Kentucky Certificate of Need applications by service and county
920+ Kentucky applications in the file since 2016, grouped by what was requested and where. Counts are taken from the file dated October 29, 2026. 93% of decided applications were approved. The median application took about four months from filing to decision.
By service or type
The fifteen largest groups, using Kentucky's own categories where the state prints them.
| Service or type | Rows | Approved | Denied | Pending | Approval rate | Median days to decision |
|---|---|---|---|---|---|---|
| Day Health Care Program | 150 | 128 | 6 | 1 | 96% | 98 |
| PC Facility | 95 | 88 | 0 | 1 | 100% | 85 |
| Ground Ambulance | 86 | 49 | 11 | 3 | 82% | 141 |
| Rehabilitation Agency | 77 | 68 | 0 | 0 | 100% | 86 |
| Home Health Agency | 72 | 14 | 22 | 2 | 39% | 310 |
| Private Duty Nursing | 69 | 57 | 1 | 0 | 98% | 88 |
| Nursing Facility | 66 | 60 | 0 | 1 | 100% | 140 |
| Ambulatory Surgery Center | 58 | 34 | 8 | 4 | 81% | 140 |
| Hospital Acute Care | 54 | 50 | 0 | 0 | 100% | 140 |
| MRI | 40 | 27 | 1 | 5 | 96% | 140 |
| Other | 35 | 28 | 1 | 2 | 97% | 86 |
| Linear Accelerator | 25 | 19 | 0 | 0 | 100% | 112 |
| Ambulatory Care Center | 15 | 9 | 0 | 0 | 100% | 85 |
| PRTF | 15 | 15 | 0 | 0 | 100% | 140 |
| Limited Service Clinic | 13 | 11 | 0 | 0 | 100% | 85 |
By county
The fifteen counties with the most applications.
| County | Rows | Approved | Denied | Pending | Approval rate | Median days to decision |
|---|---|---|---|---|---|---|
| Jefferson | 219 | 169 | 10 | 3 | 94% | 120 |
| Fayette | 125 | 86 | 7 | 4 | 92% | 112 |
| Warren | 56 | 33 | 3 | 5 | 92% | 105 |
| McCracken | 41 | 26 | 4 | 0 | 87% | 140 |
| Hardin | 38 | 31 | 2 | 0 | 94% | 87 |
| Daviess | 26 | 18 | 3 | 0 | 86% | 90 |
| Kenton | 25 | 25 | 0 | 0 | 100% | 140 |
| Boone | 24 | 22 | 0 | 0 | 100% | 97 |
| Pike | 15 | 6 | 3 | 0 | 67% | 287 |
| Out of state | 15 | 13 | 2 | 0 | 87% | 97 |
| Bullitt | 14 | 10 | 3 | 0 | 77% | 125 |
| Oldham | 14 | 9 | 1 | 1 | 90% | 140 |
| Greenup | 13 | 9 | 1 | 0 | 90% | 140 |
| Madison | 12 | 10 | 1 | 0 | 91% | 107 |
| Nelson | 11 | 11 | 0 | 0 | 100% | 85 |
The most recent decisions
| Number | Applicant | Service or type | County | Decided | Outcome |
|---|---|---|---|---|---|
| 056-06-6195(2) | Safe Care Home Health, LLC | Private Duty Nursing | Jefferson | Oct 22, 2026 | Approved |
| 018-01-555(26) | Murray-Calloway County Hospital | PET Scanner | Calloway | Oct 14, 2026 | Approved |
| 097-12-6225(1) | Presbyterian Child Welfare Agency of Buckhorn KY, Inc. d/b/a Buckhorn Children & Family Services | PRTF | Perry | Oct 14, 2026 | Approved |
| 097-12-6226(1) | Presbyterian Child Welfare Agency of Buckhorn KY, Inc. d/b/a Buckhorn Children & Family Services | PRTF | Perry | Oct 14, 2026 | Approved |
| 097-12-6227(1) | Presbyterian Child Welfare Agency of Buckhorn KY, Inc. d/b/a Buckhorn Children & Family Services | PRTF | Perry | Oct 14, 2026 | Approved |
| 093-06-6197(1) | Porchlight Companions at The Middletown Inn, LLC | Day Health Care Program | Oldham | Oct 6, 2026 | Not reviewed or other |
| 114-04-6148(1) | Bowling Green-Warren County Community Hospital Corporation dba The Medical Center | Other | Warren | Sep 30, 2026 | Withdrawn or delayed |
| 047-05-6078(2) | Care Guide Partners, Inc. | Other | Hardin | Sep 24, 2026 | Approved |
| 034-15-6228(1) | Trilogy Real Estate Fayette IV, LLC | Nursing Facility | Fayette | Sep 24, 2026 | Approved |
| 114-04-6231(1) | Greenview Hospital, Inc. | MRI | Warren | Sep 15, 2026 | Withdrawn or delayed |
| 114-04-6232(1) | Greenview Hospital, Inc. | MRI | Warren | Sep 15, 2026 | Withdrawn or delayed |
| 114-04-6233(1) | Greenview Hospital, Inc. | MRI | Warren | Sep 15, 2026 | Withdrawn or delayed |
Numbers link to the state document for that decision where one is posted. Approval rate counts approvals and denials only and is shown where a group has at least five decided applications.
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