Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
413
210 employees · 203 contractors · 88 on an average day The McKendree Post Acute and Rehabilitation
Nursing Home, Assisted Living, Memory Care, Respite Care & Skilled Nursing · Hermitage, TN
CMS overall rating
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
The McKendree Post Acute and Rehabilitation
Nursing Home, Assisted Living, Memory Care, Respite Care & Skilled Nursing · Hermitage, TN
CMS overall rating
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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 offers nursing home, assisted living, memory care, respite care, and skilled nursing in Hermitage, TN. Assisted living includes help with dressing, bathing, and medication while a resident keeps a personal living space. Memory care provides a secured setting with supervision for someone at risk of wandering.
Care needs can change over time. Nursing home and skilled nursing services provide licensed nursing care on site around the clock, while respite care offers a short stay for a family caregiver who needs to travel or recover. The range of care levels may suit a resident whose needs change over time.
The community has 180 beds, so it accommodates more residents, staff, and usually more programming than a smaller home. Its 96% occupancy rate means most beds are filled. Total nurse staffing is 3h 10m per resident per day, representing that amount of daily nursing time for each resident.
Starting prices are $3,750 monthly for assisted living and $5,065 monthly for memory care. The memory care rate reflects the secured setting and staffing ratios required for that level of supervision. Payment options are Medicare, Medicaid, and private pay.
Britney Nash serves as administrator, and McKendree SNF Operations operates the community. A salon and spa provides personal grooming services without requiring residents to leave the community. Rehabilitation services and the Short-Term Rehab program support residents receiving therapy during recovery.
The Programs & Activities Calendar, Wellness Programs & Amenities, and Public Events provide scheduled activities and events. Assisted living, memory care, nursing home, skilled nursing, and respite care may make this a fit for someone who needs support now and may require a different level of care later, or for a family caregiver needing a short-term stay.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing
Data period: Q4 2025 (October 1 – December 31, 2025).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Jun 2026).
Total nursing care per resident / day
This nursing home is ranked 147th out of 174 nursing homes we track in Tennessee for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 10m
This nursing home is ranked 147th out of 174 nursing homes we track in Tennessee for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 10mStandout metric: Physical therapist is +97% above Tennessee average
4 of 6 metrics below Tennessee average
Daily care time per resident, by role
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. 76 total: 17 of the facility's own employees and 59 agency contractors.
76 staff · 11-hour shifts
35m
↓ 6% · TN 37mThis facility: 35m per resident per day, 6% below the Tennessee average of 37m (among Tennessee facilities reporting a recent figure).
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. 76 total: 17 of the facility's own employees and 59 agency contractors.
76 staff · 11-hour shiftsUS average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
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. 89 total: 30 of the facility's own employees and 59 agency contractors.
89 staff · 9.9-hour shifts
48m
↓ 26% · TN 1h 5mThis facility: 48m per resident per day, 26% below the Tennessee average of 1h 5m (among Tennessee facilities reporting a recent figure).
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. 89 total: 30 of the facility's own employees and 59 agency contractors.
89 staff · 9.9-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
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. 174 total: 89 of the facility's own employees and 85 agency contractors.
174 staff · 9.2-hour shifts
1h 47m
↓ 17% · TN 2h 9mThis facility: 1h 47m per resident per day, 17% below the Tennessee average of 2h 9m (among Tennessee facilities reporting a recent figure).
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. 174 total: 89 of the facility's own employees and 85 agency contractors.
174 staff · 9.2-hour shiftsUS average: 2h 20m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 20m
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. All 16 are the facility's own employees; no agency contractors work in this role.
16 staff · 7.3-hour shifts
10m
↑ 97% · TN 5mThis facility: 10m per resident per day, 97% above the Tennessee average of 5m (among Tennessee facilities reporting a recent figure).
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. All 16 are the facility's own employees; no agency contractors work in this role.
16 staff · 7.3-hour shiftsUS average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
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.
