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Nursing homesTennessee › The Mckendree Post Acute & Rehabilitation

The Mckendree Post Acute & Rehabilitation

4347 Lebanon Road, Hermitage, TN 37076 · 6158718200 · 180 certified beds

Overall★☆☆☆☆ 1/5
Health inspections★☆☆☆☆ 1/5
Staffing★☆☆☆☆ 1/5
Quality measures★★★☆☆ 3/5
Special Focus: CMS lists this facility as SFF Candidate — among the facilities with the most serious ongoing compliance problems in the country.
Abuse icon: CMS flags this facility for an abuse citation in recent inspections.

Ownership group

Per CMS filings, this facility is affiliated with Hill Valley Healthcare, a group operating 43 facilities in 6 states. Group record: average rating 1.7/5, 7 abuse citation icons, 4 facilities on the Special Focus list, $1,568,552 in federal fines. This facility rates below its group average (1.7/5).

See all 43 facilities in this group →

Staffing (hours per resident per day)

Total nurse staffing: 3.50 (Tennessee median: 3.64). RN hours: 0.54. Weekend total: 3.09. Nursing staff turnover: 58%.

Inspection deficiencies

All-time on record: 37 deficiency citations, including 3 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2025-11-20Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Dcomplaintcorrected 2025-12-03
2023-10-03Try 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. Kcomplaintcorrected 2023-11-03
2023-10-03Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Jcomplaintcorrected 2023-11-03
2023-10-03Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Jcomplaintcorrected 2023-11-03
2023-10-03Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. GHealthcorrected 2023-11-01
2023-10-03Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Fcomplaintcorrected 2024-01-22
2023-10-03Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Fcomplaintcorrected 2023-11-03
2023-10-03Keep all essential equipment working safely. Fcomplaintcorrected 2023-11-07
2023-10-03Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Dcomplaintcorrected 2023-11-01
2023-10-03Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Dcomplaintcorrected 2023-11-03
2023-10-03Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Dcomplaintcorrected 2023-11-03
2023-10-03Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Dcomplaintcorrected 2023-11-03
2023-10-03Respond appropriately to all alleged violations. Dcomplaintcorrected 2023-11-03
2023-10-03Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Dcomplaintcorrected 2023-11-03
2023-10-03Notify 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. Dcomplaintcorrected 2023-11-03
2023-10-03Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Dcomplaintcorrected 2023-11-03
2023-10-03Ensure each resident receives an accurate assessment. Dcomplaintcorrected 2023-11-03
2023-10-03Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Dcomplaintcorrected 2023-11-03
2023-10-03Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Dcomplaintcorrected 2023-11-14
2023-10-03Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Dcomplaintcorrected 2023-11-14
2023-10-03Provide care and assistance to perform activities of daily living for any resident who is unable. Dcomplaintcorrected 2023-11-03
2023-10-03Provide appropriate treatment and care according to orders, resident’s preferences and goals. Dcomplaintcorrected 2023-11-14
2023-10-03Provide safe, appropriate pain management for a resident who requires such services. Dcomplaintcorrected 2023-11-03
2023-10-03Provide care or services that was trauma informed and/or culturally competent. Dcomplaintcorrected 2023-11-02
2023-10-03Provide 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. Dcomplaintcorrected 2023-11-03
2023-10-03Implement 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. Dcomplaintcorrected 2023-11-02
2023-10-03Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Dcomplaintcorrected 2023-11-07

Federal penalties

DateTypeAmount
2023-10-03Fine$252,242
2023-10-03Payment Denial74 days payment denial

Ownership & control records (CMS filings)

NameRoleType%Since
TN 2 SNF OPERATIONS HOLDINGS LLC5% Or Greater Direct Ownership InterestOrganization100%since 06/17/2024
IDELS, SHIMONCorporate OfficerIndividualNOT APPLICABLEsince 06/17/2024
GARAFOLA, JOSEPHOperational/Managerial ControlIndividualNOT APPLICABLEsince 06/17/2024

Compare nearby (Davidson County)

Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 445491. Corrections: data@carerecords.org.