VA Middle Tennessee Healthcare System - Murfreesboro

Hospital in Murfreesboro, TN, Medicare certification number 44017F. CMS publishes 13 quality measures for it.

Medicare certification

Provider of Services

CCN: 44017FThe number CMS certifies the facility under, not a provider identifier
Status: Active
Provider type: Hospital
Listed by Care Compare as: Acute Care - Veterans Administration
Ownership: Veterans Health Administration
Participating since: Jul 19, 2005
Last certification: Jul 19, 2005
Beds: 147
Address: 3400 Lebanon Road
Murfreesboro, TN 37129
(615) 867-6000

NPI records for this facility (CCN to NPI Mapping) 1

Alvin C. York Vamc
- Rehabilitation Hospital
- Murfreesboro, TN
- NPI 1518245505
Name & address match

Patient survey (HCAHPS) 0

Medicare Care Compare

Measures CMS does not publish for this facility (9)

Cleanliness - star rating — 5, 24
Communication about medicines - star rating — 5, 24
Discharge information - star rating — 5, 24
Doctor communication - star rating — 5, 24
Nurse communication - star rating — 5, 24
Overall hospital rating - star rating — 5, 24
Quietness - star rating — 5, 24
Recommend hospital - star rating — 5, 24
Summary star rating — 5, 24

Complications and deaths 8

Medicare Care Compare

CMS Medicare PSI 90: Patient safety and adverse events composite As expected0.94
- State average 0.99 (computed here)
- National average 1
- No different than the national value
- Period from 07/01/2022
Death rate for COPD patients As expected6
- State average 9.07 (computed here)
- National average 8.6
- No different than the national rate
- 74 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected7.5
- State average 11.61 (computed here)
- National average 11.1
- No different than the national rate
- 108 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected11.3
- State average 16.17 (computed here)
- National average 15.2
- No different than the national rate
- 166 patients
- Period from 07/01/2022
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected3.3
- State average 4.36 (computed here)
- National average 3.9
- No different than the national rate
- 317 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.21
- State average 0.21 (computed here)
- National average 0.21
- No different than the national rate
- 960 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.26
- State average 0.28 (computed here)
- National average 0.27
- No different than the national rate
- 1,012 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.49
- State average 0.61 (computed here)
- National average 0.63
- No different than the national rate
- 658 patients
- Period from 07/01/2022

Measures CMS does not publish for this facility (12)

Abdominopelvic accidental puncture or laceration rate — 1
Death rate among surgical inpatients with serious treatable complications — 7
Death rate for CABG surgery patients — 5
Death rate for heart attack patients — 1
Death rate for stroke patients — 5
Perioperative pulmonary embolism or deep vein thrombosis rate — 1
Postoperative acute kidney injury requiring dialysis rate — 1
Postoperative hemorrhage or hematoma rate — 1
Postoperative respiratory failure rate — 1
Postoperative sepsis rate — 1
Postoperative wound dehiscence rate — 1
Rate of complications for hip/knee replacement patients — 5

Infections 0

Medicare Care Compare

Measures CMS does not publish for this facility (6)

Catheter Associated Urinary Tract Infections (ICU + select Wards) — 13
Central Line Associated Bloodstream Infection (ICU + select Wards) — 13
Clostridium Difficile (C.Diff) — 5
MRSA Bacteremia — 5
SSI - Abdominal Hysterectomy — 5
SSI - Colon Surgery — 5

Unplanned visits 5

Medicare Care Compare

Heart failure (HF) 30-Day Readmission Rate As expected21.9
- State average 21.35 (computed here)
- National average 21.3
- No different than the national rate
- 74 patients
- Period from 07/01/2023
Hospital return days for heart failure patients -38.2
- State average 5.29 (computed here)
- National average 4.02 (computed here)
- Fewer days than average per 100 discharges
- 116 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients -8
- State average 5.61 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 196 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected18.2
- State average 17.45 (computed here)
- National average 17.3
- No different than the national rate
- 137 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected19.2
- State average 19.86 (computed here)
- National average 20
- No different than the national rate
- 52 patients
- Period from 07/01/2023

Measures CMS does not publish for this facility (9)

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate — 1
Hospital return days for heart attack patients — 1
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy — 5
Rate of inpatient admissions for patients receiving outpatient chemotherapy — 5
Rate of readmission after hip/knee replacement — 5
Rate of readmission for CABG — 5
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) — 5
Ratio of unplanned hospital visits after hospital outpatient surgery — 5

Other hospitals in Murfreesboro, TN

(Closed) Baptist Womens Treatment Ctr Murfreesboro terminated
Saint Thomas Rutherford Hospital
Trustpoint Hospital 1009 North Thompson Lane
Trustpoint Hospital 1009 North Thompson Lane

Sources for this page

Provider of Services: the certification, provider type, beds and status.
Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
NPPES NPI Registry: the NPI records connected to this certification.

Better and worse are CMS's own comparison with the national rate, not ours: for most measures a low score is the good one (deaths, infections) and for others a high one is, so measures where CMS states no comparison are left uncoloured. The exception is star ratings, which are read against the national average here. Quality measures are published by CMS and are not adjusted or re-scored here. Averages marked “computed here” are the mean of every facility reporting that measure, worked out by NPIMap because CMS publishes no comparison for it. Confirm anything you rely on at Medicare Care Compare.