Total health inspections
1
State average N/A
Last Health inspection on Oct 2023
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
The King’s Daughters and Sons Home
Assisted Living in USA
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The King’s Daughters and Sons Home
Assisted Living in USA
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The King’s Daughters and Sons Home accepts Medicare, Medicaid, and private pay.
The King’s Daughters and Sons Home is a skilled nursing facility located in Bartlett, TN. It offers a full continuum of care, including long-term skilled nursing, hospice services, and short-term rehabilitation. The facility has a long-standing reputation for excellence in long-term care.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
5h 6m per day
Rank #8 / 134Nurse hours — state benchmarkedThis home is ranked 8th out of 134 homes in Tennessee.Shows adjusted nurse hours per resident per day benchmarked to the Tennessee average, with a ranking across 134 Tennessee SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
vs avg
Standout metric
Nurse Aide is +50% above state avg
| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 32m per day | ▼ 14% State avg: 37m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 15m per day | ▲ 15% State avg: 1h 5m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 3h 13m per day | ▲ 50% State avg: 2h 9m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 44m per day | ▲ 41% State avg: 3h 21m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 1m per day | ▼ 80% State avg: 5m per day · National avg: 4m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 20m per day | ▼ 17% State avg: 24m per day · National avg: 28m per day |
Capacity and availability
This home usually has availability
Occupancy lower than 85% suggests more openings may be available.
Occupancy rate
82.5%
Rank #52 / 139Occupancy rate — state benchmarkedThis home is ranked 52nd out of 139 homes in Tennessee.Shows this facility's occupancy rate versus the Tennessee average, with its statewide rank out of 139. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
128 days
Occupancy rate
82.5%
Rank #52 / 139Occupancy rate — state benchmarkedThis home is ranked 52nd out of 139 homes in Tennessee.Shows this facility's occupancy rate versus the Tennessee average, with its statewide rank out of 139. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
128 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Breakdown by payment type
Medicare
66% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
24% of new residents, often for short stays.
Typical stay
4 - 5 months
Medicaid
10% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Finances and operations
Voluntary non-profit community
Home revenue
$12.5M
Surplus of revenue
$1.1M
Voluntary non-profit community
Home revenue
$12.5M Rank #86 / 139Revenue — state benchmarkedThis home is ranked 86th out of 139 homes in Tennessee.Shows this facility's annual revenue compared to the Tennessee SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.
Surplus of revenue
$1.1M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #50 / 139Payroll — state benchmarkedThis home is ranked 50th out of 139 homes in Tennessee.Shows total annual staff payroll benchmarked to the Tennessee average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
$6.1M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #50 / 139Payroll — state benchmarkedThis home is ranked 50th out of 139 homes in Tennessee.Shows total annual staff payroll benchmarked to the Tennessee average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$5.3M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$11.4M
108-bed community
A larger shared setting that may offer more common spaces and organized community services.
33 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
About this community
Facility TypeNursing Home
StatusLicensed
IssuanceJuly 1, 1992
ExpirationJune 14, 2026
License Number00000244
CMS Certification Number445221
The King’s Daughters and Sons Home is administrated by Nicole B. Wiles.
Owner NameThe King's Daughters and Sons Home
Rehabilitation Services
Short-Term Rehab
Licensed Nurses/CNAs
Specific ProgramsActivities, Events
Inspection History
In Tennessee, the Department of Health, Division of Health Care Facilities performs unannounced inspections and investigations to ensure facilities provide high-quality resident care.
The data displayed corresponds to the last 4 years.
Tennessee average: 9 complaint visits
Latest inspection
Date
October 5, 2023
0
enforcement actions
No actions on recordPenalties or interventions imposed by state regulators when facilities do not comply with quality, safety, or regulatory standards.
Health Inspection History
Inspections
Total health citations
8
Rank #30 / 138Health citations — state benchmarkedThis home is ranked 30th out of 138 homes in Tennessee.Shows this facility's total health deficiency citations benchmarked to the Tennessee state average, with a ranking across all 138 TN SNFs. Lower citation counts earn a better rank.
State average N/A
Citations per inspection
8
Rank #129 / 138Citations per inspection — state benchmarkedThis home is ranked 129th out of 138 homes in Tennessee.Shows average deficiency citations per CMS inspection for this facility versus the Tennessee mean across 138 SNFs with citation data. Lower is better.
State average N/A
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
6 of 8 citations resulted from standard inspections; and 2 of 8 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
In line with State averageState average: N/A
Serious Health citations
1
1
In line with State averageState average: N/A
0 critical citations
1 serious citation
7 moderate citations
0 minor citations
Citations history (last 3 years)
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Oct 05, 2023
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Oct 05, 2023
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Oct 05, 2023
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Oct 05, 2023
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Oct 05, 2023
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Oct 05, 2023
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Oct 05, 2023
Issues related to medication management, including how drugs are stored, administered, and monitored.
Oct 05, 2023
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Places of interest near The King’s Daughters and Sons Home
4.2 miles from city center
Estimated distance in miles from Bartlett's city center to The King’s Daughters and Sons Home's address, calculated via Google Maps.
