Nursing HomeInspections

The McKendree Post Acute & Rehabilitation

Nursing home in Hermitage, TN

Medicare & Medicaid certified1★ overall (CMS)SFF candidate (CMS)CMS abuse icon

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Public-record details

Address
4347 Lebanon Road, Hermitage, TN 37076
Phone
(615) 871-8200
Listed under
Nonprofit, Part of a retirement community
Medicare CCN
445491
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measures rating
3 of 5
Certified beds
180
Average residents per day
173
Ownership
Nonprofit, corporation
Legal business name
McKendree SNF Operations LLC
Chain
Hill Valley Healthcare (43 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jan 13, 2009
Changed ownership in last 12 months
No
Continuing care retirement community
Yes
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 445491. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Oct 3, 2023. CMS lists 37 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jun 6, 2018 to Nov 20, 2025): 26 from complaint inspections, 4 at the “actual harm” level or higher, including 3 at “immediate jeopardy”. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years. CMS lists this facility as a candidate for its Special Focus Facility program.

InspectionCitationSeverity
Nov 20, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
Oct 3, 2023Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Oct 3, 2023Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Oct 3, 2023Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Oct 3, 2023Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Oct 3, 2023Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Oct 3, 2023Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Oct 3, 2023Notify 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 · complaint inspection		D
Potential for more than minimal harm, isolated
Oct 3, 2023Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Oct 3, 2023Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Oct 3, 2023Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Oct 3, 2023Develop 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 · complaint inspection		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 37. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $252,242 and 1 denial of Medicare payment for new admissions in the last three years.

Oct 3, 2023Fine: $252,242
Oct 3, 2023Payment denial for 74 days from Nov 9, 2023

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.50 hours
Registered nurse (RN) time per resident per day
0.54 hours
Nurse aide time per resident per day
1.95 hours
Total nurse staffing on weekends
3.09 hours
Nursing staff turnover (yearly)
58%
RN turnover (yearly)
70%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.