Nursing homeActive
Pioneer Trace Group LLC
115 Pioneer Trace, Flemingsburg, KY 41041606845213192 certified beds · 80 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
4
since 2019
Deficiencies
12
● 0● 9● 3
Penalties · 3 yrs
$160,626
5 fines · 1 action
Last survey
2026-05-27
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 2
Quality 1
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Kentucky Office of Inspector General · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-05-27 | Complaint | 003 | CMS-2567 (Care Compare) | — |
| 2026-01-08 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2024-10-03 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2019-11-14 | Standard | 020 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Kentucky Office of Inspector General publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Corrected 2026-06-13Record 185314-20260527-F600
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity JHarm
Care planningRecords
Isolated; immediate jeopardy to resident health or safety.Corrected 2026-06-13Record 185314-20260527-F657
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2026-06-13Record 185314-20260527-F689
F602Protect each resident from the wrongful use of the resident's belongings or money.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-28Record 185314-20260108-F602
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-28Record 185314-20260108-F698
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-01-28Record 185314-20260108-F812
F908Keep all essential equipment working safely.Scope/severity FStandard
Environment
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-01-28Record 185314-20260108-F908
F576Ensure residents have reasonable access to and privacy in their use of communication methods.Scope/severity FStandard
Dignity & rights
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-11-05Record 185314-20241003-F576
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-01-01Record 185314-20241003-F812
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-01-01Record 185314-20241003-F880
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-12-18Record 185314-20191114-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-12-18Record 185314-20191114-F657
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2026-05-27 | Civil money penalty | $105,755 | CMS · Penalties |
| 2026-05-27 | Civil money penalty | $27,378 | CMS · Penalties |
| 2024-10-03 | Civil money penalty | $16,801 | CMS · Penalties |
| 2024-10-03 | Civil money penalty | $5,346 | CMS · Penalties |
| 2024-10-03 | Civil money penalty | $5,346 | CMS · Penalties |
| 2024-10-03 | Denial of payment for new admissions Payment denial for 28 days, from 2024-12-20 | — | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.37
Facility
Kentucky
National
Kentucky 0.79 · National 0.69
Total nurse hours per resident day3.42
Facility
Kentucky
National
Kentucky 3.95 · National 3.86
Weekend total nurse hours2.94
Facility
Kentucky
National
Kentucky 3.48 · National 3.42
Total nursing staff turnover40%
Facility
Kentucky
National
Kentucky 46% · National 46%
Registered nurse turnover50%
Facility
Kentucky
National
Kentucky 42% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Kentucky | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 8.0% | 4.8% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 6.5% | 3.9% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 18.1% | 16.1% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 5.3% | 1.6% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 28.1% | 13.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 7.4% | 6.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 23.0% | 29.8% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Frances, Jay Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | — | — |
| Smith, Kimberly Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | — | — |
| Frances, Jay Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Legacy Health Services Inc Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Mcintyre, Amanda Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Smith, Kimberly Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Boyd, Michael Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Calhoun & Company Pllc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Frances, Jay Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Frances, Jay Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Fuller, Debbie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hargis & Associates, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hargis, Forwood Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hickerson, Michele Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kreil, Karen Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Legacy Health Services Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Martin, Arnie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mcintosh, Sarah Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mcintyre, Amanda Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Petersen, Jalme Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Proactive Medical Review And Consultants LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Smith, Kimberly Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Kentucky.
No county cost figures on file for Fleming.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Maysville Nursing and Rehabilitation Facility Maysville | 15.0 mi | 2025-06-19 | 000 |
| Ridgeway Nursing & Rehabilitation Facility Owingsville | 18.6 mi | 2026-06-05 | 080 |
| Willowbrook Healthcare Carlisle | 17.4 mi | 2025-05-14 | 000 |
| Robertson County Health Care Facility Mount Olivet | 17.8 mi | 2025-07-02 | 031 |
| Ohio Valley Manor Care Center Ripley | 23.7 mi | 2025-08-26 | 070 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |