Elliott Nursing and Rehabilitation
20 Howards Creek Road, Sandy Hook, KY 41171 · Elliott County · (606) 738-9400
75 certified beds, about 70 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1995
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 185415 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 9, 2026, inspectors cited 4 health deficiencies (the Kentucky average is 2.9, the national average 9.2).
Of 11 health citations since April 2024, 3 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $12,844 in the last three years; the largest was $12,844, and the latest is dated April 20, 2024.
Nurses and nurse aides worked 3.21 hours per resident per day, against 3.95 across Kentucky and 3.86 nationally. Registered nurses accounted for 0.50 of those hours.
48.3% of nursing staff left within the year CMS measured (Kentucky average 46.4%).
CMS links it to David Marx, an affiliated group of 10 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
504/24
204/25
404/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 11 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
6D
1E
0F
Potential for minimal harm
0A
0B
1C
April 9, 2026Standard inspection · 4 citations
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on interview, record review, review of the facility's policy, and review of the Centers for Medicare & Medicaid Services Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual, the facility failed to accurately code Minimum Data Set (MDS) assessments for 2 of 2 residents reviewed for resident assessment requirements, Resident (R) 1 and R2.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on interview, record review, and review of the facility's policy, the facility failed to keep residents free from significant medication errors for 1 of 1 resident reviewed for psychiatric medication side effects, Resident (R) 50, and 1 of 5 residents reviewed for unnecessary medications, R6.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased observation, interview, record review, and review of the facility's policy, the facility failed to ensure nursing staff completed handwashing and glove changes between wound care tasks to prevent potential infection for 1 of 2 residents observed for wound care, Resident (R) 46.
- C Dispose of garbage and refuse properly.
Inspectors wroteBased on observation, interview, and review of the facility's policy, the facility failed to dispose of refuse in a sanitary manner. The deficiency had the potential to affect all residents of the facility.
April 10, 2025Standard inspection · 2 citations
- 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.
Inspectors wroteBased on observation, interview, record review, review of the manufacturer's instructions, review of the Food and Drug Administration (FDA) article, and review of the facility's policy, the failed to ensure appropriate storage of residents' oral, ophthalmic, otic, and injectable medications. Unopened insulin was stored below the recommended temperature range of 36 degrees Fahrenheit (F) to 46 degrees F in 1 of 2 medication refrigerators. Observation of 2 of 5 medication carts on the 100, 200, and 300 Halls revealed Cart 1 was not maintained in a sanitary manner, insulin pens in use were not stored in a sanitary manner, and medications were not labeled and dated correctly. Cart 2 contained medications that were expired.
- D Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Inspectors wroteBased on observation, interview, record review, and review of the facility's documents and policy, the facility failed to honor resident food preferences for 2 of 10 sampled residents, Resident (R) 6 and R61. In an interview with R6, who had diabetes mellitus and was on a special diet, she stated she had requested no bread, pasta, or desserts because these foods raised her blood sugar levels, but still received them on her trays. In an interview with R61, she voiced concern she was still receiving broccoli and cauliflower on her meal trays.
April 20, 2024Standard inspection, Complaint inspection · 5 citations
- J Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, record review, review of the facility's policy, review of manufacturer's guidelines, and review of the Environmental Protection Agency (EPA) disinfectant registry, the facility failed to ensure staff cleaned and disinfected the blood glucose monitor (glucometer) after obtaining a blood glucose reading on 1 of 7 residents who shared the glucometer on the 100 hall, to include Resident (R57) and R24. On 04/18/2024 at 6:05 PM, the survey team provided a copy of the Immediate Jeopardy (IJ) Template to the Executive Director and notified her that staff failure to disinfect the glucometer after obtaining Resident 57's blood glucose measurement constituted IJ at 42 CFR §483.80 F880 Infection Prevention & Control. [...]
