All states › Kentucky › Sandy Hook › Elliott Nursing and Rehabilitation
20 Howards Creek Road Sandy Hook, KY 41171 · Elliott County
CMS certification number 185415 · See this home on Medicare Care Compare
Is Elliott Nursing and Rehabilitation a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Elliott Nursing and Rehabilitation as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as the Kentucky average of 3.0.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.18 hours per resident per day at Elliott Nursing and Rehabilitation, below the Kentucky median of 3.75 (US median: 3.72). About 0.54 of those hours are from registered nurses. On weekends it falls to 2.90 hours, 9% below its all-week average. 51.6% of nursing staff left within a year (Kentucky median 44.3%).
About this nursing home
Paying for care at Elliott Nursing and Rehabilitation: Medicare and Medicaid
Elliott Nursing and Rehabilitation is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Kentucky's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on April 9, 2026 and found 4 deficiencies. In total, inspectors issued 11 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 11 citations at Elliott Nursing and Rehabilitation across 3 inspection dates, 1 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on April 20, 2024. The most common areas cited were infection control (2) and nutrition and dietary (2). The most serious was cited under the CMS rule to "provide and implement an infection prevention and control program" (tag F0880, level J, April 20, 2024). 1 citation was under CMS's abuse, neglect and exploitation rules.
April 9, 2026 · 4 citations
DEnsure each resident receives an accurate assessment.
DEnsure that residents are free from significant medication errors.
DProvide and implement an infection prevention and control program.
CDispose of garbage and refuse properly.
April 10, 2025 · 2 citations
EEnsure 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.
DEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
April 20, 2024 · 5 citations, includes immediate jeopardy · includes complaint inspection
JProvide and implement an infection prevention and control program.
GDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Questions to ask on a tour of Elliott Nursing and Rehabilitation
- Inspectors cited the home at the immediate-jeopardy level on April 20, 2024 under the rule on infection control. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on April 20, 2024. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $12,844 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Apr 20, 2024 | Fine | $12,844 |
| Apr 20, 2024 | Payment Denial | 5 days of payments denied |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 4/5 | 1/5 | 4/5 |
| August 2026 | 4/5 | 4/5 | 2/5 | 4/5 |
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Location
Hospitals near Elliott Nursing and Rehabilitation
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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13.0 mi
Morgan County Arh Hospital West LibertyEmergency roomMedian ER visit 2h 8m for patients treated and sent home
-
18.7 mi
St Claire Regional Medical Center MoreheadEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 58m for patients treated and sent home
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24.7 mi
Paintsville Arh Hospital PaintsvilleEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 45m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Other David Marx nursing homes in Kentucky
- Greenville Nursing and Rehabilitation · Greenville · 5 stars
- Highlands Nursing and Rehabilitation · Louisville · 4 stars
- Seneca Place · Louisville · 4 stars
- South Shore Nursing and Rehabilitation · South Shore · 4 stars
- West Liberty Nursing and Rehabilitation · West Liberty · 3 stars
- Boyd Nursing and Rehabilitation · Ashland · 3 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 10 David Marx nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.