Case Study: Gallatin Center Q 3 2025
Concierge: Emanuel Slappey
Age: 83-year-old female
Name: Nancy G.
Admit Date: 7-14-25
Discharge Date: 9-12-25
Discharged to: Home with Home Health
Length of stay: 59 days
Reason for stay: Therapy
Referred by: Returning Patient

Nancy was hospitalized at Saint Thomas Midtown Nashville with an admitting diagnosis of Rectal Prolapse. Nancy also had a diagnosis of COPD and chronic hypoxic respiratory failure on two liters of home oxygen, coronary artery disease with recent stenting, and restless leg syndrome. X-rays and other tests were performed in the ER by Dr. Steven Hegedus. It was determined that Nancy was not a candidate for a surgical procedure, and it was recommended to balance comfort and dignity with any possible treatments. Nancy and her family decided they would try a skilled nursing home for an “attempt” at rehabilitation.

Nancy was admitted to the Gallatin Center for Health and Rehabilitation on 7/14/25 for therapy and respiratory services. Upon admission, Nancy G. was in no pain but very short of breath. Nancy was introduced to her therapy team, nursing team, concierge, respiratory therapist, social services, dietician, and activities director, and a plan of care specifically for her needs was created. 

The therapy team created an assessment of her functional status. Nancy’s functional limitations were something the therapy team was ready to tackle. Nancy G. required moderate assistance with mobility and self-care and moderate assistance with activities of daily living (bathing, toileting, dressing). Nancy’s oxygen would drop when she tried to walk or get out of bed on her own. She was weak and short of breath at rest and while walking with therapy, and, therefore, was placed on Airvo.

Over the next few weeks, Nancy worked very hard with the therapy department and stated, “They would push me hard even when I really didn’t want to, but it was definitely worth it.” Nancy made huge improvements while at the Gallatin Center. She is now able to ambulate 300 feet with stand-by assistance, supervision for all activities of daily living, and set-up assistance with mobility. Nancy was given lots of education on breathing exercises and proper rest periods to help cope with her chronic lung disease. Nancy improved her respiratory muscle strength and ability to maintain oxygen levels while walking. Nancy came off Airvo and back to her normal 2 liters of oxygen. Nancy stated, “The respiratory therapist was truly amazing and helped me in many ways”. Nancy G. was discharged home with her son on 9/12/25 and is much better than when she came.

Nancy G., we thank you for allowing and trusting the Gallatin Center for Rehabilitation’s team to start you on your way to better health. Best wishes from all staff here.

Case Study: Gallatin Center Q 2 2025
Concierge: Christina Mitchell
Age: 60-year-old female
Name: Lisa D.
Admit Date: 5/29/2025
Discharge Date: 6/27/2025
Discharged to: Home with home health
Length of stay: 29 days
Reason for stay: Therapy
Referred by: St. Thomas Midtown Hospital

Lisa D was hospitalized at St. Thomas Midtown Hospital in Nashville, TN,  after falling while at work. During her hospitalization,  Lisa was in excruciating pain, being managed by IV narcotics. An ultrasound was performed and cleared her of any deep vein thrombosis. She was seen in the ER by Dr. Christopher Nelson and referred to Dr. Amanda Martin for consultation. Once swelling was managed, a Total Knee Replacement was performed by Dr. Lucas Burton of Nashville related to fractures of the right leg/knee.

Lisa was admitted to Gallatin Center for Health and Rehabilitation on 5/29/2025  for therapy services following a Total Knee Replacement of the right knee s/p fall with injury, resulting in a fractured tibial plateau and a displaced right fibular neck fracture.  Upon admission to Gallatin Center, Lisa D was introduced to her therapy team, nursing team, concierge, social services, Dietary manager, and activities director. A plan of care was designed specifically for her needs, and the work began.