RN + LPN + aide · Sat–Sun
2h 49m
↓ 16% · TN 3h 21mThis facility: 2h 49m per resident per day, 16% below the Tennessee average of 3h 21m (among Tennessee facilities reporting a recent figure).
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.
RN + LPN + aide · Sat–SunUS average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
RN, weekends
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.
Sat–Sun
29m
↑ 22% · TN 24mThis facility: 29m per resident per day, 22% above the Tennessee average of 24m (among Tennessee facilities reporting a recent figure).
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.
Sat–SunUS average: 28m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 28m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
413
210 employees · 203 contractors · 88 on an average day
413 total staff / 145 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
2.85 : 1
↑ 69% · TN 1.68This facility: 2.85 staff per resident, 69% above the Tennessee average of 1.68 (among Tennessee facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
413 staff ÷ 145 residents
See full Tennessee ranking →
Average hours one staff member works on a day they are on shift, across every role.
8.8 h
↑ 6% · TN 8.3 hThis facility: 8.8 h, 6% above the Tennessee average of 8.3 h (among Tennessee facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
71,350 staff hours this quarter
See full Tennessee ranking →89.2% of staff hours were worked by the facility's own employees
Tennessee average: 93.5% · Contractors this quarter: Certified Nursing Assistant (85), Licensed Practical Nurse (59), Registered Nurse (59)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A mid-sized community that may balance personal attention with shared amenities and social activities.
180
Rank #15 / 180Bed count — State benchmarked This nursing home is ranked 15th out of 180 nursing homes we track in Tennessee for bed count. Shows this facility's certified or reported bed count compared to other Tennessee facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A mid-sized community that may balance personal attention with shared amenities and social activities.
180
Rank #15 / 180Bed count — State benchmarked This nursing home is ranked 15th out of 180 nursing homes we track in Tennessee for bed count. Shows this facility's certified or reported bed count compared to other Tennessee facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Medium-capacity home · Offers a balance of services and community atmosphere.
Years of operating
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. This is the number of years in operation under current management.
Rank #20 / 156Years in operation — State benchmarked This nursing home is ranked 20th out of 156 nursing homes we track in Tennessee for years in operation. Shows how long this facility has been in operation compared to other Tennessee facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. This is the number of years in operation under current management.
Rank #20 / 156Years in operation — State benchmarked This nursing home is ranked 20th out of 156 nursing homes we track in Tennessee for years in operation. Shows how long this facility has been in operation compared to other Tennessee facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
34
years
Walk Score
Car-dependent. Most errands require a car, with limited nearby walkable options.
Rank #171 / 189Walk Score — State benchmarked This nursing home is ranked 171st out of 189 nursing homes we track in Tennessee for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Tennessee facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Car-dependent. Most errands require a car, with limited nearby walkable options.
Rank #171 / 189Walk Score — State benchmarked This nursing home is ranked 171st out of 189 nursing homes we track in Tennessee for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Tennessee facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
4
/ 100
Occupancy rate
Occupancy higher than 95% suggests steady demand, but availability may be limited.
Rank #5 / 134Occupancy rate — State benchmarked This nursing home is ranked 5th out of 134 nursing homes we track in Tennessee for occupancy. Shows this facility's occupancy rate versus the Tennessee average, with its Statewide rank out of 134. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy higher than 95% suggests steady demand, but availability may be limited.
Rank #5 / 134Occupancy rate — State benchmarked This nursing home is ranked 5th out of 134 nursing homes we track in Tennessee for occupancy. Shows this facility's occupancy rate versus the Tennessee average, with its Statewide rank out of 134. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
95.2%
This home is often near full
Based on 171.4 residents and 180 beds. Source: CMS Provider Information, average daily residents
Higher than the Tennessee average: 73.9%
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
206
days
About This Community
Pricing & Financial Information
The below pricing was updated on
$3,750/Month
Memory Care
$5,065/Month
Facility TypeNursing Home
IssuanceJuly 1, 1992
ExpirationJuly 2, 2027
License Number00000058
The McKendree Post Acute and Rehabilitation is administered by Britney Nash.
