Starfile / Tennessee

THE MCKENDREE POST ACUTE & REHABILITATION

4347 LEBANON ROAD, HERMITAGE, TN 37076 · CCN 445491

SFF Candidate Abuse icon

Inspection history vs Tennessee & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$252,242

Number of fines

1

Number of penalties

2

Payment denials

1

Chain

Chain

HILL VALLEY HEALTHCARE

Facilities in chain

40

Chain avg overall

2.20 / 5

Inspection citations (37)3 immediate jeopardy1 actual harm

1. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-11-20 · Health · corrected 2025-12-03

   Potential for more than minimal harm

2. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-10-03 · Health · corrected 2023-11-01

   Potential for more than minimal harm

3. FF0569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.2023-10-03 · Health · corrected 2024-01-22

   Potential for more than minimal harm

4. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-10-03 · Health · corrected 2023-11-03

   Potential for more than minimal harm

5. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-10-03 · Health · corrected 2023-11-03

   Immediate jeopardy

6. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2023-10-03 · Health · corrected 2023-11-03

   Potential for more than minimal harm

7. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-10-03 · Health · corrected 2023-11-03

   Potential for more than minimal harm

8. DF0610Respond appropriately to all alleged violations.2023-10-03 · Health · corrected 2023-11-03

   Potential for more than minimal harm

9. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-10-03 · Health · corrected 2023-11-03

   Potential for more than minimal harm

10. DF0625Notify 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.2023-10-03 · Health · corrected 2023-11-03

    Potential for more than minimal harm

11. DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2023-10-03 · Health · corrected 2023-11-03

    Potential for more than minimal harm

12. DF0641Ensure each resident receives an accurate assessment.2023-10-03 · Health · corrected 2023-11-03

    Potential for more than minimal harm

13. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2023-10-03 · Health · corrected 2023-11-03

    Potential for more than minimal harm

14. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-10-03 · Health · corrected 2023-11-14

    Potential for more than minimal harm

15. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-10-03 · Health · corrected 2023-11-14

    Potential for more than minimal harm

16. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-10-03 · Health · corrected 2023-11-03

    Potential for more than minimal harm

17. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-10-03 · Health · corrected 2023-11-14

    Potential for more than minimal harm

18. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-10-03 · Health · corrected 2023-11-03

    Immediate jeopardy

19. DF0697Provide safe, appropriate pain management for a resident who requires such services.2023-10-03 · Health · corrected 2023-11-03

    Potential for more than minimal harm

20. DF0699Provide care or services that was trauma informed and/or culturally competent.2023-10-03 · Health · corrected 2023-11-02

    Potential for more than minimal harm

21. KF0700Try 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.2023-10-03 · Health · corrected 2023-11-03

    Immediate jeopardy

22. GF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2023-10-03 · Health · corrected 2023-11-01

    Actual harm

23. DF0742Provide 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.2023-10-03 · Health · corrected 2023-11-03

    Potential for more than minimal harm

24. DF0758Implement 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.2023-10-03 · Health · corrected 2023-11-02

    Potential for more than minimal harm

25. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-10-03 · Health · corrected 2023-11-03

    Potential for more than minimal harm

26. FF0908Keep all essential equipment working safely.2023-10-03 · Health · corrected 2023-11-07

    Potential for more than minimal harm

27. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-10-03 · Health · corrected 2023-11-07

    Potential for more than minimal harm

28. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2019-06-19 · Health · corrected 2019-07-23

    Potential for more than minimal harm

29. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2019-06-19 · Health · corrected 2019-08-02

    Potential for more than minimal harm

30. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2019-06-19 · Health · corrected 2019-08-02

    Potential for more than minimal harm

31. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2019-06-19 · Health · corrected 2019-08-02

    Potential for more than minimal harm

32. FF0880Provide and implement an infection prevention and control program.2019-06-19 · Health · corrected 2019-08-02

    Potential for more than minimal harm

33. FF0908Keep all essential equipment working safely.2019-06-19 · Health · corrected 2019-08-02

    Potential for more than minimal harm

34. DF0578Honor 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.2018-06-06 · Health · corrected 2018-07-20

    Potential for more than minimal harm

35. DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2018-06-06 · Health · corrected 2018-07-20

    Potential for more than minimal harm

36. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2018-06-06 · Health · corrected 2018-07-20

    Potential for more than minimal harm

37. DF0758Implement 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.2018-06-06 · Health · corrected 2018-07-20

    Potential for more than minimal harm

Ownership

Other facilities in HERMITAGE

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.