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Nursing Home in Kentucky

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

Pioneer Trace Group, LLC

Nursing Home in Kentucky

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

Pioneer Trace Group, LLC

Overview of Pioneer Trace Group, LLC
Pioneer Trace Healthcare & Rehabilitation offers skilled nursing and rehabilitation services in Flemingsburg, Kentucky. The facility is dedicated to providing quality care and support to its patients. It aims to help individuals achieve a better, fuller life through reliable skilled nursing care and rehabilitative services.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
1/5
Kentucky average: 2.8/5
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
2/5
Kentucky average: 2.9/5
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
2/5
Kentucky average: 2.4/5
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
1/5
Kentucky average: 2.9/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
3h 4m per day

This home provides 11% less nursing time per resident than the Kentucky average.

Kentucky average: 3h 27m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 92

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Kentucky average
Occupancy rate 81.5%
Residents per day (avg) 78
Occupancy rate
81.5%
Residents per day (avg)
78

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Might be optimal for
Short stays Recovery Medicare-covered care

Breakdown by payment type

Medicare

47% of new residents, usually for short-term rehab.

Typical stay 2 months

Private pay

36% of new residents, often for short stays.

Typical stay 5 - 6 months

Medicaid

16% of new residents, often for long-term daily care.

Typical stay 3 - 4 years

Finances and operations

Privately-owned community
Operated by a business corporation.
Home revenue
$8.0M
Profit
$476.8K
Privately-owned community Operated by a business corporation.
Home revenue
$8.0M
Profit
$476.8K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.0M
37.8% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.5M
Total costs $7.5M
Bed community size
92-bed community
A larger shared setting that may offer more common spaces and organized community services.

About this community

Occupancy

Occupancy rate
82%
In line with Kentucky average
Occupied beds
75 / 92
Average residents 80 per day

License Details

Facility TypeLong Term Care (nursing Facility)
StatusActive
IssuanceOctober 1, 2025
CountyFLEMING

Additional Licensing Details

License Number100484
CMS Certification Number185314

Ownership & Operating Entity

Pioneer Trace Group, LLC is administrated by Amanda Mcintyre.

Owner NamePIONEER TRACE GROUP, LLC

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

1 service
Skilled Nursing

Contact Pioneer Trace Group, LLC

Inspection History

In Kentucky, the Cabinet for Health and Family Services, Office of Inspector General is the regulatory authority that conducts inspections and investigates complaints in all long-term care homes.

2 visits/inspections

Latest inspection

Date February 21, 2025
Abbreviated Survey

Inspection Report Summary for Pioneer Trace Group, LLC

The most recent inspection on February 21, 2025, found no deficiencies during the abbreviated survey. Earlier inspections also showed no deficiencies, indicating a consistent compliance record. There were no complaint investigations or enforcement actions listed in the available reports. Prior reports did not identify any issues related to resident care, safety, or documentation. The facility’s inspection history suggests stable adherence to regulatory requirements over time.

Health Inspection History

Inspections
Total health inspections 3

Kentucky average 2.9


Last Health inspection on Oct 2024

Total health citations 15

Kentucky average 13.5

Citations per inspection
5

Kentucky average 4.4


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

All 15 citations resulted from standard inspections.

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than Kentucky average

Kentucky average: 1.1


Serious Health citations More info 0
100% better than Kentucky average

Kentucky average: 0.6

0 critical citations More info Kentucky average: 1.1

0 serious citations More info Kentucky average: 0.6

15 moderate citations More info Kentucky average: 11.6

0 minor citations More info Kentucky average: 0.1
Citations history (last 3 years)
Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Oct 03, 2024
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Oct 03, 2024
Corrected

Resident Rights moderate citation Info Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care. Oct 03, 2024
Corrected

Care Planning moderate citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Nov 14, 2019
Corrected

Compare Nursing Homes around Kentucky The information below is reported by the Kentucky Cabinet for Health and Family Services, Office of Inspector General.

5 facilities compared · CMS & KY Dept. of Health data · Updated Apr 2026

Filter by care type
Barren County Nursing and Rehabilitation
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Glasgow
94
82.7%
+2%
3.22
-36%
-14%
1
11
3.7
0
88
Herbstman, Moshe
$8.6M
$2.8M
32.7%
185229
Auburn Nursing and Rehabilitation Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Auburn
66
62.0%
-24%
1.44
-49%
-62%
0
13
3.3
0
50
Bolster, Nancy
$4.0M
$1.8M
44.9%
185049
Beaver Dam Nursing and Rehab Center, Inc
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Beaver Dam
71
84.3%
+4%
-
-7%
-
0
9
3.0
0
54
-
$7.0M
$3.4M
47.9%
185334
Pioneer Trace Group, LLC
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Flemingsburg
92
80.2%
-1%
3.07
-1%
-18%
3
15
5.0
0
78
Baber, Roy
$7.9M
$3.0M
38.2%
185314
Bardstown Heatlh & Rehabilitation
-
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Bardstown
100
-
-
-
-
-
-
-
-
0
0
0.0
0
-
-
-
-
-
-

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 117
Employees 91
Contractors 26
Staff to resident ratio 1.54:1
12% worse than Kentucky average

Kentucky average ratio: 1.75:1

Avg staff/day 36
Average shift 8.6 hours
0% compared with Kentucky average

Kentucky average: 8.5 hours

Total staff hours (quarter) 28,187
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 12
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 21
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.7 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 55
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.3 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

