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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J9 | K2 | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D23 | E6 | F2 |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jul 30, 2025 | Fire safety | Fire Safety Standard | 8 | Potential harm | — | Open → |
| Jul 30, 2025 | Health | Health Complaint, Health Standard | 5 | Potential harm | — | Open → |
| Apr 11, 2024 | Health | Health Complaint | 7 | Immediate jeopardy | 1 | Open → |
| Dec 15, 2021 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Dec 15, 2021 | Health | Health Standard | 10 | Potential harm | — | Open → |
| Mar 10, 2020 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Mar 10, 2020 | Health | Health Standard | 10 | Immediate jeopardy | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Apr 11, 2024 | Denial of payment for new admissions | — | Apr 17, 2024 · 8 days | 445439|Payment Denial|2024-04-17 |
| Apr 11, 2024 | Civil money penalty (fine) | $211,244 | — | 445439|Fine|33558 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J9 | K2 | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D23 | E6 | F2 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 30, 2025 | E-0015 | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Dec 12, 2025 | |
| Jul 30, 2025 | E-0020 | Establish policies and procedures including evacuation. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Aug 29, 2025 | |
| Jul 30, 2025 | E-0039 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS reports the legal business name as not available.
Not part of a CMS-reported chain.
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| The Mckendree Post Acute & Rehabilitation 4347 Lebanon Road, Hermitage, TN 37076 CCN 445491SFF CandidateAbuse icon | 8.6 km | 180 | Nov 20, 2025 | 583 IJ1 harm | — | |
| Nhc Healthcare, Hendersonville 370 Old Shackle Island Rd, Hendersonville, TN 37075 CCN 445191 | 15.7 km | 122 | Mar 18, 2026 | 201 IJ | $16k | |
| Nhc Place Sumner 140 Thorne Boulevard, Gallatin, TN 37066 CCN 445519 | 16 km | 92 | Mar 19, 2026 | 8 | — | |
| Pavilion-Ths, LLC 1406 Medical Center Drive, Lebanon, TN 37087 CCN 445500 | 16.7 km | 60 | Jun 17, 2026 | 13 | — | |
| Lebanon Center for Rehabilitation and Healing, LLC 731 Castle Heights Court, Lebanon, TN 37087 CCN 445268 | 18.8 km | 60 | Aug 17, 2022 | 13 | — | |
| The Waters of Gallatin 555 East Bledsoe Street, Gallatin, TN 37066 CCN 445124 | 21.5 km | 124 | Apr 8, 2026 | 28 | — | |
| Gallatin Center for Rehabilitation and Healing 438 North Water Ave, Gallatin, TN 37066 CCN 445183 | 21.8 km | 207 | Apr 24, 2025 | 38 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 445439 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 445439 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness |
| D · Potential harm Isolated |
| Corrected Aug 29, 2025 |
| Jul 30, 2025 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 29, 2025 |
| Jul 30, 2025 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 2, 2025 |
| Jul 30, 2025 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 29, 2025 |
| Jul 30, 2025 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 29, 2025 |
| Jul 30, 2025 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 19, 2025 |
| Jul 30, 2025 | F-0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 29, 2025 |
| Jul 30, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 29, 2025 |
| Jul 30, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Aug 29, 2025 |
| Jul 30, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Aug 29, 2025 |
| Jul 30, 2025 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 29, 2025 | Complaint |
| Apr 11, 2024 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | J · Immediate jeopardy Isolated | Corrected Apr 25, 2024 | Complaint |
| Apr 11, 2024 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | K · Immediate jeopardy Pattern | Corrected Apr 25, 2024 | Complaint |
| Apr 11, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | K · Immediate jeopardy Pattern | Corrected Apr 25, 2024 | Complaint |
| Apr 11, 2024 | F-0622 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 25, 2024 | Complaint |
| Apr 11, 2024 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 25, 2024 | Complaint |
| Apr 11, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 25, 2024 | Complaint |
| Apr 11, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | No plan of correction | Complaint |
| Dec 15, 2021 | K-0232 | Have corridors or aisles that are unobstructed and are at least 8 feet in width. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 15, 2022 |
| Dec 15, 2021 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 18, 2022 |
| Dec 15, 2021 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 18, 2022 |
| Dec 15, 2021 | F-0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Jan 18, 2022 |
| Dec 15, 2021 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jan 18, 2022 |
| Dec 15, 2021 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jan 18, 2022 |
| Dec 15, 2021 | F-0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Jan 18, 2022 |
| Dec 15, 2021 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Jan 18, 2022 |
| Dec 15, 2021 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jan 18, 2022 |
| Dec 15, 2021 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 18, 2022 |
| Mar 10, 2020 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | J · Immediate jeopardy Isolated | Corrected Apr 24, 2020 |
| Mar 10, 2020 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | J · Immediate jeopardy Isolated | Corrected Apr 24, 2020 |
| Mar 10, 2020 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | J · Immediate jeopardy Isolated | Corrected Apr 24, 2020 |
| Mar 10, 2020 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Apr 24, 2020 |
| Mar 10, 2020 | F-0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Apr 24, 2020 |
| Mar 10, 2020 | F-0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Apr 24, 2020 |
| Mar 10, 2020 | F-0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Administration & records | J · Immediate jeopardy Isolated | Corrected Apr 24, 2020 |
| Mar 10, 2020 | F-0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records | J · Immediate jeopardy Isolated | Corrected Apr 24, 2020 |
| Mar 10, 2020 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 24, 2020 |
| Mar 10, 2020 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 24, 2020 |
| Mar 10, 2020 | F-0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 24, 2020 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.81 (case-mix index 1.76).