An assessment of her functional status was performed by the evaluating therapists.  Lisa had many functional limitations due to pain and swelling. She required moderate assistance with bed mobility and was completely unable to perform a stand and pivot transfer. Lower body dressing required substantial assistance, and she was altogether unable to put on and take off her socks and shoes. She rated her pain an “8” on a scale of one to ten and sometimes worsened with movement.  Some of the impairments and/or obstacles that were affecting tasks were decreased balance, decreased hand/eye coordination, decreased safety awareness, pain, and a decrease in overall strength.   

Over the next few weeks, Lisa D. worked very hard with her therapy team.  Lisa stated during this consultation, “Sometimes I felt that the therapists may have been doubtful at first, due to the intensity of my pain. I know I was doubtful at times.”  She went on to say, “ I think the combination of the different personalities of my therapists helped me the most. One of my therapists, Janetta, was extremely patient with me, understanding, and very, very gentle. And my other therapist, Jessica, was more of the assertive type, never sugar-coated anything. And that gave me the confidence and boost that I needed.”  “They never gave up on me. This therapy department is wonderful.”  After working hard for approximately three weeks, Lisa D. made huge improvements with her tasks. She no longer required verbal cueing or hands-on assistance with bed mobility or stand / pivot transfers.  Ambulating 150 ft with a rolling walker. Her range of motion improved greatly to her right knee, although she continues to have some slight swelling at times, the pain has decreased as well.  She reports, “ The pain is definitely still there, but it is so much better and it’s tolerable.”  Lisa is being discharged 06/27/2025 home with home health to continue with therapy.

Lisa D., we wish you all the luck with your continued therapy journey. We are grateful for allowing us to start you on your way to better health. Thank you for trusting our therapy department with your rehabilitation needs. Best wishes from the staff at Gallatin Center.

Case Study: Gallatin Center – Q1 2025
Concierge: Christina Mitchell
Age: 43
Name: Chris K.
Admission Date:  12/14/2024
Discharge Date: NA
Discharged to: NA
Length of Stay:  3 months… ongoing
Reason for Stay: Therapy services 
How did the patient hear about the Gallatin Center: HighPoint Health Hospita

Details of Experience:

Chris K. was admitted to the Gallatin Center on 12/14/2024 following a stay at HighPoint Health. Chris was admitted with a diagnosis of food in the trachea causing asphyxiation, acute respiratory failure, cerebral Infarction,  muscle weakness, dysphagia following cerebral infarction, rib fractures, fracture of the sternum, and need for assistance with personal care.  Chris choked on food at his prior residence, losing consciousness and going into cardiac arrest. CPR was performed and resulted in 8 fractured ribs and a fractured sternum, and pulmonary contusions. Chris was intubated and placed on mechanical ventilation on 12/1/2024 and was extubated on 12/8/2024.

Upon admission to our community on 12/14/2024, Chris met his personal concierge, and a welcome gift was presented.  He was also introduced to his nursing team (Certified Nursing Assistant, Nurse, and Nurse Practitioners), Social Services, Activities Director, Therapy Team (Occupational Therapy, Physical Therapy, and Speech Therapy), and Respiratory Therapist.  He was admitted on a puree diet with honey-consistency thickened liquids due to a poor swallowing test performed while in the hospital.  Chris required total assistance with all mobility tasks. And was totally dependent on staff for all activities of daily living, for example: bathing, dressing, eating, toileting, and personal hygiene.  Requiring full body lift/Hoyer for transfers.  A high-back wheelchair was used when out of bed due to poor balance.  The team discussed his needs, and a plan of care was established.   Physical Therapy for ambulation, transfers, bed mobility, strengthening, and endurance were some of the focuses, Occupational Therapy is more focused on fine motor skills (required for bathing, dressing, grooming, strengthening, and cognition), and of course, Speech Therapy to work on cognition and swallowing as well as speech. Some short-term goals were set with physical function, cognition, and mobility as a priority.  Examples of some of these goals were for Chris to stand supported by at least 2 persons for safety.  Sitting in a wheelchair and self-correcting/positioning and improving lower extremity (leg) strength.

