Elder Care Record

Kentucky › Fleming County › Flemingsburg

Pioneer Trace Group LLC

115 Pioneer Trace, Flemingsburg, KY 41041

CCN 185314 · For-profit, limited liability company · 92 certified beds

CMS abuse icon
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 92 beds, Pioneer Trace Group LLC serves Flemingsburg in Fleming County, Kentucky and has taken Medicare and Medicaid residents since 1991.

CMS gives it 1 of 5 stars overall, below the Kentucky median of 3; the health inspection rating is 1, staffing 2 and quality measures 1.

Inspectors recorded 12 health deficiencies across the three most recent survey cycles (7, 3, 2 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 13.0 per 100 beds, about the same as the state median of 12.1.

CMS lists 6 penalties in the period covered: fines totalling $161K and 1 payment denial.

Reported nurse staffing is 3.4 hours per resident per day (0.4 RN), close to the Kentucky median of 3.7; nursing staff turnover is 40.3%.

CMS flags that the facility carries the CMS abuse icon.

12health deficiencies, 3 survey cycles3 at actual harm or worse
$161Kfines listed by CMS6 penalties in period
3.4nurse hours per resident per daystate median 3.7
87%occupancy (residents ÷ beds)80 residents a day

Compared with county, state and nation

MeasureThis facilityFleming Co. medianKentucky medianUS average
Overall star rating1133.0
Health citations, 3 cycles12121028.7
Citations per 100 beds13.013.012.126.8
Total nurse hours per resident day3.43.43.73.9
RN hours per resident day0.40.40.70.7
Nursing staff turnover40.3%40.3%45.1%45.8%
Fines listed$160,626$160,626$0—

County and state figures are medians across facilities (1 in the county, 267 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)7
Cycle 23
Cycle 32

Dark bar: this facility. Grey bar: Kentucky average per facility for the same cycle, as published by CMS. Standard health survey dates: 8 Jan 2026, 3 Oct 2024.

Severity mix: J ×3 D ×4 E ×1 F ×4

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
27 May 2026F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint investigation13 Jun 2026
27 May 2026F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.JComplaint investigation13 Jun 2026
27 May 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation13 Jun 2026
8 Jan 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey28 Jan 2026
8 Jan 2026F0908Keep all essential equipment working safely.FStandard survey28 Jan 2026
8 Jan 2026F0602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint investigation28 Jan 2026
8 Jan 2026F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey28 Jan 2026
3 Oct 2024F0576Ensure residents have reasonable access to and privacy in their use of communication methods.FStandard survey5 Nov 2024
3 Oct 2024F0880Provide and implement an infection prevention and control program.FStandard survey1 Jan 2025
3 Oct 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey1 Jan 2025
14 Nov 2019F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey18 Dec 2019
14 Nov 2019F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey18 Dec 2019

Penalties

DateTypeAmountDetail
27 May 2026Fine$105,755
27 May 2026Fine$27,378
3 Oct 2024Payment denial—28 days
3 Oct 2024Fine$16,801
3 Oct 2024Fine$5,346
3 Oct 2024Fine$5,346

Staffing

Total nursing3.42 h
Nurse aides2.11 h
LPN0.94 h
RN0.37 h
Weekend total2.94 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Kentucky average. Turnover: nursing staff 40.3%, RNs 50.0%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityKentucky medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay28.1%13.0%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.7%0.2%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay5.3%1.0%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay6.5%3.5%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay2.6%1.1%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay23.0%13.0%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay8.0%4.3%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay18.1%15.0%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. Legal business name: Pioneer Trace Group Llc.

OrganisationRole in the CMS recordInterestSince
Legacy Health Services IncOperational/managerial controlNOT APPLICABLE11/01/2016
Calhoun & Company PllcAdp of the snfNOT APPLICABLE11/01/2016
Hargis & Associates, LLCAdp of the snfNOT APPLICABLE11/01/2016
Legacy Health Services IncAdp of the snfNOT APPLICABLE06/27/2025
Proactive Medical Review and Consultants LLCAdp of the snfNOT APPLICABLE03/01/2022

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Questions and answers

How many deficiencies has Pioneer Trace Group LLC been cited for?

12 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Kentucky median is 10 per facility.

Has Pioneer Trace Group LLC been fined?

Yes. CMS lists fines totalling $161K in the period covered, plus 1 payment denial.

How does staffing at Pioneer Trace Group LLC compare?

Reported total nurse staffing is 3.4 hours per resident per day against a Kentucky median of 3.7 and a national average of 3.9.

Who operates Pioneer Trace Group LLC?

Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Legacy Health Services Inc. Individual owners and managers are not listed on this site.

When was Pioneer Trace Group LLC last inspected?

The most recent survey or investigation in the CMS record is dated 27 May 2026; the most recent standard health survey was 8 Jan 2026.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.