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Home / Tennessee / Hermitage

The McKendree Post Acute & Rehabilitation

4347 Lebanon Road, Hermitage, TN 37076 · Davidson County · (615) 871-8200

180 certified beds, about 173 residents a day · Non profit - Corporation · Medicare and Medicaid since 2009

Special Focus Facility candidate CMS abuse icon: cited for abuse in a recent inspection Last standard inspection more than 2 years ago Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 445491 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on October 3, 2023, inspectors cited 26 health deficiencies (the Tennessee average is 4.4, the national average 9.2).

Of 37 health citations since June 2018, 4 were rated as actual harm or immediate jeopardy to residents (3 immediate jeopardy).

CMS lists 1 fine totaling $252,242 in the last three years; the largest was $252,242, and the latest is dated October 3, 2023.

Nurses and nurse aides worked 3.50 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.54 of those hours.

58.0% of nursing staff left within the year CMS measured (Tennessee average 48.9%).

CMS links it to Hill Valley Healthcare, an affiliated group of 43 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 37 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
2J
1K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
27D
0E
6F
Potential for minimal harm
0A
0B
0C
November 20, 2025Complaint inspection · 1 citation
  1. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 3, 2025
    Inspectors wroteBased on facility policy review, medical record review, Delivery Manifest Report Details, and interview, the facility failed to provide admission medication according to physician's orders and per facility policy for 1 of 3 (Residents #2) sampled residents reviewed.
October 3, 2023Standard inspection, Complaint inspection · 26 citations
  1. K
    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
    F700 · Quality of Life and Care · Immediate jeopardy to resident health or safety, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 3, 2023
    Inspectors wroteBased on policy review, medical record review, observation and interview, the facility failed to ensure a safe environment that prevented an incident of entrapment for 1 (Resident #145) of 77 sampled residents reviewed for assist bar use. The facility's failure to ensure a safe environment resulted in Immediate Jeopardy (IJ-a situation in which the provider's noncompliance with one or more conditions of participation has caused, or is likely to cause, serious injury, harm, impairment, or death to a resident) when Resident #145, a vulnerable resident assessed to be cognitively impaired, became entrapped between the assist bar and mattress. [...]
  2. J
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 3, 2023
    Inspectors wroteBased on facility policy review, facility investigation, medical record review, and interview, the facility failed to prevent nonconsensual sexual contact between Resident #200 and 3 residents (Resident #8, #112, and #126). On 8/16/2023, Certified Nursing Assistant (CNA) #12 observed Resident #200 standing over Resident #126 pulling down his brief and Resident #126 was resisting the actions. CNA #12 left Resident #200 and Resident #126 alone in the room to get assistance in removing Resident #200 from the room. CNA #12 failed to protect Resident #126 from further potential nonconsensual sexual contact with Resident #200. Nursing staff failed to provide interventions and within 4 hours, Resident #200 was observed touching Resident #112's genital area while sitting in the 2 East common area. [...]
  3. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 3, 2023
    Inspectors wroteBased on facility policy review, website www.localconditions.com review, medical record review, facility document review, observation, and interview, the facility failed to provide adequate supervision to prevent an avoidable accident for 2 (Residents #200, and #201) of 22 residents reviewed. Resident #200 and #201 moved from a safe environment to an unsafe environment when Resident #201 exited the building unsupervised, on 8/12/2023, and Resident #200 exited the building unsupervised, on 8/13/2023. The facility's failure to provide adequate supervision resulted in Immediate Jeopardy (IJ), (a situation in which the provider's noncompliance with one or more requirements of participation has caused, or is likely to cause, serious injury, harm, impairment, or death to a resident). [...]
  4. G
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    F726 · Nursing and Physician Services · Actual harm, isolated · Corrected (the home has a date of correction) November 1, 2023
    Inspectors wroteBased on facility policy review, medical record review, facility document review, and interview, the facility failed to provide nursing staff with the appropriate competencies and skill sets to assure resident safety and physical well being for 1 (Resident #361) of 17 sampled residents reviewed for falls. Resident #361 with a pain level of 10 (highest level of pain expressed) and unable to move her left leg was transferred by the Director of Nursing (DON) from the floor to a sitting position in a wheelchair. [...]
  5. F
    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
    F569 · Resident Rights · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) January 22, 2024
    Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to convey the resident's funds and a final accounting of those funds for residents who were discharged , evicted, or expired within 30 days to the individual or probate jurisdiction administering the resident's estate for 60 (Residents #61, #83, #252, #304, #305, #306, #307, #308, #309, #310, #311, #312, #351, #352, #353, #354, #355, #356, #357, #358, #359, #360, #361, #362, #363, #364, #365, #366, #367, #368, #369, #370, #371, #372, #373, #374, #375, #376, #377, #378, #379, #380, #381, #382, #383, #384, #385, #386, #387, #388, #389, #390, #391, #392, #393, #394, #395, #396, #397, #398) of 64 residents reviewed.
  6. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) November 3, 2023
