Nursing home
The Mckendree Post Acute & Rehabilitation
4347 Lebanon Road, Hermitage, TN 37076 · Map
Non profit - Corporation · Part of Hill Valley Healthcare (40 facilities) · 180 certified beds
The Mckendree Post Acute & Rehabilitation is a Medicare-certified nursing home in Hermitage, Tennessee. CMS rates it 1 out of 5 stars overall (2/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.58 hours per resident per day, below the Tennessee average of 3.85. Its most recent inspection on Oct 3, 2023 cited 27 deficiencies. Note: it is a CMS Special Focus Facility under enhanced oversight and it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
- Special Focus Facility candidateCMS lists this facility as a candidate for enhanced oversight.
- 1 fine totaling $252,242In CMS records: 2 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How The Mckendree Post Acute & Rehabilitation compares
This facility vs. the Tennessee and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Tennessee avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.58 | 3.85 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.55 | 0.61 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.07 | 2.15 | 2.34 | below avg |
| Nursing staff turnover | 54.8% | 48.7% | 46.4% | above avg |
| Deficiencies cited, last inspection | 27.0 | 5.9 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the November 20, 2025 inspection was corrected by December 3, 2025
Penalties in CMS records: 1 fine totaling $252,242, 2 total penalties, 1 Medicare payment denial.
What inspectors found at The Mckendree Post Acute & Rehabilitation
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Nov 20, 2025 · Full report (PDF) - Immediate jeopardy
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.
Quality of Life and Care Deficiencies · Oct 3, 2023 - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Oct 3, 2023 - Immediate jeopardy
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Oct 3, 2023 - Actual harm
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.
Nursing and Physician Services Deficiencies · Oct 3, 2023
Show all 12 deficiencies
- Potential for harm
Keep all essential equipment working safely.
Environmental Deficiencies · Oct 3, 2023 - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Oct 3, 2023 - Potential for harm
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Resident Rights Deficiencies · Oct 3, 2023 - Potential for harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Oct 3, 2023 - Potential for harm
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.
Pharmacy Service Deficiencies · Oct 3, 2023 - Potential for harm
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.
Quality of Life and Care Deficiencies · Oct 3, 2023 - Potential for harm
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care Deficiencies · Oct 3, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 4347 Lebanon Road
Hermitage, TN 37076 - CMS certification #
- 445491
- Ownership
- Non profit - Corporation
- Certified beds
- 180
- Avg residents/day
- 171.5
- Provider type
- Medicare and Medicaid
- First certified
- 2009-01-13
- Chain
- Hill Valley Healthcare (40 facilities)
- Setting
- Urban
Part of Hill Valley Healthcare
Hill Valley Healthcare operates 40 nursing facilities across the United States. View all Hill Valley Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around The Mckendree Post Acute & Rehabilitation using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Tristar Summit Medical Center, Hermitage. 4.7 miles away, straight line. CMS overall hospital rating: 4 of 5 stars. Location approximate.
- Nearest Medicare nursing home
- Heartland, Nashville. 3.5 miles away, straight line.
- Nearest home health agency office
- Amedisys Home Health, Nashville. 5.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 0.9 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 37076 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Dci Hermitage, Hermitage, 4.7 miles away, straight line (CMS rating 2 of 5 stars)
Dci Summit, Mount Juliet, 5.3 miles away, straight line (CMS rating 3 of 5 stars)
Davita Mt Juliet Dialysis, Mount Juliet, 6.1 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 16 Medicare hospices tell CMS they serve ZIP code 37076.
Amedisys Hospice Care, office in Hermitage, 2.4 miles away, straight line (CMS family survey rating 3 of 5 stars)
Caris Healthcare, office in Nashville, 5.6 miles away, straight line (CMS family survey rating 4 of 5 stars)
Heart And Soul Hospice LLC, office in Nashville, 5.6 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Jean Lessly, MD, Hermitage. 0.0 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively high, wildfire very low, tornado relatively high, heat wave relatively low, earthquake relatively moderate. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
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Frequently asked questions
Is The Mckendree Post Acute & Rehabilitation a good nursing home?
CMS gives The Mckendree Post Acute & Rehabilitation an overall rating of 1 out of 5 stars, including 2/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is The Mckendree Post Acute & Rehabilitation staffed?
The Mckendree Post Acute & Rehabilitation reports 3.58 total nurse hours per resident per day, compared with the Tennessee average of 3.85.
Has The Mckendree Post Acute & Rehabilitation had inspection problems?
Its most recent CMS inspection cited 27 deficiencies. This facility is on CMS's Special Focus list for enhanced oversight.
How many beds does The Mckendree Post Acute & Rehabilitation have?
The Mckendree Post Acute & Rehabilitation is certified for 180 beds.