Hospital
VA MIDDLE TENNESSEE HEALTHCARE SYSTEM
CCN: 44018F · NASHVILLE, TN 37212 · DAVIDSON County
Overview
- Address
- 1310 24TH AVENUE SOUTH, NASHVILLE, TN 37212
- Phone
- (615) 327-5332
- Hospital Type
- VA Hospital
- Ownership
- Veterans Health Administration
- Emergency Services
- Yes
5 /5
★★★★★
CMS Overall Rating
p89 VA Hospital — Department of Veterans Affairs medical center. Federally operated — does not participate in Medicare payment programs but voluntarily reports some quality data.
CMS Star Rating — Quality Domain Breakdown
CMS computes the overall star rating from five quality domains. Each domain compares this hospital's measures against national benchmarks.
Mortality 5 of 7 measures reported
30-day death rates for heart attack, heart failure, pneumonia, COPD, stroke, CABG, and kidney disease.
Safety of Care 4 of 8 measures reported
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 6 of 11 measures reported
30-day unplanned readmission rates for heart attack, heart failure, pneumonia, COPD, hip/knee replacement, and CABG.
Patient Experience 8 of 8 measures reported
HCAHPS survey scores — patient-reported experience with communication, responsiveness, cleanliness, and discharge planning.
Timely & Effective Care 6 of 12 measures reported
Process-of-care measures including flu immunization, blood clot prevention, and appropriate use of imaging.
Complications & Deaths
30-day mortality rates, patient safety indicators, and complication rates. "Better" means statistically significantly better than the national rate.
| Measure | Score | vs. National | Denominator |
|---|---|---|---|
| COMP_HIP_KNEE | 3.40 | No Different Than the National Rate | 192 |
| Hybrid_HWM | — | — | — |
| MORT_30_AMI | 12.30 | No Different Than the National Rate | 137 |
| MORT_30_CABG | — | — | — |
| MORT_30_COPD | 8.80 | No Different Than the National Rate | 278 |
| MORT_30_HF | 6.80 | Better Than the National Rate | 607 |
| MORT_30_PN | 11.60 | Better Than the National Rate | 299 |
| MORT_30_STK | — | — | — |
| PSI_03 | 0.58 | No Different Than the National Rate | 6,118 |
| PSI_04 | 140.31 | No Different Than the National Rate | 105 |
| PSI_06 | 0.41 | No Different Than the National Rate | 9,036 |
| PSI_08 | 0.38 | No Different Than the National Rate | 9,635 |
| PSI_09 | 2.85 | No Different Than the National Rate | 1,872 |
| PSI_10 | 1.67 | No Different Than the National Rate | 1,037 |
| PSI_11 | 10.79 | No Different Than the National Rate | 1,020 |
| PSI_12 | 3.69 | No Different Than the National Rate | 1,944 |
| PSI_13 | 4.73 | No Different Than the National Rate | 1,037 |
| PSI_14 | 1.53 | No Different Than the National Rate | 330 |
| PSI_15 | 0.80 | No Different Than the National Rate | 1,327 |
| PSI_90 | 1.06 | No Different Than the National Value | — |
Patient Experience (HCAHPS)
Hospital Consumer Assessment of Healthcare Providers and Systems — standardized patient survey measuring satisfaction with care.
| Measure | Score | Star Rating |
|---|---|---|
| H_COMP_1_A_P: Nurses "always" communicated well | 82% | — |
| H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well | 3% | — |
| H_COMP_1_U_P: Nurses "usually" communicated well | 15% | — |
| H_COMP_1_LINEAR_SCORE: Nurse communication - linear mean score | — | — |
| H_COMP_1_STAR_RATING: Nurse communication - star rating | — | 4 |
| H_NURSE_RESPECT_A_P: Nurses "always" treated them with courtesy and respect | 88% | — |
| H_NURSE_RESPECT_SN_P: Nurses "sometimes" or "never" treated them with courtesy and respect | 2% | — |
| H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect | 10% | — |
| H_NURSE_LISTEN_A_P: Nurses "always" listened carefully | 80% | — |
| H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully | 3% | — |
| H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully | 17% | — |
| H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand | 78% | — |
| H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand | 4% | — |
| H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand | 18% | — |
| H_COMP_2_A_P: Doctors "always" communicated well | 87% | — |
| H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well | 1% | — |
| H_COMP_2_U_P: Doctors "usually" communicated well | 12% | — |
| H_COMP_2_LINEAR_SCORE: Doctor communication - linear mean score | — | — |
| H_COMP_2_STAR_RATING: Doctor communication - star rating | — | 5 |
| H_DOCTOR_RESPECT_A_P: Doctors "always" treated them with courtesy and respect | 94% | — |
| H_DOCTOR_RESPECT_SN_P: Doctors "sometimes" or "never" treated them with courtesy and respect | 1% | — |
| H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect | 5% | — |
| H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully | 84% | — |
| H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully | 2% | — |