Owner NameMcKendree SNF Operations, LLC
Resident Council
Short-Term Rehabilitation
Respite CareRespite care provides families and unpaid caregivers with short-term relief from caregiving duties. Care can range from a few hours to a few weeks.
Pets not allowed
Continuing Care Retirement Community (CCRC)
This profile shows two inspection records, and their totals often differ. Inspection History and the Inspection Scorecard below are state data — the figures the state publishes and the state inspection reports we hold on file — covering the entire facility. CMS Health Inspection History covers only this home's Medicare and Medicaid-certified nursing beds, from federal certification surveys.
Inspection History
In Tennessee, the Department of Health, Division of Health Care Facilities performs unannounced inspections and investigations to ensure facilities provide high-quality resident care.
Since 2022 · 4 years of data
These figures come from state-published data and the state inspection reports we hold on file. The period covered can vary depending on document availability.
Includes all inspection records for this property, which could include management/ownership changes. 2 citations
Includes all inspection records for this property, which could include management/ownership changes. 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
0 Worse
No metrics in this bucket.
1 At Avg
Metrics at Tennessee average:
• Total citations (at TN avg) 0 Better No metrics in this bucket.
• Total citations (at TN avg) 0 Better No metrics in this bucket.
Citations
| This Facility | TN Average | vs. TN Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 2 | 2.0 | This facility has total citations in line with the Tennessee average (2 vs. TN avg 2).— At avg |
CMS Health Inspection History
Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.
Total health inspections
4
↑ 21% · TN 3.3This facility: 4, 21% above the TN average of 3.3 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
37
Rank #172 / 175Health citations — State benchmarked This nursing home is ranked 172nd out of 175 nursing homes we track in Tennessee for health citations. Shows this facility's total health deficiency citations benchmarked to the Tennessee State average, with a ranking across all 175 TN facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↑ 155% · TN 14.5This facility: 37, 155% above the TN average of 14.5 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
9.25
Rank #171 / 175Citations per inspection — State benchmarked This nursing home is ranked 171st out of 175 nursing homes we track in Tennessee for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Tennessee mean across 175 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↑ 115% · TN 4.31This facility: 9.25, 115% above the TN average of 4.31 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
37 of 37 citations corrected
Critical
J–L
3
↑ 275% · TN 0.8This facility: 3, 275% above the TN average of 0.8 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
1
↑ 100% · TN 0.5This facility: 1, 100% above the TN average of 0.5 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
33
↑ 152% · TN 13.1This facility: 33, 152% above the TN average of 13.1 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
0
↓ 100% · TN 0.1This facility: 0, 100% below the TN average of 0.1 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal riskLatest inspection: Nov 20, 2025 · 1 citation (Pharmacy, moderate), corrected
Most cited category: Resident Assessment & Care Planning, 8 of 37 citations · 9 categories in total
Citations history
Most recent first
Nov 20, 2025
1 citation
Pharmacy moderate citation
Corrected
Corrected
Oct 03, 2023
26 citations
Abuse/Neglect critical citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Environmental moderate citation
Corrected
Corrected
Environmental moderate citation
Corrected
Corrected
Nursing Services serious citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care critical citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care critical citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Jun 19, 2019
6 citations
Abuse/Neglect moderate citation
Corrected
Corrected
Environmental moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Jun 06, 2018
4 citations
Pharmacy moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Top deficiency categories
Share of 37 citations
Resident Assessment & Care Planning
8 deficiencies (22%)
Quality of Life & Care
8 deficiencies (22%)
Resident Rights
6 deficiencies (16%)
Abuse, Neglect & Exploitation
5 deficiencies (14%)
Pharmacy Services
3 deficiencies (8%)
Environmental
3 deficiencies (8%)
Nutrition & Dietary
2 deficiencies (5%)
Infection Control
1 deficiency (3%)
Nursing & Physician Services
1 deficiency (3%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
11 of 37 citations resulted from standard inspections; 1 of 37 resulted from complaint investigations; and 25 of 37 came from combined inspections (standard and complaint).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Enforcement
Penalties and fines
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database · Data as of Aug 2026
2 penalties in the past 3 years
Latest: Oct 3, 2023 · $252,242 civil money penalty
Oct 3, 2023 · $252,242 civil money penalty
Oct 3, 2023 · 74-day payment denial
Total fines
$252,242
