The Mckendree Post Acute & Rehabilitation
4347 Lebanon Road, Hermitage, TN, 37076
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
Special Focus Candidate
CMS has identified this facility as a Special Focus Candidate — a track record of serious quality issues that places it one step away from full Special Focus Facility designation.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- Non profit - Corporation · Chain: Hill Valley Healthcare
- Certified beds
- 180 · avg 171 residents/day
- Total nursing staff turnover
- 55.4% — higher than most Tennessee nursing homesTennessee avg: 48.7% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 63.3% — higher than most Tennessee nursing homesTennessee avg: 43.0% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Tennessee averageTennessee avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $252,242 total
- Payment denials
- 1 denial
Medicare certification
- CMS Certification Number
- 445491
- Certified beds
- 180 beds · avg 171 residents/day
- Ownership type
- Non profit - Corporation
- Continuing-care community
- Yes
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Mckendree Snf Operations Llc
- Chain affiliation
- Hill Valley Healthcare
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Hill Valley Healthcare chain — 44 facilities across 7 states. Chain-wide average overall rating 2.0 / 5.
Disclosed owners (7 on record)
- Joseph Garafola
Operational/managerial Control · since 2024
- Lion 26 Holdings LlcHolding
5% or Greater Indirect Ownership Interest · 49% · since 2024
- Sabrina 1818 Holdings LlcHolding
5% or Greater Indirect Ownership Interest · 49% · since 2024
- Saessy Irrevocable Trust
5% or Greater Indirect Ownership Interest · 46% · since 2024
- Shimon Idels
Corporate Officer · since 2024
- Tatiriq Irrevocable Trust
5% or Greater Indirect Ownership Interest · 46% · since 2024
+ 1 additional owner on the federal record.
Recent change of ownership
June 2024 (2 years ago) · acquired from Mckendree Village
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 37)
- D0755·Nov 20, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0921·Oct 3, 2023Complaint
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- F0908·Oct 3, 2023Complaint
Environmental Deficiencies
Keep all essential equipment working safely.
- F0812·Oct 3, 2023Complaint
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0758·Oct 3, 2023Complaint
Pharmacy Service Deficiencies
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 li…
- D0742·Oct 3, 2023Complaint
Quality of Life and Care Deficiencies
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.
- K0700·Oct 3, 2023Complaint
Quality of Life and Care Deficiencies
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…
- D0699·Oct 3, 2023Complaint
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
Federal penalties
By year
- 20231 fine · $252K · 1 payment denial
Most recent events
- Oct 3, 2023Payment denial · 74 days · starting Nov 9, 2023
- Oct 3, 2023Fine · $252K
Fire-safety citations
21 Life-Safety-Code citations on file. Most recent: Oct 3, 2023. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about The Mckendree Post Acute & Rehabilitationinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.