2026 National Senior Care Cost Index • Updated with U.S. Census ACS & CMS Medicare Data Covering 51 States & DC • 29,639 Cities • 14,676 CMS Facilities

Senior Care & Assisted Living Costs in Lexington, KY

2026 monthly care rates for Lexington (Fayette County), local Census affordability metrics, and 12 CMS-certified care facilities.

Assisted Living🏠
$5,010/mo
$60,120/yr
-19% vs U.S. avg
Memory Care🧠
$6,110/mo
$73,320/yr
-19% vs U.S. avg
In-Home Care🤝
$28.26/hr
$5,390/mo (44h/wk)
-19% vs U.S. avg
Nursing Home (Semi)🏥
$7,740/mo
Private: $8,720/mo
-19% vs U.S. avg

2026 Long-Term Care Financial & Runway Simulator

Models eldercare inflation, home equity liquidation fees (7%), income offsets & Medicaid spend-down rules.

1. Select Care Setting & Schedule
Assisted Living$5,010/mo
Memory Care$6,110/mo
Home Care$28.26/hr
Nursing Semi$7,740/mo
Nursing Priv$8,720/mo
Planning Horizon 3 Years (36 mos)
Average U.S. assisted living stay: 28–36 mos
Annual Care Inflation 4.0% / yr
Historical eldercare inflation: 3.5%–4.5%/yr
2. Monthly Income & Insurance Offsets
Social Security & Pension ($/mo)
LTC Insurance / VA Benefit ($/mo)
VA Aid & Attendance up to $2,358/mo
3. Capital & Home Equity Reserves
Liquid Savings & IRA ($)
Home Value / Equity ($) Net: $253k
Auto-deducts 7% realtor & closing costs
Total Projected Care Cost
$0
Year 1 → Year 3
Net Out-of-Pocket Gap
$0
Initial monthly shortfall: $0/mo
Annual Care Cost vs. Remaining Capital End Balance: $0
Annual Care Cost (Inflation-Adjusted) Remaining Net Capital
2026 Cost Crossover Analysis

Home Care vs. Assisted Living Break-Even Point in Lexington, KY

40.9 hrs/wk Break-even threshold

At Lexington, KY's average caregiver rate of $28.26/hr, hiring in-home care equals the $5,010/mo cost of Assisted Living at exactly 40.9 hours per week (~5.8 hrs/day).

Part-Time Care (15 hrs/wk) Crossover: 40.9 hrs/wk 24/7 Shifts (168 hrs/wk)
Home Care Cheaper 20 hrs/wk at Home
$2,449/mo

Saves $2,561/mo vs. Assisted Living (excludes home mortgage/utilities).

Full-Time Benchmark (44h/wk) 44 hrs/wk vs. Assisted Living
$5,388 vs. $5,010/mo

Full-time home care costs $378/mo more than Assisted Living (where meals & utilities are included).

Facility Cheaper 80+ hrs/wk (Day + Night)
$9,796/mo

Assisted Living saves $4,786/mo; Memory Care averages $6,110/mo.

Lexington vs. Kentucky & U.S. Averages

Monthly Assisted Living cost comparison adjusted for Fayette County economic indicators.

Lexington, KY$5,010/mo
Kentucky State Average$4,650/mo
U.S. National Median$6,200/mo

Fayette County Economic Context (U.S. Census)

Official ACS 5-Year benchmarks used to model local care affordability (see methodology).

Median Household Income $67,631/yr ($5,636/mo)
Median Home Value $272,100
Median Gross Rent $1,101/mo
Kentucky Medicaid Limit (2026) $2,901/mo

CMS-Certified Senior Care & Nursing Facilities in Lexington, KY

Official Medicare provider registry showing certified bed capacity, ownership structure, and CMS 5-star quality ratings.

The Willows At Citation
1376 Silver Springs Drive, Lexington, KY 40511 • 8592770320
54 Certified Beds For profit - Limited Liability company CCN: 185474
5/5 CMS Rating
Homestead Post Acute
1608 Versailles Road, Lexington, KY 40504 • 8592520871
136 Certified Beds For profit - Limited Liability company CCN: 185144
3/5 CMS Rating
Bluegrass Care & Rehabilitation Center
3576 Pimlico Parkway, Lexington, KY 40517 • 8592720608
124 Certified Beds For profit - Corporation CCN: 185446
3/5 CMS Rating
Cambridge Nursing & Rehabilitation Center
2020 Cambridge Drive, Lexington, KY 40504 • 8592526747
108 Certified Beds For profit - Limited Liability company CCN: 185444
3/5 CMS Rating
The Willows At Fritz Farm
2710 Man O War Boulevard, Lexington, KY 40515 • 8592730088
54 Certified Beds For profit - Limited Liability company CCN: 185482
3/5 CMS Rating
Pine Meadows Post Acute
1608 Hill Rise Drive, Lexington, KY 40504 • 8592542402
120 Certified Beds For profit - Limited Liability company CCN: 185215
2/5 CMS Rating
The Willows At Hamburg
2531 Old Rosebud Road, Lexington, KY 40509 • 8595430337
64 Certified Beds For profit - Individual CCN: 185470
2/5 CMS Rating
Sayre Christian Village Nursing Home
3775 Belleau Wood Drive, Lexington, KY 40517 • 8592719000
164 Certified Beds Non profit - Corporation CCN: 185248
1/5 CMS Rating
Hartland Park Health & Rehabilitation
1500 Trent Boulevard, Lexington, KY 40515 • 8592722273
150 Certified Beds For profit - Limited Liability company CCN: 185197
1/5 CMS Rating
Lexington Premier Nursing & Rehab
2770 Palumbo Drive, Lexington, KY 40509 • 8592632410
120 Certified Beds For profit - Limited Liability company CCN: 185463
1/5 CMS Rating
Lexington Country Place
700 Mason Headley Road, Lexington, KY 40504 • 8592593486
111 Certified Beds For profit - Corporation CCN: 185160
1/5 CMS Rating
Mayfair Manor
3300 Tates Creek Road, Lexington, KY 40502 • 8592662126
98 Certified Beds For profit - Corporation CCN: 185069
1/5 CMS Rating

Frequently Asked Questions About Senior Care in Lexington

The estimated median cost of assisted living in Lexington, KY is $5,010 per month ($60,120 per year), adjusted for Fayette County housing and income data.
A semi-private room in a skilled nursing facility in Lexington averages $7,740 per month, while a private room averages $8,720 per month.
In-home caregiver services in Lexington, KY average $28.26 per hour, or roughly $5,390 per month for 44 hours of weekly care.
For 2026, the standard monthly income cap for Medicaid nursing home and HCBS waiver eligibility in Kentucky is $2,901 per individual applicant.

Compare Senior Care Costs in Nearby Kentucky Cities