Bluegrass Care & Rehabilitation

    3576 Pimlico Pkwy, Lexington, KY 40517
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Outstanding therapy and caring staff

    I had a very positive experience at Bluegrass - the therapy team was outstanding and the nurses/CNAs were genuinely caring and attentive. Administration (especially Ladonna) gave excellent discharge and transition support, communication was clear, and the place feels like family with engaging activities, good meals, and a safe, clean environment. I would recommend their rehab and long-term care.

    Current/former resident
    Aug 2026

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    4.13·(126)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.8
    • Staff

      4.2
    • Meals

      2.8
    • Amenities

      2.3
    • Value

      1.5

    Pros

    • Compassionate, attentive nursing and CNA staff
    • Strong, effective rehabilitation services (PT/OT/ST)
    • Engaging activities program including music-based therapy
    • Family-like, resident-centered atmosphere
    • Responsive case management and discharge coordination
    • Pleasant dining area with several positive meal experiences
    • Small, homelike layout with shared rooms and window views
    • Active therapy–nursing communication and safety focus
    • Accessible room features (accessible bathrooms, bedside storage)

    Cons

    • Inconsistent staffing levels and coverage
    • Delays and gaps in medication administration and pharmacy coordination
    • Inadequate responsiveness to call lights and bedside needs
    • Sanitation and odor concerns in some areas
    • Laundry and personal-property management failures
    • Variable food-service quality and missed mealtime continuity
    • Gaps in timely wound and incontinence care
    • Limited capability for high-acuity respiratory care
    • Pest-control concerns
    • Aging facility condition and maintenance needs
    • Weaknesses in family communication and clinical incident follow-up
    • Property-control and medication-control process weaknesses

    Summary of reviews

    Bluegrass Care & Rehabilitation elicits strongly mixed impressions. Across many accounts the facility's rehabilitation program and therapy staff are repeatedly praised for effective, goal-oriented PT/OT/ST that help residents regain strength and return home. Therapy-led activities, including music-based programs and group events, are highlighted as engaging and supportive of resident morale. Many families describe nursing and ancillary staff as compassionate and attentive, and the facility's small, homelike layout and pleasant dining area contribute to a sense of community for some residents.

    At the same time, a consistent pattern of operational weaknesses appears in other accounts. Staffing levels and coverage are frequently described as inconsistent, with particular strain on weekends and during busy shifts; this is linked to delays in responding to call lights and bedside assistance. Several reports describe interruptions or delays in medication administration and coordination with the pharmacy, which caregivers characterize as a clinical risk. There are also recurring notes about lapses in wound and incontinence-care timeliness and about the need for family members or home-health providers to supplement basic care.

    Food service and environmental concerns are another notable pattern. While some reviewers report positive meal experiences and a pleasant dining area, others note uneven food quality, missed meals or mealtime lapses, and problems in laundry and personal-property handling. Sanitation and odor concerns, pest-control issues, and visible signs of aging or deferred maintenance are reported often enough to be a facility-level consideration for prospective residents and families.

    Clinical capability and safety are areas to evaluate relative to a prospective resident's needs. Several comments indicate the facility may have limited capacity to manage high-acuity respiratory patients (BiPAP/ventilator) and that staff training and equipment for complex respiratory care can be variable. There are also items indicating weaknesses in property-control and medication-control processes, including allegations of missing personal items and medication diversion; these suggest the need for clear policies and oversight.

    Management and communication show mixed performance. Some families praise responsive administrators, strong case management, and proactive discharge coordination. Other accounts describe poor follow-up after incidents, inconsistent family communication, and restricted visitation during infection-control events that contributed to family frustration. Prospective residents should weigh the strong rehabilitative capabilities and many individual staff strengths against operational variability in staffing, medication and property controls, cleanliness, and facility condition.

    For families considering Bluegrass Care & Rehabilitation, a practical approach is recommended: visit the unit, observe staffing patterns during the times most relevant for the prospective resident, ask about medication and property-control policies, confirm respiratory-care capabilities if applicable, and review recent infection-control and maintenance records. Those whose primary need is intensive rehabilitation may find the therapy program a strong fit; those requiring consistently high hands-on nursing care or complex respiratory support should verify current staffing, protocols, and clinical safeguards before placement.

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    Medicare Ratings

    4·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Bluegrass Care & Rehabilitation

    Bluegrass Care & Rehabilitation is located at 3576 Pimlico Pkwy, Lexington, KY, 40517.

    About Bluegrass Care & Rehabilitation

    Bluegrass Care & Rehabilitation sits as a skilled nursing and personal care facility with 124 certified beds and about 110 people living there most days, and they try to give folks a safe, home-like place that feels welcoming, as well as offering a wide range of care options, and they go around the clock with 24/7 nursing, physician services, psychiatry, and even psychoanalysis for folks who need more specialized support. There's a big focus on rehabilitation services, so people who need help after surgery or an illness can get lots of therapy, and there's also assisted living, cognitive care choices, dialysis, and home care services, along with secured units for those who need extra safety. They run things under the Signature Care® banner, with special programs like ExceleratedCARE for skilled nursing and post-acute help, plus a TransitionalCARE system to prevent people from needing to go back to the hospital. Folks can join life enrichment and activity programs, enjoy varied amenities, and take advantage of clinical services, medication support, and even spiritual programs if they want them. Staffing-wise, the nurse turnover is at 35.5%, which is lower than what the state usually sees, but nurse hours per resident, at 3.44, sit below the state's average, which is 3.9 hours. The place is run for profit and comes under Signature Healthcare, and they try to run things with family values and a resident-centered approach, but like most places, there have been some issues. Reports from August 2024 show 19 total deficiencies, including five in the most recent inspection, two related to infection control, and citations for not labeling and storing drugs right and not properly notifying residents before moving or discharging them, though reports say there wasn't actual harm, just the potential for problems. The records show a steady effort to give folks compassionate care and comfort, but the facts also point out areas that still need close attention, especially when it comes to infection control and following federal rules.

    People often ask...

    Bluegrass Care & Rehabilitation offers assisted living, memory care, and skilled nursing.

    There are 11 photos of Bluegrass Care & Rehabilitation on Mirador.

    The full address for this community is 3576 Pimlico Pkwy, Lexington, KY 40517.

    No, Bluegrass Care & Rehabilitation does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Bluegrass Care & Rehabilitation. The information above has not been verified or approved by the owner or operator. For exact information, please contact Bluegrass Care & Rehabilitation directly. There is no cost for this service. We are compensated by the community you select.

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