Elliott County, Kentucky · Nursing home
Elliott Nursing and Rehabilitation
4 of 5 overall from CMS
20 Howards Creek Road, Sandy Hook, KY 41171
At a glance
- Overall rating 4 of 5 Above the state average of 3.0
- Nurse time per resident, per day 3.21 hours Below the state average of 3.95
- Nursing staff who left in a year 48.3% Above the state average of 46.4%
- Health citations, last 3 inspection cycles 11 3 at the harm level or above
- Fines in 3 years $12,844 1 fine
- Certified beds in use 93.1% of 75 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Elliott Nursing and Rehabilitation is a 75-bed nursing home in Sandy Hook, Kentucky (Elliott County). CMS rates it 4 of 5 stars overall as of Sep 2026. It reports 3.21 nurse staffing hours per resident per day, below the Kentucky average of 3.95. CMS lists 1 fine totaling $12,844 in the past three years.
- Certified beds
- 75
- Residents per day (average)
- 69.8
- Certified since
- 1995 (31 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidPart of David Marx (10 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Elliott Nursing and Rehabilitation
Chosen from this home's public data.
- CMS lists 1 fine totaling $12,844 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 4 health deficiencies in the latest inspection cycle (the standard inspection on Apr 9, 2026 plus complaint and infection-control inspections); the Kentucky average is 2.9. Which have been corrected?Inspection results in CMS data
- Nursing staff turnover is 48.3%, above the Kentucky average of 46.4%. How often would the same aides care for my relative?Turnover in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 4 of 5 Kentucky average 3.0
- Health inspections 4 of 5 Kentucky average 3.0
- Staffing 2 of 5 Kentucky average 2.7
- Quality measures 4 of 5 Kentucky average 3.2
The vertical line marks the Kentucky average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.21 h Kentucky average 3.95
- Nurse aides 1.92 h Kentucky average 2.36
- Licensed practical nurses 0.78 h Kentucky average 0.80
- Registered nurses 0.50 h Kentucky average 0.79
- All staff, weekends 2.82 h Kentucky average 3.49
How much nurse staffing is enough? All bars share one scale, 0 to 9 hours. The vertical line marks the Kentucky average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover48.3%
- Kentucky average46.4%
- Registered nurse turnover12.5%
- Kentucky average41.8%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Kentucky and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Kentucky | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 1.7% | 13.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 5.8% | 6.6% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% | 0.5% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.0% | 1.6% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 99.2% | 17.7% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.2% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 3.3% | 3.9% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 94.3% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 2.6% | 14.0% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 35.4% | 29.8% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.6% | 96.2% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 2.7% | 4.8% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 16.5% | 19.0% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 3.3% | 16.1% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 2.80 | 1.94 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 3.88 | 2.14 | 1.78 |
Short-stay residents
| Measure | This home | Kentucky | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 84.0% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 1.5% | 1.7% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 80.0% | 83.5% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 45.2% | 24.2% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 9.2% | 13.7% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 11 health deficiencies in the three most recent inspection cycles. Of these, 1 was at the immediate jeopardy level and 2 involved actual harm; the rest were graded as no actual harm. 1 was cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Apr 20, 2024: Provide and implement an infection prevention and control program.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Apr 9, 2026 | 4 | 3 |
| Apr 10, 2025 | 2 | 3 |
| Apr 20, 2024 | 5 | 8 |
Kentucky homes averaged 2.9 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (11)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 1, 2026)
-
DPotential for more than minimal harm, isolated
Ensure that residents are free from significant medication errors.
Pharmacy Service · Deficient, Provider has date of correction (May 1, 2026)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (May 1, 2026)
-
CPotential for minimal harm, widespread
Dispose of garbage and refuse properly.
Nutrition and Dietary · Deficient, Provider has date of correction (May 1, 2026)
-
EPotential for more than minimal harm, pattern
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.
Pharmacy Service · Deficient, Provider has date of correction (May 1, 2025)
Show 6 more
-
DPotential for more than minimal harm, isolated
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary · Deficient, Provider has date of correction (May 1, 2025)
-
JImmediate jeopardy, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (May 10, 2024)
-
GActual harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 10, 2024)
-
GActual harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · Deficient, Provider has date of correction (May 10, 2024)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights · Deficient, Provider has date of correction (May 10, 2024)
-
DPotential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (May 10, 2024)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Apr 20, 2024 | Fine | $12,844 |
| Apr 20, 2024 | Payment Denial | 5 days |
Kentucky homes averaged 0.7 fines and $15,373 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Kentucky
- Size173 of 267 by certified beds
- Kentucky average residents per day81.9
- ChainDavid Marx
- Chain average overall rating3.1 of 5
- Resident or family councilResident
- Homes in Elliott County1
Common questions
What is the CMS star rating for Elliott Nursing and Rehabilitation?
Elliott Nursing and Rehabilitation has an overall rating of 4 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 4, staffing is 2 and quality measures is 4.
How many beds does Elliott Nursing and Rehabilitation have?
Elliott Nursing and Rehabilitation has 75 certified beds. It averages 69.8 residents per day, about 93.1% of its certified beds.
How much nursing care do residents get at Elliott Nursing and Rehabilitation?
The home reports 3.21 hours of nurse staffing per resident per day, including 0.50 hours from registered nurses. The Kentucky average is 3.95 hours and 0.79 hours from registered nurses.
Has Elliott Nursing and Rehabilitation been fined?
Yes. CMS lists 1 fine totaling $12,844 in the past three years. It also lists 1 payment denial.
Does Elliott Nursing and Rehabilitation accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 3 of 5 West Liberty Nursing and Rehabilitation 48beds 95.4%in use 3.18nurse hours a day
- 2 of 5 Life Care Center of Morehead 97beds 90.7%in use 3.48nurse hours a day
- 1 of 5 Carter Nursing and Rehabilitation 120beds 91.9%in use 3.21nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Elliott County
Who to call in Kentucky
These offices serve residents of every nursing home in Kentucky.
- Long-term care ombudsman Kentucky Long-Term Care Ombudsman Program (statewide hotline) 800-372-2991 (Toll-free state hotline. Local district ombudsman programs have their own numbers (listed on the same page).) An advocate for residents and their families.
- File a complaint about a nursing home Office of Inspector General (OIG), Division of Health Care - state survey agency 502-564-7963 (Division of Health Care central office. OIG's complaint sheet directs complaints to the Complaint Coordinator in the appropriate regional branch (OIG's Regional Map shows which branch covers each area): Northern (Louisville) 502-595-4958; Eastern (Lexington) 859-246-2301; Southern (London) 606-330-2030; Western (Hopkinsville) 270-889-6052.) The state agency that inspects nursing homes.
Kentucky staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 185415. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.