Total health inspections
1
Kentucky average 2.9
Last Health inspection on Mar 2020
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Elkhorn Health & Rehabiliation
Nursing Home · Kentucky, KY
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Elkhorn Health & Rehabiliation
Nursing Home · Kentucky, KY
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Elkhorn Health & Rehabiliation accepts Medicare, Medicaid, and private pay.
Elkhorn Health & Rehabilitation offers an advanced approach to short-term rehab and long-term care. The facility focuses on personalized care plans and state-of-the-art treatments in a supportive environment. It is committed to helping residents reach their full recovery potential.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 179th out of 184 homes in Kentucky. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 179th out of 184 homes in Kentucky. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
2h 18m per day
Rank #179 / 184Nurse hours — State benchmarkedThis home is ranked 179th out of 184 homes in Kentucky. Shows adjusted nurse hours per resident per day benchmarked to the Kentucky average, with a ranking across 184 Kentucky SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Kentucky avg
-33%
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 26m per day | ▼ 43% State avg: 46m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 43m per day | ▼ 12% State avg: 49m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 45m per day | ▼ 28% State avg: 2h 26m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 32m per day | ▼ 27% State avg: 3h 30m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 2m per day | ▼ 50% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 21m per day | ▼ 32% State avg: 31m per day · National avg: 28m per day |
Capacity and availability
This home usually has limited availability
Occupancy rate
91.7%
Rank #53 / 200Occupancy rate — State benchmarkedThis home is ranked 53rd out of 200 homes in Kentucky. Shows this facility's occupancy rate versus the Kentucky average, with its Statewide rank out of 200. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
772 days
106-bed community Rank #79 / 341Bed count — State benchmarkedThis home is ranked 79th out of 341 homes in Kentucky. Shows this facility's certified or reported bed count compared to other Kentucky SNFs. Larger communities may offer more amenities, programs, and on-site services for residents and families.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Walk Score: 35 / 100 Rank #253 / 423Walk Score — State benchmarkedThis home is ranked 253rd out of 423 homes in Kentucky. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Kentucky SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
About this community
Facility TypeLong Term Care (nursing Facility)
StatusActive
IssuanceDecember 1, 2025
CountyPike
License Number100521
CMS Certification Number185230
Elkhorn Health & Rehabiliation is administrated by Tonya Rosser.
Owner NameElkhorn Snf Operations LLC
Rehabilitation Services
Respite Care
Short-Term Rehab
24-Hour Staffing
Specific Programs24/7 Nursing Care, Orthopedic Rehab, Post-Surgical Care, Pulmonary Care, Bariatric Care, Oncology Care
Inspection History
In Kentucky, the Cabinet for Health and Family Services, Office of Inspector General is the regulatory authority that conducts inspections and investigates complaints in all long-term care homes.
Since 2019 · 7 years of data
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsHealth Inspection History
Inspections
Total health citations
4
Rank #11 / 186Health citations — State benchmarkedThis home is ranked 11th out of 186 homes in Kentucky. Shows this facility's total health deficiency citations benchmarked to the Kentucky State average, with a ranking across all 186 KY SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Kentucky average 13.5
Citations per inspection
4
Rank #90 / 186Citations per inspection — State benchmarkedThis home is ranked 90th out of 186 homes in Kentucky. Shows average deficiency citations per CMS inspection for this facility versus the Kentucky mean across 186 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Kentucky average 4.4
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 4 citations resulted from standard inspections.
Breakdown of citation severity (last 6 years)
Critical health citations
0
100% better than Kentucky averageKentucky average: 1.1
Serious health citations
0
100% better than Kentucky averageKentucky average: 0.6
Citations history (last 6 years)
Quality of Care moderate citation
Mar 11, 2020
Corrected
Care Planning moderate citation
Mar 11, 2020
Corrected
Care Planning moderate citation
Mar 11, 2020
Corrected
Resident Rights moderate citation
Mar 11, 2020
Corrected
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Total staff
114
Employees
114
Contractors
0
Staff to resident ratio
1.18:1
32% worse than Kentucky average
Avg staff/day
44
Average shift
8.9 hours
5% better than Kentucky average
Total staff hours (quarter)
35,836
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
12
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
LPN Staff
16
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.1 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
47
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursNo contractors work on this role.
Contractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
0%
0 contractor hours this quarter
No contractor roles were reported this quarter.
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 47 | 0 | 47 | 16,266 | 92 | 100% | 9.4 |
| Licensed Practical Nurse | 16 | 0 | 16 | 4,878 | 92 | 100% | 10.1 |
| Registered Nurse | 12 | 0 | 12 | 3,608 | 92 | 100% | 8.9 |
| Physical Therapist | 7 | 0 | 7 | 2,530 | 92 | 100% | 8.1 |
| RN Director of Nursing | 4 | 0 | 4 | 1,993 | 75 | 82% | 8.1 |
| Speech Language Pathologist | 5 | 0 | 5 | 1,407 | 87 | 95% | 7.5 |
| Other Dietary Services Staff | 8 | 0 | 8 | 1,101 | 89 | 97% | 6.8 |
| Physical Therapy Aide | 4 | 0 | 4 | 985 | 79 | 86% | 7.3 |
| Dietitian | 1 | 0 | 1 | 509 | 59 | 64% | 8.6 |
| Administrator | 1 | 0 | 1 | 497 | 63 | 68% | 7.9 |
| Nurse Practitioner | 2 | 0 | 2 | 480 | 60 | 65% | 8 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 451 | 56 | 61% | 7.9 |
| Mental Health Service Worker | 1 | 0 | 1 | 438 | 56 | 61% | 7.8 |
| Qualified Social Worker | 2 | 0 | 2 | 413 | 71 | 77% | 5.8 |
| Respiratory Therapy Technician | 1 | 0 | 1 | 274 | 51 | 55% | 5.4 |
| Physical Therapy Assistant | 1 | 0 | 1 | 6 | 3 | 3% | 2 |
47 Certified Nursing Assistant
% of Days
100%
16 Licensed Practical Nurse
% of Days
100%
12 Registered Nurse
% of Days
100%
7 Physical Therapist
% of Days
100%
4 RN Director of Nursing
% of Days
82%
5 Speech Language Pathologist
% of Days
95%
8 Other Dietary Services Staff
% of Days
97%
4 Physical Therapy Aide
% of Days
86%
1 Dietitian
% of Days
64%
1 Administrator
% of Days
68%
2 Nurse Practitioner
% of Days
65%
2 Clinical Nurse Specialist
% of Days
61%
1 Mental Health Service Worker
% of Days
61%
2 Qualified Social Worker
% of Days
77%
1 Respiratory Therapy Technician
% of Days
55%
1 Physical Therapy Assistant
% of Days
3%
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.2
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.2
12% better than Kentucky averageKentucky average: 10.5
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
11.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
11.5
39% better than Kentucky averageKentucky average: 18.9
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
11.7%
Percent of long-stay residents whose need for help with daily activities has increased
11.7%
31% better than Kentucky averageKentucky average: 16.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
11.4%
Percent of long-stay residents whose ability to move independently worsened
11.4%
42% better than Kentucky averageKentucky average: 19.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
11.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
11.5%
44% better than Kentucky averageKentucky average: 20.5%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
6.4%
Percent of long-stay residents experiencing one or more falls with major injury
6.4%
71% worse than Kentucky averageKentucky average: 3.8%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
6.5%
Percent of long-stay high risk residents with pressure ulcers
6.5%
13% worse than Kentucky averageKentucky average: 5.8%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Kentucky averageKentucky average: 1.9%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
9.8%
Percent of long-stay residents who lose too much weight
9.8%
45% worse than Kentucky averageKentucky average: 6.8%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
55.3%
Percent of long-stay residents who have depressive symptoms
55.3%
287% worse than Kentucky averageKentucky average: 14.3%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
13.0%
Percent of long-stay residents who received an antipsychotic medication
13.0%
16% better than Kentucky averageKentucky average: 15.6%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.2%
6% better than Kentucky averageKentucky average: 93.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.1%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.1%
In line with Kentucky averageKentucky average: 96.2%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
2.08
Number of hospitalizations per 1,000 long-stay resident days.
