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ElderCareCosts
Updated August 2026

Assisted Living in Lexington-Fayette, Kentucky

Lexington-Fayette, KY has 22 licensed assisted living communities listed on ElderCareCosts. The median estimated cost is $5,463/mo. That's roughly in line with the Kentucky state median.

Not sure which type of care fits? Take our 3-question care quiz →

Median monthly price, Lexington-Fayette

$5,463/mo

Estimated range $4,988 – $6,703

● Lexington-Fayette $5,463 ○ National median $6,230

Source: CareScout 2025 survey, adjusted for local wages

See all 22 providers →Compare costs →

What senior care costs in Lexington-Fayette

2025 figures

Assisted Living cost comparison (2025)
Assisted LivingLexington-FayetteKentuckyNational
25th percentile$4,988/mo$5,277/mo$5,488/mo
Median$5,463/mo$5,528/mo$6,230/mo
75th percentile$6,703/mo$6,008/mo$7,083/mo

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Source: CareScout 2025 survey, adjusted for local wages (opens in a new tab)

Staying home instead

Home care in Lexington-Fayette runs about $32 an hour. Here is what common schedules cost a month:

Hours of careWhat it looks likeEst. monthly cost
20 hrs/weekMornings or afternoons, weekdays~$2,784
44 hrs/weekMost of every weekday$6,124
24/7 (168 hrs/week)Round-the-clock coverage~$23,383

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Medicare generally does not cover long-term custodial care. Families usually combine private pay, long-term care insurance, VA Aid and Attendance, or a Medicaid waiver where they qualify. See paying for care and the state Medicaid guides.

Nearby cities: Nicholasville · Winchester · Georgetown

What can you afford?

Here is what different monthly budgets cover in Lexington-Fayette.

Under $2,500/mo

Adult day, family care, or affordable senior housing

Adult day care in Lexington-Fayette runs about $1,884 a month. Income-restricted affordable senior housing is the other common choice, and Lexington-Fayette has 20 such properties. The county aging agency at (859) 266-1116 can help you sort through options for free. If money is very tight, ask about Medicaid waivers.
Affordable senior apartments →
$2,500 – $7,000/mo

Part-time home care or entry assisted living

Part-time home care usually falls here. Full-time care at 44 hours a week runs about $6,124 a month. The local assisted living median is $5,463 a month, and smaller homes often charge less. If Medicaid may apply, ask about waiver programs.
Medicaid & waiver paths →
$7,000 – $11,000/mo

Assisted living with room to spare

Covers the Lexington-Fayette assisted living median of $5,463 a month with room to spare. It also covers close to full-time home care, about $6,124 a month.
How families pay →
Over $11,000/mo

Nursing care or heavy home-care schedules

Nursing homes in Lexington-Fayette run about $9,603 a month at the median. Around-the-clock home care usually costs more.
How families pay →
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22 assisted living communities in Lexington-Fayette

What assisted living looks like in Lexington-Fayette

The typical licensed assisted living provider in Lexington-Fayette has 28 beds. They range from 9 to 117.

Compare communities side by side
Tick Compare on the ones you like, then continue.
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Free local help worth saving

Lexington-Fayette, in Fayette County, has about 323,725 residents. About 47,626 of them (15%) are 65 or older. The median household income is $69,479.

Source: US Census Bureau

National helplines, including the Eldercare Locator and 211, are listed on paying for care.

Veterans & surviving spouses: VA Aid & Attendance can help wartime veterans who qualify. How Aid & Attendance works →

Questions families ask

Is assisted living in Lexington-Fayette more expensive than the rest of Kentucky?

Lexington-Fayette's median assisted living cost is about 1% lower than the Kentucky state median.

Find Lexington-Fayette care options

Tell us what you need and your budget, and we will email you licensed options right away.

Find care options →

Reading up first? Assisted Living across Kentucky → · Assisted Living cost across Kentucky → · Adult Day Care vs Assisted Living →

Touring this week? Print our checklist: what to ask on a tour, what to notice, and the license paperwork to request. Or email it to yourself to have it on your phone.

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Assisted Living in Lexington-Fayette: 2026 Costs & Licensed Providers