↑ 266% · TN $69KThis facility: $252,242, 266% above the Tennessee average of $68,994. Average among the 107 Tennessee facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg $67KUS average: $67,417, among the 6,775 US facilities with a penalty on record.Rank #173 / 175Federal fines — State benchmarked This nursing home is ranked 173rd out of 175 nursing homes we track in Tennessee for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Tennessee average among facilities with fines, and where it ranks among 175 facilities in the pool. Lower total dollars mean a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Tennessee that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Number of fines
1
↓ 34% · TN 1.52This facility: 1, 34% below the Tennessee average of 1.52. Average among the 107 Tennessee facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg 1.96US average: 1.96, among the 6,775 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
74 days
↑ 234% · TN 0.3This facility: 1, 234% above the Tennessee average of 0.3. Average among the 107 Tennessee facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg 0.36US average: 0.36, among the 6,775 US facilities with a penalty on record.
Penalty history · past 3 years
Oct 3, 2023
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$252,242
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$252,242
Oct 3, 2023
Payment denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
New admissions not paid
74 days
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
New admissions not paid
74 daysFine amount comparison
This facility
$252,242
Tennessee average
$68,994
US average
$67,417
Totals count every penalty on record; the history lists the past 3 years. Tennessee and US averages are among facilities with a penalty on record.
A civil money penalty is a fine for noncompliance, per day or per instance. A payment denial stops Medicare/Medicaid payments for new residents until issues are fixed.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Tennessee average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
4
/ 5
Above average
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
2
/ 5
Below average
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
13.3
Score · lower is better
↑ 47% · TN 9.1This facility: 13.3, 47% above the TN average of 9.1 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
23.1
Score · lower is better
↑ 35% · TN 17.1This facility: 23.1, 35% above the TN average of 17.1 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.13 long-stay measures: 4 better, 9 worse
8 short-stay measures: 4 worse, 1 near TN average, 3 compared with US only
Long-stay residents
People who live at the home · 13 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
16.2%
↑ 16% · TN 14.0This facility: 16.2, 16% above the TN average of 14.0 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
16.2%
↑ 16% · TN 14.0This facility: 16.2, 16% above the TN average of 14.0 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
28.0%
↑ 63% · TN 17.2This facility: 28.0, 63% above the TN average of 17.2 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
28.0%
↑ 63% · TN 17.2This facility: 28.0, 63% above the TN average of 17.2 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.1%
↑ 26% · TN 20.0This facility: 25.1, 26% above the TN average of 20.0 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.1%
↑ 26% · TN 20.0This facility: 25.1, 26% above the TN average of 20.0 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
0.2%
↓ 90% · TN 1.8This facility: 0.2, 90% below the TN average of 1.8 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
0.2%
↓ 90% · TN 1.8This facility: 0.2, 90% below the TN average of 1.8 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
3.9%
↑ 13% · TN 3.4This facility: 3.9, 13% above the TN average of 3.4 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
3.9%
↑ 13% · TN 3.4This facility: 3.9, 13% above the TN average of 3.4 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
4.3%
↓ 13% · TN 5.0This facility: 4.3, 13% below the TN average of 5.0 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
4.3%
↓ 13% · TN 5.0This facility: 4.3, 13% below the TN average of 5.0 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
14.1%
↑ 131% · TN 6.1This facility: 14.1, 131% above the TN average of 6.1 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
14.1%
↑ 131% · TN 6.1This facility: 14.1, 131% above the TN average of 6.1 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
43.0%
↑ 211% · TN 13.8This facility: 43.0, 211% above the TN average of 13.8 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
43.0%
↑ 211% · TN 13.8This facility: 43.0, 211% above the TN average of 13.8 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
14.4%
↓ 15% · TN 16.8This facility: 14.4, 15% below the TN average of 16.8 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
14.4%
↓ 15% · TN 16.8This facility: 14.4, 15% below the TN average of 16.8 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
33.9%
↓ 62% · TN 89.4This facility: 33.9, 62% below the TN average of 89.4 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
33.9%
↓ 62% · TN 89.4This facility: 33.9, 62% below the TN average of 89.4 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
79.9%
↓ 15% · TN 94.5This facility: 79.9, 15% below the TN average of 94.5 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
79.9%
↓ 15% · TN 94.5This facility: 79.9, 15% below the TN average of 94.5 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.91
↑ 21% · TN 1.58This facility: 1.91, 21% above the TN average of 1.58 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of hospitalizations per 1,000 long-stay resident days.
