Lilisity Resident reviews verified by Senior Living Alliance
Home › Kentucky › Louisville/Jefferson County

Senior Living in Louisville/Jefferson County, KY: Every Licensed Community & 2026 Costs

Senior living in Louisville/Jefferson County, Kentucky spans 76 state-licensed assisted living, memory care, and independent living communities and 69 Medicare-certified nursing homes across Jefferson, Bullitt, Oldham, Shelby, Nelson, Meade, Spencer, and Henry counties in Kentucky, plus Clark, Floyd, Harrison, and Washington counties in Indiana. 12 area nursing homes hold a 5-star CMS rating. Lilisity publishes no score or ranking for any community that has not earned an award; the licensing and CMS data below are public records.

All senior living in Louisville/Jefferson County: 76 licensed communities by county

Every assisted living, memory care, and independent living community licensed by the state in Jefferson, Bullitt, Oldham, Shelby, Nelson, Meade, Spencer, and Henry counties in Kentucky, plus Clark, Floyd, Harrison, and Washington counties in Indiana, from state licensing records. Listing here is not a rating: Lilisity publishes no score for any community that has not earned an award. Communities marked verified reviews have phone-verified resident and family interviews on file.

Jefferson County, KY 42 communities

Shelby County, KY 7 communities

Nelson County, KY 4 communities

Oldham County, KY 4 communities

Bullitt County, KY 3 communities

Meade County, KY 2 communities

Henry County, KY 1 communities

Spencer County, KY 1 communities

Clark County, IN 6 communities

Floyd County, IN 5 communities

Jefferson County, CT 1 communities

How much does senior living cost in Louisville/Jefferson County?

Assisted living in the Louisville/Jefferson County area typically runs $4,500–$6,500 per month, with memory care $1,000–$1,500 above that and independent living below it; skilled nursing is billed through Medicare, Medicaid, or private pay rather than monthly rent. Rates vary widely by apartment size and care level, so ask for the community’s current rate sheet.

Care typeTypical Louisville/Jefferson County rangeWhat it covers
Independent living$3,000 – $4,500Private apartment or cottage, meals and services optional
Assisted living$4,500 – $6,500Daily personal care, meals, medication management
Memory care$5,500 – $8,000Secured neighborhood, dementia-trained staff
Skilled nursingPayer-based24/7 medical care; Medicare/Medicaid/private pay

Ranges reflect operator-published market rates for the region, September 2026. Kentucky’s Medicaid waiver programs and VA Aid & Attendance can offset costs — see the FAQ below.

What are the highest-rated nursing homes in Louisville/Jefferson County?

12 of the 69 Medicare-certified nursing homes in the Louisville/Jefferson County metro hold the highest possible 5-star overall rating from CMS — including Nazareth Home in Louisville. Every facility below links to its full inspection history, staffing hours, and deficiency record.

Facility ↕Location ↕CMS rating ↕Beds ↕Operator ↕
Nazareth HomeLouisville, KY★★★★★ 5/5118Independent
Nazareth Home CliftonLouisville, KY★★★★★ 5/5113Independent
Signature Healthcare At Jefferson Manor Rehab & WeLouisville, KY★★★★★ 5/5100Signature Healthcare
Salem CrossingSalem, IN★★★★★ 5/592American Senior Communities
The Springs At Stony BrookLouisville, KY★★★★★ 5/566Trilogy Health Services
Westport Place Health CampusLouisville, KY★★★★★ 5/564Trilogy Health Services
New Castle Nursing & RehabNew Castle, KY★★★★★ 5/560Pacs Group
Harrison Springs Health CampusCorydon, IN★★★★★ 5/558Trilogy Health Services
Crestview Healthcare And RehabilitationShelbyville, KY★★★★★ 5/558Simcha Hyman & Naftali Zanziper
Forest Springs Health CampusLouisville, KY★★★★★ 5/558Trilogy Health Services
Brandenburg Nursing And Rehabilitation CenterBrandenburg, KY★★★★★ 5/557Benjamin Landa
Sanders Ridge Health CampusMount Washington, KY★★★★★ 5/556Trilogy Health Services
Riverview VillageClarksville, IN★★★★☆ 4/5130American Senior Communities
Seneca PlaceLouisville, KY★★★★☆ 4/5122David Marx
Signature Healthcare At Rockford Rehab & WellnessLouisville, KY★★★★☆ 4/5110Signature Healthcare

Source: CMS Care Compare, federal five-star quality rating system, retrieved September 2026. Lilisity republishes this government data unmodified; no facility can pay to change its rating.

