Pioneer Trace Group, LLC
Nursing Home, Hospice Care & Skilled Nursing · Flemingsburg, KY
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Pioneer Trace Group, LLC

Nursing Home, Hospice Care & Skilled Nursing · Flemingsburg, KY
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Pioneer Trace Group, LLC accepts Medicare, Medicaid, and private pay.

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.

Since 2018 · 8 years of data 16 deficiencies

Inspection Scorecard Info This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Kentucky state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2018 vs. Kentucky state average
Overall vs. KY average 2 Worse Metrics worse than Kentucky average:
• Total deficiencies (167% above)
• Deficiencies per year (150% above)
0 Better No metrics in this bucket.
Latest Inspection January 8, 2026 Complaint Investigation

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityKY Averagevs. KY Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 166 This facility has 167% more total deficiencies than a typical Kentucky assisted living residence (16 vs. KY avg 6).↑ 167% worse
Deficiencies per year Info Average deficiencies per year since 2018. 20.8 This facility has 150% more deficiencies per year than a typical Kentucky assisted living residence (2 vs. KY avg 0.8).↑ 150% worse

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • February 21, 2025 abbreviated survey found no deficient practices and no complaints were investigated.
  • January 16, 2025 abbreviated survey issued no deficiencies for three investigated complaint numbers.
  • Both recent abbreviated surveys showed no deficiencies or substantiated complaints, indicating consistent compliance.

Health Inspection History

Inspections since 2018
Total health inspections 3

State average N/A


Last Health inspection on Oct 2024

Total health citations
15 Rank #119 / 193Health citations — State benchmarkedThis home is ranked 119th out of 193 homes in Kentucky for Health Citations. Shows this facility's total health deficiency citations benchmarked to the Kentucky State average, with a ranking across all 193 KY facilities. Lower citation counts earn a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
5 Rank #127 / 193Citations per inspection — State benchmarkedThis home is ranked 127th out of 193 homes in Kentucky for Citations Per Inspection. Shows average deficiency citations per CMS inspection for this facility versus the Kentucky mean across 193 facilities with citation data. Lower is better.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A


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 8 years)
Critical health citations
0
In line with State average

State average: N/A


Serious health citations
0
In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

15 moderate citations State average: N/A

0 minor citations State average: N/A
Citations history (last 8 years)
Infection Control moderate citation Oct 03, 2024
Corrected

Nutrition moderate citation Oct 03, 2024
Corrected

Resident Rights moderate citation Oct 03, 2024
Corrected

Care Planning moderate citation Nov 14, 2019
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 122
Employees 109
Contractors 13
Staff to resident ratio 1.61 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 38
Average shift 8.4 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 29,429

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 13 total: 12 full-time employees and 1 contractor. 13
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.5 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 26 total: 22 full-time employees and 4 contractors. 26
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.5 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 56 total: 51 full-time employees and 5 contractors. 56
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

1.5%

429 contractor hours this quarter

Certified Nursing Assistant: 5 Licensed Practical Nurse: 4 Registered Nurse: 1 Occupational Therapy Aide: 1 Medical Director: 1 Occupational Therapy Assistant: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant5155615,55492100%9
Licensed Practical Nurse224266,12392100%8.5
Registered Nurse121132,59492100%8.5
Physical Therapy Aide4048277480%7
Other Dietary Services Staff4046918188%6.1
Speech Language Pathologist4045717480%6.3
Administrator1015286672%8
Nurse Practitioner1015286672%8
Physical Therapy Assistant4044856065%6.9
Qualified Social Worker2024736773%7.1
Respiratory Therapy Technician3034696368%7
Dietitian1013885459%7.2
Occupational Therapy Aide011811415%5.8
Medical Director011601314%4.6
Occupational Therapy Assistant011601314%4.6
56 Certified Nursing Assistant
% of Days 100%
26 Licensed Practical Nurse
% of Days 100%
13 Registered Nurse
% of Days 100%
4 Physical Therapy Aide
% of Days 80%
4 Other Dietary Services Staff
% of Days 88%
4 Speech Language Pathologist
% of Days 80%
1 Administrator
% of Days 72%
1 Nurse Practitioner
% of Days 72%
4 Physical Therapy Assistant
% of Days 65%
2 Qualified Social Worker
% of Days 73%
3 Respiratory Therapy Technician
% of Days 68%
1 Dietitian
% of Days 59%
1 Occupational Therapy Aide
% of Days 15%
1 Medical Director
% of Days 14%
1 Occupational Therapy Assistant
% of Days 14%