1.91
↑ 21% · TN 1.58This facility: 1.91, 21% above the TN average of 1.58 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.75
↓ 52% · TN 1.57This facility: 0.75, 52% below the TN average of 1.57 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.75
↓ 52% · TN 1.57This facility: 0.75, 52% below the TN average of 1.57 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 8 measures
Daily care & independence
Able to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
54.9%
↑ 2% · US 53.7This facility: 54.9, 2% above the US average of 53.7 (among US facilities reporting a recent figure).
Percentage of residents at or above expected ability to care for themselves at discharge.
54.9%
↑ 2% · US 53.7This facility: 54.9, 2% above the US average of 53.7 (among US facilities reporting a recent figure).
Returned home or to the community
Rate of successful return to home or community from a skilled nursing facility.
50.8%
≈ 0% · US 50.6This facility: 50.8, level with the US average of 50.6 (among US facilities reporting a recent figure).
Rate of successful return to home or community from a skilled nursing facility.
50.8%
≈ 0% · US 50.6This facility: 50.8, level with the US average of 50.6 (among US facilities reporting a recent figure).Safety & clinical stability
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
1.1%
↑ 40% · US 0.8This facility: 1.1, 40% above the US average of 0.8 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
1.1%
↑ 40% · US 0.8This facility: 1.1, 40% above the US average of 0.8 (among US facilities reporting a recent figure).Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
2.1%
↑ 27% · TN 1.7This facility: 2.1, 27% above the TN average of 1.7 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
2.1%
↑ 27% · TN 1.7This facility: 2.1, 27% above the TN average of 1.7 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
5.8%
↓ 93% · TN 79.3This facility: 5.8, 93% below the TN average of 79.3 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
5.8%
↓ 93% · TN 79.3This facility: 5.8, 93% below the TN average of 79.3 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
8.0%
↓ 90% · TN 79.8This facility: 8.0, 90% below the TN average of 79.8 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
8.0%
↓ 90% · TN 79.8This facility: 8.0, 90% below the TN average of 79.8 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Re-hospitalized after admission
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
26.3%
↑ 18% · TN 22.2This facility: 26.3, 18% above the TN average of 22.2 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
26.3%
↑ 18% · TN 22.2This facility: 26.3, 18% above the TN average of 22.2 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits
Percentage of short-stay residents who had an outpatient emergency department visit.
11.3%
↑ 1% · TN 11.2This facility: 11.3, 1% above the TN average of 11.2 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
11.3%
↑ 1% · TN 11.2This facility: 11.3, 1% above the TN average of 11.2 (among TN facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
The McKendree Post Acute and Rehabilitation’s finances from its CMS cost report for the fiscal year ending June 2023. Includes all financial data for this property, which could include management/ownership changes.
FY Jun 2023
Latest cost report is for the fiscal year ending June 2023, older than most Tennessee homes. Rankings are not shown because peers report different years.
Is it financially stable?