By the end of six weeks, Chris was excelling in bed mobility, he was able to roll left to right independently, go from sitting position on the bed to a lying position independently, and back to a sitting position. Chris was able to go from sitting to standing with supervision and assistance for safety and was also able to perform transfers with supervision. By the end of February, Chris was ambulating ten feet with a rolling walker with supervision for safety, and ambulating 50 feet and performing two turns with partial/moderate assistance.  And as of March, his cognition has greatly improved.  His diet has also been upgraded to a soft texture instead of puree; at this time, he remains on honey-thickened liquids for swallowing precautions.  Chris is very determined and has overcome a myriad of obstacles on his journey. He is still residing at our community, and therapy is ongoing, but his plans are to return home when appropriate. We are committed to going as far as he is to rehabilitate Chris and meet his personal goal of returning home. 

Case Study: Gallatin Center for Rehabilitation Q4 2024
Concierge: Christina Mitchell
Patient Name: Vincent Reymann
Age: 83
Discharge From: Skyline Medical Center
Discharge to: TBD
Admit Date: 10/03/2024
Discharge date: Ongoing

Details of Experience:

Mr. Vincent Reymann was referred to our community from Skyline Medical Center for Rehab services on 10/3/2024, after an extended stay, following a two-vehicle car crash. Mr. Reymann suffered severe injuries with fractures and was followed by Ortho MD Dr. Evans. On 9/2/2024, he had an exploratory lap surgery w/SBR and Right Lower extremity debridement and external fixation. He was placed on IV antibiotics. While hospitalized, Mr. Reymann was placed on an abdominal wound vac, NG tube with suction, and was on TPN (Total Parenteral Nutrition) spending several days in TICU.

He was admitted to our community on 10/03/2024 to our short-term rehab unit via EMS. He was admitted with a diagnosis of weakness S/P RLE Fracture w/repair, lack of coordination, urostomy, hx of bladder CA, and Hypertension. Upon admission, Mr. Reymann was unable to transfer, walk, or tolerate sitting up in a chair. He required a moderate amount of assistance with his activities of daily living.

The next morning, Mr. Reymann met with his personal concierge and listed all of the things he liked, and that would make his stay more comfortable. After meeting with the Concierge, Therapy, Social Services, wound care, Activities Director, Nurse Practitioner and members of his nursing staff spoke with Mr. Reymann and began putting a plan of care together specifically for his needs. In Mr. Reymann’s words, “ the first couple of weeks were ROUGH”.  I was so anxious about everything and worried about my farm and if I was going to be able to get back to it, that I couldn’t see the forest for the trees.” “But you guys kept after me and encouraged me.” Slowly, Mr. Reymann was able to regain his strength and tolerance.

Mr. Reymann is a Veteran, and on Veteran’s Day there was a parade at our community and he was able to tolerate sitting up in the wheelchair to participate in the parade and attend the Veteran’s Day brunch. He is now able to stand supported for 5 minutes, performs upper body bathing and dressing, tolerates being out of bed and in a chair for at least 3 hours, and can transfer with supervision only. The progression made has been tremendous.

Although he has not been discharged as of yet, he plans to return home, to his farm. The staff here at Gallatin Center are confident this will happen soon.

Concierge: Christina Mitchell
Patient: Wesley Kenney
Age: 67 years old
Admitted: 5/24/24
Admitted From: Hendersonville Medical Center
Discharged: 06/14/2024
Discharged To: Home With Outpatient Rehab Services
Reason for Stay: Status Post R/Below the knee amputation (BKA)

Details of Experience:

Mr. Wesley Kenney was referred to our community for therapy and wound care from Hendersonville Medical Center after, Initial testing revealed DX: of Arterial Occlusive Disease progressing into gangrene, resulting in the amputation of his right leg.

Mr. Kenney was admitted to our community on May 24, 2024, status post Right Below Knee Amputation. He arrived at our short-term rehab unit via EMS and was greeted by his night shift nurse and CNA, who would provide his care and perform initial assessments. The next morning, Mr. Kenney met Christina, his concierge, who presented him with a welcome kit and information about CareRite’s Amputee Training and Rehabilitation Program. We then set a time for that week for him to speak one-on-one with Todd Schaffhauser and Dennis Oehler (3 time Paralympic Gold Medalists), the founders of this exclusive program for amputees.

