Federal inspection record · CMS data as of October 1, 2026
Elliott Nursing and Rehabilitation
20 Howards Creek Road, Sandy Hook, KY · (606) 738-9400
- Certified beds
- 75
- Residents per day
- 68
- Ownership
- For-Profit
- Chain
- David Marx
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- December 1, 1995
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Kentucky.
-
Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Kentucky homes
Elliott Nursing and Rehabilitation carries 13 inspection points. That is fewer than 62% of Kentucky's 265 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Kentucky: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–2 pts
- 4★ 2–11 pts
- 3★ 11–22 pts
- 2★ 22–45 pts
- 1★ over 45 pts
Bars show every rated home in Kentucky by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
11 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (3)
-
J
Provide and implement an infection prevention and control program.
-
G
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Pharmacy Service2E
- D
Ensure that residents are free from significant medication errors.
- E
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.
Nutrition and Dietary2D
- C
Dispose of garbage and refuse properly.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Resident Assessment and Care Planning1D
- D
Ensure each resident receives an accurate assessment.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Resident Rights1D
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspection history
2026-04-09
4 health deficiencies · 3 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2025-04-10
2 health deficiencies · 3 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2024-04-20
5 health deficiencies · 8 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 11 min of nursing staff time a day, 32 min of it from a registered nurse.
This home
3 h 11 min
Kentucky average
3 h 59 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 52% of nursing staff and 43% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$12,844 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-04-20 | Fine | $12,844 |
| 2024-04-20 | Payment Denial · 5 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1.7 pts worse | 3.6 | 1.9 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days2.9 pts worse | 4.9 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.9 pts better | 100.0% | 94.1% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.8 pts better | 100.0% | 96.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.3 pts worse | 5.1% | 3.8% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms79.4 pts worse | 98.3% | 18.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight1 pts worse | 7.6% | 6.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6.4 pts worse | 36.3% | 29.9% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication12.8 pts better | 3.4% | 16.2% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened9.5 pts better | 2.8% | 12.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased11 pts better | 2.2% | 13.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better | 0.0% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.1 pts better | 0.4% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.1 pts better | 18.2% | 18.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.8 pts better | 3.9% | 4.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine15.5 pts better | 100.0% | 84.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.7 pts better | 12.5% | 13.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.6 pts worse | 2.2% | 1.6% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine8.8 pts better | 92.5% | 83.7% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission7.6 pts worse | 31.5% | 23.9% | 23.4% |
·
Who owns and runs it
29 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Elliott Nursing And Rehabilitation Holdings LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Alexander, David | Operational/Managerial Control · Individual | 0% | 26 facilities |
| Alexander, David | Adp Of The SNF · Individual | 0% | 26 facilities |
| Bluegrass Consulting Group LLC | Operational/Managerial Control · Organization | 0% | 9 facilities |
| Bluegrass Consulting Group LLC | Adp Of The SNF · Organization | 0% | 9 facilities |
| Chamberlain, Margaret | Operational/Managerial Control · Individual | 0% | 32 facilities |
| Chamberlain, Margaret | Adp Of The SNF · Individual | 0% | 32 facilities |
| Howard Creek Road SNF Realty Holdings LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Howard Creek Road SNF Realty LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Howard Creek Road SNF Realty LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Kentucky SNF Realty Holdings LLC | Adp Of The SNF · Organization | 0% | 7 facilities |
| Marx, David | Operational/Managerial Control · Individual | 0% | 30 facilities |
| Marx, David | Adp Of The SNF · Individual | 0% | 30 facilities |
| Mdg Real Estate Global Limited | Adp Of The SNF · Organization | 0% | 22 facilities |
| Pruitt, Paul | Managing Control - Governing Body · Individual | 0% | 32 facilities |
| Pruitt, Paul | Operational/Managerial Control · Individual | 0% | 32 facilities |
| Pruitt, Paul | Adp Of The SNF · Individual | 0% | 32 facilities |
| Rewa, Angela | Operational/Managerial Control · Individual | 0% | 32 facilities |
| Rewa, Angela | Adp Of The SNF · Individual | 0% | 32 facilities |
| Russell, Robert | Operational/Managerial Control · Individual | 0% | 32 facilities |
| Russell, Robert | Adp Of The SNF · Individual | 0% | 32 facilities |
| Shatrov, Anzhelika | Operational/Managerial Control · Individual | 0% | 32 facilities |
| Shatrov, Anzhelika | Adp Of The SNF · Individual | 0% | 32 facilities |
| Shields, Kari | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Shields, Kari | Adp Of The SNF · Individual | 0% | 8 facilities |
| Stevens, Eva | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Stevens, Eva | Adp Of The SNF · Individual | 0% | 1 facilities |
| Wolfe, Eric | Operational/Managerial Control · Individual | 0% | 32 facilities |
| Wolfe, Eric | Adp Of The SNF · Individual | 0% | 32 facilities |
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Fire safety
14 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems5F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E
Ensure proper usage of power strips and extension cords.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that testing and maintenance of electrical equipment is performed.
Miscellaneous4F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D
Meet Health Care Facilities Code mechanical requirements.
- E
Have restrictions on the use of portable space heaters.
- F
Have simulated fire drills held at unexpected times.
Smoke3F
- F
Install an approved automatic sprinkler system.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Install corridor and hallway doors that block smoke.
Egress2F
- F
Install emergency lighting that can last at least 1 1/2 hours.
- F
Have properly located and lighted "Exit" signs.
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Other homes nearby
-
West Liberty Nursing and Rehabilitation
West Liberty, KY · David Marx
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 19 min
- Fines
- $0
-
Life Care Center of Morehead
Morehead, KY · Life Care Centers Of America
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 33 min
- Fines
- $15,334
-
Carter Nursing and Rehabilitation
Grayson, KY · David Marx · Abuse icon
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h
- Fines
- $11,700