Losing money on care, and more than last year
−24.9% operating margin
−3.0 pts vs prior year
An operating loss in 6 of the last 8 reported years. Other income ($0.6M) trims the net loss to −$5.2M. Watch for cost-cutting that reaches staffing.
Does it invest in staff?
Payroll in line with Tennessee homes
55.6% payroll share of revenue
TN average 53.2%
Payroll fell $0.2M while revenue fell $0.1M. Check hours per resident in the staffing section to confirm it reaches the floor.
FY 2023 scorecard
Each row shows the FY 2023 figure, the change since the prior report, the trend, and how it compares with Tennessee homes.
Revenue & profit
Losing money on care
| Metric | FY 2023 | vs prior year | Trend 2015 → 2023Trend | TN median | Compared with TN homesRank in TN | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $23.4M | −$0.1M | Trend 20152023 | TN median $10.6M | Rank in TN Not ranked | Not ranked No state rank for this year: homes are ranked only when their latest cost report is recent enough to compare. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $29.2M | +$0.6M | Trend 20152023 | TN median — | Rank in TN Not ranked | Exceeds revenue Operating expenses are higher than net patient revenue, so resident care runs at a loss. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | −$5.8M | −$0.7M | Trend 20152023 | TN median — | Rank in TN Not ranked | Loss, widening Resident care lost money this year, more than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | −24.9% | −3.0 pts | Trend 20152023 | TN median — | Rank in TN Not ranked | Loss A negative margin means resident care costs more than it earns. |
| Other income Money not from resident care: investments, grants, services. | $0.6M | — | Trend — | TN median — | Rank in TN Not ranked | Offsets part of the loss Income from outside resident care covers part of the loss on care. |
| Net income The bottom line after other income. | −$5.2M | −$3.4M | Trend — | TN median — | Rank in TN Not ranked | Loss The bottom line is below zero even after other income. |
Staffing spend
Staff spending in line with Tennessee homes
| Metric | FY 2023 | vs prior year | Trend 2015 → 2023Trend | TN median | Compared with TN homesRank in TN | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $13.0M | −$0.2M | Trend 20152023 | TN median $5.2M | Rank in TN Not ranked | Not ranked No state rank for this year: homes are ranked only when their latest cost report is recent enough to compare. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 55.6% | −0.6 pts | Trend 20152023 | TN median 50.4% | Rank in TN Not ranked | Near TN average The TN average is 53.2% of revenue. Within 3 points of it reads as near the average. |
Charts, 2015–2023 2 charts · TN benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income No report
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Tennessee payroll average.
% of net patient revenue
Payroll share Operating margin TN payroll average No report
Year-by-year data, 2015–2023 every reported year · latest first, scroll sideways
| Metric | 2015 | 2016 | 2017 | 2018 | 2019no report | 2020 | 2021 | 2022 | 2023 |
|---|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $12.6M | $13.0M | $13.5M | $14.1M | $24.7M | $24.3M | $23.5M | $23.4M | |
| Operating expenses | $12.0M | $12.4M | $13.6M | $15.6M | $27.0M | $27.2M | $28.6M | $29.2M | |