Penalties and fines

Includes penalties issued in 2024

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 Rank #173 / 197Federal fines — State benchmarkedThis home is ranked 173rd out of 197 homes in Kentucky for Federal Fines. Shows this facility's cumulative CMS federal fine dollars versus the Kentucky average among facilities with fines, and where it ranks among 197 facilities in the pool. Lower total dollars mean a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
56% lower than State average

State average: $63K

Number of fines 3
30% more fines than State average

State 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 State average

State average: 0.3

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

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

4 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

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

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 State average

State 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 State average

State average: 18.9

Long-stay resident measures
Significantly below average State avg: 3.5 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
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 State average

State average: 16.8%

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

State 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 State average

State 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 State average

State 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 State average

State average: 5.8%

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

State average: 1.9%

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

State average: 6.8%

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

State average: 14.3%

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

State average: 15.6%

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

State average: 93.9%

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

State average: 96.2%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.48
33% worse than State average

State average: 1.87

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 5.21
138% worse than State average

State average: 2.19

Short-stay resident measures
Significantly below average State avg: 2.2 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 79.0%
6% worse than State average

State average: 83.7%

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

State average: 1.9%

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

State average: 83.6%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 25.5%
In line with State average

State average: 24.5%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 14.5%
In line with State average

State average: 13.9%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than State average

State average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 15.2%
72% worse than State average

State average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 34.1%
32% worse than State average

State average: 50.6%

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

Facility Characteristics

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

Total residents 76
Medicare
1
1.3% of residents
Medicaid
53
69.7% of residents
Private pay or other
22
28.9% of residents
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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$7.7M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$383.2K
For-profit Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$7.7M Rank #138 / 194Revenue — State benchmarkedThis home is ranked 138th out of 194 homes in Kentucky for Revenue. Shows this facility's annual revenue compared to the Kentucky average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$383.2K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$93.6K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #153 / 194Payroll — State benchmarkedThis home is ranked 153rd out of 194 homes in Kentucky for Payroll. Shows total annual staff payroll benchmarked to the Kentucky average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$3.4M 44.5% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #111 / 194Payroll % — State benchmarkedThis home is ranked 111th out of 194 homes in Kentucky for Payroll %. Shows payroll as a percentage of revenue versus the Kentucky average. Well-run Kentucky facilities typically land around 50–61% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Kentucky that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$3.9M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$7.3M

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.

New residents most often arrive under Medicare (47% of admissions), and a typical Medicare stay runs around 2 months.

Admissions
97 total

Coverage residents most often arrive under.

Medicare 47%
Private pay 36%
Medicaid 16%
Discharges
98 total

Coverage residents most often leave under.

Medicare 34%
Private pay 49%
Medicaid 17%

Places of interest near Pioneer Trace Group, LLC

Address 0.0 miles from city center Info Estimated distance in miles from Flemingsburg's city center to Pioneer Trace Group, LLC's address, calculated via Google Maps.

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

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Frequently Asked Questions about Pioneer Trace Group, LLC

Is Pioneer Trace Group, LLC in a walkable area?

Pioneer Trace Group, LLC has a walk score of 53. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Pioneer Trace Group, LLC?

According to KY state health department records, Pioneer Trace Group, LLC's license number is 100484.

What is the occupancy rate at Pioneer Trace Group, LLC?

Pioneer Trace Group, LLC's occupancy is 82%.

Are pets allowed at Pioneer Trace Group, LLC?

No, Pioneer Trace Group, LLC has a no-pet policy.

Does Pioneer Trace Group, LLC operate as a for-profit or non-profit?

Pioneer Trace Group, LLC is registered as a for-profit in KY.

Who is the administrator of Pioneer Trace Group, LLC?

Amanda Mcintyre is the administrator of Pioneer Trace Group, LLC.

How many beds does Pioneer Trace Group, LLC have?

Pioneer Trace Group, LLC has 92 beds.

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