Inspection Reports for
The McKendree Post Acute and Rehabilitation
4347 Lebanon Pike, Hermitage, TN, 37076
Back to Facility ProfileDeficiencies (last 2 years)
Deficiencies (over 2 years)
1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
77% better than Tennessee average
Tennessee average: 4.4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Sep 12, 2023
Visit Reason
The visit was conducted as a complaint investigation from September 12, 2023, through October 3, 2023, at McKendree Village nursing home to investigate allegations of harm and abuse involving residents.
Complaint Details
The complaint investigation was substantiated, confirming harm and abuse to four residents, including nonconsensual sexual contact by Resident #200 and inadequate personal hygiene care for Residents #6 and #42.
Findings
The investigation found that the facility failed to prepare appropriate individualized plans of care for four residents, resulting in harm and abuse. Specific findings included nonconsensual sexual contact incidents involving Resident #200 and others, and failure to provide adequate bathing and showering assistance as requested by residents.
Deficiencies (2)
Tenn. Comp. R. and Reg. 0720-18-06-.06(4)(f) Basic Services. The facility failed to ensure an appropriate individualized plan of care was prepared for each resident with input from appropriate disciplines and representatives.
Tenn. Comp. R. and Reg. 0720-18-06-.06(4)(n) Basic Services. Residents did not receive baths or showers at least two times each week or more often if requested.
Report Facts
Residents affected: 4
Civil Monetary Penalty: 2000
Days of documentation: 7
Timeframe of investigation: 22
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Britney Nash | Administrator | Named as Respondent's authorized representative |
| Jeremy Gourley | Senior Associate General Counsel | Legal counsel for the Health Facilities Commission involved in the consent order |
| EDON | Executive Director of Nursing | Admitted that Resident #200 was not care planned properly and bathing requirements were not met |
| Unit Manager #2 | LPN #4 | Admitted Resident #42 should have been switched to day shift shower to meet resident's request |
| Certified Nurse Aide #18 | CNA | Confirmed Resident #42 refused showers from some staff and did not get showers as requested |
Inspection Report
Follow-Up
Deficiencies: 0
Date: Jan 25, 2023
Visit Reason
A follow-up survey was conducted on January 25, 2023, to determine if deficient practices identified during a prior complaint survey from November 28 through December 16, 2023, had been corrected.
Complaint Details
The initial complaint survey conducted from November 28 through December 16, 2023, found deficient practices leading to suspension of admissions and assessment of civil monetary penalties. The follow-up survey determined the deficiencies were corrected and compliance restored.
Findings
The follow-up survey found that the deficient practices detrimental to the health, safety, or welfare of residents had been corrected and the facility returned to substantial compliance. Consequently, the suspension of admissions was lifted on January 27, 2023.
Inspection Report
Enforcement
Deficiencies: 0
Date: Jan 10, 2023
Visit Reason
The document is a Settlement Agreement related to enforcement action by the Tennessee Health Facilities Commission against McKendree Village Nursing Home following issuance of a suspension of admissions and a civil monetary penalty.
Findings
The facility was issued a suspension of admissions effective January 11, 2023, and a civil monetary penalty of $22,500. The parties agreed to a settlement including payment of a reduced penalty and removal of a cited deficiency from the state survey.
Report Facts
Civil monetary penalty: 22500
Civil monetary penalty: 12500
Date of deficiency completion: Dec 16, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ronald J. Swartz | CFO | Signed the Settlement Agreement on behalf of McKendree Village Nursing Home |
| Logan Grant | Executive Director | Signed the Settlement Agreement on behalf of Tennessee Health Facilities Commission |
Notice
Deficiencies: 0
Date: Dec 16, 2022
Visit Reason
The Health Facilities Commission conducted a complaint survey at McKendree Village from November 28, 2022 through December 16, 2022, which led to findings of violations detrimental to resident health, safety, or welfare.
Complaint Details
The visit was complaint-related, with violations substantiated leading to suspension of admissions and monetary penalties.
Findings
The survey revealed serious violations of licensure statutes and regulations, resulting in the suspension of admissions effective January 11, 2023, and the assessment of three Type A Civil Monetary Penalties totaling $22,500.
Report Facts
Civil Monetary Penalties: 3
Penalty amount per violation: 7500
Total penalty amount: 22500
Special monitor hours: 20
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Logan Grant | Executive Director | Signed the Notice of Suspension of Admissions and penalty assessment. |
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