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Elliott Nursing and Rehabilitation

Nursing Home, Hospice Care, Memory Care & Respite Care · Sandy Hook, KY

CMS overall rating

Rt 32 East, Howard Creek Rd, Sandy Hook, KY 41171 View map

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Elliott Nursing and Rehabilitation accepts Medicare, Medicaid, and private pay.

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Elliott Nursing and Rehabilitation accepts Medicare, Medicaid, and private pay.

Overview of Elliott Nursing and Rehabilitation

Elliott Nursing and Rehabilitation is a nursing home for short-term post-acute rehabilitation and longer skilled nursing care. The 75-bed facility accepts Medicare, Medicaid, and private pay, giving families a few options for covering care. It has been open for a year, with 94% occupancy, which suggests a steady resident count and may also point to some stability in daily routines.

Rehabilitation is the main focus at Elliott. The home provides rehab services, outpatient therapy, and structured recovery programs. These services may help residents coming from hospitals or recovering after surgery. This setup may be practical for patients rebuilding strength after an acute event.

Most stay an average of 147 days, which fits many post-acute rehab residents who improve over weeks or months. Some may return home after therapy, while others may need longer skilled nursing care, depending on their progress.

Daily nurse staffing averages about 2 hours and 34 minutes per resident. Registered nurses provide 33 minutes of that care each day. Nursing aides and licensed practical nurses also help with daily support. With around-the-clock staffing, residents have care available at all hours.

A state inspection follow-up survey confirmed substantial compliance with care standards. It also showed that the home addressed earlier areas of concern. That is a useful point for families to ask about during a visit. They may want to know what changed and how the changes are maintained.

Elliott also provides respite care, which can be helpful when a primary caregiver at home needs a planned break. During that time, the resident can receive skilled nursing support.

The surrounding area has a Walk Score of 30. Most errands and activities require transportation, which is common in many nursing homes. Families seeking a newer nursing home with a strong rehabilitation focus and solid compliance standing will find Elliott to be a great option due to its flexible payment options and round-the-clock nursing support.

Facility Direct Line (606) 738-9400

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

2h 34m per day

vs avg

6 of 6 metrics below state avg

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.	33m per day	▼ 29% 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.	39m per day	▼ 21% 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 53m per day	▼ 23% 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 41m per day	▼ 23% 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.	4m per day	▼ 8% 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.	20m per day	▼ 34% State avg: 31m per day · National avg: 28m per day

Capacity and availability

147 days

75-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

1 year in operation

A newer community that may feature more recent facilities and programs.

Walk Score: 30 / 100

Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate

94%

Higher than the Kentucky average: 81.3%

Occupied beds

71 / 75

Average occupied beds in Kentucky homes 80 beds

Facility TypeLong Term Care (nursing Facility)

StatusActive

IssuanceNovember 1, 2024

CountyElliott

License Number100690

CMS Certification Number185415

Elliott Nursing and Rehabilitation is administered by Rachelle Stevens.

Owner NameElliott Nursing And Rehabilitation, LLC

Rehabilitation Services

Respite Care

Short-Term Rehab

24-Hour Staffing

Since 2022 · 4 years of data 10 deficiencies

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Kentucky state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2022 vs. Kentucky state average

Overall vs. KY average

Latest Inspection May 29, 2025 Follow Up

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	KY Average	vs. KY Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	10	6	This facility has 67% more total deficiencies than a typical Kentucky assisted living residence (10 vs. KY avg 6).↑ 67% worse
Deficiencies per year Average deficiencies per year since 2022.	2.5	1.5	This facility has 67% more deficiencies per year than a typical Kentucky assisted living residence (2.5 vs. KY avg 1.5).↑ 67% worse

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Follow-up survey on May 29, 2025, confirmed substantial compliance and acceptance of the Plan of Correction as of May 1, 2025.
No complaints were investigated during the follow-up survey period.
The facility showed correction of prior deficiencies but no new inspection data on current conditions was reported.

