Sandy Hook, KY

Elliott Nursing and Rehabilitation

3-star overall rating with 2-star inspections with $12,844 in total fines with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

20 Howards Creek Road, Sandy Hook, KY

(606) 738-9400

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

75

Certified beds

Average residents

71

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

David Marx

Operator or chain grouping

Approved since

1995-12-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.48

Registered nurse staffing

LPN hours / resident day

0.56

Licensed practical nurse staffing

Aide hours / resident day

2.10

Nurse aide staffing

Weekend hours

2.81

Weekend nurse staffing

RN turnover

22%

Annual RN turnover

Total nurse turnover

43%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.7	1.9 0.8 pts worse	1.9 0.8 pts worse	Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days	4.8	2.2 2.6 pts worse	1.8 3 pts worse	Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.6%	94.3% 5.3 pts better	93.4% 6.2 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.6%	96.2% 2.4 pts better	95.5% 3.1 pts better	Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury	1.1%	3.8% 2.7 pts better	3.3% 2.2 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms	98.0%	15.2% 82.8 pts worse	11.4% 86.6 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight	3.9%	6.7% 2.8 pts better	5.4% 1.5 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication	35.7%	29.6% 6.1 pts worse	19.6% 16.1 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication	3.8%	17.6% 13.8 pts better	16.7% 12.9 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained	0.0%	0.2% 0.2 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened	1.6%	17.3% 15.7 pts better	16.3% 14.7 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased	2.3%	15.6% 13.3 pts better	14.9% 12.6 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.7% 0.7 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection	0.7%	1.7% 1 pts better	1.7% 1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	22.1%	19.8% 2.3 pts worse	19.8% 2.3 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers	0.4%	5.5% 5.1 pts better	5.1% 4.7 pts better	Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	83.8% 16.2 pts better	81.7% 18.3 pts better	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.8% 1.8 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	80.0%	83.6% 3.6 pts worse	79.7% 0.3 pts better	Short Stay · 2024Q3-2025Q2

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-10 · Fire 2025-04-10

2 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2024-04-20 · Fire 2024-04-20

5 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

8 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Cycle 3 Health 2022-05-04 · Fire 2022-05-04

2 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-04-10

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2025-05-01

E · Potential for more than minimal harm 2025-04-10

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2025-05-01

E · Potential for more than minimal harm 2025-04-10

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-05-01

F · Potential for more than minimal harm 2024-04-20

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-05-10

F · Potential for more than minimal harm 2024-04-20

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-05-23

F · Potential for more than minimal harm 2024-04-20

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-05-10

F · Potential for more than minimal harm 2024-04-20

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-05-10

F · Potential for more than minimal harm 2024-04-20

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-05-10

F · Potential for more than minimal harm 2024-04-20

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-05-10

F · Potential for more than minimal harm 2024-04-20

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2024-05-21

D · Potential for more than minimal harm 2024-04-20

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-05-10

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-04-10

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2025-05-01

D · Potential for more than minimal harm 2025-04-10

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2025-05-01

J · Immediate jeopardy 2024-04-20

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-05-10

G · Actual harm 2024-04-20

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-05-10

G · Actual harm 2024-04-20

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-05-10

D · Potential for more than minimal harm 2024-04-20

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2024-05-10

D · Potential for more than minimal harm 2024-04-20

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-05-10

J · Immediate jeopardy 2022-05-04

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2022-05-11

J · Immediate jeopardy 2022-05-04

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2022-05-11

Penalties and ownership

What sits behind the stars

$12,844 2024-04-20

Fine

Fine · fine $12,844

Fine

$0 2024-04-20

Payment Denial

Payment Denial · denial start 2024-05-18 · 5 days

5 day denial

Ownership

Elliott Nursing And Rehabilitation Holdings LLC

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2019-08-30

Marx, David

5% Or Greater Indirect Ownership Interest · Individual

100% 30 facilities 2019-07-25

Alexander, James