After meeting with the Concierge, Therapy, Social Services, wound care, and Activities Director, the Nurse Practitioner and members of his nursing staff spoke with Mr. Kenney and began putting together a care plan. Upon admission, it was noted Mr. Kenney had decreased bilateral upper body strength, low endurance, and weakness in general. Goals were set to maximize Independence, endurance, and transfers and allow healing at the surgical amputation site.

During the first week at Gallatin Rehabilitation, Mr. Kenney spoke with Todd Schaffhauser via FaceTime. He had a positive outlook for his future and was eager to get started. They discussed incision healing, and the importance of mobility for maintaining independence. They also discussed follow up and Mr. Kenney shared that BULOW prosthetics would be following him. He also talked in depth with Todd about his wood working and the desire to carve his “peg leg” out of cedar. Todd gave him the name at BULOW of someone who could help him accomplish that goal.

Mr. Kenney stated that our therapy department was great during his time in our community. When I came in here, I had never been so weak in my entire life, and they were able to help me regain my strength—very quickly, too, I might add. They educated me on safety and taught me several techniques to help me safely transfer. I enjoyed working with them all.”

Upon discharge, Mr. Kenney could transfer safely and be out of bed and mobile in his wheelchair all day. He exceeded his goals of regaining strength and endurance in a short period of time. He was discharged home on June 14, 2024, with home health to continue his therapy. He will later start outpatient rehab once his incision is fully healed and his surgeon releases him to move forward with BULOW prosthetics.

We wish Mr. Kenney luck on his journey and look forward to his visit. He has assured me he will be by to show us his hand-carved cedar prosthetic once it’s finished.

Concierge: Christina Mitchell
Patient: Allen White
Age: 72 years old
Admitted: 9/7/2023
Admitted From: Vanderbilt Wilson
Discharged: 10/28/2023
Discharged To: Home With Outpatient Rehab Services
Length of Stay: 7 weeks

How did this patient hear about Gallatin Center? Hospital Case Manager at Vanderbilt Wilson

Details of Experience:

Allen White was admitted to Gallatin Center for Rehabilitation following an extended stay at Vanderbilt Wilson Hospital on 9/7/2023. Admitting diagnoses were DMII, Hypertension, Atrial Fibrillation, Stage III Kidney Disease, Diabetic Foot Ulcer, cellulitis of the thigh with open wound, and bilat lower extremity Lymphedema. He voiced he had traveled to the emergency room related to severe shortness of breath and weakness and was noted to have an elevated heart rate and elevated respiratory rate. A CXR was performed, revealing an improvement in the previous diagnoses of cardiomegaly ( enlarged heart ), pleural effusion, and pulmonary edema. An EKG revealed atrial fibrillation with RVR ( rapid contractions of the atria make the ventricles beat too fast ), and if the ventricles beat too fast, they can’t obtain enough blood to meet the body’s requirement of oxygenated blood. Mr. White also had blood drawn with several abnormal results requiring him to be hospitalized for further evaluation and treatment. He was placed on a telemetry monitor for his heart rhythm and his blood thinners were held due to blood in his urine. And was referred to Nephrology (Dr. Joseph J Matthews.)

When arriving at our community (Gallatin Center for Rehabilitation ), the Resident was awake and alert, able to verbalize needs and wants with clear speech. He was talkative and reported the community seemed to be a nice place to be. Mr. White commented on the cleanliness and home–like environment to staff upon initial talks. Upon admission, Mr. White was greeted by his admitting nurse and CNA, who would care for him throughout the night. In the first 24 hours of admission, Mr. White was introduced to and/or greeted by the whole team that would be caring for him during his stay, Therapists, Administrative staff, Nurse Practitioners/Physicians, Concierge, Dietary, Social Services, and his Housekeeper along with other valued team members. Mr. White was evaluated for therapy services by Physical, Occupational, and Speech Therapy and a plan of care was completed to meet his individualized needs.