Show Inspection Reports

Inspections since 2022

Total health inspections 3

State average N/A

Last Health inspection on Apr 2025

Total health citations

State average N/A

Citations per inspection

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

8 of 9 citations resulted from standard inspections; and 1 of 9 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 4 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

3 critical citations State average: N/A

2 serious citations State average: N/A

4 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 4 years)

Nutrition moderate citation Apr 10, 2025

Corrected

Pharmacy moderate citation Apr 10, 2025

Corrected

Abuse/Neglect moderate citation Apr 20, 2024

Corrected

Infection Control critical citation Apr 20, 2024

Corrected

Total staff 98

Employees 79

Contractors 19

Staff to resident ratio 1.36 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 28

Average shift 8.9 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 22,965

Nursing staff breakdown

9.3 hours

9.7 hours

9.3 hours

Contractor staffing

1,485 contractor hours this quarter

Feeding Assistant: 5 Certified Nursing Assistant: 4 Physical Therapy Assistant: 3 Licensed Practical Nurse: 2 Respiratory Therapy Technician: 2 Registered Nurse: 1 Medical Director: 1 Physical Therapy Aide: 1

Staff by category


Certified Nursing Assistant	38	4	42	10,071	92	100%	9.3
Licensed Practical Nurse	10	2	12	3,692	92	100%	9.7
Registered Nurse	9	1	10	2,113	92	100%	9.3
Medication Aide/Technician	4	0	4	2,080	92	100%	9.9
Clinical Nurse Specialist	4	0	4	974	61	66%	7.9
Other Dietary Services Staff	2	0	2	836	78	85%	7.8
Mental Health Service Worker	2	0	2	501	59	64%	7.9
Dietitian	1	0	1	486	55	60%	8.8
RN Director of Nursing	2	0	2	478	57	62%	8.2
Administrator	1	0	1	448	56	61%	8
Nurse Practitioner	1	0	1	440	55	60%	8
Respiratory Therapy Technician	2	2	4	398	44	48%	8.9
Physical Therapy Aide	0	1	1	160	20	22%	8
Feeding Assistant	0	5	5	95	13	14%	5.9
Occupational Therapy Aide	1	0	1	83	11	12%	7.5
Medical Director	0	1	1	60	10	11%	6
Physical Therapy Assistant	1	3	4	27	9	10%	3
Dental Services Staff	1	0	1	24	3	3%	8

