The Mckendree Post Acute & Rehabilitation
Hermitage, Tennessee · CCN 445491
20 surveys since 2010, 12 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 96
- Surveys
- 20
- Harm or worse
- 12
- Immediate jeopardy
- 7
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 180
- Ownership
- Non profit - Corporation
- Chain
- HILL VALLEY HEALTHCARE
- County
- Davidson
- Medicare-certified since
- 2009
CMS ratings
- Overall
- 1
- Health inspection
- 1
- Staffing
- 1
- Quality measures
- 3
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 89 facilities with 128 or more beds in Tennessee.
Last survey on record
Nov 20, 2025
354 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.50 | 3.92 |
| Registered-nurse hours per resident day | 0.54 | — |
| Annual nurse turnover | 58.0% | 49.6% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $252,242 across 1 penalty
- Payment denials
- 1
- Special focus
- SFF Candidate
- Abuse icon
- Flagged by CMS on Care Compare
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J25.4% | K12.7% | L— |
| Actual harm | G12.7% | H— | I— |
| No harm, potential for more than minimal | D2773.0% | E— | F616.2% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6002×
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- F6402×
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- F6572×
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- F6892×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F7582×
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.
In the surveyor’s words
From the most serious findings on record at The Mckendree Post Acute & Rehabilitation, in the surveyor’s own words.
- Immediate jeopardy, patternF700Oct 3, 2023
Based on policy review, medical record review, observation and interview, the facility failed to ensure a safe environment that prevented an incident of entrapment for 1 (Resident #145) of 77 sampled residents reviewed for assist bar use. The facility's failure to ensure a safe environment resulted in Immediate Jeopardy (IJ-a situation in which the provider's noncompliance with one or more conditions of participation has caused, or is likely to cause, serious injury, harm, impairment, or death to a resident) when Resident #145, a vulnerable resident assessed to be cognitively impaired, became entrapped between the assist bar and mattress. […]
- Immediate jeopardy, isolatedF600Oct 3, 2023
Based on facility policy review, facility investigation, medical record review, and interview, the facility failed to prevent nonconsensual sexual contact between Resident #200 and 3 residents (Resident #8, #112, and #126). On 8/16/2023, Certified Nursing Assistant (CNA) #12 observed Resident #200 standing over Resident #126 pulling down his brief and Resident #126 was resisting the actions. CNA #12 left Resident #200 and Resident #126 alone in the room to get assistance in removing Resident #200 from the room. CNA #12 failed to protect Resident #126 from further potential nonconsensual sexual contact with Resident #200. Nursing staff failed to provide interventions and within 4 hours, Resident #200 was observed touching Resident #112's genital area while sitting in the 2 East common area. […]
- Immediate jeopardy, isolatedF689Oct 3, 2023
44724 Based on facility policy review, website www.localconditions.com review, medical record review, facility document review, observation, and interview, the facility failed to provide adequate supervision to prevent an avoidable accident for 2 (Residents #200, and #201) of 22 residents reviewed. Resident #200 and #201 moved from a safe environment to an unsafe environment when Resident #201 exited the building unsupervised, on 8/12/2023, and Resident #200 exited the building unsupervised, on 8/13/2023. The facility's failure to provide adequate supervision resulted in Immediate Jeopardy (IJ), (a situation in which the provider's noncompliance with one or more requirements of participation has caused, or is likely to cause, serious injury, harm, impairment, or death to a resident). […]
- Immediate jeopardy, isolatedF656Dec 16, 2022
43466 Based on facility policy review, medical record review, facility document review, hospital medical record review, observations, and interviews, the facility failed to implement a care plan for risk of choking for 1 of 36 sampled residents (Resident #28) reviewed. The facility's failure to implement the care plan and interventions for Resident #28 placed her in Immediate Jeopardy (IJ), (a situation in which the provider's noncompliance with one or more requirements of participation has caused, or is likely to cause, serious injury, harm, impairment or death to a resident) which resulted in the resident choking and expiring. […]
- Immediate jeopardy, isolatedF689Dec 16, 2022
Based on facility policy review, medical record review, facility document review, hospital medical record review, observations, and interviews, the facility failed to adequately supervise 1 of 36 residents (Resident #28), a cognitively impaired resident, who was noncompliant with her prescribed diet and food consistency restrictions, which resulted in a choking incident that caused the death of the resident. The facility's failure to provide adequate supervision placed her in Immediate Jeopardy IJ (a situation in which the provider's noncompliance with one or more requirements of participation has caused, or is likely to cause, serious injury, harm, impairment, or death to a resident.) The facility also failed to implement care plan interventions for 1 of 3 sampled residents (Resident #23)… […]
Read 28 findings in full →The most serious and the most recent: 28 of 96 on record.
Every survey on record
FindingsAt actual harm or above
- Nov 20, 2025Complaint1 finding
- Oct 3, 2023Standard26 findings · 4 harm
- Dec 16, 2022Complaint11 findings · 4 harm
- Feb 24, 2021Complaint3 findings · 2 harm
- Jun 19, 2019Standard and complaint6 findings
- May 16, 2019Complaint1 finding
- Jan 30, 2019Complaint1 finding
- Jun 6, 2018Standard4 findings
Show the 12 earlier surveys
- Jan 19, 2018Complaint4 findings
- Apr 26, 2017Standard6 findings
- Dec 29, 2016Complaint2 findings
- Apr 27, 2016Standard5 findings
- Apr 22, 2015Standard and complaint3 findings
- Feb 5, 2014—5 findings
- Nov 27, 2012—5 findings
- Sep 26, 2012—2 findings
- Aug 22, 2012—2 findings · 1 harm
- Jun 22, 2011—1 finding
- Mar 9, 2011—4 findings · 1 harm
- Feb 24, 2010—4 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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