About Assisted LivingAssisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.Complete guide to assisted livingBest of 2026 Assisted Living Winners
About Memory CareMemory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering. Complete guide to memory careBest of 2026 Memory Care Winners
About Independent LivingIndependent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.Complete guide to independent livingBest of 2026 Independent Living Winners
About Senior LivingSenior living is a term used to describe various housing and care options for older adults from maintenance-free, 55+ facilities for active seniors, to secure, fully staffed facilities for seniors with Alzheimer's or dementia. Complete guide to senior livingFind senior living facilities near you
About Nursing HomesNursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.Complete guide to Nursing Homes
About Senior ApartmentsSenior apartments offer accessible, no-frills living for seniors who are generally active, healthy, and able to live on their own.Complete guide to Senior Apartments
About Care HomesResidential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.Complete guide to care homes
Veteran ResourcesVA benefits for long-term care, such as Aid and Attendance benefits, can help eligible veterans and their surviving spouses pay for senior care.Guide to VA benefits for long-term care
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Top Home Care Agencies in Lexington, Kentucky

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Of the 49 home care agencies in Lexington, Kentucky, the top three are FirstLight Home Care of Lexington, KY (369), Senior Helpers of Florence, KY and Home Instead - Frankfort, KY. These agencies provide families with a wide selection of services to ensure their loved ones receive quality care at home. The average hourly cost for these services is approximately $29, making in-home care an accessible choice for many families.

Lexington enriches the lives of its seniors through various recreational activities and essential resources. This combination of professional support and community engagement makes Lexington a welcoming and supportive environment for seniors seeking to maintain independence.

Home Care Agencies near Lexington, KY

Showing 49 home care providers
Last Updated: 9/20/26
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Photo of FirstLight Home Care of Lexington, KY (369)
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They are a very reputable company. They provide the caregivers as requested. They are by the book with their policies. The office staff are very friendly to deal with. They are very prompt at responses. ...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Photo of Senior Helpers of Florence, KY
22 Photos available
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What we like the most about their services are the friendly staff and they were able to adjust to my needs. Yes, we would recommend their services to other families based on the experience.
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Senior Helpers® is a national leader in professional in-home assistance services. Founded in Baltimore in 2001, we’ve rapidly built a reputation for providing only the best in dependable, consistent and affordable elderly care services. We have the people, resources, systems and knowledge...
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Photo of Home Instead - Frankfort, KY
11 Photo available
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Home Instead was a valuable member of my father’s care team. His care tech provided care notes and updates that allowed us (out of town) to have a good picture of status. These notes allowed us to better...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Photo of BrightStar Care of Louisville
11 Photo available
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The caregivers we have encountered with BrightStar have been courteous, kind and very supportive. I feel like they are part of the family.
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Accredited by The Joint Commission, BrightStar Care of Louisville is locally owned by Louisville, KY natives Christian and Leslie McCutcheon. Our experienced staff is dedicated to providing high quality, dependable non-medical home care and companionship. From assistance with bathing, dressing,...
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I was pleased with the care provided to my wife for the five weeks leading to her death. The same individual was with her the entire time during the day, seven days/week. She was experienced and caring.
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
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We've been using Home Helpers for a few months now. The owners are so sweet and helpful. My mom enjoys the company of her "helper". Thanks.
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
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Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Senior Helpers of the Bluegrass provides non-medical home care in Lexington, Frankfort and the Greater Bluegrass Region. We use trained, screened caregivers who are fully bonded and insured. Our caregivers are experienced and love what they do.We love caring for your loved ones.
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5 reviews
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I had hospice helping me the last 4wks of my husband's life. I needed overall attention with care of my home. The caregiver assigned to us went above & beyond my expectations. Their service was the best...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
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Cornerstone Caregivers Covington is amazing! Everyone that comes to take care of my mother is amazing also! They go above and beyond what is expected of them. They treat my mother with respect and dignity....
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
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I would tell others I use them and I would recommend them to others. They provide in home care with a flexible schedule if needed. I've been able to request staff that my loved one prefers to work with.
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
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2 reviews
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They are very attentive to your needs The aids are good. Some much better than others. When an emergency arises the aids went above their duty in helping out in providing care. I would be very happy to...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
2 reviews
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We had just a little bit of trouble with the caregivers. Overall the caregivers are good but there was some odd weirdness that maybe could have been screened out. It's my dad that needed help so as far as...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
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I thought the Cornerstone represented Christian values when I heard the name. It didn't. But the lady that came to talk to us was very thorough and friendly and caring- so I went with them. I think her name...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
1 review
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We were in a pinch and we were able to get connected and start with [name removed] & [name removed] at Griswold to start with a caregiver quickly. I really like that they came the first day, to make sure a...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
5 reviews
5 reviews
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Recently, my family experience a circumstance where my Father had a hospital stay and was transferred to in-patient rehab. During his stay I was put in touch with HomeWell Care Services. I cannot recommend...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
5 reviews
5 reviews
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The caregiver was excellent. She was able to provide the additional socialization skills [name removed] needed during the winter months of isolation and winter blues. He does not have Medicaid and pays...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Right at Home is a national in-home care and assistance agency, providing quality care to seniors and disabled persons since 1995. Jeannie and Mark Locy are the owners of the local offices in Louisville, Kentucky and Clarksville, Indiana.  Our offices have been serving our...
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1 review
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Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Photo of Helping Hands Patient Services, LLC
22 Photos available
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
HELPING HANDS PATIENT SERVICES is a limited liability corporation with a staff of dedicated lift team technicians and support personnel. HHPS’ mission is to provide safe patient handling, improve patient comfort, safety and recovery, and prevent employee injuries through skillful, compassionate...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details