42 Certified Nursing Assistant

% of Days 100%

12 Licensed Practical Nurse

% of Days 100%

10 Registered Nurse

% of Days 100%

4 Medication Aide/Technician

% of Days 100%

4 Clinical Nurse Specialist

% of Days 66%

2 Other Dietary Services Staff

% of Days 85%

2 Mental Health Service Worker

% of Days 64%

1 Dietitian

% of Days 60%

2 RN Director of Nursing

% of Days 62%

1 Administrator

% of Days 61%

1 Nurse Practitioner

% of Days 60%

4 Respiratory Therapy Technician

% of Days 48%

1 Physical Therapy Aide

% of Days 22%

5 Feeding Assistant

% of Days 14%

1 Occupational Therapy Aide

% of Days 12%

1 Medical Director

% of Days 11%

4 Physical Therapy Assistant

% of Days 10%

1 Dental Services Staff

% of Days 3%

View All Staffing Data

Total fines amount $13K

80% lower than State average

State average: $63K

Number of fines 1

57% fewer fines than State average

State average: 2.3

Payment Denials 1

206% more payment denials than State average

State average: 0.3

Fines amount comparison

This facility $13K

State average $63K

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

2 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Apr 20, 2024

$13K

Payment Denial Apr 20, 2024

5 days

Last updated: Jan 2026

High-risk clinical events score 2.4

77% better than State average

State average: 10.5

Functional decline score 10.0

47% better than State average

State average: 18.9

Long-stay resident measures

Significantly above average State avg: 3.5

Need for Help with Daily Activities Increased 3.5%

79% better than State average

State average: 16.8%

Walking Ability Worsened 3.4%

83% better than State average

State average: 19.6%

Low Risk Residents with Bowel/Bladder Incontinence 23.2%

13% worse than State average

State average: 20.5%

Falls with Major Injury 1.1%

70% better than State average

State average: 3.8%

High Risk Residents with Pressure Ulcers 1.3%

77% better than State average

State average: 5.8%

Urinary Tract Infection 0.8%

60% better than State average

State average: 1.9%

Lost Too Much Weight 2.8%

58% better than State average

State average: 6.8%

Depressive Symptoms 98.4%

589% worse than State average

State average: 14.3%

Antipsychotic Use 2.4%

84% better than State average

State average: 15.6%

Pneumococcal Vaccine 99.6%

6% better than State average

State average: 93.9%

Influenza Vaccine 98.7%

In line with State average

State average: 96.2%

Hospitalizations per 1,000 days 2.75

47% worse than State average

State average: 1.87

ED visits per 1,000 days 4.81

120% worse than State average

State average: 2.19

Short-stay resident measures

Pneumococcal Vaccine 99.2%

18% better than State average

State average: 83.7%

Antipsychotic medication increase 1.6%

18% better than State average

State average: 1.9%

Influenza Vaccine 80.0%

In line with State average

State average: 83.6%

Falls with major injury 0.0%

100% better than State average

State average: 0.8%

Successful return to home or community 45.4%

10% worse than State average

State average: 50.6%

Breakdown by payment type

Medicare

37% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

31% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

32% of new residents, often for long-term daily care.

Typical stay 11 - 12 months

Total residents 72

Medicare

2.8% of residents

Medicaid

83.3% of residents

Private pay or other

13.9% 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

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.

Financial Trends

Historical financial and operational data for Elliott Nursing and Rehabilitation from 2011–2023, based on CMS SNF Cost Reports.

Occupancy Rate 94.0% ↑ 3.2pp vs 2022

Net Patient Income $473.0K ↑ ~$675.9K vs 2022

Payroll Costs $2.9M ↑ ~$211.8K vs 2022

Operating Margin 6.1% ↑ 8.8pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	96.4%	94.7%	94.2%	96.0%	94.8%	96.0%	93.5%	95.2%	86.9%	85.9%	90.1%	90.8%	94.0%
Beds	75	75	75	75	75	75	75	75	75	75	75	75	75
Net Income	-$30,038	-$140,899	-$93,724	-$70,624	$27,339	$209,449	$53,496	-$78,363	-$13,675	$1,086,883	$2,070,556	$44,115	$477,541
Gross Revenue	$5,615,033	$5,978,836	$6,073,654	$6,447,171	$6,759,724	$6,858,717	$7,102,906	$7,575,987	$2,380,926	$7,130,631	$8,407,112	$7,975,180	$8,273,718
Operating Expenses	$4,949,143	$5,249,125	$5,285,096	$5,495,444	$5,597,963	$5,596,148	$5,821,632	$6,251,453	$2,134,020	$6,248,556	$6,922,362	$7,682,308	$7,252,165
Net Patient Income	-$35,197	-$142,199	-$92,360	-$68,040	$31,574	$213,545	$55,937	-$74,247	-$13,675	$263,916	$901,613	-$202,925	$472,980
Net Patient Revenue	$4,913,946	$5,106,926	$5,192,736	$5,427,404	$5,629,537	$5,809,693	$5,877,569	$6,177,206	$2,120,345	$6,512,472	$7,823,975	$7,479,383	$7,725,145
Payroll Costs	$2,662,842	$2,626,937	$2,383,513	$2,356,318	$2,398,463	$2,467,402	$2,536,020	$2,592,584	$926,368	$2,588,413	$2,486,049	$2,679,555	$2,891,393
Operating Margin %	-0.7%	-2.8%	-1.8%	-1.3%	0.6%	3.7%	1.0%	-1.2%	-0.6%	4.1%	11.5%	-2.7%	6.1%
Medicare %	10.4%	11.7%	9.9%	10.2%	10.2%	12.2%	13.8%	12.0%	17.0%	14.6%	17.0%	10.2%	8.7%
Medicaid %	83.1%	80.9%	79.6%	77.4%	79.7%	78.0%	75.6%	75.8%	68.2%	75.2%	73.4%	75.1%	75.3%
Private %	6.6%	7.4%	10.6%	12.3%	10.1%	9.8%	10.6%	12.2%	14.8%	10.3%	9.6%	14.7%	16.0%
Net Patient Revenue/Day	$186	$197	$201	$207	$217	$221	$230	$237	$262	$276	$317	$301	$300
Cost/Day	$188	$202	$205	$209	$216	$212	$227	$240	$264	$265	$281	$309	$282
Avg Length of Stay	246.5 days	273.6 days	236.6 days	260.1 days	220.0 days	151.4 days	151.5 days	149.7 days	88.8 days	123.5 days	105.0 days	130.8 days	147.0 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$7.7M

