostly C
▸Bullitt	2	3.70	0.66	50.0%	Mixed B/C
▸Nelson	2	4.33	1.02	100.0%	Mixed A/B
▸Jessamine	2	4.15	0.68	50.0%	Mixed A/C
▸Oldham	2	4.47	0.73	100.0%	Mixed A/B
▸Perry	2	5.12	1.20	100.0%	Mixed A+/A
▸Floyd	2	3.74	1.05	50.0%	Mixed B/C
▸Franklin	2	3.45	0.49	50.0%	Mostly C
▸Rockcastle	2	5.15	1.49	100.0%	Mixed A+/B
▸Scott	2	3.75	0.90	100.0%	Mixed B/C
▸Shelby	2	3.73	0.64	50.0%	Mixed B/C
▸Boyle	2	3.48	0.41	50.0%	Mixed C/D
▸Taylor	2	4.16	0.60	100.0%	Mostly B
▸Graves	2	3.23	0.51	0.0%	Mostly C
▸Grayson	2	3.54	0.45	50.0%	Mostly C
▸Bell	2	3.61	0.69	50.0%	Mostly C
▸Magoffin	1	3.55	0.65	100.0%	Mostly B
▸Martin	1	3.62	0.69	100.0%	Mostly B
▸Mason	1	4.04	0.47	100.0%	Mostly C
▸Meade	1	3.53	0.64	100.0%	Mostly B
▸Menifee	1	3.92	0.61	100.0%	Mostly B
▸Metcalfe	1	4.43	0.55	100.0%	Mostly C
▸Monroe	1	3.86	0.51	100.0%	Mostly C
▸Montgomery	1	3.66	0.31	100.0%	Mostly D
▸Morgan	1	3.54	0.79	100.0%	Mostly B
▸Nicholas	1	21.73	5.19	100.0%	Mostly A+
▸Owen	1	3.27	0.85	0.0%	Mostly C
▸Owsley	1	3.97	1.11	100.0%	Mostly B
▸Pendleton	1	2.88	0.54	0.0%	Mostly D
▸Powell	1	3.85	0.53	100.0%	Mostly C
▸Robertson	1	3.44	0.79	0.0%	Mostly C
▸Rowan	1	3.29	0.82	0.0%	Mostly C
▸Russell	1	3.26	0.49	0.0%	Mostly C
▸Simpson	1	3.22	0.51	0.0%	Mostly C
▸Spencer	1	3.66	1.07	100.0%	Mostly B
▸Todd	1	3.37	0.36	0.0%	Mostly D
▸Trigg	1	3.49	0.84	100.0%	Mostly B
▸Trimble	1	3.20	0.63	0.0%	Mostly C
▸Wayne	1	3.22	0.31	0.0%	Mostly D
▸Webster	1	3.29	0.40	0.0%	Mostly C
▸Wolfe	1	4.43	0.57	100.0%	Mostly B
▸Woodford	1	5.38	0.96	100.0%	Mostly A
▸Knox	1	3.76	0.95	100.0%	Mostly B
▸Allen	1	3.78	0.65	100.0%	Mostly B
▸Anderson	1	4.06	0.87	100.0%	Mostly B
▸Ballard	1	3.71	0.60	100.0%	Mostly B
▸Bath	1	4.24	0.48	100.0%	Mostly C
▸Bourbon	1	4.58	0.55	100.0%	Mostly C
▸Bracken	1	3.79	0.68	100.0%	Mostly B
▸Breathitt	1	3.07	0.87	0.0%	Mostly C
▸Butler	1	3.63	0.87	100.0%	Mostly B
▸Caldwell	1	3.41	0.56	0.0%	Mostly C
▸Calloway	1	4.03	0.29	100.0%	Mostly D
▸Carlisle	1	3.26	0.56	0.0%	Mostly C
▸Carroll	1	3.75	0.58	100.0%	Mostly B
▸Carter	1	2.59	0.45	0.0%	Mostly D
▸Casey	1	3.66	0.59	100.0%	Mostly B
▸Clark	1	3.85	0.62	100.0%	Mostly B
▸Clay	1	3.04	0.47	0.0%	Mostly C
▸Clinton	1	3.88	0.53	100.0%	Mostly C
▸Crittenden	1	3.14	0.47	0.0%	Mostly C
▸Cumberland	1	3.84	0.44	100.0%	Mostly C
▸Edmonson	1	3.76	0.61	100.0%	Mostly B
▸Elliott	1	3.15	0.48	0.0%	Mostly C
▸Estill	1	3.66	0.50	100.0%	Mostly C
▸Fleming	1	3.43	0.42	0.0%	Mostly C
▸Fulton	1	2.67	0.26	0.0%	Mostly D
▸Gallatin	1	3.66	0.43	100.0%	Mostly C
▸Garrard	1	3.26	0.35	0.0%	Mostly D
▸Grant	1	3.19	0.85	0.0%	Mostly C
▸Green	1	3.14	0.43	0.0%	Mostly C
▸Hancock	1	3.36	0.53	0.0%	Mostly C
▸Hart	1	3.67	0.72	100.0%	Mostly B
▸Henry	1	3.73	0.45	100.0%	Mostly C
▸Jackson	1	3.77	1.30	100.0%	Mostly B
▸Johnson	1	3.93	0.77	100.0%	Mostly B
▸Knott	1	4.30	0.93	100.0%	Mostly A
▸Adair	1	3.62	0.59	100.0%	Mostly B
▸Larue	1	3.50	0.83	100.0%	Mostly B
▸Laurel	1	4.20	0.98	100.0%	Mostly A
▸Lawrence	1	4.52	0.97	100.0%	Mostly A
▸Lee	1	3.85	0.86	100.0%	Mostly B
▸Leslie	1	4.41	0.88	100.0%	Mostly A
▸Letcher	1	3.42	0.40	0.0%	Mostly C
▸Lewis	1	3.12	0.46	0.0%	Mostly C
▸Lincoln	1	3.30	0.36	0.0%	Mostly D
▸Livingston	1	3.32	0.54	0.0%	Mostly C
▸Mc Creary	1	3.63	0.83	100.0%	Mostly B
▸Mc Lean	1	3.78	0.78	100.0%	Mostly B

HPRD Range in Kentucky

The spread between best and worst staffed facilities

3.43

25th pctile

3.76

Median

4.20

75th pctile

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.