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Kentucky
ISA/ASA Tracking Tool
PLEASE BE AWARE THAT THIS IS A TEST SITE
In-Reach Referral Form
CHFS-P&A Interim Settlement Agreement (ISA)
Across Kentucky, persons with a serious mental illness (SMI), who currently live in a Personal Care Home (PCH) or are at risk of reentry into a PCH, may apply and be provided housing assistance and services in an integrated setting. Every Community Mental Health Center (CMHC) can provide transition services to residents of personal care home who meet the eligibility criteria and want to move into their community. Individuals are eligible regardless of guardian status. They may be their own guardian, or have a private or state guardian.
Eligibility criteria include:
Person is at least 18 years old;
Has a serious mental illness;
Receives or may be eligible for state supplementation;
Meets one of the following criteria
Resides in a PCH and receives state supplementation; or
Is or will be discharged from a psychiatric hospital and has previously resided in a PCH
Across Kentucky, Community Mental Health Centers can provide transition services to residents of personal care homes who want to move into the community.
To apply for assistance click on the tracking tool below.
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Referral Contact Information
Referred By
Date
05/07/2024
Phone
Email
Referral Type
-- Select Source --
Self Referral
Facility Referral
Public Advocacy
Community Mental Health Agency
Long Term Care Ombudsman (OIG)
Guardianship (DAIL)
Homeless Shelter
Other
Unknown
In-Reach Referral Form
Individual's Name (First/Last)
Phone Number
Date of Birth
Name of
Personal Care Home /
Facility
-- Select PCH --
Arden Courts of Louisville
Artrips Personal Care Home
Autumn Ridge Personal Care
Baptist Towers
Barton House of Louisville #1
Belmont Village
Bishop Soenneker Home, Inc
The Breckinridge
Breckinridge Manor
Caney Creek Rehabilitation Complex
Carrollton Manor
Central Kentucky Recovery Center
Central KY Recovery Center, Unit 2
Christian County Manor, LLC
Colonial Gardens
Colonial Hall Manor
Colonial House of Shepherdsville
Cornerstone Manor, LLC
Covington Ladies Home
Crestview Personal Care Home
Cumberland Manor Rest Home
Davco Rest Home, LLC
Dishman Personal Care Home
Elmcroft at Oaklawn
Emeritus at Edgewood
Emeritus at Stonecreek Lodge
Falmouth Nursing Home
Fern Terrace of Bowling Green, LLC
Fern Terrace of Mayfield, LLC
Fern Terrace of Murray, LLC
Fern Terrace of Owensboro, LLC
Frasure's Personal Care Home, Inc
The Front Gate
Gainsville Manor
Gaither Suites at West Park
Generations Center of Middlesboro
Golden Years Rest Home
Hamilton's Pch
Harper's Home for The Aged
Hart County Manor
Heartsong Memory Care
Henderson Manor
Highland Homes
Hilltop Manor Residential Care Facility
The Homestead
Homewood Residence at Richmond Place
Horizon Bay Retirement Living at Louisville
Jonesville Rest Home
Kings Daughters and Sons Home
The Lantern at Morning Pointe Alz & Memory Care
The Lantern at Morning Pointe of Frankfort
The Laurels
The Legacy at The Willows
The Legacy Genesis Healthcare
Lewis Memorial Methodist Home
Mayfair Village Retirement Center
