Elliott Nursing and Rehabilitation
A nursing home in Sandy Hook, Kentucky 41171
20 Howards Creek Road, Sandy Hook, Kentucky 41171. (606) 738-9400.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 3of 5 CMS’s overall rating
- 4 health citations at the latest inspection cycle Kentucky average: 2.9
- 3.18 nurse hours per resident per day Kentucky average: 3.99
- 1 fine in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
4 health citations at the latest inspection cycle
The Kentucky average is 2.9.
Last standard inspection Apr 9, 2026.
Most serious in three years: immediate jeopardy to health or safety (J), at a standard inspection on Apr 20, 2024
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
11 citations in 3 months of the last 36. Last cited Apr 2026. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 11 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 1 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Apr 9, 2026: standard inspection4 citations
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Ensure each resident receives an accurate assessment.
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Ensure that residents are free from significant medication errors.
-
Provide and implement an infection prevention and control program.
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Dispose of garbage and refuse properly.
Apr 10, 2025: standard inspection2 citations
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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.
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Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Apr 20, 2024: standard inspection4 citations
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Provide and implement an infection prevention and control program.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Honor the resident’s right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Apr 20, 2024: standard and complaint inspection1 citation
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Dec 1, 1995.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
- 75 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 1 fine in the last three years, $12,844 in all.
- 1 Medicare payment denial in the last three years.
- 1 citation in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Apr 20, 2024 | Medicare payment denial | Not given |
| Apr 20, 2024 | Fine | $12,844 |
Who does the caring?
3.18 nurse hours per resident per day
The Kentucky average is 3.99.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Kentucky average |
|---|---|---|
| Nurse hours per resident per day | 3.18 | 3.99 |
| Of which registered nurses | 0.54 | 0.80 |
| At weekends | 2.90 | 3.48 |
| Nursing staff turnover | 51.6% | 45.4% |
| Registered nurse turnover | 42.9% | 40.8% |
| Administrators who left | 0 | Not given |
Who owns it?
- Elliott Nursing and Rehabilitation Holdings LLC owns 100% directly since Aug 30, 2019.
- Bluegrass Consulting Group LLC and Howard Creek Road SNF Realty LLC run it.
- 22 owners or officers are people: David Marx (owns 5% or more through other companies, 100%); David Alexander (runs it (operational or managerial control)); David Alexander (additional disclosable party (controls, leases property to, or provides services to the home)); Eva Stevens (runs it (operational or managerial control)); Eva Stevens (additional disclosable party (controls, leases property to, or provides services to the home)); Angela Rewa (runs it (operational or managerial control)); Angela Rewa (additional disclosable party (controls, leases property to, or provides services to the home)); Robert Laron Russell (runs it (operational or managerial control)); Robert Laron Russell (additional disclosable party (controls, leases property to, or provides services to the home)); Paul Pruitt (runs it (operational or managerial control)); Paul Pruitt (on the governing body (managing control)); Paul Pruitt (additional disclosable party (controls, leases property to, or provides services to the home)); Margaret Chamberlain (runs it (operational or managerial control)); Margaret Chamberlain (additional disclosable party (controls, leases property to, or provides services to the home)); Anzhelika Shatrov (runs it (operational or managerial control)); Anzhelika Shatrov (additional disclosable party (controls, leases property to, or provides services to the home)); David Marx (runs it (operational or managerial control)); David Marx (additional disclosable party (controls, leases property to, or provides services to the home)); Kari D Shields (runs it (operational or managerial control)); Kari D Shields (additional disclosable party (controls, leases property to, or provides services to the home)); Eric Wolfe (runs it (operational or managerial control)); Eric Wolfe (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of David Marx (10 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Elliott Nursing and Rehabilitation Holdings LLC | Owns 5% or more directly | 100% | Aug 30, 2019 |
| Kentucky SNF Realty Holdings LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Sep 1, 2019 | |
| Mdg Real Estate Global Limited | Additional disclosable party (controls, leases property to, or provides services to the home) | Sep 1, 2019 | |
| Bluegrass Consulting Group LLC | Runs it (operational or managerial control) | Sep 1, 2019 | |
| Bluegrass Consulting Group LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jul 16, 2025 | |
| Howard Creek Road SNF Realty Holdings LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Sep 1, 2019 | |
| Howard Creek Road SNF Realty LLC | Runs it (operational or managerial control) | Sep 1, 2019 | |
| Howard Creek Road SNF Realty LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Sep 1, 2019 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Jul 16, 2025 |
How do residents fare?
- CMS rates its quality measures 4 of 5 (Kentucky average 3.3).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 3 of 5 |
| Health inspections | 4 of 5 |
| Staffing | 1 of 5 |
| Quality measures | 4 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 34.1 miles, this one had the 6th most health citations at the latest inspection cycle (4; the middle value was 4).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Elliott Nursing and Rehabilitation This nursing home | 4 | |
| West Liberty Nursing and Rehabilitation | 12.8 | 7 |
| Life Care Center of Morehead | 18.1 | 3 |
| Carter Nursing and Rehabilitation | 20.8 | 5 |
| Salyersville Nursing and Rehabilitation Center | 22.7 | 17 |
| Mountain Manor of Paintsville | 25.6 | 9 |
| Jordan Rehabilitation and Healthcare Center | 28.1 | 6 |
| Menifee Meadows Nursing & Rehab LLC | 28.9 | 2 |
| Boyd Nursing and Rehabilitation | 29.7 | 4 |
| Wolfe County Health & Rehabilitation Center | 31.7 | 2 |
| Prestonsburg Health Care Center | 33.9 | 0 |
| Ridgeway Nursing & Rehabilitation Facility | 34.1 | 1 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.