How much does home care cost in Lexington, Kentucky?

In Lexington, the average cost of home care services is approximately $29 per hour, according to A Place for Mom’s proprietary data.[01] This hourly rate provides flexibility for seniors who require part-time assistance with daily activities.

For those needing around-the-clock or daily care, alternative senior living options such as assisted living, nursing homes, or memory care may offer more cost-effective solutions.

Lexington’s overall cost of living is notably affordable, with expenses approximately 8% lower than the U.S. average.[02] This affordability makes it an attractive location for seniors seeking quality care at costs lower than those in larger metropolitan areas.

Average home care costs in Lexington, KY

Average hourly rate
$29/hr
Average overnight rate
$33/hr
Average weekend rate
$34/hr

Home care costs vs. senior living costs in Lexington, KY

44 hours of home care/wk
$5,526/mo
$6,902/mo

Home care costs in Lexington vs. state and national averages

Daily, monthly, and annual costs in the table below are based on a part-time care schedule of 4 hours of care per day, 5 days per week.
Cost comparison table showing home care costs by location. This table contains 3 rows of data across 5 columns.
Column location: Location (Location name)
Column hourlyCost: Hourly cost (Cost per hour)
Column dailyCost: Daily cost (Cost per day (4 hours))
Column monthlyCost: Monthly cost (Cost per month)
Column annualCost: Annual cost (Cost per year)
LocationHourly costDaily costMonthly costAnnual cost
Lexington, KY$29$116$2,511$30,160
Kentucky$31$124$2,685$32,240
National$32$128$2,771$33,280
Lexington, KY
Hourly cost:$29
Daily cost:$116
Monthly cost:$2,511
Annual cost:$30,160
Kentucky
Hourly cost:$31
Daily cost:$124
Monthly cost:$2,685
Annual cost:$32,240
National
Hourly cost:$32
Daily cost:$128
Monthly cost:$2,771
Annual cost:$33,280
Table showing 5 of 3 items. Click to show less.
Table showing 5 of 3 items. Click to show less.

Compare the costs of aging in place against senior living

Use our cost calculator to compare your loved one’s current living and home care expenses against the cost of senior living in Lexington.

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How to pay for home care in Lexington

Seniors and their families in Lexington have several options to finance home care services. Understanding these payment methods can help ensure that loved ones receive the necessary care while managing costs effectively.

Private pay options

Many families use personal savings, retirement funds, or contributions from family members to cover home care expenses. This approach offers flexibility and immediate access to funds for care needs. Other common payment options include:

  • Long-term care insurance. If your loved one has a long-term care insurance policy, it can help offset home care costs. These policies typically reimburse policyholders for services that assist with activities of daily living, such as bathing and dressing.
  • Life insurance. Some life insurance policies can be converted into a long-term care benefit plan, providing funds to pay for home care services. This option allows policyholders to access a portion of their death benefit while still alive.
  • Home equity. Homeowners may consider a reverse mortgage or home equity line of credit to fund home care. These financial tools enable seniors to tap into their home’s equity to cover care expenses.

Medicare

In Lexington, Medicare may help cover certain in-home health care services, particularly those deemed medically necessary.[03] While Medicare doesn’t typically cover nonmedical personal care or 24/7 supervision, it can be a helpful resource for seniors who need part-time skilled nursing care, physical therapy, or other short-term medical services at home.

Medicare resources in Lexington

For guidance on Medicare coverage and how to apply it toward home care services in Lexington, seniors and their families can contact the following local and national resources:

For general information and assistance with Medicare, visit Medicare.gov.

