nursing home in Flemingsburg, KY

Pioneer Trace Group LLC

115 Pioneer Trace, Flemingsburg, KY 41041 · (606) 845-2131

★★★★★1
Much below average
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

MeasureThis facilityKentucky avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)1 / 53 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)1 / 53 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)2 / 52.7 / 52.9 / 5Worse
Quality measures rating ⓘ (higher is better)1 / 53.2 / 53.6 / 5Worse
Long-stay quality rating (higher is better)1 / 53.6 / 53.8 / 5Worse
Short-stay (rehab) quality rating (higher is better)1 / 52.7 / 53.3 / 5Worse

Staffing

This facility3.42 hrsKentucky average3.95 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Kentucky and U.S. averages
MeasureThis facilityKentucky avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.42 hrs3.95 hrs3.86 hrsWorse
Registered nurse hours per resident per day (higher is better)0.37 hrs0.79 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)2.11 hrs2.36 hrs2.32 hrsWorse
Weekend nurse staff hours per resident per day (higher is better)2.94 hrs3.49 hrs3.42 hrsWorse
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)001Better

Inspections

This facility7Kentucky average3U.S. average9
Health citations in the most recent inspection: this facility vs. Kentucky and U.S. averages
MeasureThis facilityKentucky avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)739Better
Citations from complaint investigations (latest cycle) (lower is better)413Worse
Weighted health inspection score ⓘ (lower is better)19040.480.6Worse

Penalties

This facility5Kentucky average1U.S. average1
Fines in the past 3 years: this facility vs. Kentucky and U.S. averages
MeasureThis facilityKentucky avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)511Worse
Total fines in the past 3 years (lower is better)$160,626$15,373$30,972Worse
All federal penalties in the past 3 years (lower is better)611Worse

Size

MeasureThis facilityKentucky avg.U.S. avg.vs. U.S.
Certified beds9295107
Average residents per day808286
Occupancy86.7%87.1%80.9%

Long-stay residents

This facility6.5%Kentucky average3.9%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Kentucky and U.S. averages
MeasureThis facilityKentucky 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

This facility2.6%Kentucky average1.7%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Kentucky and U.S. averages
MeasureThis facilityKentucky 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".

DateCitationSeverityStatus
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.

DatePenaltyAmount / length
May 27, 2026Fine$105,755
May 27, 2026Fine$27,378
October 3, 2024Payment Denial28 days from December 20, 2024
October 3, 2024Fine$16,801
October 3, 2024Fine$5,346

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
FRANCES, JAY
Individual
5% or greater direct ownership interest50%09/20/2016
SMITH, KIMBERLY
Individual
5% or greater direct ownership interest50%09/20/2016
BOYD, MICHAEL
Individual
adp of the snfNOT APPLICABLE11/01/2016
CALHOUN & COMPANY PLLC
Organization
adp of the snfNOT APPLICABLE11/01/2016
FRANCES, JAY
Individual
adp of the snfNOT APPLICABLE11/01/2016
FULLER, DEBBIE
Individual
adp of the snfNOT APPLICABLE11/01/2016
HARGIS & ASSOCIATES, LLC
Organization
adp of the snfNOT APPLICABLE11/01/2016
HARGIS, FORWOOD
Individual
adp of the snfNOT APPLICABLE11/01/2016
HICKERSON, MICHELE
Individual
adp of the snfNOT APPLICABLE05/01/2023
KREIL, KAREN
Individual
adp of the snfNOT APPLICABLE11/01/2016
LEGACY HEALTH SERVICES INC
Organization
adp of the snfNOT APPLICABLE06/27/2025
MARTIN, ARNIE
Individual
adp of the snfNOT APPLICABLE03/01/2022
MCINTOSH, SARAH
Individual
adp of the snfNOT APPLICABLE11/01/2016
MCINTYRE, AMANDA
Individual
adp of the snfNOT APPLICABLE09/10/2021
PETERSEN, JALME
Individual
adp of the snfNOT APPLICABLE11/01/2016
PROACTIVE MEDICAL REVIEW AND CONSULTANTS LLC
Organization
adp of the snfNOT APPLICABLE03/01/2022
FRANCES, JAY
Individual
corporate officerNOT APPLICABLE09/20/2016
SMITH, KIMBERLY
Individual
corporate officerNOT APPLICABLE09/20/2016
FRANCES, JAY
Individual
operational/managerial controlNOT APPLICABLE11/01/2016
LEGACY HEALTH SERVICES INC
Organization
operational/managerial controlNOT APPLICABLE11/01/2016
MCINTYRE, AMANDA
Individual
operational/managerial controlNOT APPLICABLE09/10/2021
SMITH, KIMBERLY
Individual
operational/managerial controlNOT APPLICABLE11/01/2016

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    ★★★★★5Much above average
  2. Willowbrook Healthcare

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  3. Robertson County Health Care Facility

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  4. Ridgeway Nursing & Rehabilitation Facility

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    ★★★★★3Average
  5. Ohio Valley Manor Care Center

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  6. Life 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.