MCKENDREE VILLAGE

πŸ“ 4347 LEBANON ROAD, hermitage, TN 37076 πŸ“ž 6158718200 πŸ›οΈ 180 beds

Overall Rating

⭐
1/5

Health Inspection

⭐
1/5

Staffing

⭐⭐⭐
3/5

Quality Measures

⭐⭐⭐
3/5

Inspection History Overview

62
Total Violations
6 years of data
$54,855
Total Fines
4 penalties
5
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2023 26 violations

Tag 0550 D Oct 3, 2023

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Tag 0569 F Oct 3, 2023

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Tag 0580 D Oct 3, 2023

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Tag 0600 J Oct 3, 2023

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Tag 0604 D Oct 3, 2023

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Tag 0609 D Oct 3, 2023

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Tag 0610 D Oct 3, 2023

Respond appropriately to all alleged violations.

Tag 0623 D Oct 3, 2023

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Tag 0625 D Oct 3, 2023

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Tag 0640 D Oct 3, 2023

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Tag 0641 D Oct 3, 2023

Ensure each resident receives an accurate assessment.

Tag 0644 D Oct 3, 2023

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Tag 0656 D Oct 3, 2023

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Tag 0657 D Oct 3, 2023

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Tag 0677 D Oct 3, 2023

Provide care and assistance to perform activities of daily living for any resident who is unable.

Tag 0684 D Oct 3, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Tag 0689 J Oct 3, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Tag 0697 D Oct 3, 2023

Provide safe, appropriate pain management for a resident who requires such services.

Tag 0699 D Oct 3, 2023

Provide care or services that was trauma informed and/or culturally competent.

Tag 0700 K Oct 3, 2023

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

2022 11 violations

Tag 0584 D Dec 16, 2022

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

βœ“ Corrected: Jan 17, 2023
Tag 0609 D Dec 16, 2022

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Jan 17, 2023
Tag 0622 D Dec 16, 2022

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

βœ“ Corrected: Jan 17, 2023
Tag 0656 J Dec 16, 2022

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Jan 17, 2023
Tag 0689 J Dec 16, 2022

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Jan 17, 2023
Tag 0699 D Dec 16, 2022

Provide care or services that was trauma informed and/or culturally competent.

βœ“ Corrected: Jan 17, 2023
Tag 0726 D Dec 16, 2022

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

βœ“ Corrected: Jan 17, 2023
Tag 0741 D Dec 16, 2022

Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

βœ“ Corrected: Jan 17, 2023
Tag 0835 J Dec 16, 2022

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

βœ“ Corrected: Jan 17, 2023
Tag 0838 C Dec 16, 2022

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies.

βœ“ Corrected: Jan 17, 2023
Tag 0867 J Dec 16, 2022

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

βœ“ Corrected: Jan 17, 2023

2021 3 violations

Tag 0655 D Feb 24, 2021

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

βœ“ Corrected: Mar 13, 2021
Tag 0656 G Feb 24, 2021

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Feb 29, 2020
Tag 0689 G Feb 24, 2021

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Feb 29, 2020

2019 8 violations

Tag 0600 D Jun 19, 2019

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Jul 23, 2019
Tag 0657 D Jun 19, 2019

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Aug 2, 2019
Tag 0689 D Jun 19, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Aug 2, 2019
Tag 0812 F Jun 19, 2019

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Aug 2, 2019
Tag 0880 F Jun 19, 2019

Provide and implement an infection prevention and control program.

βœ“ Corrected: Aug 2, 2019
Tag 0908 F Jun 19, 2019

Keep all essential equipment working safely.

βœ“ Corrected: Aug 2, 2019
Tag 0658 D May 16, 2019

Ensure services provided by the nursing facility meet professional standards of quality.

βœ“ Corrected: May 31, 2019
Tag 0697 D Jan 30, 2019

Provide safe, appropriate pain management for a resident who requires such services.

βœ“ Corrected: Mar 15, 2019

2018 8 violations

Tag 0578 D Jun 6, 2018

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

βœ“ Corrected: Jul 20, 2018
Tag 0640 D Jun 6, 2018

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

βœ“ Corrected: Jul 20, 2018
Tag 0658 D Jun 6, 2018

Ensure services provided by the nursing facility meet professional standards of quality.

βœ“ Corrected: Jul 20, 2018
Tag 0758 D Jun 6, 2018

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

βœ“ Corrected: Jul 20, 2018
Tag 0658 D Jan 19, 2018

Ensure services provided by the nursing facility meet professional standards of quality.

βœ“ Corrected: Feb 26, 2018
Tag 0760 D Jan 19, 2018

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Feb 26, 2018
Tag 0803 E Jan 19, 2018

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

βœ“ Corrected: Feb 26, 2018
Tag 0842 D Jan 19, 2018

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

βœ“ Corrected: Feb 26, 2018

2017 6 violations

Tag 0253 C Apr 26, 2017

Provide housekeeping and maintenance services.

βœ“ Corrected: Jun 9, 2017
Tag 0279 D Apr 26, 2017

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Jun 9, 2017
Tag 0280 D Apr 26, 2017

Allow residents the right to participate in the planning or revision of care and treatment.

βœ“ Corrected: Jun 9, 2017
Tag 0329 D Apr 26, 2017

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

βœ“ Corrected: Jun 9, 2017
Tag 0332 D Apr 26, 2017

Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.

βœ“ Corrected: Jun 9, 2017
Tag 0371 F Apr 26, 2017

Store, cook, and serve food in a safe and clean way.

βœ“ Corrected: Jun 9, 2017

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2022 2 penalties totaling $39,582

$23,989
Fine
December 16, 2022
$15,593
Fine
December 16, 2022
Average: $19,791 | Range: $15,593 - $23,989

2021 2 penalties totaling $15,273

$650
Fine
August 30, 2021
$14,623
Fine
February 24, 2021
Average: $7,637 | Range: $650 - $14,623

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

October 3, 2023
0.00

Health

December 16, 2022
0.00

Health

February 24, 2021
0.00

Health

June 19, 2019
0.00

Health

June 6, 2018
0.00

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Ownership Information

Non profit - Corporation
Independent (Not part of a chain)
445491
445491
6158718200
Davidson

Historical Ownership Records

August 25, 2025