nursing home in Flemingsburg, KY
Pioneer Trace Group LLC
115 Pioneer Trace, Flemingsburg, KY 41041 · (606) 845-2131
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★2
- Quality measures★★★★★1
- Abuse citation
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Pioneer Trace Group LLC at a glance
Pioneer Trace Group LLC is a 92-bed for-profit nursing home in Flemingsburg, Kentucky (Fleming County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Kentucky average of 3.
Residents receive about 3.4 hours of nursing care per day (0.4 of them from registered nurses), worse than the state average of 4 hours.
Its most recent standard health inspection (January 8, 2026) found 7 health citations. The Kentucky average is 2.8.
Federal regulators fined it 5 times in the past three years, totaling $160,626.
Nursing staff turnover is 40.3% per year (state average 46.4%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 92
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- October 30, 1991
- Resident/family council
- Resident
- County
- Fleming County
- CMS Certification Number
- 185314
Ratings
| Measure | This facility | Kentucky avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 3 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 3 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 2.7 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 1 / 5 | 3.2 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 1 / 5 | 3.6 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 1 / 5 | 2.7 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Kentucky avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.42 hrs | 3.95 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.37 hrs | 0.79 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.11 hrs | 2.36 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.94 hrs | 3.49 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 40.3% | 46.4% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 50% | 41.8% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Kentucky avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 7 | 3 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 4 | 1 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 190 | 40.4 | 80.6 | Worse |
Penalties
| Measure | This facility | Kentucky avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 5 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $160,626 | $15,373 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 6 | 1 | 1 | Worse |
Size
| Measure | This facility | Kentucky avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 92 | 95 | 107 | |
| Average residents per day | 80 | 82 | 86 | |
| Occupancy | 86.7% | 87.1% | 80.9% |
Long-stay residents
| Measure | This facility | Kentucky avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 6.5% | 3.9% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 8% | 4.8% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 18.1% | 16.1% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 5.3% | 1.6% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.7% | 0.5% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 28.1% | 13.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 23% | 14% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 7.4% | 6.6% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 7.5% | 17.7% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.2% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 23% | 29.8% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 21.4% | 19% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 96.3% | 96.2% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99.3% | 94.3% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Kentucky avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 2.6% | 1.7% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 68.8% | 83.5% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 95.5% | 84% | 82% | Better |
Inspection citations
State inspectors cited this home for 12 health deficiencies and 23 fire safety deficiencies in the inspection records CMS currently publishes. 3 citations involved actual harm, including 3 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 27, 2026 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected June 13, 2026 |
| May 27, 2026 Complaint | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | J Immediate jeopardy, isolated | Corrected June 13, 2026 |
| May 27, 2026 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | J Immediate jeopardy, isolated | Corrected June 13, 2026 |
| January 8, 2026 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected January 31, 2026 |
| January 8, 2026 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | E Potential harm, pattern | Corrected March 6, 2026 |
| January 8, 2026 Fire safety | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Tag K0781 | E Potential harm, pattern | Corrected January 24, 2026 |
| January 8, 2026 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected January 24, 2026 |
| January 8, 2026 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected January 24, 2026 |
| January 8, 2026 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected March 6, 2026 |
| January 8, 2026 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | D Potential harm, isolated | Corrected February 3, 2026 |
| January 8, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected January 28, 2026 |
| January 8, 2026 Standard | Keep all essential equipment working safely. Environmental Deficiencies · Tag F0908 | F Potential harm, widespread | Corrected January 28, 2026 |
| January 8, 2026 Complaint | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 | D Potential harm, isolated | Corrected January 28, 2026 |
| January 8, 2026 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected January 28, 2026 |
| October 3, 2024 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | F Potential harm, widespread | Corrected October 19, 2024 |
| October 3, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected October 25, 2024 |
| October 3, 2024 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | F Potential harm, widespread | Corrected November 30, 2024 |
| October 3, 2024 Fire safety | Have a battery powered remote alarm panel in a location accessible by operating personnel. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0916 | F Potential harm, widespread | Corrected November 30, 2024 |
| October 3, 2024 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | F Potential harm, widespread | Corrected November 30, 2024 |
| October 3, 2024 Fire safety | Establish an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0001 | F Potential harm, widespread | Corrected October 19, 2024 |
| October 3, 2024 Fire safety | Have properly installed hallway dispensers for alcohol-based hand rub. Smoke Deficiencies · Tag K0325 | E Potential harm, pattern | Corrected October 19, 2024 |
| October 3, 2024 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected January 17, 2025 |
| October 3, 2024 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | D Potential harm, isolated | Corrected October 24, 2024 |
| October 3, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected October 19, 2024 |
| October 3, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected October 19, 2024 |
| October 3, 2024 Standard | Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights Deficiencies · Tag F0576 | F Potential harm, widespread | Corrected November 5, 2024 |
| October 3, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected January 1, 2025 |
| October 3, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected January 1, 2025 |
| November 14, 2019 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | D Potential harm, isolated | Corrected December 18, 2019 |
| November 14, 2019 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | D Potential harm, isolated | Corrected December 18, 2019 |
| November 14, 2019 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected December 18, 2019 |
| November 14, 2019 Fire safety | Have corridors or aisles that are unobstructed and are at least 8 feet in width. Egress Deficiencies · Tag K0232 | D Potential harm, isolated | Corrected December 18, 2019 |
| November 14, 2019 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | D Potential harm, isolated | Corrected December 18, 2019 |
| November 14, 2019 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected December 18, 2019 |
| November 14, 2019 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected December 18, 2019 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 5 federal penalties in the past three years, including $155,280 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| May 27, 2026 | Fine | $105,755 |
| May 27, 2026 | Fine | $27,378 |
| October 3, 2024 | Payment Denial | 28 days from December 20, 2024 |
| October 3, 2024 | Fine | $16,801 |
| October 3, 2024 | Fine | $5,346 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| FRANCES, JAY Individual | 5% or greater direct ownership interest | 50% | 09/20/2016 |
| SMITH, KIMBERLY Individual | 5% or greater direct ownership interest | 50% | 09/20/2016 |
| BOYD, MICHAEL Individual | adp of the snf | NOT APPLICABLE | 11/01/2016 |
| CALHOUN & COMPANY PLLC Organization | adp of the snf | NOT APPLICABLE | 11/01/2016 |
| FRANCES, JAY Individual | adp of the snf | NOT APPLICABLE | 11/01/2016 |
| FULLER, DEBBIE Individual | adp of the snf | NOT APPLICABLE | 11/01/2016 |
| HARGIS & ASSOCIATES, LLC Organization | adp of the snf | NOT APPLICABLE | 11/01/2016 |
| HARGIS, FORWOOD Individual | adp of the snf | NOT APPLICABLE | 11/01/2016 |
| HICKERSON, MICHELE Individual | adp of the snf | NOT APPLICABLE | 05/01/2023 |
| KREIL, KAREN Individual | adp of the snf | NOT APPLICABLE | 11/01/2016 |
| LEGACY HEALTH SERVICES INC Organization | adp of the snf | NOT APPLICABLE | 06/27/2025 |
| MARTIN, ARNIE Individual | adp of the snf | NOT APPLICABLE | 03/01/2022 |
| MCINTOSH, SARAH Individual | adp of the snf | NOT APPLICABLE | 11/01/2016 |
| MCINTYRE, AMANDA Individual | adp of the snf | NOT APPLICABLE | 09/10/2021 |
| PETERSEN, JALME Individual | adp of the snf | NOT APPLICABLE | 11/01/2016 |
| PROACTIVE MEDICAL REVIEW AND CONSULTANTS LLC Organization | adp of the snf | NOT APPLICABLE | 03/01/2022 |
| FRANCES, JAY Individual | corporate officer | NOT APPLICABLE | 09/20/2016 |
| SMITH, KIMBERLY Individual | corporate officer | NOT APPLICABLE | 09/20/2016 |
| FRANCES, JAY Individual | operational/managerial control | NOT APPLICABLE | 11/01/2016 |
| LEGACY HEALTH SERVICES INC Organization | operational/managerial control | NOT APPLICABLE | 11/01/2016 |
| MCINTYRE, AMANDA Individual | operational/managerial control | NOT APPLICABLE | 09/10/2021 |
| SMITH, KIMBERLY Individual | operational/managerial control | NOT APPLICABLE | 11/01/2016 |
Other nursing homes near Pioneer Trace Group LLC
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★★★★★4Above averageLife Care Center of Morehead
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Frequently asked questions
What is Pioneer Trace Group LLC's rating?
Pioneer Trace Group LLC has 1 out of 5 stars on the CMS overall star rating. The average for Kentucky nursing homes is 3 stars.
How many inspection citations did Pioneer Trace Group LLC receive?
Its most recent standard health inspection found 7 citations, compared with a Kentucky average of 2.8. Every citation is listed on this page with its severity.
Does Pioneer Trace Group LLC accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Pioneer Trace Group LLC?
It is for profit - limited liability company. The ownership section on this page lists the owners and managers reported to CMS.
Where is Pioneer Trace Group LLC and how do I contact it?
Pioneer Trace Group LLC is at 115 Pioneer Trace, Flemingsburg, KY 41041. Phone: (606) 845-2131.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.