The McKendree Post Acute & Rehabilitation

CMS overall rating 1/5 SFF candidate Abuse citation Non profit - Corporation

CMS certification number445491

CMS lists this nursing home as a Special Focus Facility candidate – one of the lowest-performing nursing homes in its state based on inspection history.

This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).

Contact & location

4347 Lebanon Road
Hermitage, TN 37076
Davidson County

Phone: (615) 871-8200
ZIP code: 37076 – all care providers

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Facility details

Certified beds: 180
Residents per day: 173.3 (96% occupied)
Ownership: Non profit - Corporation
Legal name: McKendree SNF Operations LLC
Chain: Hill Valley Healthcare (43 facilities, avg 1.8★)
Medicare certified since: January 13, 2009
Participates in: Medicare and Medicaid
Continuing care: Part of a continuing care retirement community
Council: Resident council

CMS star ratings

Overall★★★★★ 1/5

State avg 3.0

Health inspections★★★★★ 1/5

State avg 3.0

Staffing★★★★★ 1/5

State avg 2.5

Quality measures★★★★★ 3/5

State avg 3.6

Long-stay quality★★★★★ 4/5

Short-stay quality★★★★★ 2/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing: 3.50 (state 3.80 · U.S. 3.86)
Registered nurses (RN): 0.54 (state 0.60 · U.S. 0.69)
Licensed practical nurses: 1.01 (state 1.09 · U.S. 0.86)
Nurse aides: 1.95 (state 2.12 · U.S. 2.32)
Weekend total: 3.09 (state 3.31 · U.S. 3.42)
Nursing staff turnover: 58.0 (state 48.9 · U.S. 45.8)%
RN turnover: 70.0 (state 43.2 · U.S. 42.9)%
Administrators who left: 0 in the last year

Inspections

Last standard inspection: October 3, 2023
Health deficiencies (last cycle): 27.0 (state 4.7 · U.S. 9.3)
From complaints: 26
Citations on record (3 years): 37 health · 21 fire safety · includes immediate jeopardy

Date	Citation	Severity	Status
2025-11-20	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-12-03
2023-10-03	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. F0700 · Quality of Life and Care Deficiencies · complaint inspection	K Immediate jeopardy to resident health or safety	Corrected 2023-11-03
2023-10-03	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	J Immediate jeopardy to resident health or safety	Corrected 2023-11-03
2023-10-03	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection	J Immediate jeopardy to resident health or safety	Corrected 2023-11-03
2023-10-03	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. F0726 · Nursing and Physician Services Deficiencies	G Actual harm	Corrected 2023-11-01
2023-10-03	Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. F0569 · Resident Rights Deficiencies · complaint inspection	F No actual harm, potential for more than minimal harm	Corrected 2024-01-22
2023-10-03	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies · complaint inspection	F No actual harm, potential for more than minimal harm	Corrected 2023-11-03
2023-10-03	Keep all essential equipment working safely. F0908 · Environmental Deficiencies · complaint inspection	F No actual harm, potential for more than minimal harm	Corrected 2023-11-07
2023-10-03	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2023-11-01
2023-10-03	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2023-11-03
2023-10-03	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2023-11-03
2023-10-03	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2023-11-03
2023-10-03	Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2023-11-03
2023-10-03	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2023-11-03
2023-10-03	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. F0625 · Resident Rights Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2023-11-03
2023-10-03	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. F0640 · Resident Assessment and Care Planning Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2023-11-03
2023-10-03	Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2023-11-03
2023-10-03	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644 · Resident Assessment and Care Planning Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2023-11-03
2023-10-03	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2023-11-14
2023-10-03	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2023-11-14
2023-10-03	Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2023-11-03
2023-10-03	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2023-11-14
2023-10-03	Provide safe, appropriate pain management for a resident who requires such services. F0697 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2023-11-03
2023-10-03	Provide care or services that was trauma informed and/or culturally competent. F0699 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2023-11-02
2023-10-03	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. F0742 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2023-11-03
2023-10-03	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. F0758 · Pharmacy Service Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2023-11-02
2023-10-03	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921 · Environmental Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2023-11-07
2019-06-19	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2019-08-02
2019-06-19	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2019-08-02
2019-06-19	Keep all essential equipment working safely. F0908 · Environmental Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2019-08-02
2019-06-19	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-07-23
2019-06-19	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-08-02
2019-06-19	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-08-02
2018-06-06	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. F0578 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2018-07-20
2018-06-06	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. F0640 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2018-07-20
2018-06-06	Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2018-07-20
2018-06-06	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. F0758 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2018-07-20

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

2 penalties in the last three years, including $252,242 in fines.

Date	Type	Amount
2023-10-03	Payment Denial	74 days payment denial
2023-10-03	Fine	$252,242

Ownership & management

Name	Role	Since
TN 2 SNF Operations Holdings LLC (organization)	5%+ Direct Ownership Interest · 100%
Garafola, Joseph (individual)	Administrator · NOT APPLICABLE
Idels, Shimon (individual)	Administrator · NOT APPLICABLE
TN 2 SNF Operations Holdings LLC (organization)	Administrator · NOT APPLICABLE
Idels, Shimon (individual)	Corporate Officer · NOT APPLICABLE
Garafola, Joseph (individual)	Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of The McKendree Post Acute & Rehabilitation?

The McKendree Post Acute & Rehabilitation has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in Tennessee.

How many beds does The McKendree Post Acute & Rehabilitation have?

It has 180 certified beds and cares for about 173 residents per day.

Has The McKendree Post Acute & Rehabilitation been fined?

Yes. CMS lists 2 penalties totaling $252,242 in the last three years.

Who owns The McKendree Post Acute & Rehabilitation?

It is part of Hill Valley Healthcare and is classified as non profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of The McKendree Post Acute & Rehabilitation?

(615) 871-8200. The facility is located at 4347 Lebanon Road, Hermitage, TN 37076.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.