In the Greater Louisville (Kentuckianna) metro area there are several I can recommend you consider based on our tour of recommended facilities in Southern Indiana. As residents of Southern Indiana, just across the river from Louisville, we chose Silvercrest in New Albany Indiana. They offer independent living in freestanding apartments as well as assisted living and also more complete care for those needing it. We also really liked Traditions at Hunters' Station in Sellersburg which has identical options, and Bennett House in Clarksville, which offers assisted living and additional services but does not have independent living. Some of these do have limited Medicaid beds in their nursing facilities.