Net patient income

$473.0K

For-profit Operated by a single business entity.

Net patient revenue

$7.7M

Net patient income

$473.0K

Other income

$4.6K

Payroll costs

$2.9M 37.4% of net patient revenue

Other operating costs

$4.4M

Total costs

$7.3M

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

New residents most often arrive under Medicare (37% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Coverage residents most often arrive under.

Medicare 37%

Private pay 31%

Medicaid 32%

Coverage residents most often leave under.

Medicare 23%

Private pay 28%

Medicaid 49%

0.0 miles from city center Estimated distance in miles from Sandy Hook's city center to Elliott Nursing and Rehabilitation's address, calculated via Google Maps.

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The information below is reported by the Kentucky Cabinet for Health and Family Services, Office of Inspector General.


Elliott Nursing and Rehabilitation	NH HC MC RC	Sandy Hook	-	75	-	30	-
Madonna Manor	NH AL IL MC	Villa Hills	-	64	-	4	1 Bed / 2 Bed
Berea Health and Rehabilitation	NH	Berea	-	84	-	57	-
Prestonsburg Health Care Center	NH HC MC PC	Prestonsburg	-	56	-	7	-
Signature Healthcare of Monroe County Rehab and Well	NH HC PC RC	Tompkinsville	-	104	-	53	-

Nursing Home Explorer

Is Elliott Nursing and Rehabilitation in a walkable area?

Elliott Nursing and Rehabilitation has a walk score of 30. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of Elliott Nursing and Rehabilitation?

According to KY state health department records, Elliott Nursing and Rehabilitation's license number is 100690.

What is the occupancy rate at Elliott Nursing and Rehabilitation?

Elliott Nursing and Rehabilitation's occupancy is 94%.

Does Elliott Nursing and Rehabilitation operate as a for-profit or non-profit?

Elliott Nursing and Rehabilitation is registered as a for-profit in KY.

Who is the administrator of Elliott Nursing and Rehabilitation?

Rachelle Stevens is the administrator of Elliott Nursing and Rehabilitation.

How many beds does Elliott Nursing and Rehabilitation have?

Elliott Nursing and Rehabilitation has 75 beds.

Are there photos of Elliott Nursing and Rehabilitation?

Yes — there are 4 photos of Elliott Nursing and Rehabilitation in the photo gallery on this page.

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Elliott Nursing and Rehabilitation

Overview of Elliott Nursing and Rehabilitation

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Staffing & Medical

Amenities & Lifestyle

Contact Elliott Nursing and Rehabilitation

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Kentucky state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2022

Breakdown of citation severity (last 4 years)

Citations history (last 4 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

42 Certified Nursing Assistant

12 Licensed Practical Nurse

10 Registered Nurse

4 Medication Aide/Technician

4 Clinical Nurse Specialist

2 Other Dietary Services Staff

2 Mental Health Service Worker

1 Dietitian

2 RN Director of Nursing

1 Administrator

1 Nurse Practitioner

4 Respiratory Therapy Technician

1 Physical Therapy Aide

5 Feeding Assistant

1 Occupational Therapy Aide

1 Medical Director

4 Physical Therapy Assistant

1 Dental Services Staff

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Family Member Group

Active Family Council

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly short-term rehab stays

Admissions

Discharges

Places of interest near Elliott Nursing and Rehabilitation

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