10.2%

2,867 contractor hours this quarter

Certified Nursing Assistant: 6 Physical Therapy Aide: 4 Physical Therapy Assistant: 4 Respiratory Therapy Technician: 3 Speech Language Pathologist: 3 Licensed Practical Nurse: 2 Qualified Social Worker: 2 Occupational Therapy Aide: 1 Medical Director: 1
Staff by category
Certified Nursing Assistant4965514,35391100%9.3
Licensed Practical Nurse192215,40691100%8.7
Registered Nurse120123,25891100%9
Other Dietary Services Staff7079718695%6.8
Physical Therapy Aide0449406875%7.6
Administrator1015206571%8
Physical Therapy Assistant0444956571%6.9
Nurse Practitioner1014886167%8
Qualified Social Worker0224706470%7.2
Respiratory Therapy Technician0334706470%7.1
Dietitian1014195763%7.4
Speech Language Pathologist0332335965%3.7
Medical Director011601314%4.6
Occupational Therapy Aide011601618%3.8
Occupational Therapy Assistant101451011%4.5
55 Certified Nursing Assistant
% of Days 100%
21 Licensed Practical Nurse
% of Days 100%
12 Registered Nurse
% of Days 100%
7 Other Dietary Services Staff
% of Days 95%
4 Physical Therapy Aide
% of Days 75%
1 Administrator
% of Days 71%
4 Physical Therapy Assistant
% of Days 71%
1 Nurse Practitioner
% of Days 67%
2 Qualified Social Worker
% of Days 70%
3 Respiratory Therapy Technician
% of Days 70%
1 Dietitian
% of Days 63%
3 Speech Language Pathologist
% of Days 65%
1 Medical Director
% of Days 14%
1 Occupational Therapy Aide
% of Days 18%
1 Occupational Therapy Assistant
% of Days 11%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
76 residents
Residents by payment source
Medicare
1 resident (1.3%)
Medicaid
53 residents (69.7%)
Private pay or other
22 residents (28.9%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 16.3
56% worse than Kentucky average

Kentucky average: 10.5

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 27.0
42% worse than Kentucky average

Kentucky average: 18.9

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 31.6%
88% worse than Kentucky average

Kentucky average: 16.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 28.2%
44% worse than Kentucky average

Kentucky average: 19.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 21.1%
In line with Kentucky average

Kentucky average: 20.5%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 4.1%
10% worse than Kentucky average

Kentucky average: 3.8%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 9.9%
71% worse than Kentucky average

Kentucky average: 5.8%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 2.8%
51% worse than Kentucky average

Kentucky average: 1.9%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 7.9%
16% worse than Kentucky average

Kentucky average: 6.8%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 5.0%
65% better than Kentucky average

Kentucky average: 14.3%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 21.5%
38% worse than Kentucky average

Kentucky average: 15.6%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.7%
6% better than Kentucky average

Kentucky average: 93.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.3%
In line with Kentucky average

Kentucky average: 96.2%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 79.0%
6% worse than Kentucky average

Kentucky average: 83.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 6.9%
254% worse than Kentucky average

Kentucky average: 1.9%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 68.8%
18% worse than Kentucky average

Kentucky average: 83.6%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $27K
56% lower than Kentucky average

Kentucky average: $63K

Number of fines 3
30% more fines than Kentucky average

Kentucky average: 2.3

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 1
206% more payment denials than Kentucky average

Kentucky average: 0.3

Fines amount comparison
Fines amount comparison
This facility $27K
Kentucky average $63K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Oct 3, 2024
$5K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Oct 3, 2024
$5K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Oct 3, 2024
$17K
Payment Denial Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. Oct 3, 2024
28 days

Last updated: Jan 2026

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Financial Aid for Kentucky Seniors

Get financial aid guidance

Home and Community Based Waiver

Kentucky Medicaid HCB Waiver

Age 65+ or disabled, Kentucky resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Rural focus; waitlists possible.

Hart-Supported Living Program

KY Hart-Supported Living

Age 65+ or disabled, Kentucky resident.

No strict limit; prioritizes low-income.

Not applicable.

Competitive grants; limited availability.

Kentucky Homecare Program

Kentucky Homecare Program

Age 60+, Kentucky resident, at risk of nursing home placement, not eligible for Medicaid waivers.

No strict limit; prioritizes low-income (~$24,980/year individual).

Not assessed; need-based focus.

15 AAAs; rural focus; not in nursing homes.

Medicare Savings Program (MSP)

Kentucky Medicare Savings Program

Age 65+ or disabled, Kentucky resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist; auto Extra Help for Part D.

National Family Caregiver Support Program (NFCSP) Respite

Kentucky NFCSP Respite Care

Caregivers of 60+ needing care or 55+ caregivers of others; Kentucky resident; functional needs (2+ ADLs).

Prioritizes ~$24,980/year (individual); no strict cap.

Not assessed; need-based.

15 AAAs; prioritizes low-income, rural caregivers.

Kentucky Family Caregiver Program

Kentucky Family Caregiver Program

Grandparents (often 55+) as primary caregivers to grandchildren under 18, Kentucky resident, not on Kinship Care.

~$31,225/year (individual); varies by AAA.

Not strictly assessed; need-based.

Max $1,500/year; statewide via AAAs.

Senior Community Service Employment Program (SCSEP)

Kentucky SCSEP

Age 55+, unemployed, low-income, Kentucky resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents.

VA Aid and Attendance (A&A) and Housebound Benefits

Kentucky VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Kentucky resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural areas.

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