The McKendree Post Acute and Rehabilitation

Nursing Home, Assisted Living, Memory Care & Respite Care · Hermitage, TN

CMS overall rating

4347 Lebanon Pike, Hermitage, TN 37076 View map

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The McKendree Post Acute and Rehabilitation accepts Medicare, Medicaid, and private pay.

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The McKendree Post Acute and Rehabilitation accepts Medicare, Medicaid, and private pay.

Overview of The Mckendree Post Acute and Rehabilitation

The Mckendree Post Acute and Rehabilitation is an 180-bed nursing home in Hermitage, TN, offering a full continuum of support, including assisted living, memory care, short-term rehabilitation, long-term care, and skilled nursing. Licensed in July 1992 under McKendree SNF Operations, LLC, which is affiliated with Hill Valley Healthcare, the community currently holds a 1-star CMS overall performance rating. Medicare, Medicaid, and private insurance payments are also accepted.

Therapeutic rehabilitation stands out as a verified highlight of the community, with daily physical therapist contact averaging 7 minutes per resident, marking a 40% increase over the Tennessee state average of 5 minutes, which delivers a substantial advantage to individuals recovering from acute medical events. Weekend registered nurse coverage reaches 30 minutes per resident each day, outperforming the state average of 24 minutes and ensuring comprehensive clinical monitoring throughout Saturdays and Sundays. Staffing documentation from the second quarter of 2025 also confirms the presence of a nurse practitioner, clinical nurse specialists, respiratory therapy technicians, speech-language pathologists, and mental health professionals. Overall nursing care averages 3 hours and 3 minutes per resident daily, falling short of the Tennessee average of approximately 3 hours and 40 minutes, while individual hours for registered nurses, licensed practical nurses, and nursing assistants track between 4% and 11% below state benchmarks.

Throughout an eight-year review period, the Tennessee Department of Health executed 4 separate inspections, compiling a total of 47 health citations, representing the largest volume of deficiencies among evaluated local options. 7 of which were deemed critical, 1 was categorized as serious, 38 were labeled moderate, and 1 was judged minor. Specifically, quality of life and clinical care accounted for 11 citations, resident rights made up 8 deficiencies, and issues surrounding abuse, neglect, or exploitation generated 6 citations. Additionally, the most recent formal evaluation on October 3, 2023, yielded critical as well as multiple moderate citations related to abuse and neglect, all of which were documented as resolved.

CMS has designated this community as a Special Focus Facility Candidate, a status reserved for properties possessing a recorded pattern of significant care issues that have not yet entered the official Special Focus Facility program. Independent data indicate the community was subject to active federal monitoring for at least one month between August 2024 and July 2025. However, no monetary fines or payment suspensions were noted in the state records. In September 2025, the management submitted a Certificate of Need request to add 30 dually certified skilled nursing beds, pointing to operational enhancements introduced by the current ownership and a rising regional need for post-acute care.

With an expansive 42-acre campus near Long Hunter State Park and Stones River Bend Park, the community provides structured wellness options and lifestyle events delivered daily through the local EngageLife program.

The Mckendree Post Acute and Rehabilitation is a practical option for older adults seeking a broad spectrum of medical and lifestyle support.

Facility Direct Line (615) 871-8271

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

3h 3m per day

vs avg

4 of 6 metrics below state avg

Standout metric Physical Therapist is +22% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	33m per day	▼ 10% State avg: 37m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	1h 2m per day	▼ 4% State avg: 1h 5m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	2h 1m per day	▼ 6% State avg: 2h 9m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	3h 10m per day	▼ 6% State avg: 3h 21m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	6m per day	▲ 22% State avg: 5m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	25m per day	▲ 6% State avg: 24m per day · National avg: 28m per day

Capacity and availability

206 days

180-bed community

A large-scale community that may provide a wide range of amenities, services, and structured programs.

33 years in operation

A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.

Walk Score: 4 / 100

Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate

81%

Higher than the Tennessee average: 71.6%

Occupied beds

146 / 180

Average occupied beds in Tennessee homes 82 beds

Facility TypeNursing Home

StatusLicensed

IssuanceJuly 1, 1992

ExpirationFebruary 7, 2026 Expired

License Number00000058

The McKendree Post Acute and Rehabilitation is administered by Britney Nash.

Owner NameMckendree Snf Operations, LLC

Emergency SystemsYes

Safety FeaturesEmergency call systems available.

