The nursing home failed to protect residents from abuse and neglect by others. Cited May 2026 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
Pioneer Trace Group LLC
Flemingsburg, KY · Medicare-certified · 92 beds
Needs attention
Abuse citationFor-profit
Data as of July 1, 2026
1 of 5 overall
Pioneer Trace Group LLC in Flemingsburg, KY has a 1 out of 5 overall star rating, with 1-star health inspection and quality ratings and a 2-star staffing rating. Reported nurse staffing is 3.42 hours per resident per day, below the federal benchmark of 4.1, and the facility had $27,493 in fines in the last 24 months plus a recent abuse citation.
Facility ratings
Health inspections
Staffing
3.4197 hrs/resident/day
Quality measures
Last inspection: May 27, 2026Penalties, last 24 months: $27,493recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4197.
Staffing detail
- Registered nurses
- 0.37
- Licensed practical nurses
- 0.94
- Nurse aides
- 2.11
- Weekend nursing
- 2.94
Hours per resident per day.
Total staff turnover: 40%
Registered nurse turnover: 50%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
20.4%15.7%Improving
Residents with a fall causing major injury
2.6%10%Worsening
Residents with pressure ulcers (bedsores)
13.9%9%Improving
Residents with a urinary tract infection
1.4%7.4%Worsening
Residents who lost too much weight
9.1%6.2%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
21.9%31.7%Worsening
Residents whose ability to walk got worse
15%16.5%Worsening
Long-stay residents on antianxiety or sleep medication
23.2%20.9%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
2%0.9%Improving
Residents with new or worsening incontinence
15.9%16%No change
Residents with depressive symptoms
7.6%7.9%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—96.2%—
Long-stay residents given the pneumonia vaccine
98.7%100%Improving
Short-stay residents given the seasonal flu vaccine
—68.8%—
Short-stay residents given the pneumonia vaccine
81.2%100%Improving
What the inspectors found
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited May 2026 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2026 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to keep essential equipment working safely. Cited January 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 908 — 42 CFR §483.90 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $16,801 was recorded.
- PENALTY
A federal fine of $5,346 was recorded.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 3 fines · $27,493 in total fines · 1 payment denial.
- 28 days
Medicare/Medicaid payment denial
Oct 3, 2024
- $16,801
Federal fine
Oct 3, 2024
- $5,346
Federal fine
Oct 3, 2024
Operator & ownership
Recent ownership change · Nov 1, 2016
Now operated by Pioneer Trace Group LLC, previously Community Nursing Services INC..
- Ownership
- For profit - Limited Liability company
- Occupancy
- 79.8 residents on an average day (87% of 92 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 34 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.