Medicaid

Medicaid can be used to pay for certain home care services for Lexington seniors who meet Kentucky’s income and functional eligibility requirements.[04] Qualified individuals can receive support with daily living activities such as bathing, dressing, meal preparation, and mobility assistance.

Kentucky Medicaid’s home- and community-based services waivers provide elderly residents with supports and services, including but not limited to:[05]

  • Adult day health care
  • Attendant care
  • Environmental and minor home adaptation
  • Home-delivered meals
  • Nonspecialized and specialized respite care

Kentucky also offers PACE, or the Program of All-inclusive Care for the Elderly. Services include:[06]

  • Primary care
  • Social services
  • Physical, occupational, and other therapies
  • Nutritional counseling
  • Recreational therapy
  • Meals

Medicaid Resources in Lexington, KY

The following local resource can help Lexington residents learn more about Medicaid eligibility, apply for benefits, and access home care services through state-funded programs:

VA benefits

In Lexington, veterans may be eligible to use U.S. Department of Veterans Affairs (VA) benefits to cover the cost of home care services. The VA offers programs such as:

  • Aid and Attendance (A&A): The Aid and Attendance benefit provides additional monthly payments to eligible wartime veterans and surviving spouses who receive a VA pension and require assistance with daily activities.[07] These funds can be used to pay for in-home care services. To apply, visit VA.gov to download Form 21-2680. The completed form can be uploaded online, mailed in, or submitted in person at the nearest regional benefit office in Louisville.
  • Homemaker and Home Health Aide Care: This program offers trained professionals to assist veterans with personal care needs, allowing them to remain in their homes. Services include help with activities like bathing, dressing, and meal preparation. Eligibility is determined by a VA health care provider, and services are coordinated through the local VA medical center. To apply, contact a VA social worker in Kentucky for next steps.[08]
  • Veteran Directed Care (VDC): The VDC program allows eligible veterans to manage their own care services, including hiring personal care aides. This self-directed approach provides flexibility in choosing caregivers and tailoring services to individual needs. Enrollment is coordinated through the local VA medical center’s social work department.​ To access the program, reach out to your loved one’s VA social worker.[09]

Resources for veterans in Lexington

Veterans and their families seeking assistance with home care services can explore the following local resources:

Resources in Lexington that help seniors age in place

Lexington offers a variety of resources to support seniors who want to age in place. These services range from in-home care and transportation to nutrition and caregiver support, ensuring that older adults can maintain independence and quality of life in their own homes.

  • Bluegrass Area Agency on Aging and Independent Living (BGAAAIL)
    BGAAAIL serves as a central hub for aging services in the region, offering programs such as home care assistance, caregiver support, Medicaid waiver navigation, and access to senior centers. Their Aging and Disability Resource Center (ADRC) provides personalized guidance to help seniors and families find appropriate services.
    699 Perimeter Drive
    Lexington, KY 40517
    Phone: 866-665-7921
    Email: adrc@bgadd.org
  • Lexington Senior Center
    Operated by the Lexington-Fayette Urban County Government, the Lexington Senior Center offers a variety of programs to promote wellness, education, and social engagement for seniors. Activities include fitness classes, arts and crafts, and health screenings.
    195 Life Lane
    Lexington, KY 40502
    Phone: 859-278-6072
  • ITNBluegrass
    ITNBluegrass provides affordable, 24/7 transportation services for seniors aged 60 and over, as well as individuals with visual impairments. This service helps seniors maintain independence by providing rides to medical appointments, grocery stores, and social events.
    Phone: 859-785-2180
    Email: dispatch@itnbluegrass.org
  • Meals on Wheels of Lexington
    Meals on Wheels delivers nutritious meals to homebound seniors, ensuring they receive proper nutrition and regular wellness checks.
    Phone: 859-276-5391
  • University of Kentucky Sanders-Brown Center on Aging
    The Sanders-Brown Center on Aging conducts research and provides education on aging-related issues, including Alzheimer’s disease and other dementias. They offer resources and support for seniors and caregivers dealing with cognitive health concerns.
    800 S. Limestone
    Lexington, KY 40536
    Phone: 859-323-5550

Home care laws and regulations in Kentucky

Kentucky’s regulations for home care agencies ensure that agencies meet specific standards, providing peace of mind that loved ones receive quality care from qualified professionals.

Licensing and accreditation

In Kentucky, home health agencies must obtain a license from the Cabinet for Health and Family Services (CHFS) before operating.[10] This process includes meeting minimum licensure requirements. Additionally, private duty nursing agencies are required to be accredited by recognized bodies such as the Joint Commission or the Accreditation Commission for Health Care within one year of provisional licensure.