Initially, Mr. White was weak and debilitated. He required extensive assistance with day-to-day living activities. He was unable to ambulate and needed assistance with propelling his wheelchair. Although he could feed himself, he required the setup and opening of containers at meal times. Mr. White quickly developed a good rapport with staff, especially with the therapy dept. He worked very hard to achieve small goals. At times, Mr. White would express concerns that he was worried he would not meet the goals he had set for himself to return home and that he felt the therapy was too difficult and he just didn’t know if he could do it. But those doubts would quickly be replaced with WILL. He stated, “ You have to push yourself, you have to want to get better, and I want to get better.” After several weeks of hard work and determination, Mr. White was ambulating 125 ft with just someone standing beside him. He was walking on his own. His activities of daily living were being done with supervision. Mr. White had reached his goal of going home.

On 10/28/2023 Mr. White was discharged home with home health to continue his Physical Therapy needs, as he continued to have some difficulty with bed mobility and lower body care needs. Mr. White expressed his thankfulness to the staff at Gallatin Center for Rehabilitation and stated “ They did a good job on me.” “ They worked me hard. “ He was very happy to be returning home and stated before leaving “ You have to want to get better, push yourself, and trust the therapist. And that’s what I did. I wanted to get better and go home.” “ It ain’t always easy, but it works.”

We couldn’t have said it better ourselves, Mr. White. Thank you for allowing us to help you with your rehabilitation goals. You made us Proud!

Concierge: Christina Mitchell
Patient: Jerry Conyer
Age: 70 yr/male
Admitted: 5/22/2023
Admitted From: Centennial Medical Center
Discharged: 6/29/2023
Discharged To: Home With Outpatient Rehab Services
Length of Stay: 5 ½ weeks
Reason for Stay: Severe Symptomatic 3-vessel Coronary Artery Disease , Myocardial Infarction, s/p Coronary artery bypass grafting x5 , placement of intra aortic balloon pump, Neuropathy, depression
How did this patient hear about Gallatin Center? Referred to Gallatin via Centennial Medical Center

Details of Experience:

Mr. Conyer was seen in the ER at Sumner Regional Medical Center for severe chest pain. EKG and labs revealed he had experienced a Myocardial Infarction. He was then given a Plavix load and was taken to the cardiac cath lab, where a cardiac cath was performed and revealed severe 3-vessel CAD with greater than 90% L) main artery stenosis, subtotal occlusion of the L) circumflex with a critical ostial lesion, as well as a high-grade right coronary artery stenosis. He was then transferred to Centennial Medical Center, and a intra aortic balloon was placed , Once stable, the next morning, Mr. Conyer underwent urgent coronary artery bypass grafting x5, free left internal mammary artery to LAD bypass (arising from saphenous vein graft to diagonal bypass) by surgeon Sreekumar Subramanian with assist per Doctors Daniel Chung and Reggie Key.

After surgery , he was then transferred to the ICU and remained intubated for several days. Mr. Conyer required a nasogastric tube for feeding and had bilateral chest tubes in place as well as a mediastinal chest tube. While in ICU, he developed cardiogenic shock, shock liver and acute kidney injury was then placed on hemodialysis.

During Mr. Conyers hospitalization he became weak, debilitated, and developed delirium and would require intense therapy,once able. He was referred to Gallatin Rehabilitation Center to receive therapy services for dx: of dysphagia, weakness, unsteadiness, cognitive deficit, and difficulty walking. And once the NG tube was removed, he was admitted to our community.

On Friday night, when he was admitted to Gallatin, he was very pale in color, barely spoke and was noticeably weak. He required extensive assistance with minor tasks, and was dependent upon staff for all ADL care. In the first 48 hrs Mr Conyer was evaluated by PT/OT and the following Monday was evaluated by ST. The first few days were rough per spouse and patient reports. Resident tired very easily and could only tolerate small amounts of therapy. He continued with a full liquid diet for a few days and was then upgraded to a mechanical soft diet. By the 4th day, improvement was noted as Mr. Conyer ‘s color improved and he began showing “pink to his cheeks.” He was sitting up in a chair for longer periods of time and his mental clarity was improving. The staff started to notice a smile on his and his wife’s face upon entering the resident’s room.

