Nursing homeActive

Elliott Nursing and Rehabilitation

20 Howards Creek Road, Sandy Hook, KY 41171606738940075 certified beds · 70 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
3
since 2024
Deficiencies
11
173
Penalties · 3 yrs
$12,844
1 fine · 1 action
Last survey
2026-04-09
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 4
Staffing 2
Quality 4
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Kentucky Office of Inspector General · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-04-09Standard130CMS-2567 (Care Compare)
2025-04-10Standard020CMS-2567 (Care Compare)
2024-04-20Standard023CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Kentucky Office of Inspector General publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-04-09Standard survey · 4 deficienciesOfficial report
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-01Record 185415-20260409-F641
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-01Record 185415-20260409-F760
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-01Record 185415-20260409-F880
F814Dispose of garbage and refuse properly.Scope/severity CPaperwork
Food & nutrition
Widespread; potential for minimal harm.Corrected 2026-05-01Record 185415-20260409-F814
2025-04-10Standard survey · 2 deficienciesOfficial report
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-01Record 185415-20250410-F761
F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-01Record 185415-20250410-F806
2024-04-20Standard survey · 5 deficienciesOfficial report
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity GHarm
Care planningRecords
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-05-10Record 185415-20240420-F656
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-05-10Record 185415-20240420-F686
F880Provide and implement an infection prevention and control program.Scope/severity JHarm
Infection control
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-05-10Record 185415-20240420-F880
F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-10Record 185415-20240420-F561
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-10Record 185415-20240420-F600

Penalties & enforcement

DateActionAmountSource
2024-04-20Civil money penalty$12,844CMS · Penalties
2024-04-20Denial of payment for new admissions
Payment denial for 5 days, from 2024-05-18
CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.50
Facility
Kentucky
National
Kentucky 0.79 · National 0.69
Total nurse hours per resident day3.21
Facility
Kentucky
National
Kentucky 3.95 · National 3.86
Weekend total nurse hours2.82
Facility
Kentucky
National
Kentucky 3.48 · National 3.42
Total nursing staff turnover48%
Facility
Kentucky
National
Kentucky 46% · National 46%
Registered nurse turnover13%
Facility
Kentucky
National
Kentucky 42% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityKentuckyNational
Percentage of long-stay residents with pressure ulcers
lower is better
2.7%4.8%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
3.3%3.9%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
3.3%16.1%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.0%1.6%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.2%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
1.7%13.8%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
5.8%6.6%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
35.4%29.8%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Elliott Nursing And Rehabilitation Holdings LLC
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Alexander, David
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Bluegrass Consulting Group LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Chamberlain, Margaret
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Howard Creek Road SNF Realty LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Marx, David
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Pruitt, Paul
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Rewa, Angela
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Russell, Robert
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Shatrov, Anzhelika
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Shields, Kari
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Stevens, Eva
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Wolfe, Eric
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Alexander, David
Individual
ADP OF THE SNFNOT APPLICABLE
Bluegrass Consulting Group LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Chamberlain, Margaret
Individual
ADP OF THE SNFNOT APPLICABLE
Howard Creek Road SNF Realty Holdings LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Howard Creek Road SNF Realty LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Kentucky SNF Realty Holdings LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Marx, David
Individual
ADP OF THE SNFNOT APPLICABLE
Mdg Real Estate Global Limited
Organization
ADP OF THE SNFNOT APPLICABLE
Pruitt, Paul
Individual
ADP OF THE SNFNOT APPLICABLE
Pruitt, Paul
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Rewa, Angela
Individual
ADP OF THE SNFNOT APPLICABLE
Russell, Robert
Individual
ADP OF THE SNFNOT APPLICABLE
Shatrov, Anzhelika
Individual
ADP OF THE SNFNOT APPLICABLE
Shields, Kari
Individual
ADP OF THE SNFNOT APPLICABLE
Stevens, Eva
Individual
ADP OF THE SNFNOT APPLICABLE
Wolfe, Eric
Individual
ADP OF THE SNFNOT APPLICABLE
Part of a chain
David Marx10 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Kentucky.

No county cost figures on file for Elliott.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
West Liberty Nursing and Rehabilitation
West Liberty
12.8 mi2025-08-26070
Life Care Center of Morehead
Morehead
18.1 mi2026-03-19081
Carter Nursing and Rehabilitation
Grayson
20.8 mi2025-08-29032
Salyersville Nursing and Rehabilitation Center
Salyersville
22.7 mi2026-02-1301312
Mountain Manor of Paintsville
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25.6 mi2025-07-31090
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01