- G Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, interview, record review, and review of the Resident Assessment Instrument (RAI) manual, the facility failed to develop and implement comprehensive, person-centered care plans for 2 of 31 sampled residents, Resident (R) 9 and 65. R9 developed a facility acquired stage 3 pressure ulcer. Observation and documentation revealed R9 was not repositioned routinely as per the intervention on the care plan. R65 expressed a preference for taking her blood pressure medication at 8:00 AM. However, the resident stated she often did not receive it until two to three hours later. The facility failed to develop the resident's care plan to include this preference. (Cross Reference F561 and F686)
- G Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, interview, record review, and review of the American Nurse Journal, the facility failed to ensure residents received care consistent with professional standards for 1 of 4 sampled residents (Resident (R) 9) who were at risk for developing pressure ulcers. R9 developed a stage 3 pressure ulcer, and staff failed to turn and repostion the resident every two hours to prevent the pressure ulcer. (Cross Reference F656)
- D Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteBased on observation, interview, record review, and review of the facility's policy, the facility failed to accommodate the resident's right to set her own daily schedule with respect to medication administration for 1 out of 31 sampled residents, Resident (R) 65.
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on interview, record review, review of the facility's incident report, and review of the facility's policy, the facility failed to ensure residents were free from abuse for 2 of 31 sampled residents (Residents (R) 48 and 64a). On 02/17/2024, R48 reported that R64a hit him in the chest area and punched him in the nose, causing his nose to bleed.
Fire safety inspections
14 fire safety citations on file: 3 on April 9, 2026, 3 on April 10, 2025, 8 on April 20, 2024.
Every fire safety citation14 citations
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D Meet Health Care Facilities Code mechanical requirements.
- F Install emergency lighting that can last at least 1 1/2 hours.
- E Have restrictions on the use of portable space heaters.
- E Ensure proper usage of power strips and extension cords.
- F Have properly located and lighted "Exit" signs.
- F Install an approved automatic sprinkler system.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Have simulated fire drills held at unexpected times.
- 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.
- D Install corridor and hallway doors that block smoke.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| April 20, 2024 | Fine | $12,844 |
| April 20, 2024 | Payment Denial | 5 days from May 18, 2024 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Kentucky | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.21 | 3.95 | 3.86 |
| Registered nurses | 0.50 | 0.79 | 0.69 |
| All nursing staff on weekends | 2.82 | 3.49 | 3.42 |
| Nurse aides | 1.92 | ||
| Licensed practical nurses | 0.78 | ||
| Nursing staff turnover (share who left in a year) | 48.3% | 46.4% | 45.8% |
| Registered nurse turnover | 12.5% | 41.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.60 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.37 on weekdays and 2.82 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.09 in April to June 2025 to 3.21 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.21 | 0.50 | 3.37 | 2.82 | 3.3% | 0 of 90 | 70 |
| Oct to Dec 2025 | 3.07 | 0.55 | 3.22 | 2.69 | 5.0% | 0 of 92 | 70 |
| Jul to Sep 2025 | 3.14 | 0.48 | 3.27 | 2.81 | 2.5% | 0 of 92 | 71 |
| Apr to Jun 2025 | 3.09 | 0.49 | 3.26 | 2.67 | 0.6% | 0 of 91 | 72 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Kentucky, Jan to Mar 2026 | 3.85 | 0.71 | 4.04 | 3.40 | 3.2% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Kentucky | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 1.6 | 13.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.4 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.5 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 2.5 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.7 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 3.3 | 16.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 45.2 | 24.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 9.2 | 13.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.8 | 1.9 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.9 | 2.1 | 1.8 |
Owners and operators
