THE MCKENDREE POST ACUTE & REHABILITATION
37 citation(s) appear in this facility's record, none at CMS's actual-harm or immediate-jeopardy levels in the last three years.
CMS currently lists this facility as: SFF Candidate (the Special Focus program tracks facilities with a persistent pattern of serious inspection findings).
CMS has flagged this facility with its abuse icon, which marks facilities cited for abuse in recent inspections.
Serious inspection findings
2023-10-03 — IMMEDIATE JEOPARDY (tag F0700, severity K)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
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.
2023-10-03 — IMMEDIATE JEOPARDY (tag F0600, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2023-10-03 — IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023-10-03 — ACTUAL HARM (tag F0726, severity G)
Nursing and Physician Services Deficiencies · correction not recorded in CMS data
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.
Staffing, from payroll records
Nursing hours / resident / day
3.08
state median 3.29
Weekend staffing gap
−3%
fewer nursing hours on weekends · state median −8%
RN hours / resident / day
0.38
registered nurses only
Contract (agency) staff
10%
share of all nursing hours
Nursing staff turnover
58%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
2 enforcement action(s), totaling $252,242 in fines.
| Date | Type | Amount |
|---|---|---|
| 2023-10-03 | Fine | $252,242 |
| 2023-10-03 | Payment Denial | payment denial |
Ownership
Ownership type: Non profit - Corporation. Part of the HILL VALLEY HEALTHCARE chain.
Other facilities under the same ownership, with their CMS overall ratings:
- OAKWOOD SNF LLC (MIDDLE RIVER, MD) —
- LAURELHURST POST ACUTE & REHABILITATION (PORTLAND, OR) —
- Mt. Tabor Health & Rehabilitation (PORTLAND, OR) —
- GEORGE WASHINGTON HEALTH & REHABILITATION (ALEXANDRIA, VA) —
- LAKESIDE HEALTH & REHABILITATION (RICHMOND, VA) —
- OAKWOOD HEALTH AND REHAB CENTER (BEDFORD, VA) —
- TATE SPRINGS HEALTH & REHAB (LYNCHBURG, VA) —
- CARLIN SPRINGS HEALTH & REHABILITATION (ARLINGTON, VA) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2025-11-20 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-10-03 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2023-10-03 | F0569 | Resident Rights Deficiencies | F | not recorded |
| 2023-10-03 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2023-10-03 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | J | not recorded |
| 2023-10-03 | F0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2023-10-03 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2023-10-03 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2023-10-03 | F0623 | Resident Rights Deficiencies | D | not recorded |
| 2023-10-03 | F0625 | Resident Rights Deficiencies | D | not recorded |
| 2023-10-03 | F0640 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-10-03 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-10-03 | F0644 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-10-03 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-10-03 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-10-03 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-10-03 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-10-03 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2023-10-03 | F0697 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-10-03 | F0699 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-10-03 | F0700 | Quality of Life and Care Deficiencies | K | not recorded |
| 2023-10-03 | F0726 | Nursing and Physician Services Deficiencies | G | not recorded |
| 2023-10-03 | F0742 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-10-03 | F0758 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-10-03 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2023-10-03 | F0908 | Environmental Deficiencies | F | not recorded |
| 2023-10-03 | F0921 | Environmental Deficiencies | D | not recorded |
| 2019-06-19 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2019-06-19 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2019-06-19 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2019-06-19 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2019-06-19 | F0880 | Infection Control Deficiencies | F | not recorded |
| 2019-06-19 | F0908 | Environmental Deficiencies | F | not recorded |
| 2018-06-06 | F0578 | Resident Rights Deficiencies | D | not recorded |
| 2018-06-06 | F0640 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2018-06-06 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2018-06-06 | F0758 | Pharmacy Service Deficiencies | D | not recorded |