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Nursing homeFAID #12005

The Mckendree Post Acute & Rehabilitation

4347 LEBANON ROAD, HERMITAGE, TN, 37076
(615) 871-8200
180 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections1/5 staffing3/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
180
CMS facility ID
445491
Care type
Nursing home
County
Davidson
Facility name
The Mckendree Post Acute & Rehabilitation
Street address
4347 LEBANON ROAD
City / state / ZIP
Hermitage, TN 37076
Phone
(615) 871-8200

The Mckendree Post Acute & Rehabilitation is a Medicare/Medicaid-certified skilled nursing facility in Hermitage, Tennessee. It is licensed for 180 beds — well above the median for skilled nursing facilities in Tennessee (114 beds).

It is one of 9 senior care facilities in Hermitage and 303 skilled nursing facilities across Tennessee. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited The Mckendree Post Acute & Rehabilitation 58 times across 8 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $252,242 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Parent company
Hill Valley Healthcare
Ownership type
Non profit - Corporation

Registered owners & officers

Tn 2 Snf Operations Holdings Llc
Direct owner · Additional disclosable party — 100% stake — since 2024
Garafola, Joseph
Operational control · Additional disclosable party — since 2024
Idels, Shimon
Officer · Additional disclosable party — since 2024

Regulatory standing

Federal court records
1 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
2009-01-13
CMS overall rating
1 of 5 stars
Health deficiencies
27 at the last standard inspection
Federal fines
$252,242 total
Last standard inspection
2023-10-03
Nurse staffing
3.5 hours per resident per day

Services & coverage

Licensed beds
180
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset · last verified 2026-08-31. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.
2025-11-20Health inspectionComplaint-triggered1 citation
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-12-03
2023-10-03Health inspectionComplaint-triggered26 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-11-01
F-0569
F · No harm foundFrom a complaint
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2024-01-22
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-11-03
F-0600
J · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-11-03
F-0604
D · No harm foundFrom a complaint
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2023-11-03
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-11-03
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2023-11-03
F-0623
D · No harm foundFrom a complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-11-03
F-0625
D · No harm foundFrom a complaint
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.
Corrected 2023-11-03
F-0640
D · No harm foundFrom a complaint
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2023-11-03
F-0641
D · No harm foundFrom a complaint
Ensure each resident receives an accurate assessment.
Corrected 2023-11-03
F-0644
D · No harm foundFrom a complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2023-11-03
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-11-14
F-0657
D · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-11-14
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-11-03
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-11-14
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-11-03
F-0697
D · No harm foundFrom a complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-11-03
F-0699
D · No harm foundFrom a complaint
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2023-11-02
F-0700
K · Immediate jeopardyFrom a complaint
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.
Corrected 2023-11-03
F-0726
G · 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.
Corrected 2023-11-01
F-0742
D · No harm foundFrom a complaint
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.
Corrected 2023-11-03
F-0758
D · No harm foundFrom a complaint
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.
Corrected 2023-11-02
F-0812
F · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-11-03
F-0908
F · No harm foundFrom a complaint
Keep all essential equipment working safely.
Corrected 2023-11-07
F-0921
D · No harm foundFrom a complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2023-11-07
5 earlier / fire-safety inspections (31 citations)
2019-06-19Health inspection6 citations
F-0600
D · No harm found
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2019-07-23
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2019-08-02
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2019-08-02
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-08-02
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2019-08-02
F-0908
F · No harm found
Keep all essential equipment working safely.
Corrected 2019-08-02
2018-06-06Health inspection4 citations
F-0578
D · No harm found
Honor 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.
Corrected 2018-07-20
F-0640
D · No harm found
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2018-07-20
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2018-07-20
F-0758
D · No harm found
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.
Corrected 2018-07-20
2023-10-03Fire-safety inspection6 citations
K-0324
D · No harm found
Provide properly protected cooking facilities.
Corrected 2023-11-13
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2023-11-13
K-0712
D · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2023-11-13
K-0753
D · No harm found
Have restrictions on the use of highly flammable decorations.
Corrected 2023-11-13
K-0918
D · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-11-13
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2023-11-13
2019-06-19Fire-safety inspection9 citations
E-0015
D · No harm found
Address subsistence needs for staff and patients.
Corrected 2019-08-02
E-0020
D · No harm found
Establish policies and procedures including evacuation.
Corrected 2019-08-02
E-0022
D · No harm found
Establish policies and procedures for sheltering.
Corrected 2019-08-02
E-0029
D · No harm found
Develop a communication plan.
Corrected 2019-08-02
E-0030
D · No harm found
List the names and contact information of those in the facility.
Corrected 2019-08-02
E-0033
D · No harm found
Establish methods for sharing information.
Corrected 2019-08-02
K-0131
D · No harm found
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2019-08-02
K-0251
D · No harm found
Conform to length requirements for dead end corridors.
Corrected 2019-08-02
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-08-02
2018-06-06Fire-safety inspection6 citations
E-0039
D · No harm found
Conduct testing and exercise requirements.
Corrected 2018-06-20
K-0133
D · No harm found
Install a two-hour-resistant firewall separation.
Corrected 2018-06-20
K-0311
D · No harm found
Have an enclosure around a vertical opening shaft.
Corrected 2018-06-20
K-0324
D · No harm found
Provide properly protected cooking facilities.
Corrected 2018-06-20
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2018-06-20
K-0511
D · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2018-06-20

Federal penalties

2023-10-03Fine$252,242
2023-10-03Medicare payment denial — 74 days
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 445491.
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 58 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered