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Skilled nursing facility · CMS certified · CCN 185314

Pioneer Trace Group LLC

115 Pioneer Trace, Flemingsburg, KY 41041 · Fleming County · one of 266 skilled nursing facilities in Kentucky
Its Medicare cost report, line by line ↓
92
certified beds
1 / 5
overall CMS rating
For-profit
ownership type
86.7%
occupancy, Oct 2026: 80 residents a day · Kentucky 87.0%
1.51
case mix, 1.07x the national average
3.42
nurse hours per resident day · Kentucky 3.95
What if · this building’s own numbers
Medicare cost report, FY2025, and the state rate file

Every slider starts where this building’s FY2025 Medicare cost report left it. Drag occupancy, the Medicaid rate or the costs, and see what the change does to revenue, cost and operating income.

00.0%
00%
$000
$000
$000
0.00
From this change, a year
+$000,000
profit from patient care, before rent, loan interest and depreciation
Where that leaves the building, a year
Patient revenue
$00,000,000
Cost to run it
$00,000,000
Profit from patient care (EBITDAR)
$0,000,000 to $0,000,000

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How Pioneer Trace Group LLC compares

Fleming County has 0 other certified buildings, too few to compare, so this is against Kentucky. 266 buildings.

Better than most of Kentucky on none of 8 lines.

Occupancy, Oct 202686.7%Behind mostHigher than 86 of the 262 other buildings in Kentucky

Residents on an average day as a share of certified beds, from CMS's monthly census. The middle of the set: 90.3%. Source: CMS monthly provider files, Oct 2026.

Nurse hours per resident day3.42Behind mostHigher than 63 of the 259 other buildings in Kentucky, level with 1

Nurse and aide hours for each resident, each day, from CMS payroll records. The middle of the set: 3.75. Source: CMS monthly provider files, Oct 2026.

Overall CMS rating1 / 5Behind mostLevel with 52 of the 264 other buildings in Kentucky; the other 212 are ahead

CMS's overall star rating, set from inspections, staffing and quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Health inspection rating1 / 5Behind mostLevel with 42 of the 264 other buildings in Kentucky; the other 222 are ahead

CMS's star rating for the building's recent health inspections. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Staffing rating2 / 5Behind mostHigher than 45 of the 263 other buildings in Kentucky, level with 73

CMS's star rating for nurse staffing levels and turnover. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Quality measures rating1 / 5Behind mostLevel with 28 of the 264 other buildings in Kentucky; the other 236 are ahead

CMS's star rating for resident-care quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

RN hours per resident day0.43Behind mostHigher than 28 of the 259 other buildings in Kentucky, level with 2

Registered nurse hours for each resident, each day. The middle of the set: 0.68. Source: CMS Provider Information, Oct 2026 file.

Deficiencies cited4Behind mostFewer than 62 of the 265 other buildings in Kentucky, the same as 21

Health deficiencies cited at the building's most recent standard survey. Fewer is better. The middle of the set: 2. Source: CMS Provider Information, Oct 2026 file.

From its cost report and Medicaid rate, against Kentucky
Net margin00.0%

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Medicaid share of days00.0%

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Medicaid rate$000

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Tap a line for what it measures and the middle of the set. Each count leaves this building out. Source: CMS monthly provider files, Oct 2026; CMS Provider Information, Oct 2026 file.

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Street view of Pioneer Trace Group LLC
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Street View
115 Pioneer Trace, Flemingsburg, KY
Map around Pioneer Trace Group LLC
Map · Fleming County
Fleming County, Kentucky
1 skilled nursing facility; average overall rating 1.0, Kentucky 3.0.
See how Fleming County compares ›
Cost report, against Kentucky
Each line is what this building filed with Medicare for its latest full year, beside the middle building in Kentucky. The rank counts from the top: 1st is the highest figure among Kentucky's filing buildings on that line, out of the buildings that filed it. The arrow beside a figure compares it with the building's own full year before: green is better, red is worse, grey is neither. Shares and margins move in points. A line standing on fewer than 20 filings is not ranked. Operating expense is the cost report's own operating line. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus that line.
Medicare cost reports, as filed

What this building filed with Medicare for FY2025 (the year ending 2025-12-31), against the middle Kentucky building.

Line
This building
Rank in state
Kentucky median
Reports
OccupancyPatient days as a share of available bed days, both off Worksheet S-3 Part I.
00.0%0.0 ptsFY0000: 00.0%
00th of 000
89.8%
249
Medicare share of daysTraditional Medicare days as a share of all patient days, off Worksheet S-3 Part I.
00.0%0.0 ptsFY0000: 00.0%
00th of 000
6.3%
252
Medicaid share of daysMedicaid days as a share of all patient days, off Worksheet S-3 Part I.
00.0%0.0 ptsFY0000: 00.0%
00th of 000
76.3%
251
Patient revenue per patient dayNet patient revenue off Worksheet G-3, divided by patient days off Worksheet S-3 Part I. Blended across every payer.
$0000.0 ptsFY0000: 00.0%
00th of 000
$403
252
Operating expense per patient dayTotal operating expense off Worksheet G-3, divided by patient days. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus this line.
$0000.0 ptsFY0000: 00.0%
00th of 000
$367
252
Net income per patient dayNet income off Worksheet G-3, divided by patient days.
$0000.0 ptsFY0000: 00.0%
00th of 000
$42
252
Net marginNet income off Worksheet G-3 over net patient revenue off the same worksheet.
00.0%0.0 ptsFY0000: 00.0%
00th of 000
10.1%
251

See this building's own numbers

Free account. What it filed, and where it ranks.

