Pioneer Trace Group LLC
115 Pioneer Trace, Flemingsburg, KY 41041 · Fleming County · 92 certified beds · avg 80 residents/day · certified since Oct 30, 1991
Abuse citation flag (CMS)
The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · May 27, 2026 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jun 13, 2026 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · May 27, 2026 · F-0657 · triggered by a complaint
The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Why it matters: Delays or gaps in care planning mean staff may work without a clear, current roadmap for the resident's daily care and treatment.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jun 13, 2026 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · May 27, 2026 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jun 13, 2026 (Deficient, Provider has date of correction)
All citations in the current public record (12)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 27, 2026 | ▲ J · Immediate jeopardy, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| May 27, 2026 | ▲ J · Immediate jeopardy, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint |
| May 27, 2026 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jan 8, 2026 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jan 8, 2026 | F · Potential for harm, facility-wide | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Jan 8, 2026 | D · Potential for harm, one-off | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint |
| Jan 8, 2026 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Oct 3, 2024 | F · Potential for harm, facility-wide | The facility did not give residents reasonable access to and privacy in using ways to communicate, such as phones, mail, and email. Residents have the right to stay in touch with the outside world privately. |
| Oct 3, 2024 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Oct 3, 2024 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Nov 14, 2019 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Nov 14, 2019 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 2 | 0 | D |
| 2024 | 3 | 0 | F |
| 2026 | 7 | 3 | J ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
5 fines totaling $160,626, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| May 27, 2026 | Fine | $27,378 |
| May 27, 2026 | Fine | $105,755 |
| Oct 3, 2024 | Fine | $5,346 |
| Oct 3, 2024 | Fine | $5,346 |
| Oct 3, 2024 | Fine | $16,801 |
| Oct 3, 2024 | Payment Denial | 28 days from Dec 20, 2024 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Kentucky avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.09 | 3.71 | 3.95 | bottom 29% in Kentucky; bottom 17% in the U.S. |
| Registered Nurse hours | 0.33 | 0.74 | 0.69 | bottom 4% in Kentucky; bottom 13% in the U.S. |
| Weekend total nurse staffing | 2.66 | 3.27 | 3.50 | bottom 23% in Kentucky; bottom 15% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.26 | 0.53 | 0.48 | bottom 19% in Kentucky; bottom 23% in the U.S. |
| Total nursing staff turnover (%) | 40.3 | 46.4 | 45.8 | top 32% in Kentucky; top 37% in the U.S. |
| RN turnover (%) | 50.0 | 41.8 | 42.9 | bottom 34% in Kentucky; bottom 39% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.42, RN 0.37, weekend 2.94. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: 1/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | 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 | Corporate Officer | NOT APPLICABLE | 09/20/2016 |
| Frances, Jay | Individual | Operational/Managerial Control | 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 | Operational/Managerial Control | 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 | Operational/Managerial Control | NOT APPLICABLE | 09/10/2021 |
| 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 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you inspect and maintain essential equipment, and how quickly are repairs made?"
- "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
- "How do you coordinate and monitor care for residents who receive dialysis?"
- "How can my family member make private phone or video calls, and can we see where?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Maysville Nursing and Rehabilitation Facility | 15.0 mi | Maysville, KY | ★★★★★ | 5/5 | |
| Willowbrook Healthcare | 17.4 mi | Carlisle, KY | —/5 | ||
| Robertson County Health Care Facility | 17.8 mi | Mount Olivet, KY | ★★★★☆ | 4/5 | |
| Ridgeway Nursing & Rehabilitation Facility | 18.6 mi | Owingsville, KY | ★★★☆☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 185314.