47/100
Below average
20 Howards Creek Road, Sandy Hook, KY 41171
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
3 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
$12,844 in federal fines
CMS has fined this facility across 1 penalty action(s).
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Grade ceiling applied
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: April 9, 2026 (4 months ago).
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
No actual harm, potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
No actual harm, potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
No actual harm, minimal potential
Pharmacy Service Deficiencies
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...
No actual harm, potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
No actual harm, potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Immediate jeopardy to resident health or safety
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Actual harm to a resident
Part of DAVID MARX, which operates 10 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| PRUITT, PAUL | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| BLUEGRASS CONSULTING GROUP LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| HOWARD CREEK ROAD SNF REALTY LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| ALEXANDER, DAVID | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| CHAMBERLAIN, MARGARET | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| MARX, DAVID | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| PRUITT, PAUL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| REWA, ANGELA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| RUSSELL, ROBERT | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| SHATROV, ANZHELIKA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| SHIELDS, KARI | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| STEVENS, EVA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
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Elliott Nursing And Rehabilitation holds an ElderGrade of D (47 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 3.21 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 3 of the 11 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, Elliott Nursing And Rehabilitation is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.