About The Mckendree Post Acute and Rehabilitation
The Mckendree Post Acute And Rehabilitation, located in HERMITAGE, TN, is a non-profit organization that accepts Medicare and Medicaid. This facility is part of a continuing care retirement community.
Why Families Choose The Mckendree Post Acute and Rehabilitation
Key Performance Indicators
- CMS Overall Rating 1 Stars
- Nursing Hours 3.61 hrs
- Safety Record Issues
Chain Affiliations & Network
This facility is part of the HILL VALLEY HEALTHCARE network. This chain operates 44 facilities.
Chain Performance Overview
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Below Average Staffing
The Mckendree Post Acute and Rehabilitation provides less care hours than the state average and less than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 1 |
|
| Health Inspection | 1 |
|
| Quality Measures | 3 |
|
| Staffing | 1 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 635 | Oct 03, 2023 |
| Weighted Average | 491 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | 23.2% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 13.9% |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | 2.0% |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | 0.9% |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 16.4% |
| Percentage of long-stay residents who lose too much weight (QM404) | 13.2% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 0.5% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 0.4% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 37.1% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.0% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 4.0% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 37.3% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 5.1% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 2.0% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 23.4% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 25.5% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 79.9% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 8.0% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 5.2% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 24.1% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 14.2% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2023: 24 complaints
- 2024: 1 complaint
- 2025: 1 complaint
- Total: 26 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Dec 03, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| Jan 22, 2024 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. |
| Nov 14, 2023 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| Nov 14, 2023 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. |
| Nov 14, 2023 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Nov 07, 2023 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. |
| Nov 07, 2023 | Keep all essential equipment working safely. |
| Nov 03, 2023 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. |
| Nov 03, 2023 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. |
| Nov 03, 2023 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Nov 03, 2023 | Respond appropriately to all alleged violations. |
| Nov 03, 2023 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. |
| Nov 03, 2023 | 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. |
| Nov 03, 2023 | Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. |
| Nov 03, 2023 | Ensure each resident receives an accurate assessment. |
| Nov 03, 2023 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| Nov 03, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Nov 03, 2023 | Provide safe, appropriate pain management for a resident who requires such services. |
| Nov 03, 2023 | 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. |
| Nov 03, 2023 | 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. |
| Nov 03, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| Nov 03, 2023 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. |
| Nov 03, 2023 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Nov 02, 2023 | 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. |
| Nov 02, 2023 | Provide care or services that was trauma informed and/or culturally competent. |
| Nov 01, 2023 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. |
Nearby Hospitals
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SAINT THOMAS RUTHERFORD HOSPITAL
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ASCENSION SAINT THOMAS HOSPITAL
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TRISTAR NORTHCREST MEDICAL CENTER
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HIGHPOINT HEALTH-SUMNER WITH ASCENSION SAINT THOMA
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TRISTAR STONECREST MEDICAL CENTER
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METRO NASHVILLE GENERAL HOSPITAL
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TRISTAR CENTENNIAL MEDICAL CENTER
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VA MIDDLE TENNESSEE HEALTHCARE SYSTEM
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TRISTAR SUMMIT MEDICAL CENTER
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TRISTAR HENDERSONVILLE MEDICAL CENTER
HENDERSONVILLE, TN
TRISTAR SOUTHERN HILLS MEDICAL CENTER
NASHVILLE, TN
VANDERBILT UNIVERSITY MEDICAL CENTER
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VANDERBILT WILSON COUNTY HOSPITAL
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WILLIAMSON MEDICAL CENTER
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TRUSTPOINT HOSPITAL
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HIGHPOINT HEALTH-TROUSDALE WITH ASCENSION SAINT
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ROLLING HILLS PSYCHIATRIC HOSPITAL
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MIDDLE TN MENTAL HEALTH INSTITUTE
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SAINT THOMAS HOSPITAL FOR SPINAL SURGERY
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Owner & Operator Information
Business Entity
MCKENDREE SNF OPERATIONS LLC
Ownership Structure
- TN 2 SNF OPERATIONS HOLDINGS LLC Direct: 100%
Management & Direction
- JOSEPH GARAFOLA OPERATIONAL/MANAGERIAL CONTROL
- JOSEPH GARAFOLA ADP OF THE SNF
- SHIMON IDELS CORPORATE OFFICER
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| Somerfield at The Heritage | N/A | 5 |
| Nhc Healthcare, Murfreesboro | N/A | 5 |
| White House Health Care Inc | N/A | 5 |
| Nhc Place Sumner | N/A | 5 |
| The Waters of Gallatin, LLC | N/A | 3 |
| Creekside Center For Rehabilitation and Healing | N/A | 4 |
| Lebanon Center For Rehabilitation and Healing, LLC | N/A | 5 |
| Stones River Manor, Inc | N/A | 5 |
| Pavilion-Ths, LLC | N/A | 5 |
| West Meade Place | N/A | 5 |
Related Analysis
Best Nursing Homes in HERMITAGE, TN
Compare The Mckendree Post Acute and Rehabilitation to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact The Mckendree Post Acute and Rehabilitation directly at 6158718200. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.