Nursing Care Index

Pioneer Trace Group LLC

Flemingsburg, Fleming County, Kentucky · CCN 185314 · For-profit (LLC) · not part of a chain

CMS rates Pioneer Trace Group LLC 1 of 5 overall as of August 2026. 92 certified beds, 80 residents a day on average. 12 citations on record from the current inspection cycles, 3 at immediate jeopardy; 5 fines totalling $160,626 and 1 payment denial.

On record

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★☆☆☆☆ 1 of 5
Health inspections★☆☆☆☆ 1 of 5
Staffing★★☆☆☆ 2 of 5
Quality measures★☆☆☆☆ 1 of 5
Quality: long-stay / short-stay1 / 1 of 5

Staffing

Total nurse staffing3.41974 hours per resident per day
Registered nurses0.36623 hours per resident per day
Weekend total2.94373 hours per resident per day
Nursing staff turnover40.3% (registered nurses 50%)
Administrators who left0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2026-05-27
complaint survey
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 to resident health or safety; isolated Deficient, Provider has date of correction
2026-06-13
2026-05-27
complaint survey
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 to resident health or safety; isolated Deficient, Provider has date of correction
2026-06-13
2026-05-27
complaint survey
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 to resident health or safety; isolated Deficient, Provider has date of correction
2026-06-13
2026-01-08 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 No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2026-01-28
2026-01-08 Keep all essential equipment working safely.
Environmental Deficiencies · tag F0908
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2026-01-28
2026-01-08
complaint survey
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0602
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-01-28
2026-01-08 Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · tag F0698
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-01-28
2024-10-03 Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights Deficiencies · tag F0576
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-11-05
2024-10-03 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2025-01-01
2024-10-03 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 No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-01-01
2019-11-14 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 No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2019-12-18
2019-11-14 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 No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2019-12-18

Fines and payment denials

DatePenaltyAmount
2026-05-27Fine$105,755
2026-05-27Fine$27,378
2024-10-03Payment denial for 28 days from 2024-12-20
2024-10-03Fine$16,801
2024-10-03Fine$5,346
2024-10-03Fine$5,346

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Calhoun & Company PLLC
Organization
adp of the snf2016-11-01
Hargis & Associates, LLC
Organization
adp of the snf2016-11-01
Legacy Health Services Inc.
Organization
adp of the snf2025-06-27
Proactive Medical Review And Consultants LLC
Organization
adp of the snf2022-03-01
Legacy Health Services Inc.
Organization
operational/managerial control2016-11-01
Frances, Jay
Individual
5% or greater direct ownership interest50%2016-09-20
Smith, Kimberly
Individual
5% or greater direct ownership interest50%2016-09-20
Boyd, Michael
Individual
adp of the snf2016-11-01
Frances, Jay
Individual
adp of the snf2016-11-01
Fuller, Debbie
Individual
adp of the snf2016-11-01
Hargis, Forwood
Individual
adp of the snf2016-11-01
Hickerson, Michele
Individual
adp of the snf2023-05-01
Kreil, Karen
Individual
adp of the snf2016-11-01
Martin, Arnie
Individual
adp of the snf2022-03-01
Mcintosh, Sarah
Individual
adp of the snf2016-11-01
Mcintyre, Amanda
Individual
adp of the snf2021-09-10
Petersen, Jalme
Individual
adp of the snf2016-11-01
Frances, Jay
Individual
corporate officer2016-09-20
Smith, Kimberly
Individual
corporate officer2016-09-20
Frances, Jay
Individual
operational/managerial control2016-11-01
Mcintyre, Amanda
Individual
operational/managerial control2021-09-10
Smith, Kimberly
Individual
operational/managerial control2016-11-01

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Fleming County.