Rehabilitation Services

Respite Care

24-Hour Staffing

Activities

Operating HoursOpen 24 hours

Assisted Living$3,750 per month

Memory Care$5,065 per month

Since 2022 · 4 years of data 2 citations

Inspection Scorecard This scorecard compares key inspection, citation, and complaint metrics at this facility against the Tennessee state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2022 vs. Tennessee state average

Overall vs. TN average

Latest Inspection October 3, 2023

Citations Citations are formal regulatory issues recorded during state inspections.	This Facility	TN Average	vs. TN Avg
Total citations Formal regulatory issues recorded by inspectors across all inspection types.	2	4	This facility has 50% fewer total citations than a typical Tennessee assisted living residence (2 vs. TN avg 4).↓ 50% better
Citations per year Average citations per year since 2022.	0.5	1	This facility has 50% fewer citations per year than a typical Tennessee assisted living residence (0.5 vs. TN avg 1).↓ 50% better

Show Inspection Reports

Inspections since 2018

Total health inspections 4

State average N/A

Last Health inspection on Oct 2023

Total health citations

State average N/A

Citations per inspection

11.75

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

11 of 47 citations resulted from standard inspections; 11 of 47 resulted from complaint investigations; and 25 of 47 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 8 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

7 critical citations State average: N/A

1 serious citation State average: N/A

38 moderate citations State average: N/A

1 minor citation State average: N/A

Citations history (last 8 years)

Abuse/Neglect critical citation Oct 03, 2023

Corrected

Abuse/Neglect moderate citation Oct 03, 2023

Corrected

Abuse/Neglect moderate citation Oct 03, 2023

Corrected

Abuse/Neglect moderate citation Oct 03, 2023

Corrected

Total staff 413

Employees 210

Contractors 203

Staff to resident ratio 2.85 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 88

Average shift 8.8 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 71,350

Nursing staff breakdown

11 hours

9.9 hours

174

9.2 hours

Contractor staffing

7,715 contractor hours this quarter

Certified Nursing Assistant: 85 Licensed Practical Nurse: 59 Registered Nurse: 59

Staff by category


Certified Nursing Assistant	89	85	174	31,744	92	100%	9.2
Licensed Practical Nurse	30	59	89	11,634	92	100%	9.9
Registered Nurse	17	59	76	6,469	92	100%	11
Physical Therapist	16	0	16	5,742	92	100%	7.3
RN Director of Nursing	14	0	14	4,709	88	96%	8.2
Clinical Nurse Specialist	9	0	9	1,722	73	79%	7.8
Respiratory Therapy Technician	9	0	9	1,594	83	90%	6.4
Other Dietary Services Staff	5	0	5	1,499	88	96%	7.6
Mental Health Service Worker	2	0	2	984	64	70%	8
Physical Therapy Assistant	5	0	5	940	78	85%	6.2
Physical Therapy Aide	3	0	3	879	69	75%	6.9
Qualified Social Worker	5	0	5	869	70	76%	6.9
Speech Language Pathologist	2	0	2	565	64	70%	7.2
Administrator	1	0	1	512	64	70%	8
Nurse Practitioner	1	0	1	512	64	70%	8
Dietitian	1	0	1	496	62	67%	8
Occupational Therapy Aide	1	0	1	480	60	65%	8

