Pricing ranges from
    $4,429 – 5,314/month

    Meadowthorpe Assisted Living and Memory Care

    191 Leestown Center Way, Lexington, KY, 40511
    4.3 · 47 reviews
    • Assisted living
    • Memory care
    AnonymousLoved one of resident
    3.0

    Homey facility, caring staff, understaffed

    I toured Meadowthorpe and liked the cottage-style, clean facility, large apartments, homey feel, good meals and a full activities calendar (though activities were sometimes inconsistent/COVID-limited). Staff were overwhelmingly friendly, caring and attentive - many went above and beyond - but the community is clearly short-staffed with high turnover, dropped calls, slow/unresponsive admin at times and reported medication/security lapses and thin night coverage. Pricing felt fair to high depending on the unit, and the Lexington location may be too far for some families. Overall I appreciated the care and would recommend a visit, but it wasn't the right fit for my loved one.

    Pricing

    $4,429+/moSemi-privateAssisted Living
    $5,314+/mo1 BedroomAssisted Living

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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

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

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

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Telephone
    • Wifi

    Memory care community services

    • Mild cognitive impairment
    • Specialized memory care programming

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space
    • Small library

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Resident-run activities
    • Scheduled daily activities

    4.32 · 47 reviews

    Overall rating

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

      4.3
    • Staff

      4.1
    • Meals

      4.3
    • Amenities

      4.3
    • Value

      3.4

    Pros

    • Cottage-style, homey apartment layout
    • Low caregiver-to-resident ratio (often noted as 1:8)
    • Attentive, compassionate and family-like staff
    • Strong, praised activities program and dedicated activity director
    • Well-appointed, roomy private apartments (many with kitchenettes)
    • Accessible features: large doorways, walk-in showers with safety handles
    • Clean, well-maintained and newly built areas
    • Common areas: fireplace, entertainment room, piano, bar setup
    • On-site events, outings and monthly excursions
    • Transportation to medical appointments provided (often free)
    • Grocery shopping service and other resident supports
    • Meals generally described as good/above average with accommodations
    • Dietary flexibility (including vegan accommodations and a la carte options)
    • Responsive and informative administrative staff (frequently noted)
    • Supportive social environment; residents form family-like bonds
    • Wheelchair-friendly, single-floor accessibility in cottages
    • Reasonable value for many reviewers
    • Hospice and some professional sources confirmed high care quality
    • Prompt communication via calls, texts, and emails
    • Outdoor gardens, patio seating and pleasant décor

    Cons

    • Serious medication management and security incidents reported
    • Inconsistent medication administration and monitoring
    • Short-staffing at night and overall staffing shortages
    • High staff turnover and inconsistent caregivers
    • Some reviewers described unprofessional or rude office staff
    • Limited or inconsistent activities for some residents
    • COVID-19 precautions have limited outings and activities
    • Cost concerns for some families; pricing described as high
    • Some families found facility not a good fit due to location/distance
    • Lack of on-site skilled nursing (impacts med management)
    • Night staffing sometimes leads to staff being overburdened
    • Inconsistent fulfillment of promises (billing/proration disputes)
    • Some reports of a controlled or less home-like atmosphere
    • Limited in-unit cooking (no stove) and fixed mealtime schedules
    • Cameras present but no security personnel in each building
    • Occasional lack of residents or amenities observed
    • Mixed reports about activity consistency across cottages
    • Some complaints about responsiveness (dropped calls/unreliable)

    Summary review

    Overall sentiment across reviews for Meadowthorpe Assisted Living and Memory Care is positive, with consistent praise for the facility’s cottage-style layout, cleanliness, and a strong, caring staff culture. Many reviewers highlight the small, home-like cottages and private apartment-style living with roomy units, kitchenettes/mini-kitchens, and accessible bathrooms featuring large walk-in showers and safety handles. The physical environment—including tasteful décor, common living areas with fireplaces, an entertainment room, outdoor gardens and patio seating—receives frequent positive mention. Accessibility features (wide doorways, wheelchair-friendly design, single-floor cottages) are also repeatedly noted as strengths.

    Care quality and staffing are a dominant theme. Numerous reviews commend attentive, compassionate caregivers and administrators who treat residents like family. The caregiver-to-resident ratio is commonly cited as favorable (often 1:8), and many families report prompt communication, responsive administration, and staff who go above and beyond daily duties. The activities program receives strong praise in many accounts, with an engaged activities director (named positively in multiple reviews), exercise programs, regular events, guest speakers, and group classes. Several reviews specifically cite successful memory-care transitions, good hospice partnerships, and monthly doctor visits or medical transportation provided by the community.

    Dining and resident services are generally described as good to above average. Meals are often centrally prepared and served via warming trays in cottages; reviewers appreciate the food quality, special dietary accommodations (including vegan options), a la carte menu items, and helpful services such as grocery shopping and free transportation to appointments. That said, some families note limited menu choices or fixed mealtimes (e.g., breakfast 8:00, lunch noon, dinner 5:00) and that in-unit cooking is restricted (no stove), which may affect suitability for some residents.

    However, notable and serious concerns emerge in multiple reviews around medication management and safety. Several reviewers reported incidents of missing or unsecured medications, improper storage/locking procedures, and inconsistent medication administration, including failures to monitor swallowing and secure meds appropriately. These reports highlight a structural limitation: Meadowthorpe is not a skilled nursing facility, and that distinction appears to correlate with expectations and some adverse experiences in medication handling and clinical oversight. Such incidents stand out as the most significant negative pattern and have led at least one family to move their loved one.

