THE MCKENDREE POST ACUTE & REHABILITATION

Special Focus Facility candidate · CMS abuse icon · Continuing care retirement community · Davidson · TN · Non profit - Corporation · HILL VALLEY HEALTHCARE chain · 180 certified beds · CCN 445491 · MCKENDREE SNF OPERATIONS LLC


THE MCKENDREE POST ACUTE & REHABILITATION operates 180 certified beds in HERMITAGE, Tennessee. Its Medicare and Medicaid certification dates to 2009-01-13. It averages 173.3 residents a day.

What harm was found in the violations cited at THE MCKENDREE POST ACUTE & REHABILITATION?

CMS lists 37 health-inspection deficiencies for THE MCKENDREE POST ACUTE & REHABILITATION since 2018-06-06, 27 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2025-11-20.

Survey dateTagDeficiencySeverity
2025-11-20F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2023-10-03F0700Try 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
2023-10-03F0600, F0689Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2023-10-03F0726Ensure 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
2023-10-03F0569, F0812, F0908Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Keep all essential equipment working safely.F
2023-10-03F0550, F0580, F0604, F0609, F0610, F0623, F0625, F0640, F0641, F0644, F0656, F0657, F0677, F0684, F0697, F0699, F0742, F0758, F0921Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / 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. / Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. / Ensure each resident receives an accurate assessment. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe, appropriate pain management for a resident who requires such services. / Provide care or services that was trauma informed and/or culturally competent. / 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. / 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. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D
2019-06-19F0812, F0880, F0908Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. / Keep all essential equipment working safely.F
2019-06-19F0600, F0657, F0689Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2018-06-06F0578, F0640, F0658, F0758Honor 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. / Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. / Ensure services provided by the nursing facility meet professional standards of quality. / 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

Why was THE MCKENDREE POST ACUTE & REHABILITATION fined?

DateTypeAmount
2023-10-03Fine$252,242

Has THE MCKENDREE POST ACUTE & REHABILITATION had payment denied by Medicare?

Payment denial startLength in days
2023-11-0974

How is THE MCKENDREE POST ACUTE & REHABILITATION staffed relative to the TN average?

MeasureThis facilityTN average
Total nurse staffing hours per resident per day3.496653.80215
Total nursing staff turnover (%)58.048.9
Average number of residents per day173.384.0

Who owns THE MCKENDREE POST ACUTE & REHABILITATION, and what chain is it in?

THE MCKENDREE POST ACUTE & REHABILITATION is registered with CMS as Non profit - Corporation, operates under the legal business name MCKENDREE SNF OPERATIONS LLC and belongs to the HILL VALLEY HEALTHCARE chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTTN 2 SNF OPERATIONS HOLDINGS LLCsince 06/17/2024
CORPORATE OFFICERIDELS, SHIMONsince 06/17/2024
OPERATIONAL/MANAGERIAL CONTROLGARAFOLA, JOSEPHsince 06/17/2024
ADP OF THE SNFTN 2 SNF OPERATIONS HOLDINGS LLC, GARAFOLA, JOSEPH, IDELS, SHIMONsince 05/27/2026

Were you or a family member harmed at THE MCKENDREE POST ACUTE & REHABILITATION?