Which Louisville/Jefferson County areas have senior living?

Senior living in the Louisville/Jefferson County metro is spread across Jefferson, Bullitt, Oldham, Shelby, Nelson, Meade, Spencer, and Henry counties in Kentucky, plus Clark, Floyd, Harrison, and Washington counties in Indiana. The cities with the most licensed communities and nursing homes are listed below; most sit within a short drive of the region’s hospital systems, which matters for families coordinating specialist care or hospital discharge.

Kentucky

  • Louisville (70)
  • Shelbyville (9)
  • Bardstown (6)
  • La Grange (5)
  • Mount Washington (4)
  • Prospect (4)
  • Brandenburg (3)
  • Jeffersontown (3)
  • New Castle (2)

Indiana

  • New Albany (10)
  • Jeffersonville (5)
  • Clarksville (4)
  • Corydon (3)
  • Sellersburg (3)
  • Salem (2)
  • Georgetown (1)
  • Floyds Knobs (1)
  • Charlestown (1)

How these reviews were collected — and how we’re paid

  1. We interview residents and family members by phone, voice to voice — never web forms, never scraped from other sites.
  2. Every review is named and dated, and verified against the community’s current resident or family list before publishing.
  3. Reviews are published as given — including critical ones. The only scores or rankings we publish are the Top Communities list and the Excellence Awards.

How Lilisity makes money: some communities pay us a referral fee when a family we’ve helped moves in. That fee never changes a review, a rating, or who appears on this page — CMS ratings come from the federal government, and reviews come from residents. Read the full methodology → · How we are paid →

Assisted living and memory care by city

Louisville/Jefferson County senior living questions, answered

Most states, including Kentucky, offer a Medicaid waiver that covers care costs (not room and board) at participating assisted living communities for people who qualify financially and medically. Not every community accepts the waiver, so ask early. Veterans and surviving spouses may also qualify for VA Aid & Attendance, worth up to roughly $2,300 per month toward care.

Assisted living provides housing, meals, and help with daily tasks like bathing and medications in an apartment setting, state-licensed and mostly private pay. Nursing homes (skilled nursing) provide 24/7 medical care, are federally certified and CMS-rated, and are typically paid through Medicare, Medicaid, or long-term-care insurance.

Every facility in the table above links to its full record — CMS star ratings, health-inspection findings, staffing hours per resident, and any fines or penalties, sourced from Medicare's Care Compare data. 12 Louisville/Jefferson County-area facilities currently hold a 5-star overall rating.

Assisted living moves can happen in days when a community has availability — after a nurse assessment and paperwork. Memory care placements after a crisis often complete within one to two weeks. Calling an advisor who knows current availability is the fastest path: (833) 612-4732.

Lilisity publishes scores and rankings only for the Top Communities list and the Excellence Awards, both built from phone-verified interviews. The 76 communities listed by county come from state licensing records; CMS ratings apply only to Medicare-certified nursing homes.

Talk to a Louisville/Jefferson County senior living advisor — free

One call covers current availability, honest pricing, and which communities fit your parent’s care needs and budget. No obligation, and we never sell your information.

(833) 612-4732Fastest — answered 7 days a week

We call back the same day. Free because participating communities pay a referral fee if you move in — how we’re paid.

Explore more: All Kentucky senior livingJefferson CountyBullitt CountyOldham CountyShelby CountyNelson CountyMeade CountyHow reviews are verifiedSenior living costs by state
Free Louisville/Jefferson County Advisor (833) 612-4732