The following ratings of nursing homes in Fayette County and five surrounding counties 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. Go to Medicare.gov/nhcompare/home.asp for federal rankings of all nursing homes.

Five stars

(Much-above-average care)

■ Tanbark Health Care Center, Lexington

■ The Terrace Nursing & Rehabilitation Center, Berea

■ Telford Terrace, Richmond

Four stars

(Above-average care)

■ Cambridge Place, Lexington

■ Sayre Christian Village Nursing Home, Lexington

■ Clark Regional Medical Center, Winchester

■ Rose Manor Health Care, Lexington

■ Kenwood Health and Rehabilitation Center, Richmond

■ Signature Healthcare of Georgetown, Georgetown

■ Dover Manor, Georgetown

■ Madison Health & Rehabilitation Center, Richmond

Three stars

(Average care)

■ Northpoint/Lexington Healthcare Center, Lexington

■ Royal Manor, Nicholasville

■ Bluegrass Care & Rehabilitation Center, Lexington

■ Berea Health Care Center, Berea

Two stars

(Below-average care)

■ Homestead Nursing Center, Lexington

■ Pine Meadows Health Care, Lexington

■ Bourbon Heights Nursing Home, Paris

■ Mayfair Manor, Lexington

■ Richmond Place Rehabilitation and Health Center, Lexington

■ Lexington Country Place, Lexington

■ Kindred Traditional Care and Rehab — Fountain Circle, Winchester *

One star

(Much-below-average care)

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

Compiled as a public service by Kentuckians for Nursing Home Reform, KyNursingHomeReform.org.