Ratings are from the federal rating system maintained by the Centers for Medicare and Medicaid Services. Nursing homes that are Medicare- and Medicaid-certified are rated on health inspections, staffing and quality measures.Five stars: much-above-average care. Four stars: above-average care.Three stars: average care.Two stars: below-average care.One star: much-below-average care.

Five stars

Homestead Nursing Center, Lexington

Tanbark Health Care Center, Lexington

Pine Meadows Health Care, Lexington

Cambridge Place, Lexington

Bourbon Heights Nursing Home, Paris

Telford Terrace, Richmond

The Terrace Nursing & Rehabilitation Center, Berea

Four stars

Cardinal Hill Rehab Unit at Samaritan Hospital, Lexington

Sayre Christian Village Nursing Home, Lexington

Clark Regional Medical Center, Winchester

Three stars

Rose Manor Health Care, Lexington

Kenwood Health and Rehabilitation Center, Richmond

Signature Healthcare of Georgetown, Georgetown

Two stars

Mayfair Manor, Lexington

Northpoint/Lexington Healthcare Center, Lexington

Richmond Place Rehabilitation and Health Center, Lexington

Dover Manor, Georgetown

Bluegrass Care & Rehabilitation Center, Lexington*

Royal Manor, Nicholasville

One star

Fountain Circle Health and Rehabilitation, Winchester*

Lexington Country Place, Lexington

Berea Health Care Center, Berea

Madison Health & Rehabilitation Center, Richmond

* Special Focus Facility, which means it has a history of persistent poor quality of care and has been selected for more frequent inspections.

Go to Medicare.gov/nhcompare/home.asp for federal rankings of all nursing homes.Compiled as a public service by Kentuckians for Nursing Home Reform (KyNursingHomeReform.org).