    Inspectors wroteBased on facility policy review, medical record review, observations, and interviews, the facility failed to use good hygiene practices and techniques, to change gloves and wash hands between tasks, to keep the ice machine clean and sanitary to prevent contamination of the ice, sanitize visibly soiled equipment associated with ice handling, and to wear hair restraints to prevent hair from contacting food.
  7. F
    Keep all essential equipment working safely.
    F908 · Environmental · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) November 7, 2023
    Inspectors wroteBased on the facility policy review, observations, and interviews, the facility failed to maintain all mechanical, electrical, and patient care equipment in safe operating condition.
  8. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 1, 2023
    Inspectors wroteBased on facility policy, Facility Assessment Tool, medical record review, observations, and interviews, the facility failed to ensure respect and dignity was maintained for 1 (Resident #253) of 2 sampled residents reviewed by failing to provide communication in the resident's native language.
  9. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 3, 2023
    Inspectors wroteBased on facility policy review, medical record review, and interviews, the facility failed to notify Responsible Party and Physician for a fall for 2 (Residents #48 and #68) of 13 residents reviewed. The facility also failed to notify Responsible Party of weight loss and respiratory illness for 1 (Resident #24) of 6 residents reviewed. Facility also failed to notify Responsible Party of Sexual Abuse in a timely manner for 4 (Residents #8, #112, #126 and #200) of 11 residents reviewed.
  10. D
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    F604 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 3, 2023
    Inspectors wroteBased on policy review, medical record review, facility reported incident, and interview, the facility failed to ensure 1 (Resident #201) of 2 sampled residents reviewed were free from the use of physical restraints.
  11. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 3, 2023
    Inspectors wroteBased on facility policy review, facility investigation review, medical record review, and interview, the facility failed to report allegations of resident-to-resident sexual abuse to the State Agency (SA) and Adult Protective Services (APS) within the required guidelines. On 8/16/2023 staff observed and reported Resident #200 having nonconsensual sexually aggressive contact with Residents #8, #112, and #126. The allegations of sexual abuse were not reported to the SA and APS until 8/22/2023.
  12. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 3, 2023
    Inspectors wroteBased on facility policy review, facility investigation review, medical record review, and interview, the facility failed to conduct a thorough investigation for allegations of resident-to-resident sexual abuse which involved 4 residents (Resident #8, #112, #126 and #200) reviewed.
  13. D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 3, 2023
    Inspectors wroteBased on medical record review, and interview, the facility failed to send a copy of the transfer notice to a representative of the Office of the State Long-Term Care Ombudsman for 4 (Residents #30, #34, #48, and #118) of 4 residents reviewed.
  14. D
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    F625 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 3, 2023
    Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to provide written information regarding the bed hold policy for 4 (Residents #30, #34, #48, and #118) of 4 residents reviewed.
  15. D
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    F640 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 3, 2023
    Inspectors wroteBased on Resident Assessment Instrument (RAI) Version 3.0 Manual, facility medical record review, and interview, the facility failed to submit the Quarterly MDS (Minimum Data Set) assessment within 14 days of completion for 1 (Resident #138) of 39 sampled residents reviewed.
  16. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 3, 2023
    Inspectors wroteBased on Resident Assessment Instrument (RAI) manual, medical record review, and interview, the facility failed to ensure Minimum Data Set (MDS) assessments were accurately completed for 2 (Residents #30 and #133) of 39 sampled residents reviewed.
  17. D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 3, 2023
    Inspectors wroteBased on the facility policy review, medical record review, and interviews, the facility failed to provide services specified in the Pre-admission Screening and Resident Review (PASARR) for 1 (Resident #31) of 6 sampled residents.
  18. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 14, 2023
    Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to develop and implement a person centered care plan for 4 (Residents #8, #112, #126, and #200) of 39 sampled residents reviewed.
  19. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 14, 2023
    Inspectors wroteBased on facility policy review, medical record review, and interviews, the facility failed to conduct Quarterly Care Conference meetings with the resident or resident's representative, for 12 (Residents #4, #24, #25, #31, #34, #37, #41, #53, #56, #69, #129, and #139) of 47 sampled residents reviewed. The facility also failed to update the care plan with appropriate interventions following a fall for 2 (Residents #48 and #253) of 47 residents reviewed.
  20. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 3, 2023
    Inspectors wroteBased on facility policy review, medical record review, and interviews, the facility failed to maintain personal hygiene for residents who were unable to carry out activities of daily living for 2 (Residents #6 and Resident #42) of 6 sampled residents reviewed.
  21. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 14, 2023
    Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to complete 72 hours of neurological evaluations, in accordance with the facility's policy and professional standard of practice, for 7 (Residents #31, #48, #53, #54, #126, #129 and #144) of 14 residents reviewed. The faclility also failed to ensure medications were administered according to physician orders for 5 (Residents #62, #63, #101, #124, and #367) of 7 residents reviewed for missed medications.
  22. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 3, 2023
    Inspectors wroteBased on medical record review and interview, the facility failed to provide pain management consistent with professional standards of practice and the resident's goals and preferences for 1 (Resident #37) of 39 residents reviewed.
  23. D
    Provide care or services that was trauma informed and/or culturally competent.
    F699 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 2, 2023
    Inspectors wroteBased on facility policy review, medical record review, and interviews, the facility failed to ensure that 1 (Resident #253) of 9 sampled residents received trauma-informed care in accordance with professional standards of practice and accounting for a resident's experiences and preferences in order to eliminate or mitigate triggers that may cause re-traumatization of the resident.
  24. D
    Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
    F742 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 3, 2023
    Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to provide treatment and services for 1 (Resident #253) of 9 sampled residents who had a history of trauma, psychosocial adjustment difficulty, and behaviors, to attain the highest practicable mental and psychosocial well-being.
  25. D
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 2, 2023
    Inspectors wroteBased on facility policy review, medical record review, observation, and interview, the facility failed to ensure PRN (as needed) psychotropic medications for 1 (Resident #253) of 6 sampled residents reviewed for unnecessary were limited to 14 days duration. The facility failed to obtain a physician's assessment or documented rationale for continued use of the medication.
  26. D
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 7, 2023
    Inspectors wroteBased on facility policy review, observations, and interviews the facility failed to provide a safe, functional, sanitary, and comfortable environment in 4 resident rooms (Rooms #153, #162, #277, #286) out of 152 resident rooms, 1 dining room (1-East Unit Dining Room) out of 3 dining rooms, 2 Hallways (1-East Unit Hallway between 2-North Unit and 2-East Unit) out of 6 hallways, and 2 (Soiled Laundry Room, Central Supply Room) out of 10 employee work rooms, and 1 (Elevator 1-East )out of 2 elevators observed.
June 19, 2019Standard inspection · 6 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 2, 2019
    Inspectors wroteBased on facility policy review, observation and interview, the facility failed to store foods in safe and sanitary manner as evidenced by expired, unlabeled and undated foods. Review of the facility policy, Refrigerators and Freezers for storage, labeling and dating foods, revised December 2014, revealed .All food shall be appropriately dated to ensure proper rotation by expiration dates .Received dates (dates of delivery) will be marked on cases and on individual items removed from cases for storage . Use by dates will be completed with expiration dates on all prepared food in refrigerators .Expiration dates on unopened food will be observed and use by dates indicated once food is opened . Observation on 6/17/19 at 9:06 AM in the kitchen with the Food Service Executive Chef present revealed the following in the Walk-In Dairy Cooler: 3 Pint containers of tomatoes opened and undated. [...]
  2. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 2, 2019
    Inspectors wroteBased on the facility policy review, observation and interview, the facility failed to store linens to prevent the spread of infection.
  3. F
    Keep all essential equipment working safely.
    F908 · Environmental · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 2, 2019
    Inspectors wroteBased on facility policy review, facility documentation, observation and interview, the facility failed to maintain equipment in a safe operating condition related to the kitchen dairy cooler door not sealing and broken door latch, the kitchen large walk-in cooler with a broken door latch, and dryer lint build up with visible lint on the vents, between the dryers, and in the dryer drums.
  4. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 23, 2019
    Inspectors wroteBased on facility policy review, medical record review and interview, the facility failed to protect Resident #130 from physical abuse by a facility Certified Nurse Technician (CNT).
  5. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 2, 2019
    Inspectors wroteBased on medical record review and interview the facility failed to revise a care plan to reflect the usage of a lift for 1 of 58 residents (#73) reviewed which resulted in a fall.
  6. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 2, 2019
    Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to prevent an accident for 1 of 58 residents (#73) reviewed related to not having 2 staff members operating a lift during a transfer.
June 6, 2018Standard inspection · 4 citations
  1. D
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 20, 2018
    Inspectors wroteBased on facility policy review, medical record review and interview the facility failed to obtain an advance directive for 1 of 33 sampled residents (Resident #124) reviewed.
  2. D
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    F640 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 20, 2018
    Inspectors wroteBased on medical record review and interview the facility failed to submit the Discharge Minimum Data Set (MDS) in a timely manner for 1 of 6 sampled resident (Resident #1) reviewed.
  3. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 20, 2018
    Inspectors wroteBased on facility policy, medical record review, and interview the facility failed to document notification on the SBAR coomunication form (situation, background, assessment, recommendation) for a fall in the facility for 1 of 7 sampled residents (Resident #12) reviewed for falls.
  4. D
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 20, 2018
    Inspectors wroteBased on facility policy, medical record review, and interview the facility failed to have a stop date for a PRN (as needed) psychotropic medication for 2 of 7 sampled residents (Resident #70 and Resident #130) reviewed.

Fire safety inspections

21 fire safety citations on file: 6 on October 3, 2023, 9 on June 19, 2019, 6 on June 6, 2018.

Every fire safety citation21 citations
  1. D
    Provide properly protected cooking facilities.
    K 324 · October 3, 2023 · Corrected (the home has a date of correction)
  2. D
    Install corridor and hallway doors that block smoke.
    K 363 · October 3, 2023 · Corrected (the home has a date of correction)
  3. D
    Have simulated fire drills held at unexpected times.
    K 712 · October 3, 2023 · Corrected (the home has a date of correction)
  4. D
    Have restrictions on the use of highly flammable decorations.
    K 753 · October 3, 2023 · Corrected (the home has a date of correction)
  5. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · October 3, 2023 · Corrected (the home has a date of correction)
  6. D
    Ensure proper usage of power strips and extension cords.
    K 920 · October 3, 2023 · Corrected (the home has a date of correction)
  7. D
    Address subsistence needs for staff and patients.
    E 15 · June 19, 2019 · Corrected (the home has a date of correction)
  8. D
    Establish policies and procedures including evacuation.
    E 20 · June 19, 2019 · Corrected (the home has a date of correction)
  9. D
    Establish policies and procedures for sheltering.
    E 22 · June 19, 2019 · Corrected (the home has a date of correction)
  10. D
    Develop a communication plan.
    E 29 · June 19, 2019 · Corrected (the home has a date of correction)
  11. D
    List the names and contact information of those in the facility.
    E 30 · June 19, 2019 · Corrected (the home has a date of correction)
  12. D
    Establish methods for sharing information.
    E 33 · June 19, 2019 · Corrected (the home has a date of correction)
  13. D
    Meet requirements for sections of health care facilities separated by fire resistive construction.
    K 131 · June 19, 2019 · Corrected (the home has a date of correction)
  14. D
    Conform to length requirements for dead end corridors.
    K 251 · June 19, 2019 · Corrected (the home has a date of correction)
  15. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · June 19, 2019 · Corrected (the home has a date of correction)
  16. D
    Conduct testing and exercise requirements.
    E 39 · June 6, 2018 · Corrected (the home has a date of correction)
  17. D
    Install a two-hour-resistant firewall separation.
    K 133 · June 6, 2018 · Corrected (the home has a date of correction)
  18. D
    Have an enclosure around a vertical opening shaft.
    K 311 · June 6, 2018 · Corrected (the home has a date of correction)
  19. D
    Provide properly protected cooking facilities.
    K 324 · June 6, 2018 · Corrected (the home has a date of correction)
  20. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · June 6, 2018 · Corrected (the home has a date of correction)
  21. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · June 6, 2018 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
October 3, 2023Fine $252,242
October 3, 2023Payment Denial 74 days from November 9, 2023