Legal business name: ELLIOTT NURSING AND REHABILITATION LLC. CMS links this home to David Marx, a group of 10 nursing homes averaging 3.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Elliott Nursing and Rehabilitation Holdings LLC | 5% or greater direct ownership interest | Organization | 100% | 08/30/2019 |
| Pruitt, Paul | Managing control - governing body | Individual | 05/01/2023 | |
| Bluegrass Consulting Group LLC | Operational/managerial control | Organization | 09/01/2019 | |
| Howard Creek Road SNF Realty LLC | Operational/managerial control | Organization | 09/01/2019 | |
| Alexander, David | Operational/managerial control | Individual | 05/01/2023 | |
| Chamberlain, Margaret | Operational/managerial control | Individual | 05/01/2023 | |
| Marx, David | Operational/managerial control | Individual | 09/01/2019 | |
| Pruitt, Paul | Operational/managerial control | Individual | 05/01/2023 | |
| Rewa, Angela | Operational/managerial control | Individual | 05/01/2023 | |
| Russell, Robert | Operational/managerial control | Individual | 04/08/2024 | |
| Shatrov, Anzhelika | Operational/managerial control | Individual | 12/02/2024 | |
| Shields, Kari | Operational/managerial control | Individual | 01/01/2025 | |
| Stevens, Eva | Operational/managerial control | Individual | 08/30/2019 | |
| Wolfe, Eric | Operational/managerial control | Individual | 09/11/2023 | |
| Bluegrass Consulting Group LLC | Adp of the SNF | Organization | 07/16/2025 | |
| Howard Creek Road SNF Realty Holdings LLC | Adp of the SNF | Organization | 09/01/2019 | |
| Howard Creek Road SNF Realty LLC | Adp of the SNF | Organization | 09/01/2019 | |
| Kentucky SNF Realty Holdings LLC | Adp of the SNF | Organization | 09/01/2019 | |
| Mdg Real Estate Global Limited | Adp of the SNF | Organization | 09/01/2019 | |
| Alexander, David | Adp of the SNF | Individual | 09/01/2019 | |
| Chamberlain, Margaret | Adp of the SNF | Individual | 09/11/2023 | |
| Marx, David | Adp of the SNF | Individual | 09/01/2019 | |
| Pruitt, Paul | Adp of the SNF | Individual | 05/01/2023 | |
| Rewa, Angela | Adp of the SNF | Individual | 10/23/2023 | |
| Russell, Robert | Adp of the SNF | Individual | 04/08/2024 | |
| Shatrov, Anzhelika | Adp of the SNF | Individual | 12/02/2024 | |
| Shields, Kari | Adp of the SNF | Individual | 01/01/2025 | |
| Stevens, Eva | Adp of the SNF | Individual | 08/30/2019 | |
| Wolfe, Eric | Adp of the SNF | Individual | 09/11/2023 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on April 9, 2026: "Ensure each resident receives an accurate assessment."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on April 9, 2026: "Ensure that residents are free from significant medication errors."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on April 9, 2026: "Provide and implement an infection prevention and control program."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on April 9, 2026: "Dispose of garbage and refuse properly."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.82 hours per resident per day, below the Kentucky average of 3.49.
Other nursing homes nearby
- West Liberty Nursing and Rehabilitation West Liberty, 12.8 mi · 3 of 5 stars · 14 citations
- Life Care Center of Morehead Morehead, 18.1 mi · 2 of 5 stars · 13 citations
- Carter Nursing and Rehabilitation Grayson, 20.8 mi · 1 of 5 stars · 16 citations
- Salyersville Nursing and Rehabilitation Center Salyersville, 22.7 mi · 1 of 5 stars · 40 citations
Kentucky contacts for a concern about a nursing home
These are the official offices in Kentucky. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Kentucky Office of Inspector General, Division of Health Care, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Kentucky State Long-Term Care Ombudsman Program, Nursing Home Ombudsman Agency of the Bluegrass, (800) 372-2991. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Kentucky OIG Nursing Home Inspection Findings, where Kentucky publishes its own records on licensed homes.
Common questions
- What is Elliott Nursing and Rehabilitation's Medicare star rating?
- CMS rates Elliott Nursing and Rehabilitation 4 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Elliott Nursing and Rehabilitation get at its last inspection?
- 4 health deficiencies at the standard inspection on April 9, 2026. The Kentucky average is 2.9.
- Has Elliott Nursing and Rehabilitation been fined?
- Yes. CMS lists 1 fine totaling $12,844 in the last three years.
- Does Elliott Nursing and Rehabilitation accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Elliott Nursing and Rehabilitation?
- CMS lists 29 owners and managers, and links the home to David Marx. Legal business name: ELLIOTT NURSING AND REHABILITATION LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.