Mcdowell Place of Danville
Morning Pointe of Frankfort
Morning Pointe of Lexington
Morning Pointe of Lexington East
Morning Pointe of Richmond
Morning Pointe Ridge
The Oaks Pch/Lewisport
The Oaks Pch/Madisonville
Parkside Manor LLC
Parr's Rest Home
Pennyrile Home
Regency Manor
Regency Manor North
Rose Terrace Lodge
Rosedale Rest Home
Russell Convalescent Home
Scottsville Manor
Shady Lawn LLC
Somerview Personal Care Home
Sparks Nursing Center
St Charles Care Center, Inc
Sunny Acres
Sunrise of Louisville
Sunset Hill Personal Care Home
Trigg County Manor
Valley Haven Rest Home
Venture Home of Paintsville, LLC
The Villa at Chevy Chase, LLC
Waynesburg Manor, LLC
Other
-- Select Facility --
Appalachian Regional Hospital (ARH) Hazard
Central State Hospital (CSH) Louisville
Homeless Shelter
Western State Hospital (WSH) Hopkinsville
Western State Hospital (WSH) Volta
Western State Nursing Facility
Glasgow State Nursing Facility
Kentucky Correctional Psychiatric Center
Eastern State Hospital (ESH) Lexington
Other
-- Select County --
Adair
Allen
Anderson
Ballard
Barren
Bath
Bell
Boone
Bourbon
Boyd
Boyle
Bracken
Breathitt
Breckinridge
Bullitt
Butler
Caldwell
Calloway
Campbell
Carlisle
Carroll
Carter
Casey
Christian
Clark
Clay
Clinton
Crittenden
Cumberland
Daviess
Edmonson
Elliott
Estill
Fayette
Fleming
Floyd
Franklin
Fulton
Gallatin
Garrard
Grant
Graves
Grayson
Green
Greenup
Hancock
Hardin
Harlan
Harrison
Hart
Henderson
Henry
Hickman
Hopkins
Jackson
Jefferson
Jessamine
Johnson
Kenton
Knott
Knox
Larue
Laurel
Lawrence
Lee
Leslie
Letcher
Lewis
Lincoln
Livingston
Logan
Lyon
Madison
Magoffin
Marion
Marshall
Martin
Mason
McCracken
McCreary
McLean
Meade
Menifee
Mercer
Metcalfe
Monroe
Montgomery
Morgan
Muhlenberg
Nelson
Nicholas
Ohio
Oldham
Owen
Owsley
Pendleton
Perry
Pike
Powell
Pulaski
Robertson
Rockcastle
Rowan
Russell
Scott
Shelby
Simpson
Spencer
Taylor
Todd
Trigg
Trimble
Union
Warren
Washington
Wayne
Webster
Whitley
Wolfe
Woodford
Unknown
Out of State
Client Counties of Choice
Adair
Elliott
Laurel
Oldham
Allen
Estill
Lawrence
Owen
Anderson
Fayette
Lee
Owsley
Ballard
Fleming
Leslie
Pendleton
Barren
Floyd
Letcher
Perry
Bath
Franklin
Lewis
Pike
Bell
Fulton
Lincoln
Powell
Boone
Gallatin
Livingston
Pulaski
Bourbon
Garrard
Logan
Robertson
Boyd
Grant
Lyon
Rockcastle
Boyle
Graves
Madison
Rowan
Bracken
Grayson
Magoffin
Russell
Breathitt
Green
Marion
Scott
Breckinridge
Greenup
Marshall
Shelby
Bullitt
Hancock
Martin
Simpson
Butler
Hardin
Mason
Spencer
Caldwell
Harlan
McCracken
Taylor
Calloway
Harrison
McCreary
Todd
Campbell
Hart
McLean
Trigg
Carlisle
Henderson
Meade
Trimble
Carroll
Henry
Menifee
Union
Carter
Hickman
Mercer
Warren
Casey
Hopkins
Metcalfe
Washington
Christian
Jackson
Monroe
Wayne
Clark
Jefferson
Montgomery
Webster
Clay
Jessamine
Morgan
Whitley
Clinton
Johnson
Muhlenberg
Wolfe
Crittenden
Kenton
Nelson
Woodford
Cumberland
Knott
Nicholas
Unknown
Daviess
Knox
Ohio
Out of State
Edmonson
Larue
Guardian
Type
-- Select Type --
No Guardian
State Guardian
Private Guardian
Limited Guardian
Conservator
Guardian Pending
Other
Unknown
Name
Email
Phone
Application Developed By: University of Kentucky's Institute for Pharmaceutical Outcomes and Policy (IPOP)