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Pioneer Trace Group, Flemingsburg, Kentucky

12
Citations from health inspectionsKentucky average: 12 a home
3
Residents harmed or put in dangerKentucky average: 1.5 a home
$160,626
Fines from the federal governmentKentucky average: $15,373 a home
1 out of 5
Overall rating in starsKentucky average: 3.0

The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files

Four inspection visits produced 12 citations. Residents were in immediate danger in three findings. Federal fines came to $160,626 (five fines). Once, Medicare stopped paying for new admissions.

The CMS abuse icon is shown for this home. Care Compare adds it after a citation for abuse or neglect. Either a resident was harmed recently, or harm could have resulted over two inspections in a row.

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Quick Look at the Record

The home's overall star rating
1 out of 5
Rating for health inspections
1 out of 5
Rating for staffing
2 out of 5
Rating for quality of care
1 out of 5
Nurse time for each resident
3.42 hours each dayThe Kentucky average is 3.95 hours
Time from registered nurses
0.37 hours each dayThe Kentucky average is 0.79 hours
Nursing staff who left during one year
40.3%against the Kentucky average of 46.4%
Beds that are certified
92
Ownership
Limited Liability company (for profit)
Chain
This home is not part of a chain
Street address
115 Pioneer Trace, Flemingsburg, Kentucky 41041
County
Fleming

Each inspection's citations

Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.

Three citations dated May 27, 2026

  • F689 Accident Hazards and Supervision: immediate danger to residents, one or a few residents, found on a complaint visit.
  • F657 Updating the Care Plan on Time: immediate danger to residents, one or a few residents, found on a complaint visit.
  • F600 Freedom From Abuse and Neglect: immediate danger to residents, one or a few residents, found on a complaint visit.

Four citations dated Jan. 8, 2026

  • F908 Keep Essential Equipment Working Safely: risk of harm, no one found hurt, widespread.
  • F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
  • F698 Dialysis Care: risk of harm, no one found hurt, one or a few residents.
  • F602 Protect Residents' Money and Belongings From Misuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Three citations dated Oct. 3, 2024

  • F880 Infection Prevention and Control: risk of harm, no one found hurt, widespread.
  • F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
  • F576 Private Access to Communication Methods: risk of harm, no one found hurt, widespread.

Two citations dated Nov. 14, 2019

  • F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents.
  • F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents.

Payment Denials and Fines

DatePenaltyAmount
May 27, 2026Fine$27,378
May 27, 2026Fine$105,755
Oct. 3, 2024Fine$5,346
Oct. 3, 2024Fine$5,346
Oct. 3, 2024Fine$16,801
Oct. 3, 2024Payment denial for new admissions28 days

Ownership and Management of the Home

  • The home is run by Legacy Health Services Inc. (operational or managerial control).

Two people with an ownership stake are also listed by CMS.

The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 185314. Other homes in Kentucky.