nursing home in Sandy Hook, KY
Elliott Nursing and Rehabilitation
20 Howards Creek Road, Sandy Hook, KY 41171 · (606) 738-9400
★★★★★4
Above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★2
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Elliott Nursing and Rehabilitation at a glance
Elliott Nursing and Rehabilitation is a 75-bed for-profit nursing home in Sandy Hook, Kentucky (Elliott County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the Kentucky average of 3.
Residents receive about 3.2 hours of nursing care per day (0.5 of them from registered nurses), worse than the state average of 4 hours.
Its most recent standard health inspection (April 9, 2026) found 4 health citations. The Kentucky average is 2.8.
Federal regulators fined it 1 time in the past three years, totaling $12,844.
Nursing staff turnover is 48.3% per year (state average 46.4%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 75
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- David Marx
- Medicare-certified since
- December 1, 1995
- Resident/family council
- Resident
- County
- Elliott County
- CMS Certification Number
- 185415
Ratings
| Measure | This facility | Kentucky avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 3 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 3 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 2.7 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.2 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 5 / 5 | 3.6 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 2 / 5 | 2.7 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Kentucky avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.21 hrs | 3.95 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.50 hrs | 0.79 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.92 hrs | 2.36 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.82 hrs | 3.49 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 48.3% | 46.4% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 12.5% | 41.8% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Kentucky avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 4 | 3 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 1 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 13 | 40.4 | 80.6 | Better |
Penalties
| Measure | This facility | Kentucky avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $12,844 | $15,373 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
Size
| Measure | This facility | Kentucky avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 75 | 95 | 107 | |
| Average residents per day | 70 | 82 | 86 | |
| Occupancy | 93.1% | 87.1% | 80.9% |
Long-stay residents
| Measure | This facility | Kentucky avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 3.3% | 3.9% | 3.2% | Average |
| Long-stay residents with pressure ulcers (lower is better) | 2.7% | 4.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 3.3% | 16.1% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 1.6% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.5% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 1.7% | 13.8% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 2.6% | 14% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 5.8% | 6.6% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 99.2% | 17.7% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.2% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 35.4% | 29.8% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 16.5% | 19% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 98.6% | 96.2% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 94.3% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Kentucky avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.5% | 1.7% | 1.6% | Average |
| Short-stay residents given a flu vaccine (higher is better) | 80% | 83.5% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 100% | 84% | 82% | Better |
Inspection citations
State inspectors cited this home for 11 health deficiencies and 14 fire safety deficiencies in the inspection records CMS currently publishes. 3 citations involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| April 9, 2026 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected May 1, 2026 |
| April 9, 2026 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | F Potential harm, widespread | Corrected May 1, 2026 |
| April 9, 2026 Fire safety | Meet Health Care Facilities Code mechanical requirements. Miscellaneous Deficiencies · Tag K0900 | D Potential harm, isolated | Corrected May 1, 2026 |
| April 9, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected May 1, 2026 |
| April 9, 2026 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected May 1, 2026 |
| April 9, 2026 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected May 1, 2026 |
| April 9, 2026 Standard | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Tag F0814 | C No harm, widespread | Corrected May 1, 2026 |
| April 10, 2025 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected May 1, 2025 |
| April 10, 2025 Fire safety | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Tag K0781 | E Potential harm, pattern | Corrected May 1, 2025 |
| April 10, 2025 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected May 1, 2025 |
| April 10, 2025 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected May 1, 2025 |
| April 10, 2025 Standard | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Tag F0806 | D Potential harm, isolated | Corrected May 1, 2025 |
| April 20, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected May 10, 2024 |
| April 20, 2024 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | F Potential harm, widespread | Corrected May 21, 2024 |
| April 20, 2024 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | F Potential harm, widespread | Corrected May 10, 2024 |
