Tennessee › Davidson County › Hermitage
The Mckendree Post Acute & Rehabilitation
4347 Lebanon Road, Hermitage, TN 37076
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
The Mckendree Post Acute & Rehabilitation, in Hermitage, Tennessee, is certified for 180 beds under non-profit, corporation ownership and belongs to the Hill Valley Healthcare chain.
CMS gives it 1 of 5 stars overall, below the Tennessee median of 3; the health inspection rating is 1, staffing 1 and quality measures 3.
Inspectors recorded 37 health deficiencies across the three most recent survey cycles (27, 6, 4 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 20.6 per 100 beds, more than the state median of 12.2.
CMS lists 2 penalties in the period covered: fines totalling $252K and 1 payment denial.
Reported nurse staffing is 3.5 hours per resident per day (0.5 RN), close to the Tennessee median of 3.6; nursing staff turnover is 58.0%.
CMS flags that the facility carries the CMS abuse icon, is a Special Focus Facility candidate and has not had a standard health inspection in more than two years.
Compared with county, state and nation
| Measure | This facility | Davidson Co. median | Tennessee median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 37 | 17 | 13 | 28.7 |
| Citations per 100 beds | 20.6 | 15.7 | 12.2 | 26.8 |
| Total nurse hours per resident day | 3.5 | 4.0 | 3.6 | 3.9 |
| RN hours per resident day | 0.5 | 0.6 | 0.5 | 0.7 |
| Nursing staff turnover | 58.0% | 55.6% | 50.0% | 45.8% |
| Fines listed | $252,242 | $0 | $0 | — |
County and state figures are medians across facilities (20 in the county, 303 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Tennessee average per facility for the same cycle, as published by CMS. Standard health survey dates: 3 Oct 2023, 19 Jun 2019.
Severity mix: J ×2 K ×1 G ×1 D ×27 F ×6
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 20 Nov 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 3 Dec 2025 |
| 3 Oct 2023 | F0700 | 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 investigation | 3 Nov 2023 |
| 3 Oct 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 3 Nov 2023 |
| 3 Oct 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 3 Nov 2023 |
| 3 Oct 2023 | F0726 | 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 | Standard survey | 1 Nov 2023 |
| 3 Oct 2023 | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | F | Complaint investigation | 22 Jan 2024 |
| 3 Oct 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 3 Nov 2023 |
| 3 Oct 2023 | F0908 | Keep all essential equipment working safely. | F | Complaint investigation | 7 Nov 2023 |
| 3 Oct 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 1 Nov 2023 |
| 3 Oct 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 3 Nov 2023 |
| 3 Oct 2023 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Complaint investigation | 3 Nov 2023 |
| 3 Oct 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 3 Nov 2023 |
| 3 Oct 2023 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 3 Nov 2023 |
| 3 Oct 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint investigation | 3 Nov 2023 |
| 3 Oct 2023 | F0625 | 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 investigation | 3 Nov 2023 |
| 3 Oct 2023 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Complaint investigation | 3 Nov 2023 |
| 3 Oct 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 3 Nov 2023 |
| 3 Oct 2023 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Complaint investigation | 3 Nov 2023 |
| 3 Oct 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 14 Nov 2023 |
| 3 Oct 2023 | F0657 | 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 investigation | 14 Nov 2023 |
| 3 Oct 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 3 Nov 2023 |
| 3 Oct 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 14 Nov 2023 |
| 3 Oct 2023 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint investigation | 3 Nov 2023 |
| 3 Oct 2023 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Complaint investigation | 2 Nov 2023 |
| 3 Oct 2023 | F0742 | 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 investigation | 3 Nov 2023 |
| 3 Oct 2023 | F0758 | 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 investigation | 2 Nov 2023 |
| 3 Oct 2023 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Complaint investigation | 7 Nov 2023 |
| 19 Jun 2019 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 2 Aug 2019 |
| 19 Jun 2019 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 2 Aug 2019 |
| 19 Jun 2019 | F0908 | Keep all essential equipment working safely. | F | Standard survey | 2 Aug 2019 |
| 19 Jun 2019 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 23 Jul 2019 |
| 19 Jun 2019 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 2 Aug 2019 |
| 19 Jun 2019 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 2 Aug 2019 |
| 6 Jun 2018 | F0578 | 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. | D | Standard survey | 20 Jul 2018 |
| 6 Jun 2018 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 20 Jul 2018 |
| 6 Jun 2018 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 20 Jul 2018 |
| 6 Jun 2018 | F0758 | 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 | Standard survey | 20 Jul 2018 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 3 Oct 2023 | Payment denial | — | 74 days |
| 3 Oct 2023 | Fine | $252,242 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Tennessee average. Turnover: nursing staff 58.0%, RNs 70.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Tennessee median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 16.2% | 12.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.5% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.2% | 1.5% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.9% | 3.1% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.1% | 1.2% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 28.0% | 15.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.3% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 14.4% | 15.6% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Legal business name: Mckendree Snf Operations Llc. Chain: Hill Valley Healthcare (43 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Tn 2 SNF Operations Holdings LLC | 5% or greater direct ownership interest | 100% | 06/17/2024 |
| Tn 2 SNF Operations Holdings LLC | Adp of the snf | NOT APPLICABLE | 05/27/2026 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Davidson County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Heartland | Nashville | 66 | 5 | 4 | 3 | 23 | 34.8 | $8K | 15 Apr 2026 |
| Life Care Center of Hickory Woods | Antioch | 124 | 5 | 4 | 3 | 13 | 10.5 | — | 19 Nov 2025 |
| Nhc Place At the Trace | Nashville | 90 | 5 | 4 | 4 | 13 | 14.4 | — | 19 May 2026 |
| West Meade Place | Nashville | 120 | 5 | 4 | 2 | 17 | 14.2 | — | 13 Mar 2026 |
| Alta Heights Post Acute | Goodlettsville | 90 | 4 | 4 | 2 | 19 | 21.1 | — | 29 Apr 2026 |
| Creekside Center For Rehabilitation and Healing | Madison | 139 | 4 | 4 | 1 | 8 | 5.8 | — | 12 Jul 2023 |
| Woodcrest At Blakeford | Nashville | 83 | 4 | 3 | 4 | 13 | 15.7 | — | 5 Mar 2026 |
| Green Hills Center For Rehabilitation and Healing | Nashville | 150 | 3 | 2 | 2 | 35 | 23.3 | $17K | 29 Apr 2026 |
All 20 facilities in Davidson County
Questions and answers
How many deficiencies has The Mckendree Post Acute & Rehabilitation been cited for?
37 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Tennessee median is 13 per facility.
Has The Mckendree Post Acute & Rehabilitation been fined?
Yes. CMS lists fines totalling $252K in the period covered, plus 1 payment denial.
How does staffing at The Mckendree Post Acute & Rehabilitation compare?
Reported total nurse staffing is 3.5 hours per resident per day against a Tennessee median of 3.6 and a national average of 3.9.
Who operates The Mckendree Post Acute & Rehabilitation?
It is part of the Hill Valley Healthcare chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Tn 2 SNF Operations Holdings LLC. Individual owners and managers are not listed on this site.
When was The Mckendree Post Acute & Rehabilitation last inspected?
The most recent survey or investigation in the CMS record is dated 20 Nov 2025; the most recent standard health survey was 3 Oct 2023.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.