Calculate Travel Distance to The King’s Daughters and Sons Home
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
208
Employees
149
Contractors
59
Staff to resident ratio
2.36:1
0% compared with State averageState average ratio: 0:0
Avg staff/day
70
Average shift
7.9 hours
0% compared with State averageState average: 0 hours
Total staff hours (quarter)
50,414
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
13
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
48
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
118
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
3.8%
1,904 contractor hours this quarter
Certified Nursing Assistant: 37
Licensed Practical Nurse: 18
Registered Nurse: 1
Occupational Therapy Aide: 1
Occupational Therapy Assistant: 1
Medical Director: 1
Staff by category
| Certified Nursing Assistant | 81 | 37 | 118 | 27,036 | 91 | 100% | 8.1 |
| Licensed Practical Nurse | 30 | 18 | 48 | 10,618 | 91 | 100% | 8.3 |
| Registered Nurse | 12 | 1 | 13 | 3,670 | 91 | 100% | 8.2 |
| Speech Language Pathologist | 5 | 0 | 5 | 1,628 | 64 | 70% | 7.4 |
| Other Dietary Services Staff | 5 | 0 | 5 | 1,573 | 77 | 85% | 6.7 |
| Physical Therapy Aide | 4 | 0 | 4 | 1,207 | 64 | 70% | 6.9 |
| Physical Therapy Assistant | 3 | 0 | 3 | 947 | 64 | 70% | 7.7 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 499 | 58 | 64% | 8.6 |
| Dental Services Staff | 1 | 0 | 1 | 480 | 60 | 66% | 8 |
| Administrator | 1 | 0 | 1 | 472 | 59 | 65% | 8 |
| Qualified Social Worker | 2 | 0 | 2 | 469 | 61 | 67% | 7.7 |
| Mental Health Service Worker | 1 | 0 | 1 | 464 | 58 | 64% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 456 | 57 | 63% | 8 |
| Dietitian | 1 | 0 | 1 | 456 | 57 | 63% | 8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 210 | 26 | 29% | 8.1 |
| Respiratory Therapy Technician | 1 | 0 | 1 | 149 | 57 | 63% | 2.6 |
| Medical Director | 0 | 1 | 1 | 43 | 10 | 11% | 4.3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 37 | 7 | 8% | 5.3 |
118 Certified Nursing Assistant
% of Days
100%
48 Licensed Practical Nurse
% of Days
100%
13 Registered Nurse
% of Days
100%
5 Speech Language Pathologist
% of Days
70%
5 Other Dietary Services Staff
% of Days
85%
4 Physical Therapy Aide
% of Days
70%
3 Physical Therapy Assistant
% of Days
70%
1 Clinical Nurse Specialist
% of Days
64%
1 Dental Services Staff
% of Days
66%
1 Administrator
% of Days
65%
2 Qualified Social Worker
% of Days
67%
1 Mental Health Service Worker
% of Days
64%
1 Nurse Practitioner
% of Days
63%
1 Dietitian
% of Days
63%
1 Occupational Therapy Aide
% of Days
29%
1 Respiratory Therapy Technician
% of Days
63%
1 Medical Director
% of Days
11%
1 Occupational Therapy Assistant
% of Days
8%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
88
Medicare
22
25% of residents
Medicaid
42
47.7% of residents
Private pay or other
24
27.3% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.2
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.2
31% better than State averageState average: 10.5
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
10.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
10.6
46% better than State averageState average: 19.5
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
8.3%
Percent of long-stay residents whose need for help with daily activities has increased
8.3%
48% better than State averageState average: 16.0%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
16.0%
Percent of long-stay residents whose ability to move independently worsened
16.0%
26% better than State averageState average: 21.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
7.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
7.4%
64% better than State averageState average: 20.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
1.4%
Percent of long-stay residents experiencing one or more falls with major injury
1.4%
63% better than State averageState average: 3.7%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.9%
Percent of long-stay high risk residents with pressure ulcers
5.9%
8% worse than State averageState average: 5.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.7%
Percent of long-stay residents with a urinary tract infection
0.7%
67% better than State averageState average: 2.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
4.7%
Percent of long-stay residents who lose too much weight
4.7%
25% better than State averageState average: 6.3%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.8%
Percent of long-stay residents who have depressive symptoms
0.8%
93% better than State averageState average: 11.0%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
6.5%
Percent of long-stay residents who received an antipsychotic medication
6.5%
61% better than State averageState average: 16.5%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.0%
10% better than State averageState average: 89.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.3%
In line with State averageState average: 94.5%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.19
Number of hospitalizations per 1,000 long-stay resident days.
1.19
25% better than State averageState average: 1.58
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.64
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.64
In line with State averageState average: 1.57
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
90.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
90.9%
14% better than State averageState average: 79.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.8%
Percent of short-stay residents who newly received an antipsychotic medication
0.8%
54% better than State averageState average: 1.7%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
89.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
89.7%
12% better than State averageState average: 79.8%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
33.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
33.2%
50% worse than State averageState average: 22.2%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
8.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
8.2%
27% better than State averageState average: 11.2%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
1.9%
Percentage of SNF residents who experience falls with major injury during their stay.
1.9%
148% worse than State averageState average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
67.3%
Percentage of residents at or above expected ability to care for themselves at discharge.
67.3%
25% better than State averageState average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
53.0%
Rate of successful return to home or community from a skilled nursing facility.
53.0%
5% better than State averageState average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$13K
84% lower than State averageState average: $86K
Number of fines
2
15% more fines than State averageState average: 1.7
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than State averageState average: 0.5
Fines amount comparison
Fines amount comparison
This facility
$13K
State average
$86K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 5, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 5, 2023
$4K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 5, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 5, 2023
$10K
Last updated: Jan 2026
Compare Assisted Living around Usa The information below is reported by the Tennessee Department of Health, Division of Health Care Facilities.
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| The King’s Daughters and Sons Home |
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Financial Trends
Historical financial and operational data for The King’s Daughters and Sons Home based on CMS SNF Cost Reports.
Occupancy Rate
82.5%
↑ 5.0pp vs 2022
Net Income
$1.1M
↑ ~$3.9M vs 2022
Total Payroll
$7.0M
↑ ~$726.3K vs 2022
Profit Margin
10.3%
↑ 40.7pp vs 2022
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