| April 20, 2024 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | F Potential harm, widespread | Corrected May 23, 2024 |
| April 20, 2024 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | F Potential harm, widespread | Corrected May 10, 2024 |
| April 20, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected May 10, 2024 |
| April 20, 2024 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | F Potential harm, widespread | Corrected May 10, 2024 |
| April 20, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected May 10, 2024 |
| April 20, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | J Immediate jeopardy, isolated | Corrected May 10, 2024 |
| April 20, 2024 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | G Actual harm, isolated | Corrected May 10, 2024 |
| April 20, 2024 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected May 10, 2024 |
| April 20, 2024 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected May 10, 2024 |
| April 20, 2024 Standard | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Tag F0561 | D Potential harm, isolated | Corrected May 10, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 2 federal penalties in the past three years, including $12,844 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| April 20, 2024 | Payment Denial | 5 days from May 18, 2024 |
| April 20, 2024 | Fine | $12,844 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ELLIOTT NURSING AND REHABILITATION HOLDINGS LLC Organization | 5% or greater direct ownership interest | 100% | 08/30/2019 |
| ALEXANDER, DAVID Individual | adp of the snf | NOT APPLICABLE | 09/01/2019 |
| BLUEGRASS CONSULTING GROUP LLC Organization | adp of the snf | NOT APPLICABLE | 07/16/2025 |
| CHAMBERLAIN, MARGARET Individual | adp of the snf | NOT APPLICABLE | 09/11/2023 |
| HOWARD CREEK ROAD SNF REALTY HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 09/01/2019 |
| HOWARD CREEK ROAD SNF REALTY LLC Organization | adp of the snf | NOT APPLICABLE | 09/01/2019 |
| KENTUCKY SNF REALTY HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 09/01/2019 |
| MARX, DAVID Individual | adp of the snf | NOT APPLICABLE | 09/01/2019 |
| MDG REAL ESTATE GLOBAL LIMITED Organization | adp of the snf | NOT APPLICABLE | 09/01/2019 |
| PRUITT, PAUL Individual | adp of the snf | NOT APPLICABLE | 05/01/2023 |
| REWA, ANGELA Individual | adp of the snf | NOT APPLICABLE | 10/23/2023 |
| RUSSELL, ROBERT Individual | adp of the snf | NOT APPLICABLE | 04/08/2024 |
| SHATROV, ANZHELIKA Individual | adp of the snf | NOT APPLICABLE | 12/02/2024 |
| SHIELDS, KARI Individual | adp of the snf | NOT APPLICABLE | 01/01/2025 |
| STEVENS, EVA Individual | adp of the snf | NOT APPLICABLE | 08/30/2019 |
| WOLFE, ERIC Individual | adp of the snf | NOT APPLICABLE | 09/11/2023 |
| PRUITT, PAUL Individual | managing control - governing body | NOT APPLICABLE | 05/01/2023 |
| ALEXANDER, DAVID Individual | operational/managerial control | NOT APPLICABLE | 05/01/2023 |
| BLUEGRASS CONSULTING GROUP LLC Organization | operational/managerial control | NOT APPLICABLE | 09/01/2019 |
| CHAMBERLAIN, MARGARET Individual | operational/managerial control | NOT APPLICABLE | 05/01/2023 |
| HOWARD CREEK ROAD SNF REALTY LLC Organization | operational/managerial control | NOT APPLICABLE | 09/01/2019 |
| MARX, DAVID Individual | operational/managerial control | NOT APPLICABLE | 09/01/2019 |
| PRUITT, PAUL Individual | operational/managerial control | NOT APPLICABLE | 05/01/2023 |
| REWA, ANGELA Individual | operational/managerial control | NOT APPLICABLE | 05/01/2023 |
| RUSSELL, ROBERT Individual | operational/managerial control | NOT APPLICABLE | 04/08/2024 |
| SHATROV, ANZHELIKA Individual | operational/managerial control | NOT APPLICABLE | 12/02/2024 |
| SHIELDS, KARI Individual | operational/managerial control | NOT APPLICABLE | 01/01/2025 |
| STEVENS, EVA Individual | operational/managerial control | NOT APPLICABLE | 08/30/2019 |
| WOLFE, ERIC Individual | operational/managerial control | NOT APPLICABLE | 09/11/2023 |
Other nursing homes near Elliott Nursing and Rehabilitation
West Liberty Nursing and Rehabilitation
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★★★★★3AverageLife Care Center of Morehead
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★★★★★2Below averageCarter Nursing and Rehabilitation
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For-profit · 120 beds · Part of David Marx
- Abuse citation
★★★★★1Much below averageSalyersville Nursing and Rehabilitation Center
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★★★★★1Much below averageMountain Manor of Paintsville
1025 Euclid Avenue, Paintsville, KY 41240 · 25.6 mi
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★★★★★1Much below averageJordan Rehabilitation and Healthcare Center
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Frequently asked questions
What is Elliott Nursing and Rehabilitation's rating?
Elliott Nursing and Rehabilitation has 4 out of 5 stars on the CMS overall star rating. The average for Kentucky nursing homes is 3 stars.
How many inspection citations did Elliott Nursing and Rehabilitation receive?
Its most recent standard health inspection found 4 citations, compared with a Kentucky average of 2.8. Every citation is listed on this page with its severity.
Does Elliott Nursing and Rehabilitation accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Elliott Nursing and Rehabilitation?
It is for profit - limited liability company and part of David Marx. The ownership section on this page lists the owners and managers reported to CMS.
Where is Elliott Nursing and Rehabilitation and how do I contact it?
Elliott Nursing and Rehabilitation is at 20 Howards Creek Road, Sandy Hook, KY 41171. Phone: (606) 738-9400.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.