Nursing home
Elliott Nursing and Rehabilitation
20 Howards Creek Road, Sandy Hook, KY 41171 · Map
For profit - Limited Liability company · Part of David Marx (10 facilities) · 75 certified beds
Elliott Nursing and Rehabilitation is a Medicare-certified nursing home in Sandy Hook, Kentucky. CMS rates it 3 out of 5 stars overall (2/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.14 hours per resident per day, below the Kentucky average of 4.01. Its most recent inspection on Apr 10, 2025 cited 2 deficiencies.
- 1 fine totaling $12,844In CMS records: 2 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Elliott Nursing and Rehabilitation compares
This facility vs. the Kentucky and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Kentucky avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.14 | 4.01 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.48 | 0.77 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.10 | 2.43 | 2.34 | below avg |
| Nursing staff turnover | 42.6% | 46.7% | 46.4% | below avg |
| Deficiencies cited, last inspection | 2.0 | 3.4 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $12,844, 2 total penalties, 1 Medicare payment denial.
What inspectors found at Elliott Nursing and Rehabilitation
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
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 Deficiencies · Apr 10, 2025 · Full report (PDF) - Potential for harm
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · Apr 10, 2025 · Full report (PDF) - Immediate jeopardy
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Apr 20, 2024 · Full report (PDF) - Actual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Apr 20, 2024 · Full report (PDF) - Actual harm
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 Deficiencies · Apr 20, 2024 · Full report (PDF)
Show all 9 deficiencies
- Potential for harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Apr 20, 2024 · Full report (PDF) - Potential for harm
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · Apr 20, 2024 · Full report (PDF) - Immediate jeopardy
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · May 4, 2022 - Immediate jeopardy
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · May 4, 2022
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 20 Howards Creek Road
Sandy Hook, KY 41171 - CMS certification #
- 185415
- Ownership
- For profit - Limited Liability company
- Certified beds
- 75
- Avg residents/day
- 71.3
- Provider type
- Medicare and Medicaid
- First certified
- 1995-12-01
- Chain
- David Marx (10 facilities)
- Setting
- Rural
Part of David Marx
David Marx operates 10 nursing facilities across the United States. View all David Marx facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Elliott Nursing and Rehabilitation using Google Maps.
Other public records
- Website says A memory care unit, respite stays, nurse 24 hours a day, works with hospice, diabetes care
Full public records, with dates and sources
Care and services
From the community’s website
What Elliott Nursing and Rehabilitation says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Has a separate memory care unit, wing or neighborhood.
Elliott Nursing & Rehabilitation provides a positive solution with specialized memory care neighborhoods that provide a warm, secure environment to keep our residents active and safe.
(page, checked Oct 15, 2026) - Offers respite or short-term stays.
Respite Care
(page, checked Oct 15, 2026) - Nurse on site: 24 hours a day.
Located in Sandy Hook, Kentucky, Elliott Nursing & Rehabilitation offers compassionate 24-hour Skilled Nursing care in our 75-bed facility.
(page, checked Oct 12, 2026) - Offers hospice care on site or works with hospice providers.
Hospice Care
(page, checked Oct 15, 2026) - Offers diabetes care.
This includes assisting with daily living activities and skills, such as balance training, medication management, IV therapy, and diabetes management.
(page, checked Oct 12, 2026) - Provides transportation.
Transportation services
(page, checked Oct 15, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Morgan County Arh Hospital, West Liberty. 12.9 miles away, straight line.
- Nearest Medicare nursing home
- West Liberty Nursing and Rehabilitation, West Liberty. 12.8 miles away, straight line.
- Nearest home health agency office
- Morgan County Arh Hha, West Liberty. 12.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Pharmacy. 12.9 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 41171 as rural (rural area).
- Hospice
- 2 Medicare hospices tell CMS they serve ZIP code 41171.
St Claire Hospice/Palliative Care, office in Morehead, 18.5 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- University Physicians And Surgeons, Inc, Huntington. 44.5 miles away, straight line. 2 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- Wildfire risk to homes
- In Elliott County, KY, risk to homes is greater than 78% of communities in Kentucky and 57% of communities nationwide. USDA rates the whole county, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively high, wildfire relatively moderate, tornado relatively moderate, heat wave relatively moderate, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
Looking for assisted living or memory care instead?
Frequently asked questions
Is Elliott Nursing and Rehabilitation a good nursing home?
CMS gives Elliott Nursing and Rehabilitation an overall rating of 3 out of 5 stars, including 2/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Elliott Nursing and Rehabilitation staffed?
Elliott Nursing and Rehabilitation reports 3.14 total nurse hours per resident per day, compared with the Kentucky average of 4.01.
Has Elliott Nursing and Rehabilitation had inspection problems?
Its most recent CMS inspection cited 2 deficiencies.
How many beds does Elliott Nursing and Rehabilitation have?
Elliott Nursing and Rehabilitation is certified for 75 beds.