| H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully | 14% | — |
| H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand | 80% | — |
| H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand | 3% | — |
| H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand | 17% | — |
| H_COMP_5_A_P: Staff "always" explained | 71% | — |
| H_COMP_5_SN_P: Staff "sometimes" or "never" explained | 13% | — |
| H_COMP_5_U_P: Staff "usually" explained | 16% | — |
| H_COMP_5_LINEAR_SCORE: Communication about medicines - linear mean score | — | — |
| H_COMP_5_STAR_RATING: Communication about medicines - star rating | — | 4 |
| H_MED_FOR_A_P: Staff "always" explained new medications | 80% | — |
| H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications | 6% | — |
| H_MED_FOR_U_P: Staff "usually" explained new medications | 14% | — |
| H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects | 61% | — |
| H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects | 21% | — |
| H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects | 18% | — |
| H_COMP_6_N_P: No, staff "did not" give patients this information | 9% | — |
| H_COMP_6_Y_P: Yes, staff "did" give patients this information | 91% | — |
| H_COMP_6_LINEAR_SCORE: Discharge information - linear mean score | — | — |
| H_COMP_6_STAR_RATING: Discharge information - star rating | — | 4 |
| H_DISCH_HELP_N_P: No, staff "did not" give patients information about help after discharge | 10% | — |
| H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge | 90% | — |
| H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms | 9% | — |
| H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms | 91% | — |
| H_CLEAN_HSP_A_P: Room was "always" clean | 70% | — |
| H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean | 12% | — |
| H_CLEAN_HSP_U_P: Room was "usually" clean | 18% | — |
| H_CLEAN_LINEAR_SCORE: Cleanliness - linear mean score | — | — |
| H_CLEAN_STAR_RATING: Cleanliness - star rating | — | 3 |
| H_QUIET_HSP_A_P: "Always" quiet at night | 54% | — |
| H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night | 11% | — |
| H_QUIET_HSP_U_P: "Usually" quiet at night | 35% | — |
| H_QUIET_LINEAR_SCORE: Quietness - linear mean score | — | — |
| H_QUIET_STAR_RATING: Quietness - star rating | — | 3 |
| H_HSP_RATING_0_6: Patients who gave a rating of "6" or lower (low) | 7% | — |
| H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) | 15% | — |
| H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) | 78% | — |
| H_HSP_RATING_LINEAR_SCORE: Overall hospital rating - linear mean score | — | — |
| H_HSP_RATING_STAR_RATING: Overall hospital rating - star rating | — | 4 |
| H_RECMND_DN: "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it) | 4% | — |
| H_RECMND_DY: "YES", patients would definitely recommend the hospital | 78% | — |
| H_RECMND_PY: "YES", patients would probably recommend the hospital | 18% | — |
| H_RECMND_LINEAR_SCORE: Recommend hospital - linear mean score | — | — |
| H_RECMND_STAR_RATING: Recommend hospital - star rating | — | 5 |
| H_STAR_RATING: Summary star rating | — | 4 |
Healthcare Associated Infections
Standardized Infection Ratios (SIR). A SIR < 1.0 means fewer infections than predicted based on national baseline data.
| Measure | Score (SIR) | vs. National |
|---|---|---|
| HAI_1_CILOWER | 0.118 | No Different than National Benchmark |
| HAI_1_CIUPPER | 2.332 | No Different than National Benchmark |
| HAI_1_DOPC | 3101.000 | No Different than National Benchmark |
| HAI_1_ELIGCASES | 2.834 | No Different than National Benchmark |
| HAI_1_NUMERATOR | 2.000 | No Different than National Benchmark |
| HAI_1_SIR | 0.706 | No Different than National Benchmark |
| HAI_2_CILOWER | N/A | No Different than National Benchmark |
| HAI_2_CIUPPER | 1.021 | No Different than National Benchmark |
| HAI_2_DOPC | 3458.000 | No Different than National Benchmark |
| HAI_2_ELIGCASES | 2.933 | No Different than National Benchmark |
| HAI_2_NUMERATOR | 0.000 | No Different than National Benchmark |
| HAI_2_SIR | 0.000 | No Different than National Benchmark |
| HAI_3_CILOWER | — | — |
| HAI_3_CIUPPER | — | — |
| HAI_3_DOPC | — | — |
| HAI_3_ELIGCASES | — | — |
| HAI_3_NUMERATOR | — | — |
| HAI_3_SIR | — | — |
| HAI_4_CILOWER | — | — |
| HAI_4_CIUPPER | — | — |
| HAI_4_DOPC | — | — |
| HAI_4_ELIGCASES | — | — |
| HAI_4_NUMERATOR | — | — |
| HAI_4_SIR | — | — |
| HAI_5_CILOWER | — | — |
| HAI_5_CIUPPER | — | — |
| HAI_5_DOPC | — | — |
| HAI_5_ELIGCASES | — | — |
| HAI_5_NUMERATOR | — | — |
| HAI_5_SIR | — | — |
| HAI_6_CILOWER | — | — |
| HAI_6_CIUPPER | — | — |
| HAI_6_DOPC | — | — |
| HAI_6_ELIGCASES | — | — |
| HAI_6_NUMERATOR | — | — |
| HAI_6_SIR | — | — |
Unplanned Hospital Visits
Readmission and ED return rates within 30 days of discharge.