| Net patient income | $0.6M | $0.6M | −$0.1M | −$1.5M | −$2.3M | −$2.9M | −$5.1M | −$5.8M | |
| Operating margin | 4.7% | 4.5% | −0.8% | −10.4% | −9.4% | −11.9% | −21.8% | −24.9% | |
| Net income | $0.6M | $0.6M | −$0.1M | $8.6M | −$1.0M | −$1.4M | −$1.7M | −$5.2M | |
| Payroll costs | $6.7M | $6.8M | $6.9M | $7.7M | $12.0M | $11.1M | $13.2M | $13.0M | |
| Payroll share of revenue | 53.1% | 52.2% | 51.4% | 54.5% | 48.8% | 45.8% | 56.2% | 55.6% | |
| Beds | 150 | 150 | 150 | 180 | 180 | 180 | 180 | 180 | |
| Gross revenue | $14.0M | $14.6M | $15.0M | $16.4M | $27.1M | $25.6M | $25.6M | $25.0M | |
| Salaries | $5.6M | $5.7M | $6.0M | $6.6M | $10.7M | $10.0M | $11.9M | $11.5M | |
| Wage-related costs | $1.1M | $1.1M | $0.9M | $1.1M | $1.4M | $1.1M | $1.3M | $1.5M | |
| Contract labor | $0.0M | $0.1M | $1.1M | $1.6M | $1.2M | $1.6M | $1.3M | $1.7M | |
| Other operating costs | $5.3M | $5.6M | $6.7M | $7.9M | $15.0M | $16.1M | $15.4M | $16.2M | |
| Net patient revenue per day | $250 | $258 | $268 | $270 | $447 | $483 | $447 | $423 | |
| Cost per day | $239 | $246 | $271 | $298 | $489 | $540 | $544 | $528 | |
| Average length of stay | 106.3 days | 97.7 days | 104.7 days | 95.0 days | 115.2 days | 113.1 days | 156.2 days | 205.9 days |
Showing 2023–2021 · scroll sideways for 6 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2023
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Jun 2026
Arriving
324 admissions · FY2023
Residents admitted during the year.
Medicare
112 · 35%
Medicaid
16 · 5%
Private pay & other
196 · 60%
Resident snapshot
145 residents · Jun 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
7 · 5%
Medicaid
80 · 55%
Private pay & other
58 · 40%
Leaving
269 discharges · FY2023
Residents discharged during the year.
Medicare
88 · 33%
Medicaid
15 · 6%
Private pay & other
166 · 62%
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Places of interest near The McKendree Post Acute and Rehabilitation
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.
Calculate Travel Distance to The McKendree Post Acute and Rehabilitation
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Compare Nursing Homes around the area
Info below is compiled from CMS reports & the TN Dept. of Health (TDH), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Tennessee average is: 53.2% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NHC Place Cool Springs | NH AL HOS MC SNF | Franklin | 108
Facility
108
TN AVG
105
Rank
#82 / 180 |
67.6%
Facility
67.6%
TN AVG
73.9%
Rank
#89 / 134 | -8% | 4.99
Facility
4.99
TN AVG
3.70
Rank
#18 / 174 | +30% | +35% | $0
Facility
$0
TN AVG
$69.0k
Rank
#1 / 175 | 8
Facility
8
TN AVG
14.5
Rank
#34 / 175 | 2.7
Facility
2.7
TN AVG
4.3
Rank
#32 / 175 | 2 | 73 | - |
34
Facility
34
TN AVG
38
Rank
#108 / 189 | Nhc Healthcare/Cool Springs, LLC | $18.1MFiscal year ending 12/2024
Facility
$18.1MFiscal year ending 12/2024
TN AVG
$12.0M
Rank
#25 / 169 | $11.6MFiscal year ending 12/2024
Facility
$11.6MFiscal year ending 12/2024
TN AVG
$6.3M
Rank
#13 / 169 | 64.4%Fiscal year ending 12/2024
Facility
64.4%Fiscal year ending 12/2024
TN AVG
53.2%
Rank
#15 / 169 | 445475 | ||||
| Smith County Health and Rehabilitation | NH MC SNF | Carthage | 34
Facility
34
TN AVG
105
Rank
#168 / 180 | - | - | 3.47
Facility
3.47
TN AVG
3.70
Rank
#80 / 174 | -1% | -6% | $0
Facility
$0
TN AVG
$69.0k
Rank
#1 / 175 | 6
Facility
6
TN AVG
14.5
Rank
#15 / 175 | 2.0
Facility
2.0
TN AVG