Hiring practices

Kentucky mandates that home health agencies implement thorough hiring practices to ensure patient safety. Licensed agencies use KARES, the Kentucky Applicant Registry and Employment System, to complete background checks on home care workers.[10]

How to choose the right Lexington home care agency

Selecting a home care agency in Lexington involves careful consideration to ensure your loved one receives quality, compassionate care.

Request detailed pricing information

Home care costs in Lexington vary based on services provided and care frequency. It’s essential to obtain a comprehensive breakdown of fees, including hourly rates, minimum service hours, and any additional charges for specialized care.

Ask about caregiver training and expertise

Inquire about the agency’s hiring practices, including background checks, certifications, and ongoing training programs for caregivers. Kentucky mandates that home health agencies implement thorough hiring practices to ensure patient safety.

Check licensing and inspection history

You can verify an agency’s license status by looking them up in the Kentucky Personal Services Agency directory. Also, ask agencies you’re considering for their inspection information.

Read home care reviews

Reading reviews from other families in Lexington can offer valuable perspectives on an agency’s performance. Look for feedback on caregiver professionalism, responsiveness, and overall satisfaction. Online platforms and local community forums can be useful resources for gathering these insights.

Frequently asked questions about home care in Lexington

FirstLight Home Care of Lexington, KY (369), Senior Helpers of Florence, KY and Home Instead - Frankfort, KY are the top-rated Home Care facilities near Lexington, KY. These Home Care facilities received the highest rankings based on verified family reviews. See full list of communities.
The average cost of Home Care in Lexington is $5,526 per month. This cost may vary based on location, amenities, floorplan, level of care and other factors.
Home care is provided by an aide who comes to a senior’s home to help with daily chores and activities of daily living. It can be offered anywhere a senior calls home — including a house, senior apartment, independent living, or assisted living. Learn more about home care.
Home care services are customizable to a senior’s unique needs. Services can include companionship, help with chores like cooking and housekeeping, or assistance with activities of daily living, like toileting and bathing. Explore home care services in more detail.
Home care provides nonmedical services for seniors who require assistance with daily tasks like housework, bathing, dressing, and transportation. In contrast, home health care is prescribed by a doctor and includes services like skilled nursing care and therapies, health monitoring, and medication administration that are provided by licensed medical professionals. Read more about home care vs. home health care.

References

  1. A Place for Mom. (2025). A Place for Mom proprietary data.

  2. PayScale. Cost of living in Lexington, Kentucky.

  3. U.S. Centers for Medicare and Medicaid Services. Home health services. Medicare.gov.

  4. Kentucky Cabinet for Health and Family Services. Division of Long-Term Services and Supports.

     

  5. Kentucky Cabinet for Health and Family Services. Home- and community-based services waiver programs.

  6. Kentucky Cabinet for Health and Family Services. Program of All-Inclusive Care for the Elderly.

  7. U.S. Department of Veterans Affairs. (2024, July 18). Aid and Attendance benefits and Housebound allowance.

  8. U.S. Department of Veterans Affairs. (2025, May 30). Homemaker and home health aide care.

  9. U.S. Department of Veterans Affairs. (2025, June 2). Veteran-directed care.

  10. Kentucky General Assembly. (2025, March 11). Title 902 – Chapter 020 – Regulation 081.

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More questions?

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The information contained on this page is for informational purposes only and is not intended to constitute medical, legal or financial advice or create a professional relationship between A Place for Mom and the reader. Always seek the advice of your health care provider, attorney or financial advisor with respect to any particular matter, and do not act or refrain from acting on the basis of anything you have read on this site. Links to third-party websites are only for the convenience of the reader; A Place for Mom does not endorse the contents of the third-party sites.
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1.

A Place for Mom. (2025). A Place for Mom proprietary data.

2.
3.

U.S. Centers for Medicare and Medicaid Services. Home health services. Medicare.gov.

4.

Kentucky Cabinet for Health and Family Services. Division of Long-Term Services and Supports.

 

5.

Kentucky Cabinet for Health and Family Services. Home- and community-based services waiver programs.

6.

Kentucky Cabinet for Health and Family Services. Program of All-Inclusive Care for the Elderly.

7.

U.S. Department of Veterans Affairs. (2024, July 18). Aid and Attendance benefits and Housebound allowance.

8.

U.S. Department of Veterans Affairs. (2025, May 30). Homemaker and home health aide care.

9.

U.S. Department of Veterans Affairs. (2025, June 2). Veteran-directed care.

10.

Kentucky General Assembly. (2025, March 11). Title 902 – Chapter 020 – Regulation 081.