Oldham County lies northeast of Louisville along I-71 and the Ohio River, with La Grange as its county seat and Crestwood, Pewee Valley, Goshen and Orchard Grass Hills as its other cities. Baptist Health La Grange is the county's acute-care hospital.
Oldham has the region's lowest share of residents 65 and older, but its senior care supply has grown with its population. Many Oldham families also consider communities in Prospect and the East End, a short drive down I-71 or US 42.
How many seniors and licensed care options are in Oldham County, Kentucky?
Oldham County had about 12,155 residents 65 and older (17.1% of 70,986) and 999 aged 85 and older on July 1, 2025, and Kentucky's OIG roster lists 5 assisted living licenses, 3 nursing facilities and 0 personal or family care licenses there.
| Available in Oldham County | Not available in Oldham County | |
|---|---|---|
| Licensed here (OIG roster) | Assisted living licenses: 5, Nursing facilities: 3, Adult day health programs: 2, Home care (personal services) agencies: 5 | — |
| Not on the roster here | — | Personal care homes, Personal care beds in LTC campuses, Family care homes, Home health agencies |
| Secured memory care (ALC-DC) | 1 license | — |
Population: U.S. Census Bureau, Vintage 2025 county population estimates by age (July 1, 2025).
Which senior care facilities are licensed in Oldham County?
Every licensed facility in Oldham County on OIG's October 2026 directories is listed below with its license type, capacity and status, and CMS ratings appear on each nursing facility's own page.
| Facility | License type | License # | Licensed capacity | City | License status |
|---|---|---|---|---|---|
| Freedom Adult Day Health Center 2005 Button Lane, 40031 | ADH | 750333 | Not listed | La Grange | Active through 11/30/2026 |
| Tri-County Community Action Agency, Inc 1015 Dispatchers Way, 40031 | ADH | 750190 | Not listed | La Grange | Active through 11/30/2026 |
| Bee Hive Home of Goshen 12336 US Highway 42, 40026 | ALC | 101460 | 16 units | Goshen | Active through 06/30/2027 |
| Countryside Meadows 640 Jericho Road, 40031 | ALC | 101407 | 12 units | La Grange | Pending renewal |
| The Oaks Assisted Living 1010 Richwood Way, 40031 | ALC | 101442 | 24 units | La Grange | Pending renewal |
| The Springs at Oldham Reserve 2000 East Peak Rd, 40031 | ALC-DC | 101520 | 15 units | La Grange | Active through 05/30/2027 |
| The Springs at Oldham Reserve 2000 East Peak Road, 40031 | ALC-BH | 101384 | 19 units | La Grange | Active through 01/30/2027 |
| Friendship Health & Rehab 7400 Friendship Drive, 40056 | NF | 100355 | 83 beds | Pewee Valley | Active through 08/31/2027 |
| Richwood Nursing & Rehab 1012 Richwood Way, 40031 | NF | 100818 | 120 beds | La Grange | Active through 11/30/2027 |
| The Springs at Oldham Reserve 2000 East Peak Road, 40031 | NF | 101384 | 99 beds | La Grange | Active through 01/31/2027 |
Who helps seniors and caregivers in Oldham County, KY?
Older adults in Oldham County are served by KIPDA, the Area Agency on Aging based in Louisville, whose ADRC answers at (502) 266-5571; Catholic Charities of Louisville provides the county's long-term care ombudsman, and OIG's Northern Branch (502-595-4958) investigates facility complaints.
PACE: as of DMS's December 2024 list, no PACE organization serves Oldham County; the HCB waiver is the main Medicaid option for care at home.
Medicaid applications go through kynect or DCBS at (855) 306-8959, and suspected abuse is reported to 1-877-597-2331.
How far do Oldham County residents travel for hospital care?
From La Grange, the county seat, the closest acute-care hospital on Kentucky's OIG roster is Baptist Health La Grange, about 0 miles away in a straight line, and downtown Louisville is about 23 miles away.
The next closest hospitals are Norton Brownsboro Hospital (about 13 miles) and Baptist Health Louisville (about 18 miles). Distances are between ZIP-code centroids, not driving routes.
Can Oldham County families use facilities in Indiana?
Yes, though a move from Oldham County into Indiana leaves Kentucky's system entirely: Indiana's Department of Health licenses its facilities, and Kentucky Medicaid waivers, State Supplementation and KIPDA do not follow.