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeTennesseeUnited States
All nursing staff (RN, LPN and aides)3.503.803.86
Registered nurses0.540.600.69
All nursing staff on weekends3.093.313.42
Nurse aides1.95
Licensed practical nurses1.01
Nursing staff turnover (share who left in a year)58.0%48.9%45.8%
Registered nurse turnover70.0%43.2%42.9%
Administrators who left0

CMS expects 4.51 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.66 on weekdays and 3.09 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 9.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.32 in April to June 2025 to 3.50 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.500.543.663.09 9.6%0 of 90173
Oct to Dec 20253.610.553.783.17 13.6%0 of 92171
Jul to Sep 20253.580.553.703.28 17.0%0 of 92172
Apr to Jun 20253.320.573.423.05 20.2%0 of 91180
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Tennessee, Jan to Mar 20263.750.563.953.274.0%0.7% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeTennesseeUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
16.214.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.50.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.21.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.93.43.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
2.11.71.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
28.017.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
4.35.04.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
14.416.915.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
22.622.623.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
13.411.212.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.71.71.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.71.61.8

Owners and operators

Legal business name: MCKENDREE SNF OPERATIONS LLC. CMS links this home to Hill Valley Healthcare, a group of 43 nursing homes averaging 1.7 stars overall.

NameRoleTypeShareSince
Tn 2 SNF Operations Holdings LLC5% or greater direct ownership interestOrganization100%06/17/2024
Idels, ShimonCorporate officerIndividual06/17/2024
Garafola, JosephOperational/managerial controlIndividual06/17/2024
Tn 2 SNF Operations Holdings LLCAdp of the SNFOrganization05/27/2026
Garafola, JosephAdp of the SNFIndividual06/17/2024
Idels, ShimonAdp of the SNFIndividual06/17/2024

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 8 problems in this area, most recently on October 3, 2023: "Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 8 problems in this area, most recently on October 3, 2023: "Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 6 problems in this area, most recently on October 3, 2023: "Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death."
  4. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 5 problems in this area, most recently on October 3, 2023: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.09 hours per resident per day, below the Tennessee average of 3.31.

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Common questions

What is The McKendree Post Acute & Rehabilitation's Medicare star rating?
CMS rates The McKendree Post Acute & Rehabilitation 1 out of 5 stars overall, with 1 for health inspections, 1 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did The McKendree Post Acute & Rehabilitation get at its last inspection?
26 health deficiencies at the standard inspection on October 3, 2023. The Tennessee average is 4.4.
Has The McKendree Post Acute & Rehabilitation been fined?
Yes. CMS lists 1 fine totaling $252,242 in the last three years.
Does The McKendree Post Acute & Rehabilitation accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns The McKendree Post Acute & Rehabilitation?
CMS lists 6 owners and managers, and links the home to Hill Valley Healthcare. Legal business name: MCKENDREE SNF OPERATIONS LLC.

Sources

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