October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

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Homefirst of Middle Tennessee, LLC

Home health agency in Nashville, Tennessee

Quality of care

Patient survey

How patients did

Compared with the average Tennessee agency. The dot is this agency; the grey tick is the state average.

Care started on timeAbout average

96.7%

Share of patients whose first visit happened on the date the doctor ordered, or within 2 days of the referral or of coming home from the hospital when no date was ordered.

State average 97.5% · U.S. average 96.5% · 1594 of 1649 patients

Patients got better at walkingBelow average

87.1%

Share of patients who could walk or move around more easily by the end of care.

State average 92.6% · U.S. average 88.6% · 960 of 1059 patients

Falls with major injury· lower is betterBetter than average

0.3%

Share of patients who had a fall that caused a broken bone, head injury or similar during care. Lower is better.

State average 1.3% · U.S. average 0.9% · 5 of 1648 patients

Patients sent home to the community

Share of patients who went home or to the community after home health and stayed out of a facility, adjusted for how sick patients were.

78.6%likely between 70.8% and 83.8%

National rate 77.7% (dashed line)

Medicare: Same As National Rate

Preventable hospital stays during care· lower is better

Share of home health stays with a hospital or observation stay for a problem good care might have prevented, adjusted for how sick patients were. Lower is better.

13.3%likely between 9.7% and 17.2%

National rate 10.8% (dashed line)

Medicare: Same As National Rate
See all 17 measures

Checked on flu shotBetter than average

73.6%

Share of patients who were determined to have received the flu shot for the current flu season, from the agency or elsewhere.

State average 62.2% · U.S. average 64.2% · 807 of 1097 patients

Got better at getting in and out of bedBelow average

88.1%

Share of patients who needed less help getting in and out of bed by the end of care.

State average 93.6% · U.S. average 89.7% · 974 of 1059 patients

Got better at bathingBelow average

91.1%

Share of patients who needed less help washing themselves by the end of care.

State average 94.2% · U.S. average 90.6% · 984 of 1059 patients

Less short of breathBelow average

76.6%

Share of patients who were less short of breath by the end of care.

State average 94.8% · U.S. average 91.3% · 859 of 1054 patients

Got better at taking medicinesBelow average

86.1%

Share of patients who could take their medicines correctly on their own by the end of care.

State average 92.8% · U.S. average 88.1% · 963 of 1051 patients

Pressure ulcers that got worse or appeared· lower is betterAbout average

0.3%

Share of patients who developed a new or worsened pressure ulcer during care. Lower is better.

State average 0.2% · U.S. average 0.2% · 3 of 1108 patients

Medication problems acted on in timeBelow average

90.6%

Share of patients whose medications were reviewed at the start of care and, each time a medication problem was found, the doctor-recommended action was completed with timely follow-up.

State average 93.4% · U.S. average 94.5% · 1494 of 1649 patients

Met expected function at dischargeBelow average

69.3%

Share of patients whose ability to move and care for themselves at discharge met or beat what was expected for them.

State average 72.2% · U.S. average 71.7% · 732 of 1056 patients

Medication list sent to the next providerBetter than average

96.5%

Share of patients whose current medication list was sent in a timely way to the next doctor or facility at transfer or discharge.

State average 80.7% · U.S. average 81.2% · 572 of 593 patients

Medication list given to the patientBetter than average

94.4%

Share of patients given their current medication list in a timely way when discharged to a home or similar setting.

State average 90.3% · U.S. average 92.2% · 985 of 1043 patients

Preventable readmission within 30 days· lower is better

Share of patients readmitted to a hospital within 30 days of leaving home health for a problem good care might have prevented, adjusted for how sick patients were. Lower is better.

4.3%likely between 3.0% and 6.2%

National rate 4.1% (dashed line)

Medicare: Same As National Rate

Medicare spending per episode

A ratio to the national average (1.00). Lower means less spending.

0.93

7% below the national average

What patients said

80% would definitely recommend this agency, from 265 patient surveys.

State average 82% · U.S. average 79% · 19% response rate. Based on 100 to 299 surveys.

Care was professional
4 of 5
Team communicated well
3 of 5
Discussed medicines, pain and safety
2 of 5
Rated the agency 9 or 10
4 of 5

Medicare payment

Cohort

Larger-volume

Total performance score

33.5 of 100

Cohort average 32.2

Payment adjustment

+0.2%

Payment year 2026

How it's calculated
  • Potentially preventable hospitalization4.9 pts
    26.25% weight

    Achievement 0.7 · Improvement 4.9 · the higher one counts

  • Discharge to community3.6 pts
    5.83% weight

    Achievement 0.0 · Improvement 3.6 · the higher one counts

  • Improvement in dyspnea3.3 pts
    5.83% weight

    Achievement 0.0 · Improvement 3.3 · the higher one counts

  • Improvement in oral medications3.9 pts
    5.83% weight

    Achievement 2.4 · Improvement 3.9 · the higher one counts

  • Improvement in mobility3.7 pts
    8.75% weight

    Achievement 3.7 · Improvement 3.2 · the higher one counts

  • Improvement in self-care4.0 pts
    8.75% weight

    Achievement 4.0 · Improvement 3.6 · the higher one counts

  • ED use0.0 pts
    8.75% weight

    Achievement 0.0 · Improvement 0.0 · the higher one counts

  • Care of patients2.1 pts
    6% weight

    Achievement 1.1 · Improvement 2.1 · the higher one counts

  • Communication3.8 pts
    6% weight

    Achievement 0.0 · Improvement 3.8 · the higher one counts

  • Specific care issues3.6 pts
    6% weight

    Achievement 1.6 · Improvement 3.6 · the higher one counts

  • Overall rating1.0 pts
    6% weight

    Achievement 0.0 · Improvement 1.0 · the higher one counts

  • Willingness to recommend2.3 pts
    6% weight

    Achievement 0.8 · Improvement 2.3 · the higher one counts

Each measure earns the higher of its achievement or improvement points. Points are weighted and summed into the total performance score.

About the agency

Services
Nursing, physical therapy, occupational therapy, speech therapy, social work, home health aide
Ownership
For-profit
Certified
Since 1996
Address
1101 Kermit Dr Suite 204, Nashville, TN 37217
ZIP codes served
37012, 37013, 37014, 37015, 37022, 37027, 37030, 37031, 37037, 37042, 37043, 37048
All 71 ZIP codes

37012, 37013, 37014, 37015, 37022, 37027, 37030, 37031, 37037, 37042, 37043, 37048, 37049, 37055, 37060, 37064, 37066, 37067, 37069, 37072, 37073, 37075, 37076, 37080, 37082, 37085, 37086, 37087, 37088, 37090, 37115, 37118, 37122, 37127, 37128, 37129, 37130, 37135, 37138, 37141, 37146, 37148, 37149, 37153, 37160, 37167, 37172, 37174, 37184, 37186, 37188, 37189, 37201, 37203, 37204, 37205, 37206, 37207, 37208, 37209, 37210, 37211, 37212, 37214, 37215, 37216, 37217, 37218, 37220, 37221, 37228

This is CMS data, not a Logicly rating. Better, about and below compare the agency with the state average. That is Logicly's reading of CMS numbers, not a CMS rating.