The Highlands, Crescent Hill and Clifton are Louisville's older, walkable inner neighborhoods, stretching from Bardstown Road and Baxter Avenue past Cherokee Park and along Frankfort Avenue. Housing is mostly early-twentieth-century, and the downtown medical center is a short drive away.
Senior care here is dominated by long-established nursing facilities, including the two Nazareth Home campuses, rather than new assisted living campuses; families who want assisted living in the neighborhood often look a few minutes east to St. Matthews.
How many licensed senior care options are in The Highlands & Crescent Hill?
OIG's October 2026 roster lists 1 assisted living license (60 licensed units), 10 nursing facilities and 1 adult day health program in the The Highlands & Crescent Hill area of Louisville (ZIP codes 40204, 40205, 40206).
| Available in The Highlands & Crescent Hill | Not available in The Highlands & Crescent Hill | |
|---|---|---|
| Licensed here (OIG roster) | Assisted living licenses: 1, Nursing facilities: 10, Personal care beds in LTC campuses: 4, Family care homes: 1, Adult day health programs: 1, Home care (personal services) agencies: 7 | — |
| Not on the roster here | — | Personal care homes, Home health agencies |
| Secured memory care (ALC-DC) | — | No ALC-DC license in The Highlands & Crescent Hill |
Licensed home care is also well represented: 7 personal services agencies list an office address here, though agencies serve clients across the county.
Which assisted living and memory care communities are licensed in The Highlands & Crescent Hill?
The Highlands & Crescent Hill has 1 social-model ALC, 0 ALC-BH and 0 ALC-DC licenses on OIG's current roster; the largest is Twin Brook Assisted Living with 60 units and the smallest is Twin Brook Assisted Living with 60.
| Facility | License type | License # | Licensed capacity | License status |
|---|---|---|---|---|
| Twin Brook Assisted Living 3525 Ephraim McDowell Dr, 40205 | ALC | 101447 | 60 units | Active through 07/01/2027 |
What nursing homes serve The Highlands & Crescent Hill, and how does CMS rate them?
10 nursing facilities are licensed in The Highlands & Crescent Hill, with 922 licensed beds; 4 of the 8 with a CMS overall rating hold four or five stars from CMS.
| Facility | CMS overall rating | Licensed capacity | Last CMS health inspection | Deficiencies cited |
|---|---|---|---|---|
| Cherokee Park Rehabilitation 2100 Cherokee Ridge Way, 40205 | 2 of 5 | 104 beds | July 9, 2025 | 3 |
| Clifton Heights 446 Mt. Holly Avenue, 40206 | 1 of 5 | 110 beds | December 4, 2025 | 4 |
| Eastern Star Home in KY 923 Eastern Star Court, 40204 | Not rated by CMS | 18 beds | not reported | n/a |
| Highlands Nursing and Rehabilitation 1705 Stevens Avenue, 40205 | 4 of 5 | 154 beds | April 2, 2026 | 1 |
| Kindred Hospital - Louisville 1313 St. Anthony Place, 40205 | 2 of 5 | 47 beds | December 31, 2025 | 2 |
| Louisville Protestant Altenheim 936 Barrett Avenue, 40204 | Not rated by CMS | 32 beds | not reported | n/a |
| Nazareth Home 2000 Newburg Road, 40205 | 5 of 5 | 118 beds | May 14, 2026 | 0 |
| Nazareth Home Clifton 2120 Payne Street, 40206 | 5 of 5 | 113 beds | May 8, 2025 | 1 |
| Seneca Place 3526 Dutchmans Lane, 40205 | 4 of 5 | 130 beds | July 4, 2025 | 1 |
| Sycamore Heights Health and Rehabilitation 2141 Sycamore Avenue, 40206 | 2 of 5 | 96 beds | February 19, 2026 | 0 |
What other licensed care is based in The Highlands & Crescent Hill?
Beyond assisted living and nursing homes, the The Highlands & Crescent Hill area has 5 personal or family care licenses, 1 adult day health program and 1 home health or hospice license on OIG's rosters.
- Adlc — family care home, 810 River Crest Drive
- Eastern Star Home in KY — personal care home, 923 Eastern Star Court (24 personal care beds)
- Louisville Protestant Altenheim — personal care home, 936 Barrett Avenue (30 personal care beds)
- Nazareth Home — personal care home, 2000 Newburg Road (50 personal care beds)
- Nazareth Home Clifton — personal care home, 2120 Payne Street (31 personal care beds)
- Mariposa Place — adult day health, 1520 Baxter Avenue
- Hosparus, Inc. — hospice, 6200 Dutchmans Lane
Which hospitals are closest to The Highlands & Crescent Hill?
Measured from the center of its ZIP codes, the closest acute-care hospitals on Kentucky's OIG hospital roster are Norton Audubon Hospital (about 2.5 miles) and UofL Health - Jewish Hospital (about 2.8 miles).
University of Louisville Hospital is about 2.8 miles away. These are straight-line distances between ZIP-code centroids, useful for comparison but not drive times.