| Measure | Score | vs. National |
|---|---|---|
| EDAC_30_AMI | 17.20 | More Days Than Average per 100 Discharges |
| EDAC_30_HF | -3.90 | Average Days per 100 Discharges |
| EDAC_30_PN | 6.30 | Average Days per 100 Discharges |
| Hybrid_HWR | 15.00 | No Different Than the National Rate |
| OP_32 | — | — |
| OP_35_ADM | — | — |
| OP_35_ED | — | — |
| OP_36 | — | — |
| READM_30_AMI | 14.60 | No Different Than the National Rate |
| READM_30_CABG | — | — |
| READM_30_COPD | 18.60 | No Different Than the National Rate |
| READM_30_HF | 19.90 | No Different Than the National Rate |
| READM_30_HIP_KNEE | 5.20 | No Different Than the National Rate |
| READM_30_PN | 15.60 | No Different Than the National Rate |
All Data
Every labeled metric surfaced for this hospital, with national medians and percentiles where a benchmark is available.
Show 38 rows
| Source | Metric | Value | National Median | Pctl. | Raw key |
|---|---|---|---|---|---|
| General Information | Address | 1310 24TH AVENUE SOUTH | — | Address | |
| General Information | City/Town | NASHVILLE | — | City/Town | |
| General Information | Count of Facility MORT Measures | 5 | — | Count of Facility MORT Measures | |
| General Information | Count of Facility Pt Exp Measures | 8 | — | Count of Facility Pt Exp Measures | |
| General Information | Count of Facility READM Measures | 6 | — | Count of Facility READM Measures | |
| General Information | Count of Facility Safety Measures | 4 | — | Count of Facility Safety Measures | |
| General Information | Count of Facility TE Measures | 6 | — | Count of Facility TE Measures | |
| General Information | Count of MORT Measures Better | 2 | — | Count of MORT Measures Better | |
| General Information | Count of MORT Measures No Different | 3 | — | Count of MORT Measures No Different | |
| General Information | Count of MORT Measures Worse | 0 | — | Count of MORT Measures Worse | |
| General Information | Count of READM Measures Better | 0 | — | Count of READM Measures Better | |
| General Information | Count of READM Measures No Different | 6 | — | Count of READM Measures No Different | |
| General Information | Count of READM Measures Worse | 0 | — | Count of READM Measures Worse | |
| General Information | Count of Safety Measures Better | 0 | — | Count of Safety Measures Better | |
| General Information | Count of Safety Measures No Different | 4 | — | Count of Safety Measures No Different | |
| General Information | Count of Safety Measures Worse | 0 | — | Count of Safety Measures Worse | |
| General Information | County/Parish | DAVIDSON | — | County/Parish | |
| General Information | Emergency Services | Yes | — | Emergency Services | |
| General Information | Facility ID | 44018F | — | Facility ID | |
| General Information | Facility Name | VA MIDDLE TENNESSEE HEALTHCARE SYSTEM | — | Facility Name | |
| General Information | Hospital overall rating | 5 | — | Hospital overall rating | |
| General Information | Hospital overall rating footnote | — | — | Hospital overall rating footnote | |
| General Information | Hospital Ownership | Veterans Health Administration | — | Hospital Ownership | |
| General Information | Hospital Type | Acute Care - Veterans Administration | — | Hospital Type | |
| General Information | Meets criteria for birthing friendly designation | — | — | Meets criteria for birthing friendly designation | |
| General Information | MORT Group Footnote | — | — | MORT Group Footnote | |
| General Information | MORT Group Measure Count | 7 | — | MORT Group Measure Count | |
| General Information | Pt Exp Group Footnote | — | — | Pt Exp Group Footnote | |
| General Information | Pt Exp Group Measure Count | 8 | — | Pt Exp Group Measure Count | |
| General Information | READM Group Footnote | — | — | READM Group Footnote | |
| General Information | READM Group Measure Count | 11 | — | READM Group Measure Count | |
| General Information | Safety Group Footnote | — | — | Safety Group Footnote | |
| General Information | Safety Group Measure Count | 8 | — | Safety Group Measure Count | |
| General Information | State | TN | — | State | |
| General Information | TE Group Footnote | — | — | TE Group Footnote | |
| General Information | TE Group Measure Count | 12 | — | TE Group Measure Count | |
| General Information | Telephone Number | (615) 327-5332 | — | Telephone Number | |
| General Information | ZIP Code | 37212 | — | ZIP Code |
Methodology
- Hospital General Information (dataset:
xubh-q36u, vintage: 2026, downloaded: 2026-04-13) - Complications and Deaths — Hospital (dataset:
hosp-complications, vintage: 2026, downloaded: 2026-04-13) - Patient Survey (HCAHPS) — Hospital (dataset:
hosp-hcahps, vintage: 2026, downloaded: 2026-04-13) - Healthcare Associated Infections — Hospital (dataset:
hosp-hai, vintage: 2026, downloaded: 2026-04-13) - Unplanned Hospital Visits — Hospital (dataset:
hosp-unplanned-visits, vintage: 2026, downloaded: 2026-04-13)