Elliott Nursing and Rehabilitation

Name: Elliott Nursing and Rehabilitation
Address: 20 Howards Creek Road, Sandy Hook, KY, 41171, US
Telephone: 6067389400

20 Howards Creek Road, Sandy Hook, KY 41171 · Elliott County · 75 certified beds · avg 70 residents/day · certified since Dec 1, 1995

Part of chain: DAVID MARX (10 facilities, chain avg rating 2.9★)

4/5

Health inspection rating (on-site)

Serious findings on record

$12,844

Fines, last 3 years

2.67

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, one-off · Apr 20, 2024 · F-0880

The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.

Why it matters: Weak infection control lets illnesses like flu, COVID-19, and drug-resistant infections spread quickly among vulnerable residents.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: May 10, 2024 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Apr 20, 2024 · F-0656

The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.

Why it matters: Without a complete, working care plan, important needs can slip through the cracks and no one is accountable for results.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: May 10, 2024 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Apr 20, 2024 · F-0686

The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.

Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: May 10, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (11)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Apr 9, 2026	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Apr 9, 2026	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Apr 9, 2026	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Apr 9, 2026	C · Minimal risk, facility-wide	The facility did not dispose of garbage and refuse properly.
Apr 10, 2025	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Apr 10, 2025	D · Potential for harm, one-off	The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives.
Apr 20, 2024	▲ J · Immediate jeopardy, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Apr 20, 2024	▲ G · Actual harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Apr 20, 2024	▲ G · Actual harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Apr 20, 2024	D · Potential for harm, one-off	The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time.
Apr 20, 2024	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (2 → 4).

Year	Citations	Serious (G–L)	Worst severity that year
2024	5	3	J ▲
2025	2	0	E
2026	4	0	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $12,844, plus 1 Medicare payment denial period.

Date	Type	Amount / length
Apr 20, 2024	Fine	$12,844
Apr 20, 2024	Payment Denial	5 days from May 18, 2024

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Kentucky avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	2.67	3.71	3.95	bottom 6% in Kentucky; bottom 6% in the U.S.
Registered Nurse hours	0.42	0.74	0.69	bottom 18% in Kentucky; bottom 25% in the U.S.
Weekend total nurse staffing	2.35	3.27	3.50	bottom 6% in Kentucky; bottom 6% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.25	0.53	0.48	bottom 15% in Kentucky; bottom 22% in the U.S.
Total nursing staff turnover (%)	48.3	46.4	45.8	bottom 42% in Kentucky; bottom 41% in the U.S.
RN turnover (%)	12.5	41.8	42.9	top 4% in Kentucky; top 6% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.21, RN 0.50, weekend 2.82. Staffing rating: 2/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 2/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Elliott Nursing and Rehabilitation Holdings LLC	Organization	5% or Greater Direct Ownership Interest	100%	08/30/2019
Alexander, David	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2023
Alexander, David	Individual	ADP of the SNF	NOT APPLICABLE	09/01/2019
Bluegrass Consulting Group LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	09/01/2019
Bluegrass Consulting Group LLC	Organization	ADP of the SNF	NOT APPLICABLE	07/16/2025
Chamberlain, Margaret	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2023
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	Operational/Managerial Control	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	Operational/Managerial Control	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	Managing Control - Governing Body	NOT APPLICABLE	05/01/2023
Pruitt, Paul	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2023
Pruitt, Paul	Individual	ADP of the SNF	NOT APPLICABLE	05/01/2023
Rewa, Angela	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2023
Rewa, Angela	Individual	ADP of the SNF	NOT APPLICABLE	10/23/2023
Russell, Robert	Individual	Operational/Managerial Control	NOT APPLICABLE	04/08/2024

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"Can I see where garbage is stored and how often it's removed?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"How do you track each resident's food allergies and preferences, and what happens if they don't like what's served?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
West Liberty Nursing and Rehabilitation	12.8 mi	West Liberty, KY	★★★☆☆	2/5
Life Care Center of Morehead	18.1 mi	Morehead, KY	★★☆☆☆	2/5

Compare this facility with the 2 closest →

All facilities in Sandy Hook →

Facility data as of CMS processing date 2026-08-01. CCN 185415.

The Care File

Visit checklist — Elliott Nursing and Rehabilitation

20 Howards Creek Road, Sandy Hook, KY 41171 · 6067389400

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $12,844

Most serious findings on record:

▲ Apr 20, 2024 (F-0880, Immediate jeopardy, one-off): The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
▲ Apr 20, 2024 (F-0656, Actual harm, one-off): The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
▲ Apr 20, 2024 (F-0686, Actual harm, one-off): The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.

Questions for the administrator:

☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "Can I see where garbage is stored and how often it's removed?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "How do you track each resident's food allergies and preferences, and what happens if they don't like what's served?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 185415 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)