2.08
11% worse than Kentucky averageKentucky average: 1.87
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.84
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.84
16% better than Kentucky averageKentucky average: 2.19
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.5%
18% better than Kentucky averageKentucky average: 83.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
6.9%
Percent of short-stay residents who newly received an antipsychotic medication
6.9%
257% worse than Kentucky averageKentucky average: 1.9%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
45.9%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
45.9%
87% worse than Kentucky averageKentucky average: 24.5%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
13.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
13.3%
In line with Kentucky averageKentucky average: 13.9%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
6.3%
Percentage of SNF residents who experience falls with major injury during their stay.
6.3%
712% worse than Kentucky averageKentucky average: 0.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Breakdown by payment type
Medicare
33% of new residents, usually for short-term rehab.
Typical stay
2 - 3 years
Private pay
27% of new residents, often for short stays.
Typical stay
3 - 4 years
Medicaid
40% of new residents, often for long-term daily care.
Typical stay
11 - 12 years
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
97
Medicare
29
29.9% of residents
Medicaid
52
53.6% of residents
Private pay or other
16
16.5% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Family Member Group
Family members meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Family Council
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Financial Trends
Historical financial and operational data for Elkhorn Health & Rehabiliation based on CMS SNF Cost Reports.
Occupancy Rate
91.7%
↑ 7.3pp vs 2022
Net Income
$1.5M
↑ ~$191.4K vs 2022
Total Payroll
$4.1M
↑ ~$153.8K vs 2022
Profit Margin
11.0%
↑ 0.3pp vs 2022
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$14.0M
Profit
$1.5M
Privately-owned community
Operated by a business corporation.
Home revenue
$14.0M Rank #43 / 188Revenue — State benchmarkedThis home is ranked 43rd out of 188 homes in Kentucky. Shows this facility's annual revenue compared to the Kentucky SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Profit
$1.5M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #114 / 188Payroll — State benchmarkedThis home is ranked 114th out of 188 homes in Kentucky. Shows total annual staff payroll benchmarked to the Kentucky average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$4.1M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #114 / 188Payroll — State benchmarkedThis home is ranked 114th out of 188 homes in Kentucky. Shows total annual staff payroll benchmarked to the Kentucky average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$8.3M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$12.5M
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near Elkhorn Health & Rehabiliation
198.7 miles from city center
Estimated distance in miles from Elkhorn City's city center to Elkhorn Health & Rehabiliation's address, calculated via Google Maps.
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Financial Assistance for
Nursing Home in Kentucky
Elkhorn Health & Rehabiliation is located in ELKHORN CITY, Kentucky.
Here are the financial assistance programs available to residents in Kentucky.
Compare Nursing Home around Kentucky
The information below is reported by the Kentucky Cabinet for Health and Family Services, Office of Inspector General.
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| Elkhorn Health & Rehabiliation |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Elkhorn City | 106 | 91.7% | +13% | 2.30 | -2% | -39% | $0 | 4 | 4.0 | - | 99 | - | 35 | - | $14.0M | $4.1M | 29.5% | 185230 | ||||
| Sayre Christian Village |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
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Frequently Asked Questions about Elkhorn Health & Rehabiliation
Who is the owner of Elkhorn Health & Rehabiliation?
The legal owner and operator of Elkhorn Health & Rehabiliation is Elkhorn Snf Operations Llc.
Is Elkhorn Health & Rehabiliation in a walkable area?
Elkhorn Health & Rehabiliation has a walk score of 35. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
What is the license number of Elkhorn Health & Rehabiliation?
According to KY state health department records, Elkhorn Health & Rehabiliation's license number is 100521.
Who is the administrator of Elkhorn Health & Rehabiliation?
Tonya Rosser is the administrator of Elkhorn Health & Rehabiliation.
How many beds does Elkhorn Health & Rehabiliation have?
Elkhorn Health & Rehabiliation has 106 beds.
What is the address of Elkhorn Health & Rehabiliation?
Elkhorn Health & Rehabiliation is located at 945 WEST RUSSELL STREET.
What is the phone number of Elkhorn Health & Rehabiliation?
(606) 754-4134 will put you in contact with the team at Elkhorn Health & Rehabiliation.
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