Federal inspection record · CMS data as of October 1, 2026
The Mckendree Post Acute & Rehabilitation
4347 Lebanon Road, Hermitage, TN · (615) 871-8200
- Cited for abuse (CMS abuse icon)
- Special Focus Facility
- Certified beds
- 180
- Residents per day
- 171
- Ownership
- Non-Profit
- Chain
- Hill Valley Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 13, 2009
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Tennessee.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Tennessee homes
The Mckendree Post Acute & Rehabilitation carries 491.25 inspection points. That is fewer than 0% of Tennessee's 300 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Tennessee: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–9 pts
- 4★ 9–17 pts
- 3★ 17–31 pts
- 2★ 31–61 pts
- 1★ over 61 pts
Bars show every rated home in Tennessee by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
37 health citations on record since 2018. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (4)
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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.
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J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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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.
Everything else, by area of care
Resident Assessment and Care Planning8D
- D
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- D
Ensure each resident receives an accurate assessment.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Rights6F
- F
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- 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.
- 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.
Quality of Life and Care6D
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide care or services that was trauma informed and/or culturally competent.
- 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.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Freedom from Abuse, Neglect, and Exploitation4D
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Pharmacy Service3D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 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.
- 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.
Environmental3F
- F
Keep all essential equipment working safely.
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- F
Keep all essential equipment working safely.
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control1F
- F
Provide and implement an infection prevention and control program.
Inspection history
2023-10-03
27 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
2019-06-19
6 health deficiencies · 9 fire-safety deficiencies
Top issue: Environmental (1 deficiency)
2018-06-06
4 health deficiencies · 6 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 30 min of nursing staff time a day, 39 min of it from a registered nurse.
This home
3 h 30 min
Tennessee average
3 h 49 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 57% of nursing staff and 73% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.1 pts better | 1.5 | 1.6 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts better | 1.3 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine53.9 pts worse | 35.6% | 89.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine31.6 pts worse | 62.2% | 93.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injuryAbout the same | 3.3% | 3.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms34.5 pts worse | 49.4% | 14.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.2 pts worse | 10.2% | 6.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.1 pts worse | 34.8% | 31.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.8 pts better | 15.2% | 17.0% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened13.1 pts worse | 28.5% | 15.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.2 pts worse | 16.7% | 13.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts better | 0.5% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.3 pts better | 0.4% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.9 pts worse | 25.9% | 19.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.7 pts better | 4.1% | 4.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine70.8 pts worse | 8.6% | 79.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.2 pts worse | 13.5% | 11.3% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts worse | 2.2% | 1.7% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine69.6 pts worse | 9.6% | 79.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.1 pts worse | 23.7% | 22.6% | 23.4% |
·
Who owns and runs it
6 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Tn 2 SNF Operations Holdings LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 2 facilities |
| Garafola, Joseph | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Garafola, Joseph | Adp Of The SNF · Individual | 0% | 1 facilities |
| Idels, Shimon | Corporate Officer · Individual | 0% | 49 facilities |
| Idels, Shimon | Adp Of The SNF · Individual | 0% | 49 facilities |
| Tn 2 SNF Operations Holdings LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
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Fire safety
21 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness7D
- D
Address subsistence needs for staff and patients.
- D
Establish policies and procedures including evacuation.
- D
Establish policies and procedures for sheltering.
- D
Develop a communication plan.
- D
List the names and contact information of those in the facility.
- D
Establish methods for sharing information.
- D
Conduct testing and exercise requirements.
Smoke6D
- D
Provide properly protected cooking facilities.
- D
Install corridor and hallway doors that block smoke.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Have an enclosure around a vertical opening shaft.
- D
Provide properly protected cooking facilities.
- D
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous2D
- D
Have simulated fire drills held at unexpected times.
- D
Have restrictions on the use of highly flammable decorations.
Gas, Vacuum, and Electrical Systems2D
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure proper usage of power strips and extension cords.
Construction2D
- D
Meet requirements for sections of health care facilities separated by fire resistive construction.
- D
Install a two-hour-resistant firewall separation.
Egress1D
- D
Conform to length requirements for dead end corridors.
Services1D
- D
Have properly installed electrical wiring and gas equipment.
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★★★★★- Worst citation, 3 yrs
- D
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-
Life Care Center Of Old Hickory Village
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- G
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-
Cedar Creek Post Acute
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