Ascension Saint Thomas Rehabilitation Hospital

When those deficiencies happened

1 deficiency in 1 month of the last 36. Last cited Jan 2024. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.

Each deficiency, as cited

Rule titles as CMS’s inspectors cite them, set in sentence case.

• 68.13% of its patients returned home or to the community: no different than the national rate, as CMS compares it (Oct 1, 2023 to Sep 30, 2025).
• Compared by CMS: potentially preventable readmissions within 30 days after discharge, no different than the national rate (8.4%); potentially preventable readmissions during the stay, no different than the national rate (5.19%); catheter urinary tract infections (CAUTI), no comparison (standardized infection ratio 0); C. diff infections, no comparison (standardized infection ratio 0).
• As CMS gives them: patients with one or more falls with major injury, 0%; patients with new or worsened pressure ulcers or injuries, 0.11%; patients at or above an expected ability to care for themselves and move around at discharge, 87.03%; Medicare spending per patient (1 is the national median), 0.97.

• Medicare-certified inpatient rehabilitation facility since Jul 15, 2022.
• Ownership: for profit.
• It is accredited by The Joint Commission, whose surveys stand in for the state’s routine inspections.
• No condition-level: what this means deficiency on record in the last three years.
• For profit.

• CMS doesn’t publish fines or other penalties for these facilities.
• 1 deficiency cited in the last three years came from an inspection that included a complaint investigation.

• CMS doesn’t publish staffing levels for these facilities.
• 80.45% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).

• Saint Thomas Health owns 51% directly since Jun 1, 2022; Lifepoint Rehab LLC owns 49% directly since Jun 1, 2022.
• Chc Management Services LLC runs it.
• 10 owners or officers are people: Brandon Williams (corporate director, 0%); Christopher Bariola (corporate director); James E Ransom (corporate director, 0%); Marcus B Poppell (runs it (operational or managerial control)); David I Stark (corporate director); Raymond Randal Johnson (corporate officer, 0%); Raymond Randal Johnson (managing employee (on the payroll), 0%); Raymond Randal Johnson (runs it (operational or managerial control), 0%); Harrison Kiser (corporate director, 0%); Elizabeth Bernstein (corporate director, 0%).
• CMS’s Provider of Services file records no change of ownership.
• No private-equity firm among the owners CMS lists.
• No real-estate investment trust among the owners CMS lists.

• Of the 5 inpatient rehabilitation facilities CMS lists in Davidson County, 5 have CMS’s comparison of their discharges to the community with the national rate: 1 better than the national rate, 4 no different than the national rate.
• CMS rates this one no different than the national rate for returning patients to the community.

• CMS doesn’t publish fines or other penalties for inpatient rehabilitation facilities or long-term care hospitals, so none are shown.
• Only complaints that led to a citation appear; complaints that didn’t aren’t published.
• Many of these facilities are accredited by a private organisation (The Joint Commission, DNV and others) whose routine inspections stand in for the state’s; those reports aren’t public, and QCOR holds only the state’s surveys: no inspection on record here doesn’t mean none took place.
• QCOR says its hospital inspection data are complete only through September 17, 2026, while it moves to a new system.
• CMS doesn’t publish staffing levels for these facilities.

• Centers for Medicare & Medicaid Services, Inpatient Rehabilitation Facility - General Information (7t8x-u3ir).

  Released Sep 23, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).

• Centers for Medicare & Medicaid Services, Inpatient Rehabilitation Facility - Provider Data (v9e4-nwhh).

  Released Sep 23, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).

• Centers for Medicare & Medicaid Services, Provider of Services File - Hospital & Non-Hospital Facilities (Hospital_and_other.DATA.Q3_2026.csv).

  Released Oct 14, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).

• Centers for Medicare & Medicaid Services, QCOR Hospital 2567 statements of deficiencies (Hospital_2567s_2010_to_2026YTD.xlsx).

  Released Oct 20, 2026 and checked Oct 27, 2026. Updated monthly. Public domain (U.S. Government work).

• Centers for Medicare & Medicaid Services, Hospital All Owners (Hospital_All_Owners_2026.09.29.csv).

  Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

• Centers for Medicare & Medicaid Services, Hospital Enrollments (Hospital_Enrollments_2026.09.29.csv).

  Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

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