    Staffing stability and professionalism show mixed signals. While many accounts praise responsive and caring staff, others report high staff turnover, inconsistent caregivers, night shifts being short-staffed (sometimes only one aide per cottage), and staff being overburdened. These staffing issues have been associated with reduced activity offerings in some cottages, a sense of being “over-cared” or conversely under-supported at night, and occasional lapses in administrative follow-through (billing errors, proration disputes, or dropped calls). There are also intermittent reports of unprofessional or rude interactions from front-desk or office personnel, though these are balanced by numerous accounts of courteous and helpful administrative staff.

    Activities and community life are another area of divergent experiences. Many reviewers celebrate a full calendar of activities, caring engagement from staff and residents, successful social programming and monthly excursions. Conversely, some families found activities to be lacking or inconsistent across cottages, and several reviewers noted COVID-19 related restrictions had temporarily reduced outings and group events. The presence and quality of activities therefore appears to vary somewhat by cottage and by time period.

    Value and fit vary by family. Multiple reviewers describe Meadowthorpe as reasonable value and would recommend it for its care, cleanliness and community atmosphere; others cite the cost as high or not within budget. Location is a practical factor: several reviewers noted the Lexington location was convenient while others found distance to be a deciding factor against placement. A few families explicitly stated the community was not the right match for their specific needs (desire for attached baths, on-site skilled nursing, or more independent living features).

    In summary, Meadowthorpe presents a strong, home-like assisted living and memory-care option with many clear strengths: a cottage model that fosters a family feel, well-appointed apartments, accessible design, an engaged activities program, responsive staff and good dining/service offerings. The most recurrent and serious concerns center on medication/security lapses and staffing consistency—especially at night—and occasional administrative or professionalism issues. Prospective families should weigh the many positive reports of compassionate, attentive care and the facility’s amenities against the documented medication-management incidents and variable staffing patterns. For residents who primarily need personal care in a warm, social, apartment-style setting, Meadowthorpe frequently meets or exceeds expectations; for those requiring robust clinical medication oversight or skilled nursing-level services, families should verify clinical protocols and staff competency specific to medication handling and night coverage before committing.

    Location

    Map showing location of Meadowthorpe Assisted Living and Memory Care

    About Meadowthorpe Assisted Living and Memory Care

    Meadowthorpe Assisted Living and Memory Care sits at 191 Leestown Center Way in Lexington, Kentucky, and the place has a long list of helpful features that make life easier for older adults, with five cottage-style buildings, each having eight one-bedroom apartments, so there's a real neighborhood feel that seems more personal than a big main building, and residents can settle in with their own furniture and things, making each place feel like home, which everyone says helps with adjustment. The community has both assisted living and memory care, with a clear emphasis on person-first care, so staff members listen and shape each day according to what people like, dislike, and need, and they're around all day and night, keeping a caregiver-to-resident ratio of one to eight, which helps folks get attention without feeling rushed or ignored. The staff's friendly and well-trained, and they keep learning so care stays up-to-date, and there's always someone close by for help thanks to emergency pendant or watch systems, and the security setups go beyond the basics to make sure everyone can move safely and feel secure whether they're sitting outside on the porch or inside reading in the library.

    The memory care services stand out for people living with Alzheimer's and dementia, and the community has special cottages designed with familiar, easy-to-navigate layouts, and adds custom health plans to bring just the right support for each person, and staff use iPads to track care and follow day-to-day changes right away, which takes some burden off families too. There's a focus on giving each person chances for purpose, with daily activities that match up with hobbies and interests, so one day might be gardening and another day might include music, games, crafts, or even social outings, and the staff always adjust things to suit people's moods and abilities, keeping days from feeling dull or lonely. On top of that, there's a library, a therapy gym, indoor and outdoor spaces, big bathrooms with walk-in showers, and full kitchens for folks who want to cook, but chef-prepared home-cooked meals come three times a day, either in a shared dining room or delivered to apartments when someone wants some quiet; so, there's no need to stress over meals or cleaning with regular housekeeping, laundry, and linen service too.

    Meadowthorpe also runs respite care, meaning people can stay for a little while if their family needs a break or someone's coming out of the hospital, and these short stays can be as quick as a day or go for several weeks. There's help for both big and small daily life tasks, from reminders to take pills and help with bathing all the way to keeping up with laundry, shopping, and transportation to doctor's appointments, and the campus layout is all single-story, which cuts down on falls and confusion for people who have trouble getting around or remembering where things are. Staff run devotional services, both on the grounds and out in the community, and there are lots of chances to socialize, with each cottage serving as its own small group or "pod," which cuts down on sickness spreading and helps everyone get to know each other like real neighbors.

    The community pays special attention to keeping things clean and safe, with extra security and a dedication to making each space both pretty and comfortable, and the Department for Aging and Independent Living has certified the place-so standards are high and checked regularly. People who want independence can maintain daily routines, and staff support doesn't mean giving up personal freedom or choices. With a 4.4-star rating from 20 reviews, the feedback suggests many families feel their loved ones get good care and kindness. With all this, Meadowthorpe Assisted Living and Memory Care tries to offer a place where older adults can keep their dignity and stay as independent as possible, while having both company and support whenever it's needed.

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