Special Focus candidateAbuse citationNon-profitChain member
★★★★★1 of 5 overall
THE MCKENDREE POST ACUTE & REHABILITATION (Hermitage, TN) has a 1-star overall rating, with 1-star health inspection and staffing ratings, and is a Special Focus Facility candidate. Reported nurse staffing is 3.61 hours per resident per day versus the 4.1 federal benchmark, and it had no fines in the last 24 months.
Last inspection: November 20, 2025Penalties, last 24 months: $0special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6091.
Staffing detail
Registered nurses
0.55
Licensed practical nurses
1.04
Nurse aides
2.02
Weekend nursing
3.17
Hours per resident per day.
Total staff turnover: 55%
Registered nurse turnover: 63%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
10.8%15%Worsening
Residents with a fall causing major injury
2.7%2.1%Improving
Residents with pressure ulcers (bedsores)
7%3.4%Improving
Residents with a urinary tract infection
0.7%0.7%No change
Residents who lost too much weight
6.5%12.7%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
12.4%21.5%Worsening
Residents whose ability to walk got worse
14.3%35%Worsening
Long-stay residents on antianxiety or sleep medication
17.6%48.1%Worsening
Short-stay residents newly given an antipsychotic
1%2.5%Worsening
Residents with a long-term catheter
0.5%0.5%No change
Residents with new or worsening incontinence
25.6%20.5%Improving
Residents with depressive symptoms
38.2%71.2%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—79.9%—
Long-stay residents given the pneumonia vaccine
39.7%42.1%Improving
Short-stay residents given the seasonal flu vaccine
—8%—
Short-stay residents given the pneumonia vaccine
3%10.1%Improving
What the inspectors found
The home failed to assess bed rail safety, review the risks and benefits, get informed consent, or properly install and maintain the rail. Cited October 2023 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 700 — 42 CFR §483.25(n) — S/S: K
The nursing home failed to protect residents from abuse and neglect by others. Cited October 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited October 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 726 — 42 CFR §483.35 — S/S: G
The home failed to notify residents about certain money balances and to return resident funds when someone was discharged, evicted, or died. Cited October 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 569 — 42 CFR §483.10 — S/S: F
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 26 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $252,242 in total fines · 1 payment denial.
Medicare/Medicaid payment denial
Oct 3, 2023
74 days
Federal fine
Oct 3, 2023
$252,242
Operator & ownership
Ownership
Non profit - Corporation
Chain
Part of HILL VALLEY HEALTHCARE · 44 homes · 2 stars avg
Occupancy
171 residents on an average day (95% of 180 beds)
Resident voice
Resident council
Medicare history
Certified for 17 years
The most recent standard health inspection was more than two years ago.
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.