nursing home in Hermitage, TN
The McKendree Post Acute & Rehabilitation
4347 Lebanon Road, Hermitage, TN 37076 · (615) 871-8200
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★1
- Quality measures★★★★★3
- Special Focus candidate
- Abuse citation
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
The McKendree Post Acute & Rehabilitation at a glance
The McKendree Post Acute & Rehabilitation is a 180-bed non-profit nursing home in Hermitage, Tennessee (Davidson County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Tennessee average of 3.
Residents receive about 3.5 hours of nursing care per day (0.5 of them from registered nurses), worse than the state average of 3.8 hours.
Its most recent standard health inspection (October 3, 2023) found 27 health citations. The Tennessee average is 4.4.
Federal regulators fined it 1 time in the past three years, totaling $252,242.
Nursing staff turnover is 58% per year (state average 48.9%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Corporation
- Beds
- 180
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Hill Valley Healthcare
- Medicare-certified since
- January 13, 2009
- Continuing care retirement community
- Yes
- Resident/family council
- Resident
- County
- Davidson County
- CMS Certification Number
- 445491
Ratings
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 3 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 3 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 2.5 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.6 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 4 / 5 | 3.6 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 2 / 5 | 3.4 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.50 hrs | 3.80 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.54 hrs | 0.60 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.95 hrs | 2.12 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.09 hrs | 3.31 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 58% | 48.9% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 70% | 43.2% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 27 | 4 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 26 | 1 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 491.3 | 47.9 | 80.6 | Worse |
Penalties
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $252,242 | $22,907 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
Size
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 180 | 114 | 107 | |
| Average residents per day | 173 | 84 | 86 | |
| Occupancy | 96.3% | 74.8% | 80.9% |
Long-stay residents
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 3.9% | 3.4% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 4.3% | 5% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 14.4% | 16.8% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.2% | 1.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.5% | 0.7% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 16.2% | 14% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 28% | 17.2% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 14% | 6.1% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 43% | 13.8% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 31.4% | 31.7% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 25.1% | 20% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 79.9% | 94.5% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 33.9% | 89.4% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 2.1% | 1.7% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 8% | 79.8% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 5.8% | 79.3% | 82% | Worse |
Inspection citations
State inspectors cited this home for 37 health deficiencies and 21 fire safety deficiencies in the inspection records CMS currently publishes. 4 citations involved actual harm, including 3 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| November 20, 2025 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected December 3, 2025 |
| October 3, 2023 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected November 13, 2023 |
| October 3, 2023 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected November 13, 2023 |
| October 3, 2023 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected November 13, 2023 |
| October 3, 2023 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | D Potential harm, isolated | Corrected November 13, 2023 |
| October 3, 2023 Fire safety | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Tag K0753 | D Potential harm, isolated | Corrected November 13, 2023 |
| October 3, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | D Potential harm, isolated | Corrected November 13, 2023 |
| October 3, 2023 Complaint | 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. Quality of Life and Care Deficiencies · Tag F0700 | K Immediate jeopardy, pattern | Corrected November 3, 2023 |
| October 3, 2023 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | J Immediate jeopardy, isolated | Corrected November 3, 2023 |
| October 3, 2023 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected November 3, 2023 |
| October 3, 2023 Standard | 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. Nursing and Physician Services Deficiencies · Tag F0726 | G Actual harm, isolated | Corrected November 1, 2023 |
| October 3, 2023 Complaint | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Resident Rights Deficiencies · Tag F0569 | F Potential harm, widespread | Corrected January 22, 2024 |
| October 3, 2023 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected November 3, 2023 |
| October 3, 2023 Complaint | Keep all essential equipment working safely. Environmental Deficiencies · Tag F0908 | F Potential harm, widespread | Corrected November 7, 2023 |
| October 3, 2023 Complaint | 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. Quality of Life and Care Deficiencies · Tag F0742 | D Potential harm, isolated | Corrected November 3, 2023 |
| October 3, 2023 Complaint | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | D Potential harm, isolated | Corrected November 7, 2023 |
| October 3, 2023 Complaint | 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. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected November 2, 2023 |
| October 3, 2023 Complaint | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected November 3, 2023 |
| October 3, 2023 Complaint | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Tag F0640 | D Potential harm, isolated | Corrected November 3, 2023 |
| October 3, 2023 Complaint | 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. Resident Rights Deficiencies · Tag F0625 | D Potential harm, isolated | Corrected November 3, 2023 |
| October 3, 2023 Complaint | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | D Potential harm, isolated | Corrected November 3, 2023 |
| October 3, 2023 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected November 3, 2023 |
| October 3, 2023 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected November 3, 2023 |
| October 3, 2023 Complaint | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Tag F0699 | D Potential harm, isolated | Corrected November 2, 2023 |
