Nashville Senior AdvisorHomefirst of Middle Tennessee, LLC is a Medicare-certified home health agency based at 1101 Kermit Dr Suite 204 in Nashville, TN 37217. Medicare first certified it in 1996, 30 years ago. Medicare rates its quality of patient care at 3 out of 5 stars, below the Tennessee average of 3.5. Its strongest result against the Tennessee average is flu shot status checked; its weakest is breathing improved.
What is Homefirst of Middle Tennessee, LLC's Medicare record?
| Agency | Homefirst of Middle Tennessee, LLC |
|---|---|
| Address | 1101 Kermit Dr Suite 204, Nashville, TN 37217 |
| Phone | (615) 365-4424 |
| Medicare provider number (CCN) | 447578 |
| Ownership | Proprietary |
| Medicare-certified since | 03/25/1996 |
How does Homefirst of Middle Tennessee, LLC score on Medicare's quality measures?
Medicare publishes 11 patient-outcome and process measures for Homefirst of Middle Tennessee, LLC. It is better than the Tennessee average on 2 and worse on 4.
| Measure | Homefirst of Middle Tennessee, LLC | Tennessee average | U.S. average | vs. Tennessee |
|---|---|---|---|---|
| Started care on time | 98.3% | 97.6% | 96.6% | About the same |
| Got better at walking or moving around | 88.4% | 91.5% | 88.6% | Worse |
| Got better at getting in and out of bed | 89.2% | 92.3% | 89.8% | Worse |
| Got better at bathing | 92% | 92.7% | 90.7% | About the same |
| Breathing improved | 78.6% | 92.6% | 91.5% | Worse |
| Got better at taking medicines correctly | 88% | 90.8% | 88.3% | About the same |
| Medication issues addressed on time | 92.4% | 93.4% | 94.4% | About the same |
| Flu shot status checked | 79.6% | 61.5% | 63.3% | Better |
| Met expected function at discharge | 67.4% | 72.4% | 71.7% | Worse |
| Falls with major injury (lower is better) | 0.6% | 1.3% | 0.9% | Better |
| New or worsened pressure ulcers (lower is better) | 0.2% | 0.2% | 0.2% | About the same |
Where it stands out: flu shot status checked and falls with major injury.
Where it trails: breathing improved, met expected function at discharge and got better at getting in and out of bed.
What do patients say about Homefirst of Middle Tennessee, LLC?
84% of surveyed patients said they would definitely recommend Homefirst of Middle Tennessee, LLC, based on 288 completed surveys. The Tennessee average is 82%.
| Survey question | Homefirst of Middle Tennessee, LLC | Tennessee average | U.S. average | vs. Tennessee |
|---|---|---|---|---|
| Team gave care in a professional way | 91% | 91% | 89% | About the same |
| Team communicated well | 85% | 88% | 86% | Worse |
| Team discussed medicines, pain and home safety | 79% | 84% | 82% | Worse |
| Rated the agency 9 or 10 out of 10 | 89% | 88% | 85% | About the same |
| Would definitely recommend the agency | 84% | 82% | 79% | About the same |
Do Homefirst of Middle Tennessee, LLC's patients end up back in the hospital?
On the hospital-use measures Medicare can calculate for Homefirst of Middle Tennessee, LLC, it performs the same as the national rate.
| Measure | Medicare's category | Risk-adjusted rate |
|---|---|---|
| Patients who went home and stayed home after care ended | Same As National Rate | 77.8% |
| Preventable hospital readmissions in the 30 days after care | Same As National Rate | 4.3% |
| Preventable hospital stays during care | Same As National Rate | 13.3% |
Which home health services does Homefirst of Middle Tennessee, LLC provide, and which does it not?
Homefirst of Middle Tennessee, LLC reports offering skilled nursing, physical therapy, occupational therapy, speech therapy, medical social work and home health aide.
| Service | Offered by Homefirst of Middle Tennessee, LLC? |
|---|---|
| Skilled nursing | Yes |
| Physical therapy | Yes |
| Occupational therapy | Yes |
| Speech therapy | Yes |
| Medical social work | Yes |
| Home health aide | Yes |
| 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 Homefirst of Middle Tennessee, LLC serve?
Homefirst of Middle Tennessee, LLC tells Medicare it serves 55 ZIP codes in Nashville and Davidson, Williamson, Rutherford, Sumner, Wilson and Maury counties, out of 72 in total.
- 37013
- 37014
- 37022
- 37027
- 37031
- 37037
- 37048
- 37064
- 37066
- 37067
- 37069
- 37072
- 37075
- 37076
- 37080
- 37085
- 37086
- 37087
- 37090
- 37115
- 37118
- 37122
- 37127
- 37128
- 37129
- 37130
- 37135
- 37138
- 37148
- 37149
- 37153
- 37167
- 37174
- 37184
- 37186
- 37189
- 37201
- 37203
- 37204
- 37205
- 37206
- 37207
- 37208
- 37209
- 37210
- 37211
- 37212
- 37214
- 37215
- 37216
- 37217
- 37218
- 37220
- 37221
- 37228
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 Homefirst of Middle Tennessee, LLC before starting care?
Ask about breathing and oxygen management
78.6% of patients had less shortness of breath by the end of care (Tennessee average 92.6%). If the diagnosis is COPD or heart failure, ask how the nurse monitors breathing between visits.
Ask what 'done' looks like
67.4% 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 about transfer training
89.2% of patients improved at getting in and out of bed (Tennessee average 92.3%). Ask whether the therapist will train the family member who does the lifting, not only the patient.
Ask how many visits a week to expect
Home health is intermittent: visits, not shifts. Ask for the planned number of nursing and therapy visits per week so the family knows which hours still need covering.
Which other home health agencies serve Nashville, TN?
These Medicare-certified agencies are also based in or near Nashville.
- Centerwell Home Health — 5 of 5 stars
- All Heart Home Care — 4 of 5 stars
- Amedisys Home Health — 4.5 of 5 stars
- Ascension at Home Saint Thomas — 4 of 5 stars
- Advanced Home Health and Hospice of Nashville, LLC — 3.5 of 5 stars
- Tristar Healthcare at Home — 3.5 of 5 stars
Last verified: November 2026, against the Medicare provider data release dated 2026-09-21.
Common questions
Is Homefirst of Middle Tennessee, LLC Medicare-certified?
Yes. Homefirst of Middle Tennessee, LLC is certified by Medicare under provider number 447578 and has been since 1996. Original Medicare pays certified agencies directly for covered home health care.
What is Homefirst of Middle Tennessee, LLC'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 Homefirst of Middle Tennessee, LLC provide physical therapy at home?
Yes, it reports offering physical therapy to Medicare. It also reports skilled nursing, occupational therapy, speech therapy, medical social work and home health aide.
