Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: DAVID MARX (10 facilities, chain avg rating 2.9★)
4/5
Health inspection rating (on-site)
inspected Apr 9, 2026
3
Serious findings on record
most recent Apr 20, 2024
$12,844
Fines, last 3 years
2.67
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
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 quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
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): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: May 10, 2024 (Deficient, Provider has date of correction)
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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: May 10, 2024 (Deficient, Provider has date of correction)
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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: May 10, 2024 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 11 inspection findings. Open the full record below to read every finding.
D · Potential for more than minimal harm, isolated
The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. F-0641
D · Potential for more than minimal harm, isolated
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. F-0760
D · Potential for more than minimal harm, isolated
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. F-0880
View all 11 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
Date
Severity
What the facility was cited for
Apr 9, 2026
D · Potential for more than minimal harm, isolated
The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Apr 9, 2026
D · Potential for more than minimal harm, isolated
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. · F-0760
Apr 9, 2026
D · Potential for more than minimal harm, isolated
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. · F-0880
Apr 9, 2026
C · Potential for minimal harm, widespread
The facility did not dispose of garbage and refuse properly. · F-0814
Apr 10, 2025
E · Potential for more than minimal harm, pattern
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. · F-0761
Apr 10, 2025
D · Potential for more than minimal harm, isolated
The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. · F-0806
Apr 20, 2024
▲ J · Immediate jeopardy, isolated
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. · F-0880
Apr 20, 2024
▲ G · Actual harm, isolated
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. · F-0656
Apr 20, 2024
▲ G · Actual harm, isolated
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. · F-0686
Apr 20, 2024
D · Potential for more than minimal harm, isolated
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. · F-0561
Apr 20, 2024
D · Potential for more than minimal harm, isolated
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 · F-0600
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 4).
Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2024
All citations:
5
Serious citations (G–L):
3
2025
All citations:
2
Serious citations (G–L):
0
2026
All citations:
4
Serious citations (G–L):
0
All bars start at zero. Exact values and supporting details remain below.
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.
1 fine totaling $12,844, plus 1 Medicare payment denial period.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
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)
Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityKentucky averageU.S. average
Total nurse staffing (hours per resident per day)
This facility:
2.67
Kentucky average:
3.71
U.S. average:
3.95
Registered Nurse hours
This facility:
0.42
Kentucky average:
0.74
U.S. average:
0.69
Weekend total nurse staffing
This facility:
2.35
Kentucky average:
3.27
U.S. average:
3.50
All bars start at zero. Exact values and supporting details remain below.
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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.21 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
No verified facility-specific private-pay price is available in our data for Elliott Nursing and Rehabilitation. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Showing 20 of 29 parties CMS has on file for this facility; 9 are not displayed. The full list is in the CMS Ownership dataset.
Other facilities in the same chain
CMS lists this facility under the chain David Marx — 10 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
Facility data as of CMS processing date 2026-08-01. CCN 185415.
This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).
The Care File
Visit checklist — Elliott Nursing and Rehabilitation
20 Howards Creek Road, Sandy Hook, KY 41171 · (606) 738-9400
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, isolated): 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, isolated): 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, isolated): 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?"
☐ "Your weekend nurse staffing is reported below the Kentucky midpoint — how does the weekend schedule differ from a weekday?"
☐ "Can I see the plan of correction for the findings in your most recent state inspection?"
☐ "CMS reports 48% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "The ownership record on file lists 29 owning or managing parties — who makes the decisions about staffing levels?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"
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)