174 Certified Nursing Assistant

% of Days 100%

89 Licensed Practical Nurse

% of Days 100%

76 Registered Nurse

% of Days 100%

16 Physical Therapist

% of Days 100%

14 RN Director of Nursing

% of Days 96%

9 Clinical Nurse Specialist

% of Days 79%

9 Respiratory Therapy Technician

% of Days 90%

5 Other Dietary Services Staff

% of Days 96%

2 Mental Health Service Worker

% of Days 70%

5 Physical Therapy Assistant

% of Days 85%

3 Physical Therapy Aide

% of Days 75%

5 Qualified Social Worker

% of Days 76%

2 Speech Language Pathologist

% of Days 70%

1 Administrator

% of Days 70%

1 Nurse Practitioner

% of Days 70%

1 Dietitian

% of Days 67%

1 Occupational Therapy Aide

% of Days 65%

View All Staffing Data

Total fines amount $252K

192% higher than State average

State average: $86K

Number of fines 1

43% fewer fines than State average

State average: 1.7

Payment Denials 1

96% more payment denials than State average

State average: 0.5

Fines amount comparison

This facility $252K

State average $86K

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

2 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Oct 3, 2023

$252K

Payment Denial Oct 3, 2023

74 days

Last updated: Jan 2026

High-risk clinical events score 11.2

7% worse than State average

State average: 10.5

Functional decline score 19.8

In line with State average

State average: 19.5

Long-stay resident measures

Above average

Need for Help with Daily Activities Increased 15.6%

In line with State average

State average: 16.0%

Walking Ability Worsened 17.8%

18% better than State average

State average: 21.7%

Low Risk Residents with Bowel/Bladder Incontinence 26.0%

25% worse than State average

State average: 20.7%

Falls with Major Injury 3.1%

16% better than State average

State average: 3.7%

High Risk Residents with Pressure Ulcers 7.4%

37% worse than State average

State average: 5.4%

Urinary Tract Infection 0.4%

82% better than State average

State average: 2.1%

Lost Too Much Weight 12.2%

93% worse than State average

State average: 6.3%

Depressive Symptoms 28.3%

157% worse than State average

State average: 11.0%

Antipsychotic Use 16.6%

In line with State average

State average: 16.5%

Pneumococcal Vaccine 37.3%

59% worse than State average

State average: 89.9%

Influenza Vaccine 79.9%

15% worse than State average

State average: 94.5%

Hospitalizations per 1,000 days 1.91

21% worse than State average

State average: 1.58

ED visits per 1,000 days 0.75

52% better than State average

State average: 1.57

Short-stay resident measures

Average

Pneumococcal Vaccine 7.9%

90% worse than State average

State average: 79.7%

Antipsychotic medication increase 1.1%

38% better than State average

State average: 1.7%

Influenza Vaccine 8.0%

90% worse than State average

State average: 79.8%

Re-hospitalized after SNF stay 26.3%

18% worse than State average

State average: 22.2%

Emergency department visits 11.3%

In line with State average

State average: 11.2%

Falls with major injury 1.1%

40% worse than State average

State average: 0.8%

Ability to care for self at discharge 54.9%

In line with State average

State average: 53.7%

Successful return to home or community 50.8%

In line with State average

State average: 50.6%

Breakdown by payment type

Medicare

35% of new residents, usually for short-term rehab.

Typical stay 8 - 9 months

Private pay

60% of new residents, often for short stays.

Typical stay 3 - 4 months

Medicaid

5% of new residents, often for long-term daily care.

Typical stay 9 - 10 months

Total residents 145

Medicare

4.8% of residents

Medicaid

55.2% of residents

Private pay or other

40% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

CCRC

Part of a Continuing Care Retirement Community offering multiple care levels

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for The McKendree Post Acute and Rehabilitation from 2011–2023, based on CMS SNF Cost Reports.

Occupancy Rate 84.3% ↑ 4.2pp vs 2022

Net Patient Income -$5.8M ↓ ~$687.3K vs 2022

Payroll Costs $13.0M ↓ ~$178.7K vs 2022

Operating Margin -24.9% ↓ 3.0pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	21.9%	92.0%	93.0%	91.3%	91.8%	91.9%	91.6%	83.2%	89.5%	83.7%	76.6%	80.1%	84.3%
Beds	150	150	150	150	150	150	150	180	180	180	180	180	180
Net Income	-$189,362	$1,045,148	$814,139	-$41,313	$614,082	$606,309	-$70,788	$8,607,744	$940,049	-$992,843	-$1,412,488	-$1,735,112	-$5,184,034
Gross Revenue	$4,752,598	$14,085,317	$14,672,666	$14,033,567	$14,040,296	$14,643,163	$14,976,166	$16,367,955	$9,315,773	$27,062,218	$25,648,804	$25,570,599	$25,047,966
Operating Expenses	$4,458,201	$11,016,756	$11,727,326	$12,246,667	$12,000,806	$12,404,995	$13,575,567	$15,557,717	$6,976,827	$26,989,180	$27,202,342	$28,632,602	$29,233,863
Net Patient Income	-$235,537	$1,035,130	$793,134	-$60,881	$592,154	$582,004	-$112,032	-$1,459,171	$874,582	-$2,325,862	-$2,889,162	-$5,133,329	-$5,820,627
Net Patient Revenue	$4,222,664	$12,051,886	$12,520,460	$12,185,786	$12,592,960	$12,986,999	$13,463,535	$14,098,546	$7,851,409	$24,663,318	$24,313,180	$23,499,273	$23,413,236
Payroll Costs	$1,880,937	$5,323,414	$6,081,951	$6,604,751	$6,681,908	$6,776,169	$6,919,341	$7,683,461	$3,619,422	$12,036,869	$11,124,366	$13,197,595	$13,018,847
Operating Margin %	-5.6%	8.6%	6.3%	-0.5%	4.7%	4.5%	-0.8%	-10.4%	11.1%	-9.4%	-11.9%	-21.8%	-24.9%
Medicare %	15.2%	15.5%	15.4%	13.1%	13.2%	12.7%	13.7%	10.5%	12.2%	11.2%	12.1%	9.2%	8.5%
Medicaid %	40.3%	41.1%	43.3%	44.1%	47.8%	46.4%	48.1%	50.3%	50.3%	46.0%	52.7%	57.7%	52.2%
Private %	44.4%	43.4%	41.3%	42.7%	39.0%	40.9%	38.2%	39.1%	37.5%	42.8%	35.2%	33.1%	39.3%
Net Patient Revenue/Day	$351	$239	$246	$244	$250	$258	$268	$270	$269	$447	$483	$447	$423
Cost/Day	$370	$218	$230	$245	$239	$246	$271	$298	$239	$489	$540	$544	$528
Avg Length of Stay	85.4 days	102.0 days	109.1 days	104.6 days	106.3 days	97.7 days	104.7 days	95.0 days	102.3 days	115.2 days	113.1 days	156.2 days	205.9 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 06/2023.

