During the opening quarter of 2026, Bardstown Health & Rehabilitation was identified as the largest nursing home in Nelson County, the Centers for Medicare and Medicaid Services (CMS) reported.
The facility offered 100 beds, standing 17 above the county’s average for the period. On average, the nursing center cared for 46.7 residents throughout the quarter.
Bardstown Health & Rehabilitation received an overall rating of 2 out of 5 from CMS, which is lower than Kentucky’s average score of 3 for nursing homes.
Signature Healthcare at Colonial Rehab & Wellness was recorded as Nelson County’s second largest nursing home during the quarter, providing 65 beds.
For the first quarter of 2026, Bardstown Health & Rehabilitation had no incidents of fines or penalties.
In Nelson County, Kentucky, there were a total of 2 for-profit nursing facilities.
According to U.S. Census Bureau estimates, the nation’s senior population is on the rise as numbers in younger age groups decrease. From 2020 to 2024, Americans age 65 and older increased by 13%, while the number of those younger than 18 declined by 1.7%. The older adult population has seen substantial growth over the last century, climbing from 4.9 million in 1920 to more than 61 million in 2024.
A 2021 study estimates that nearly half of those 65 and older—roughly 28 million people—may need long-term services and support. The same study projects that more than a third may eventually require nursing home care.
“Living a long life is something that many of us want and could get,” said Jesse Slome, executive director of the American Association for Long-Term Care Insurance. “But when we live a long life, the chances of us needing long-term care increase exponentially. But when you need that type of care, there are limited options.”
| Rank | Nursing Home | Overall Rating |
|---|---|---|
| 1 | Bardstown Health & Rehabilitation | 2 |
| 2 | Signature Healthcare at Colonial Rehab & Wellness | 1 |
Information in this article was sourced from the Centers for Medicare and Medicaid Services. Find the source data here.



