Pioneer Trace Group LLC in Flemingsburg, KY has a 1-out-of-5 overall rating, with low quality measures (1 star), limited staffing (2 stars), and nurse staffing below the federal benchmark (3.41 vs. 4.1 hours per resident per day). It also had $27,493 in fines in the last 24 months and a recent federal penalty; recent inspection issues included food handling, equipment safety, and residents’ access to private communication.
Last inspection: January 8, 2026Penalties, last 24 months: $27,493recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4092.
Staffing detail
Registered nurses
0.43
Licensed practical nurses
0.84
Nurse aides
2.14
Weekend nursing
2.94
Hours per resident per day.
Total staff turnover: 44%
Registered nurse turnover: 50%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
19.7%Improving
Residents with a fall causing major injury
5%Worsening
Residents with pressure ulcers (bedsores)
7.9%Improving
Residents with a urinary tract infection
3.4%Worsening
Residents who lost too much weight
8%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
32.2%Improving
Residents whose ability to walk got worse
29.5%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
24%Improving
Short-stay residents newly given an antipsychotic
5.8%Steady
Residents with a long-term catheter
1.6%Improving
Residents with new or worsening incontinence
24.1%Improving
Residents with depressive symptoms
6.6%Worsening
Long-stay residents given the seasonal flu vaccine
96.2%Steady
Long-stay residents given the pneumonia vaccine
99.3%Steady
Short-stay residents given the seasonal flu vaccine
68.8%Steady
Short-stay residents given the pneumonia vaccine
91.2%Improving
What the inspectors found
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.
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F-Tag 908 — 42 CFR §483.90 — S/S: F
The home failed to ensure residents had reasonable access to and privacy when using communication methods. Cited October 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 576 — 42 CFR §483.10 — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited October 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to provide safe, appropriate dialysis care for a resident who needed it. Cited January 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 698 — 42 CFR §483.25(l) — S/S: D
Recent history
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.
Medicare/Medicaid payment denial
Oct 3, 2024
28 days
Federal fine
Oct 3, 2024
$16,801
Federal fine
Oct 3, 2024
$5,346
Operator & ownership
Ownership
For profit - Limited Liability company
Occupancy
79.1 residents on an average day (86% 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.