Net patient revenue

$23.4M

Net patient income

-$5.8M

Nonprofit Nonprofit Corporation

Net patient revenue

$23.4M

Net patient income

-$5.8M

Other income

$636.6K

Payroll costs

$13.0M 55.6% of net patient revenue

Other operating costs

$16.2M

Total costs

$29.2M

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Most new residents arrive under private pay (60% of admissions), and a typical private pay stay runs around 3 - 4 months.

Coverage residents most often arrive under.

Medicare 35%

Private pay 60%

Medicaid 5%

Coverage residents most often leave under.

Medicare 33%

Private pay 62%

Medicaid 6%

4.5 miles from city center Estimated distance in miles from Hermitage's city center to The McKendree Post Acute and Rehabilitation's address, calculated via Google Maps.

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The information below is reported by the Tennessee Department of Health, Division of Health Care Facilities.


The McKendree Post Acute and Rehabilitation	NH AL MC RC	Hermitage	-	180	-	4	-
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The Premier Neighborhood at Tellico Village	NH AL MC	Loudon	-	112	F	1	Studio / 1 Bed / 2 Bed
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Nursing Home Explorer

Who is the owner of The McKendree Post Acute and Rehabilitation?

The McKendree Post Acute and Rehabilitation is legally operated by McKendree SNF Operations, LLC, and administered by Britney Nash.

Is The McKendree Post Acute and Rehabilitation in a walkable area?

The McKendree Post Acute and Rehabilitation has a walk score of 4. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of The McKendree Post Acute and Rehabilitation?

According to TN state health department records, The McKendree Post Acute and Rehabilitation's license number is 00000058.

When does The McKendree Post Acute and Rehabilitation's license expire?

According to TN state health department records, The McKendree Post Acute and Rehabilitation's license expires on February 7, 2026.

What is the occupancy rate at The McKendree Post Acute and Rehabilitation?

The McKendree Post Acute and Rehabilitation's occupancy is 81%.

Does The McKendree Post Acute and Rehabilitation operate as a for-profit or non-profit?

The McKendree Post Acute and Rehabilitation is registered as a non-profit in TN.

Who is the administrator of The McKendree Post Acute and Rehabilitation?

Britney Nash is the administrator of The McKendree Post Acute and Rehabilitation.

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The McKendree Post Acute and Rehabilitation

Overview of The Mckendree Post Acute and Rehabilitation

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Safety & Compliance

Therapy & Rehabilitation

Staffing & Medical

Amenities & Lifestyle

Pricing & Financial Information

Contact The McKendree Post Acute and Rehabilitation

Inspection History

Inspection Scorecard This scorecard compares key inspection, citation, and complaint metrics at this facility against the Tennessee state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Citations Citations are formal regulatory issues recorded during state inspections.

Health Inspection History

Inspections since 2018

Breakdown of citation severity (last 8 years)

Citations history (last 8 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

174 Certified Nursing Assistant

89 Licensed Practical Nurse

76 Registered Nurse

16 Physical Therapist

14 RN Director of Nursing

9 Clinical Nurse Specialist

9 Respiratory Therapy Technician

5 Other Dietary Services Staff

2 Mental Health Service Worker

5 Physical Therapy Assistant

3 Physical Therapy Aide

5 Qualified Social Worker

2 Speech Language Pathologist

1 Administrator

1 Nurse Practitioner

1 Dietitian

1 Occupational Therapy Aide

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

CCRC

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mix of rehab and long-term care

Admissions

Discharges

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