Nashville Senior AdvisorHome Care Solutions is a Medicare-certified home health agency based at 220 Town Center Pkwy, Ste. 105 in Spring Hill, TN 37174. Medicare first certified it in 1990, 36 years ago. Medicare rates its quality of patient care at 3 out of 5 stars, below the Tennessee average of 3.5. It trails the Tennessee average on 5 of the measures Medicare publishes and beats it on none.
What is Home Care Solutions's Medicare record?
| Agency | Home Care Solutions |
|---|---|
| Address | 220 Town Center Pkwy, Ste. 105, Spring Hill, TN 37174 |
| Phone | (615) 365-0300 |
| Medicare provider number (CCN) | 447513 |
| Ownership | Proprietary |
| Medicare-certified since | 04/19/1990 |
How does Home Care Solutions score on Medicare's quality measures?
Medicare publishes 11 patient-outcome and process measures for Home Care Solutions. It is better than the Tennessee average on 0 and worse on 5.
| Measure | Home Care Solutions | Tennessee average | U.S. average | vs. Tennessee |
|---|---|---|---|---|
| Started care on time | 95.4% | 97.6% | 96.6% | About the same |
| Got better at walking or moving around | 89.2% | 91.5% | 88.6% | About the same |
| Got better at getting in and out of bed | 90% | 92.3% | 89.8% | About the same |
| Got better at bathing | 90.2% | 92.7% | 90.7% | About the same |
| Breathing improved | 91.2% | 92.6% | 91.5% | About the same |
| Got better at taking medicines correctly | 85.3% | 90.8% | 88.3% | Worse |
| Medication issues addressed on time | 87.6% | 93.4% | 94.4% | Worse |
| Flu shot status checked | 44.9% | 61.5% | 63.3% | Worse |
| Met expected function at discharge | 66% | 72.4% | 71.7% | Worse |
| Falls with major injury (lower is better) | 2.1% | 1.3% | 0.9% | Worse |
| New or worsened pressure ulcers (lower is better) | 0.2% | 0.2% | 0.2% | About the same |
Where it trails: flu shot status checked, met expected function at discharge and medication issues addressed on time.
What do patients say about Home Care Solutions?
83% of surveyed patients said they would definitely recommend Home Care Solutions, based on 579 completed surveys. The Tennessee average is 82%.
| Survey question | Home Care Solutions | Tennessee average | U.S. average | vs. Tennessee |
|---|---|---|---|---|
| Team gave care in a professional way | 90% | 91% | 89% | About the same |
| Team communicated well | 87% | 88% | 86% | About the same |
| Team discussed medicines, pain and home safety | 86% | 84% | 82% | About the same |
| Rated the agency 9 or 10 out of 10 | 87% | 88% | 85% | About the same |
| Would definitely recommend the agency | 83% | 82% | 79% | About the same |
Do Home Care Solutions's patients end up back in the hospital?
Medicare rates Home Care Solutions worse than the national rate on: preventable hospital stays during care.
| Measure | Medicare's category | Risk-adjusted rate |
|---|---|---|
| Patients who went home and stayed home after care ended | Better Than National Rate | 82.2% |
| Preventable hospital readmissions in the 30 days after care | Same As National Rate | 4.3% |
| Preventable hospital stays during care | Worse Than National Rate | 14.3% |
Which home health services does Home Care Solutions provide, and which does it not?
Home Care Solutions reports offering skilled nursing, physical therapy, occupational therapy, speech therapy and medical social work. It does not report offering home health aide.
| Service | Offered by Home Care Solutions? |
|---|---|
| Skilled nursing | Yes |
| Physical therapy | Yes |
| Occupational therapy | Yes |
| Speech therapy | Yes |
| Medical social work | Yes |
| Home health aide | No |
| Round-the-clock or shift care | No. Home health is visits, not shifts. |
| Housekeeping, meals and errands on their own | No. Medicare does not cover them unless tied to skilled care. |
| Long-term help with bathing and dressing | No. That is non-medical home care, which families usually arrange and pay for separately. |
Which Nashville-area ZIP codes does Home Care Solutions serve?
Home Care Solutions tells Medicare it serves 41 ZIP codes in Nashville and Davidson, Williamson, Rutherford, Sumner, Wilson and Maury counties, out of 118 in total.
- 37013
- 37014
- 37027
- 37037
- 37046
- 37062
- 37064
- 37067
- 37069
- 37072
- 37075
- 37076
- 37115
- 37135
- 37138
- 37174
- 37179
- 37203
- 37204
- 37205
- 37206
- 37207
- 37208
- 37209
- 37210
- 37211
- 37212
- 37214
- 37215
- 37216
- 37217
- 37218
- 37220
- 37221
- 37228
- 38401
- 38451
- 38474
- 38476
- 38482
- 38487
A ZIP on this list means the agency accepts referrals there. It does not promise a nurse is available this week, so confirm your address when you call.
What should you ask Home Care Solutions before starting care?
Ask what 'done' looks like
66% of patients reached the level of function Medicare expected by discharge (Tennessee average 72.4%). Ask what goals they would set for your situation and what happens if progress stalls.
Ask how medication problems reach the doctor
When a medication problem was found, Home Care Solutions followed up with the doctor on time in 87.6% of cases (Tennessee average 93.4%). Ask who makes that call and how quickly.
Ask who sorts out the medication list
85.3% of patients got better at taking their medicines correctly (Tennessee average 90.8%). Ask whether a nurse reconciles every prescription at the first visit and who sets up the pill organizer.
Ask whether your plan treats it as in-network
Original Medicare pays any certified agency. Medicare Advantage plans use networks, and an out-of-network agency can mean a denied claim. Give them the exact plan name on the card.
Last verified: November 2026, against the Medicare provider data release dated 2026-09-21.
Common questions
Is Home Care Solutions Medicare-certified?
Yes. Home Care Solutions is certified by Medicare under provider number 447513 and has been since 1990. Original Medicare pays certified agencies directly for covered home health care.
What is Home Care Solutions's Medicare star rating?
3 out of 5 for quality of patient care. The Tennessee average is 3.5. Its patient survey rating is 4 out of 5.
Does Home Care Solutions provide physical therapy at home?
Yes, it reports offering physical therapy to Medicare. It also reports skilled nursing, occupational therapy, speech therapy and medical social work.