Quality and staffing
CMS Care Compare · Oct 2026
Overall rating1 / 5 · state 3
Health inspection1 / 5 · state 2.9
Staffing2 / 5 · state 2.8
RN hours per resident per day0.43 · state 0.8
Overall rating, last 8 quarters
052Q3’242Q4’242Q1’252Q2’251Q3’251Q4’251Q1’261Q2’26latest
down 1 star over the 8 quarters shown

CMS sets the overall star rating from health inspections, staffing and quality measures. The occupancy percentage is not the star rating. Occupancy compares average residents with certified beds. Certified beds can include beds the home chooses not to fill; this figure does not tell us why beds are unused.

Resident care
CMS quality measures · 2025Q3 to 2026Q2 · Oct 2026
measurethis buildingKentuckynationrecent quarters
Needed more help with daily activities28.3%worse than state13.2%13.5%2025Q2: 21.9%2025Q3: 29.0%2025Q4: 30.0%2026Q1: 31.7%2026Q2: 22.6%
21.9% → 22.6%
Q2’25 to Q2’26
Catheter inserted and left in0.6%worse than state0.5%0.7%2025Q2: 2.0%2025Q3: 0.0%2025Q4: 0.0%2026Q1: 0.9%2026Q2: 1.3%
2.0% → 1.3%
Q2’25 to Q2’26
Urinary tract infection5.6%worse than state1.5%1.5%2025Q2: 1.4%2025Q3: 4.0%2025Q4: 8.7%2026Q1: 7.4%2026Q2: 2.8%
1.4% → 2.8%
Q2’25 to Q2’26
Fall with major injury7.5%worse than state3.8%3.2%2025Q2: 2.6%2025Q3: 3.9%2025Q4: 9.7%2026Q1: 10.0%2026Q2: 6.8%
2.6% → 6.8%
Q2’25 to Q2’26
Newly given an antipsychotic (short stay)0.0%better than state1.6%1.5%2025Q4: 0.0%2026Q1: 0.0%2026Q2: 0.0%
0.0% → 0.0%
Q4’25 to Q2’26
Ability to walk independently worsened20.5%worse than state12.3%12.7%2025Q2: 15.0%2025Q3: 39.6%2025Q4: 20.6%2026Q1: 16.5%2026Q2: 6.2%
15.0% → 6.2%
Q2’25 to Q2’26
Pressure ulcers5.4%worse than state4.7%4.5%2025Q2: 13.9%2025Q3: 4.4%2025Q4: 4.6%2026Q1: 9.0%2026Q2: 3.8%
13.9% → 3.8%
Q2’25 to Q2’26
Given an antipsychotic16.8%worse than state16.2%15.4%2025Q2: 20.4%2025Q3: 19.2%2025Q4: 17.0%2026Q1: 15.7%2026Q2: 15.4%
20.4% → 15.4%
Q2’25 to Q2’26

Each figure is the share of residents, so lower is better. The building's figure, the state's and the nation's are CMS's four-quarter averages; the small bars are single quarters, which move more than the average does.

Surveys and enforcement
CMS health inspections
Jan 2026
last standard survey
4
deficiencies cited · Kentucky avg 3.2
$160,626
fines, last 3 years
2016
last change of ownership on the federal file
Not reported
CMS affiliation

CMS groups homes with shared ownership or management. An affiliation does not establish that a chain owns this building.

Medicaid in Kentucky
state rate files
$379
median daily rate across the Kentucky buildings in our rate book, Jul 2026 file
Kentucky rates and what changed ›
Fleming County
buildingbedsoverallPioneer Trace Group LLC921 / 5
All Kentucky buildings in Fleming County ›
Kentucky at a glance
266
buildings
25,380
licensed beds
86%
occupancy
83%
for-profit
Kentucky market intelligence report ›
The neighborhood
Street map © OpenStreetMap · satellite © Esri · pins: CMS Care Compare · loads as you reach it
Nearby skilled nursing
buildingbedsoveralloccupancyMaysville Nursing and Rehabilitation FacilityMaysville · 15.0 mi1305 / 5over 85%Willowbrook HealthcareCarlisle · 17.4 mi712 / 5under 70%Robertson County Health Care FacilityMount Olivet · 17.8 mi604 / 5over 85%Ridgeway Nursing & Rehabilitation FacilityOwingsville · 18.6 mi993 / 5over 85%Ohio Valley Manor Care CenterRipley · 23.7 mi1404 / 5over 85%Life Care Center of MoreheadMorehead · 24.0 mi972 / 5over 85%
The map and the list carry the same facts, from SNFRadar's system.
About this data
What is the CMS overall rating of Pioneer Trace Group LLC?
Pioneer Trace Group LLC in Flemingsburg, KY carries an overall CMS rating of 1 out of 5 stars in the Oct 2026 CMS file.
How many beds does Pioneer Trace Group LLC have?
Pioneer Trace Group LLC is certified for 92 beds in the Oct 2026 CMS file.
How full is Pioneer Trace Group LLC?
CMS's reported average residents put Pioneer Trace Group LLC's occupancy in the 70-85% band in the Oct 2026 CMS file.
Source: CMS Provider Information, Care Compare and Payroll-Based Journal staffing · CMS files dated October 2026.
Published by 3G Healthcare Real Estate, skilled nursing advisors. Authors: Stan Klos III, Founder · Christian Patrick, President.
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Source: CMS Provider Information and Care Compare, Oct 2026 files. Tracked every month in SNFRadar's system.

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