Mr. Conyer worked hard with the therapy department and did what was asked of him daily. We then began to see him ambulating with therapy and his wife remained by his side, cheering him on and supporting him every step of the way. His diet was gradually updated from a full liquid diet to a mechanical soft. After 5 weeks of therapy, It was now time to discharge. Mr. Conyer was now able to feed himself, but still required some help with dressing and toileting at times. He could ambulate at least 50 feet with turns noted, roll from side to side in bed, transfer to/from a car, He could go from a lying position to sitting on the side of the bed all with supervision.

In speaking to hm and his wife regarding his stay in our community, Mr. Conyer and his wife were very thankful to the staff. They knew he still had some hurdles to get over, but he was well on his way to achieve his utmost independence. Mr. Conyer was discharged on 6/29/2023 to return home and continue with out patient rehab.

Mr. Conyer visits us frequently at our community and ambulates all throughout the building unassisted with the use of a cane. He has friends who are now our patients and visits them as well.

We continue to wish Mr. Conyer and his wife all the best, look forward to his visits, and continue to see his improvements with his health.

Concierge: Christina Mitchell
Patient: Cory Bumpus
Age: 43 yr/male
Admitted: 4/27/2023
Admitted From: Vanderbilt Stallworth Rehabilitation Hospital
Discharged: 5/31/2023
Length of Stay: 4 weeks
Reason for Stay: To receive Therapy services
How did this patient hear about Gallatin Center? Referred to our community by Hospital Case Manager

Details of Experience:

Mr. Cory Bumpus was admitted to our community on 4/27/2023 from Vanderbilt Stallworth Rehabilitation Hospital with a diagnosis of Infection and Inflammatory reaction to Ventricular Intracranial Shunt, Weakness, Lack of coordination, difficulty ambulating, history of Hydrocephalus, chronic pain, and depression. The infection was noted at his chemo appointment and was taken to surgery immediately. He was referred to us due to the degree of functional deficits and complexity of co-morbid conditions. Mr. Bumpus was greeted by staff in the rehabilitation unit of our community. Welcome gifts and personal care supplies were provided. On day one, Mr. Bumpus was introduced to his personal Concierge, Nursing, and CNA.

Within the first 48 hours of arriving at our community, Mr. Bumpus had been introduced to his remaining care team, including Physician services, Rehab, Dietary, and Unit manager. PT/OT/ST were all evaluated for admission mobility, ADL care, transfers, and ambulation. Mr. Bumpus was weak and required moderate assistance with toileting hygiene, shower/bathing, and upper and lower body dressing. Mr. Bumpus required max assist with footwear donning and doffing. The resident was able to ambulate with moderate assist but only 10 ft. Transfers were not attempted related to safety concerns and medical conditions. Goals were set for Mr. Bumpus for increased independence of mobility and ADLs. Upon admission assessment, Mr. Bumpus said he liked our community and was very pleased that the staff was friendly and welcoming. He also expressed feelings of excitement that he was given a good prognosis of gaining his independence with mobility.

As one week turned into two, Mr. Bumpus worked hard with our Rehab team and was determined to be as independent as possible to return to the group home. His regaining of strength and balance was slowly returning. By week three, Mr. Bumpus was ambulating with very little to no assistance at times. By week four, he was ambulating greater than 150 ft without assistance or using an assistive device, transferring independently, and requiring supervision to set up only with ADLs. Mr. Bumpus continually rated his overall experience and satisfaction with our team as outstanding. He was very pleased to have reached his goals and was returning to his group home.

On May 31st, Mr. Bumpus was discharged from our community and returned to his group home with home health services to maintain his goals and start an at-home exercise regimen to continue his progress.

We at Gallatin Center wish him all the best with his continued journey of independent living.