4.3
Rank
#9 / 175 | 2 | 85 | - |
45
Facility
45
TN AVG
38
Rank
#75 / 189 | Carthage Opco LLC | $10.7MFiscal year ending 12/2024
Facility
$10.7MFiscal year ending 12/2024
TN AVG
$12.0M
Rank
#81 / 169 | $3.9MFiscal year ending 12/2024
Facility
$3.9MFiscal year ending 12/2024
TN AVG
$6.3M
Rank
#129 / 169 | 36.8%Fiscal year ending 12/2024
Facility
36.8%Fiscal year ending 12/2024
TN AVG
53.2%
Rank
#167 / 169 | 445172 | ||||
| Harbert Hills Academy Nursing Home | NH SNF | Savannah | 24
Facility
24
TN AVG
105
Rank
#177 / 180 | - | - | 4.99
Facility
4.99
TN AVG
3.70
Rank
#8 / 174 | -55% | +35% | $0
Facility
$0
TN AVG
$69.0k
Rank
#1 / 175 | 13
Facility
13
TN AVG
14.5
Rank
#79 / 175 | 4.3
Facility
4.3
TN AVG
4.3
Rank
#91 / 175 | - | 46 | - |
60
Facility
60
TN AVG
38
Rank
#34 / 189 | Rural Life Foundation Inc. Dba | - | - | - | 445527 | ||||
| Rainbow Rehab & Healthcare | NH SNF | Bartlett (West Tennessee) | 99
Facility
99
TN AVG
105
Rank
#99 / 180 | - | - | 3.54
Facility
3.54
TN AVG
3.70
Rank
#80 / 174 | -15% | -4% | $0
Facility
$0
TN AVG
$69.0k
Rank
#1 / 175 | 10
Facility
10
TN AVG
14.5
Rank
#56 / 175 | 5.0
Facility
5.0
TN AVG
4.3
Rank
#116 / 175 | - | 103 | - |
52
Facility
52
TN AVG
38
Rank
#54 / 189 | Bartlett Operator LLC | $12.8MFiscal year ending 12/2024
Facility
$12.8MFiscal year ending 12/2024
TN AVG
$12.0M
Rank
#54 / 169 | $5.2MFiscal year ending 12/2024
Facility
$5.2MFiscal year ending 12/2024
TN AVG
$6.3M
Rank
#88 / 169 | 40.6%Fiscal year ending 12/2024
Facility
40.6%Fiscal year ending 12/2024
TN AVG
53.2%
Rank
#153 / 169 | 445283 | ||||
| The McKendree Post Acute and Rehabilitation | NH AL MC RC SNF | Hermitage | 180
Facility
180
TN AVG
105
Rank
#15 / 180 |
95.2%
Facility
95.2%
TN AVG
73.9%
Rank
#5 / 134 | +29% | 3.16
Facility
3.16
TN AVG
3.70
Rank
#147 / 174 | +109% | -15% | $252.2k
Facility
$252.2k
TN AVG
$69.0k
Rank
#173 / 175 | 37
Facility
37
TN AVG
14.5
Rank
#172 / 175 | 9.3
Facility
9.3
TN AVG
4.3
Rank
#171 / 175 | 4 | 171 | - |
4
Facility
4
TN AVG
38
Rank
#171 / 189 | Mckendree Snf Operations, LLC | $23.4M*Fiscal year ending 06/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | $13.0M*Fiscal year ending 06/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | 55.6%*Fiscal year ending 06/2023These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | 445491 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other TN nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Know before you visit
Frequently Asked Questions about The McKendree Post Acute and Rehabilitation
Quick answers from public records and the community's own listing.01 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.
02 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.
03 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.
04 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 July 2, 2027.
05 What is the occupancy rate at The McKendree Post Acute and Rehabilitation?
The McKendree Post Acute and Rehabilitation's occupancy is 95.2%.
06 How long has The McKendree Post Acute and Rehabilitation been in business?
The McKendree Post Acute and Rehabilitation has been operating for approximately 34 years, based on available licensing and registration records.
07 Are pets allowed at The McKendree Post Acute and Rehabilitation?
No, The McKendree Post Acute and Rehabilitation has a no-pet policy.
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