F

THE MCKENDREE POST ACUTE & REHABILITATION

4347 LEBANON ROAD, HERMITAGE, TN 37076
Score: 15 / 100
⚠️ SFF Candidate

The Mckendree Post Acute & Rehabilitation has received an F grade based on CMS data, with a score of 15/100 — placing it among the lowest-rated nursing facilities in Tennessee. Families considering this Hermitage facility should carefully review its inspection history and quality metrics.

Staffing at The Mckendree Post Acute & Rehabilitation is near the national average, with 3.58 total nursing hours per resident per day (national average: 3.8 hours).

Recent CMS inspections identified 37 deficiencies at The Mckendree Post Acute & Rehabilitation, including 3 classified as serious — among the most concerning citation levels. The most notable finding involved: provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist..

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.58 3.8 Average
Registered Nurses (RN) 0.55 0.7 Below Average
Licensed Practical Nurses (LPN) 0.97 0.7 Above Average
Certified Nursing Assistants (CNA) 2.07 2.4 Below Average
Weekend Total Nursing 3.28 3.8 Below Average
Weekend RN Hours 0.50 0.7 Below Average

🔍 Inspection & Deficiency History

37
Total Deficiencies
Nov 19, 2025
Most Recent Inspection
🟠 34 Moderate 🔴 3 Serious
View recent deficiencies (5 shown)
  • Tag 0755 Severity D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    Nov 19, 2025 · Pharmacy Service Deficiencies
  • Tag 0700 Severity K
    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
    Oct 2, 2023 · Quality of Life and Care Deficiencies
  • Tag 0600 Severity J
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    Oct 2, 2023 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0689 Severity J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Oct 2, 2023 · Quality of Life and Care Deficiencies
  • Tag 0726 Severity G
    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.
    Oct 2, 2023 · Nursing and Physician Services Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 6.4% 4.5% Worse
Falls with major injury 4.1% 3.0% Worse
On antipsychotic medication 14.3% 14.5% Average
Urinary tract infections 0.4% 2.5% Better
ADL decline (daily activities) 13.5% 14.0% Average
Excessive weight loss 13.1% 7.5% Worse
New/worsened incontinence 26.3% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $252,242

How This Grade Was Calculated

This facility's grade of F is based on a score of 15 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -10 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Non profit - Corporation
Certified Beds
180
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Oct 2, 2023
Deficiencies (Cycle 1)
27