Nursing homes › Tennessee › The Mckendree Post Acute & Rehabilitation
4347 Lebanon Road, Hermitage, TN 37076 · 6158718200 · 180 certified beds
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).
Total nurse staffing: 3.50 (Tennessee median: 3.64). RN hours: 0.54. Weekend total: 3.09. Nursing staff turnover: 58%.
All-time on record: 37 deficiency citations, including 3 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-11-20 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2025-12-03 |
| 2023-10-03 | 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. | K | complaint | corrected 2023-11-03 |
| 2023-10-03 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | complaint | corrected 2023-11-03 |
| 2023-10-03 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2023-11-03 |
| 2023-10-03 | 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. | G | Health | corrected 2023-11-01 |
| 2023-10-03 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | F | complaint | corrected 2024-01-22 |
| 2023-10-03 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | complaint | corrected 2023-11-03 |
| 2023-10-03 | Keep all essential equipment working safely. | F | complaint | corrected 2023-11-07 |
| 2023-10-03 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2023-11-01 |
| 2023-10-03 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2023-11-03 |
| 2023-10-03 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | complaint | corrected 2023-11-03 |
| 2023-10-03 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2023-11-03 |
| 2023-10-03 | Respond appropriately to all alleged violations. | D | complaint | corrected 2023-11-03 |
| 2023-10-03 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | complaint | corrected 2023-11-03 |
| 2023-10-03 | 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. | D | complaint | corrected 2023-11-03 |
| 2023-10-03 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | complaint | corrected 2023-11-03 |
| 2023-10-03 | Ensure each resident receives an accurate assessment. | D | complaint | corrected 2023-11-03 |
| 2023-10-03 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | complaint | corrected 2023-11-03 |
| 2023-10-03 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2023-11-14 |
| 2023-10-03 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | complaint | corrected 2023-11-14 |
| 2023-10-03 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2023-11-03 |
| 2023-10-03 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2023-11-14 |
| 2023-10-03 | Provide safe, appropriate pain management for a resident who requires such services. | D | complaint | corrected 2023-11-03 |
| 2023-10-03 | Provide care or services that was trauma informed and/or culturally competent. | D | complaint | corrected 2023-11-02 |
| 2023-10-03 | 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. | D | complaint | corrected 2023-11-03 |
| 2023-10-03 | 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. | D | complaint | corrected 2023-11-02 |
| 2023-10-03 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | complaint | corrected 2023-11-07 |
| Date | Type | Amount |
|---|---|---|
| 2023-10-03 | Fine | $252,242 |
| 2023-10-03 | Payment Denial | 74 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| TN 2 SNF OPERATIONS HOLDINGS LLC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 06/17/2024 |
| IDELS, SHIMON | Corporate Officer | Individual | NOT APPLICABLE | since 06/17/2024 |
| GARAFOLA, JOSEPH | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/17/2024 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 445491. Corrections: data@carerecords.org.