| October 3, 2023 Complaint | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | D Potential harm, isolated | Corrected November 3, 2023 |
| October 3, 2023 Complaint | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604 | D Potential harm, isolated | Corrected November 3, 2023 |
| October 3, 2023 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected November 14, 2023 |
| October 3, 2023 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected November 3, 2023 |
| October 3, 2023 Complaint | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected November 14, 2023 |
| October 3, 2023 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected November 14, 2023 |
| October 3, 2023 Complaint | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected November 3, 2023 |
| October 3, 2023 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected November 1, 2023 |
| October 3, 2023 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected November 3, 2023 |
| June 19, 2019 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected August 2, 2019 |
| June 19, 2019 Fire safety | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Tag E0015 | D Potential harm, isolated | Corrected August 2, 2019 |
| June 19, 2019 Fire safety | Establish policies and procedures including evacuation. Emergency Preparedness Deficiencies · Tag E0020 | D Potential harm, isolated | Corrected August 2, 2019 |
| June 19, 2019 Fire safety | Establish policies and procedures for sheltering. Emergency Preparedness Deficiencies · Tag E0022 | D Potential harm, isolated | Corrected August 2, 2019 |
| June 19, 2019 Fire safety | Develop a communication plan. Emergency Preparedness Deficiencies · Tag E0029 | D Potential harm, isolated | Corrected August 2, 2019 |
| June 19, 2019 Fire safety | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Tag E0030 | D Potential harm, isolated | Corrected August 2, 2019 |
| June 19, 2019 Fire safety | Establish methods for sharing information. Emergency Preparedness Deficiencies · Tag E0033 | D Potential harm, isolated | Corrected August 2, 2019 |
| June 19, 2019 Fire safety | Meet requirements for sections of health care facilities separated by fire resistive construction. Construction Deficiencies · Tag K0131 | D Potential harm, isolated | Corrected August 2, 2019 |
| June 19, 2019 Fire safety | Conform to length requirements for dead end corridors. Egress Deficiencies · Tag K0251 | D Potential harm, isolated | Corrected August 2, 2019 |
| June 19, 2019 Standard | Keep all essential equipment working safely. Environmental Deficiencies · Tag F0908 | F Potential harm, widespread | Corrected August 2, 2019 |
| June 19, 2019 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected August 2, 2019 |
| June 19, 2019 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected August 2, 2019 |
| June 19, 2019 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected August 2, 2019 |
| June 19, 2019 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected August 2, 2019 |
| June 19, 2019 Standard | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected July 23, 2019 |
| June 6, 2018 Fire safety | Install a two-hour-resistant firewall separation. Construction Deficiencies · Tag K0133 | D Potential harm, isolated | Corrected June 20, 2018 |
| June 6, 2018 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected June 20, 2018 |
| June 6, 2018 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected June 20, 2018 |
| June 6, 2018 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected June 20, 2018 |
| June 6, 2018 Fire safety | Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Tag K0311 | D Potential harm, isolated | Corrected June 20, 2018 |
| June 6, 2018 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | D Potential harm, isolated | Corrected June 20, 2018 |
| June 6, 2018 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected July 20, 2018 |
| June 6, 2018 Standard | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Tag F0640 | D Potential harm, isolated | Corrected July 20, 2018 |
| June 6, 2018 Standard | 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. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected July 20, 2018 |
| June 6, 2018 Standard | 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. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected July 20, 2018 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 2 federal penalties in the past three years, including $252,242 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| October 3, 2023 | Payment Denial | 74 days from November 9, 2023 |
| October 3, 2023 | Fine | $252,242 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| TN 2 SNF OPERATIONS HOLDINGS LLC Organization | 5% or greater direct ownership interest | 100% | 06/17/2024 |
| GARAFOLA, JOSEPH Individual | adp of the snf | NOT APPLICABLE | 06/17/2024 |
| IDELS, SHIMON Individual | adp of the snf | NOT APPLICABLE | 06/17/2024 |
| TN 2 SNF OPERATIONS HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 05/27/2026 |
| IDELS, SHIMON Individual | corporate officer | NOT APPLICABLE | 06/17/2024 |
| GARAFOLA, JOSEPH Individual | operational/managerial control | NOT APPLICABLE | 06/17/2024 |
Other nursing homes near The McKendree Post Acute & Rehabilitation
Heartland
3025 Fernbrook Lane, Nashville, TN 37214 · 3.5 mi
For-profit · 66 beds · Part of National Healthcare Corporation
- CMS high performer
★★★★★5Much above averageLife Care Center of Old Hickory Village
1250 Robinson Road, Old Hickory, TN 37138 · 4.5 mi
For-profit · 124 beds · Part of Life Care Centers of America
★★★★★3AverageCedar Creek Post Acute
2650 North Mt Juliet Road, Mount Juliet, TN 37122 · 5.4 mi
For-profit · 106 beds
★★★★★1Much below averageCreekside Center for Rehabilitation and Healing
306 W Due West Avenue, Madison, TN 37115 · 6.8 mi
For-profit · 139 beds · Part of Carerite Centers
★★★★★4Above averageNhc Healthcare, Hendersonville
370 Old Shackle Island Rd, Hendersonville, TN 37075 · 8 mi
For-profit · 122 beds · Part of National Healthcare Corporation
★★★★★3AverageTrevecca Center for Rehabilitation and Healing LLC
329 Murfreesboro Rd, Nashville, TN 37210 · 8.8 mi
For-profit · 240 beds · Part of Carerite Centers
★★★★★3Average
Frequently asked questions
What is The McKendree Post Acute & Rehabilitation's rating?
The McKendree Post Acute & Rehabilitation has 1 out of 5 stars on the CMS overall star rating. The average for Tennessee nursing homes is 3 stars.
How many inspection citations did The McKendree Post Acute & Rehabilitation receive?
Its most recent standard health inspection found 27 citations, compared with a Tennessee average of 4.4. Every citation is listed on this page with its severity.
Does The McKendree Post Acute & Rehabilitation accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns The McKendree Post Acute & Rehabilitation?
It is non profit - corporation and part of Hill Valley Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is The McKendree Post Acute & Rehabilitation and how do I contact it?
The McKendree Post Acute & Rehabilitation is at 4347 Lebanon Road, Hermitage, TN 37076. Phone: (615) 871-8200.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.