The King’s Daughters and Sons Home
Nursing Home · Tennessee, TN
CMS overall rating Info 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

Nursing Home · Tennessee, TN
CMS overall rating Info 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.
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The King’s Daughters and Sons Home accepts Medicare, Medicaid, and private pay.

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.

Inspection oversight

  • Latest inspection: October 5, 2023

Health Inspection History

Inspections since 2023
Total health inspections 1

Tennessee average 3.5


Last Health inspection on Oct 2023

Total health citations
8 Rank #39 / 176Health citations — State benchmarkedThis home is ranked 39th out of 176 homes in Tennessee. Shows this facility's total health deficiency citations benchmarked to the Tennessee State average, with a ranking across all 176 TN SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Tennessee average 15.4

Citations per inspection
8 Rank #165 / 176Citations per inspection — State benchmarkedThis home is ranked 165th out of 176 homes in Tennessee. Shows average deficiency citations per CMS inspection for this facility versus the Tennessee mean across 176 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Tennessee average 4.39


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
100% better than Tennessee average

Tennessee average: 1.1


Serious health citations
1
67% worse than Tennessee average

Tennessee average: 0.6

0 critical citations Tennessee average: 1.1

1 serious citation Tennessee average: 0.6

7 moderate citations Tennessee average: 13.7

0 minor citations Tennessee average: 0.1
Citations history (last 3 years)
Abuse/Neglect moderate citation Oct 05, 2023
Corrected

Abuse/Neglect moderate citation Oct 05, 2023
Corrected

Infection Control moderate citation Oct 05, 2023
Corrected

Pharmacy moderate citation Oct 05, 2023
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 217
Employees 157
Contractors 60
Staff to resident ratio 2.47:1
41% better than Tennessee average
Tennessee average ratio: 1.75:1 Tennessee average ratio: 1.75:1See full Tennessee ranking
Avg staff/day 73
Average shift 7.9 hours
5% worse than Tennessee average
Tennessee average: 8.3 hours Tennessee average shift: 8.3 hoursSee full Tennessee ranking
Total staff hours (quarter) 53,320

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff 12
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.5 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff 51
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.4 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff 126
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8 hours

This role is partially covered by contractors.

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

3%

1,606 contractor hours this quarter

Certified Nursing Assistant: 38 Licensed Practical Nurse: 18 Registered Nurse: 1 Medical Director: 1 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant883812628,55092100%8
Licensed Practical Nurse33185111,65192100%8.4
Registered Nurse111124,19392100%8.5
Speech Language Pathologist4041,5726571%7.4
Other Dietary Services Staff5051,3997986%6.4
Physical Therapy Aide4041,3796773%6.7
Physical Therapy Assistant4049647177%7.5
Clinical Nurse Specialist1015136065%8.6
Nurse Practitioner1015126470%8
Dietitian1014725964%8
Qualified Social Worker1014665964%7.9
Mental Health Service Worker1014645863%8
Administrator1014485661%8
Dental Services Staff1014005054%8
Respiratory Therapy Technician1011485762%2.6
Occupational Therapy Aide0111101415%7.9
Medical Director011531112%4.8
Occupational Therapy Assistant01128910%3.1
126 Certified Nursing Assistant
% of Days 100%
51 Licensed Practical Nurse
% of Days 100%
12 Registered Nurse
% of Days 100%
4 Speech Language Pathologist
% of Days 71%
5 Other Dietary Services Staff
% of Days 86%
4 Physical Therapy Aide
% of Days 73%
4 Physical Therapy Assistant
% of Days 77%
1 Clinical Nurse Specialist
% of Days 65%
1 Nurse Practitioner
% of Days 70%
1 Dietitian
% of Days 64%
1 Qualified Social Worker
% of Days 64%
1 Mental Health Service Worker
% of Days 63%
1 Administrator
% of Days 61%
1 Dental Services Staff
% of Days 54%
1 Respiratory Therapy Technician
% of Days 62%
1 Occupational Therapy Aide
% of Days 15%
1 Medical Director
% of Days 12%
1 Occupational Therapy Assistant
% of Days 10%

Penalties and fines

Includes penalties issued in 2023

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 Rank #133 / 177Federal fines — State benchmarkedThis home is ranked 133rd out of 177 homes in Tennessee. Shows this facility's cumulative CMS federal fine dollars versus the Tennessee average among facilities with fines, and where it ranks among 177 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
84% lower than Tennessee average

Tennessee average: $86K

Number of fines 2
15% more fines than Tennessee average

Tennessee average: 1.7

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Tennessee average

Tennessee average: 0.5

Fines amount comparison
Fines amount comparison
This facility $13K
Tennessee 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 Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Oct 5, 2023
$4K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Oct 5, 2023
$10K

Last updated: Jan 2026

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 Info 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 Tennessee average

Tennessee average: 10.5

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 10.6
46% better than Tennessee average

Tennessee average: 19.5

Long-stay resident measures
Significantly above average Tennessee avg: 3.7 Info 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 Info Percent of long-stay residents whose need for help with daily activities has increased 8.3%
48% better than Tennessee average

Tennessee average: 16.0%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 16.0%
26% better than Tennessee average

Tennessee average: 21.7%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 7.4%
64% better than Tennessee average

Tennessee average: 20.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 1.4%
63% better than Tennessee average

Tennessee average: 3.7%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.9%
8% worse than Tennessee average

Tennessee average: 5.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.7%
67% better than Tennessee average

Tennessee average: 2.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 4.7%
25% better than Tennessee average

Tennessee average: 6.3%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.8%
93% better than Tennessee average

Tennessee average: 11.0%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 6.5%
61% better than Tennessee average

Tennessee average: 16.5%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.0%
10% better than Tennessee average

Tennessee average: 89.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.3%
In line with Tennessee average

Tennessee average: 94.5%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.19
25% better than Tennessee average

Tennessee average: 1.58

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.64
In line with Tennessee average

Tennessee average: 1.57

Short-stay resident measures
Average Tennessee avg: 3.4 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 90.9%
14% better than Tennessee average

Tennessee average: 79.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.8%
54% better than Tennessee average

Tennessee average: 1.7%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 89.7%
12% better than Tennessee average

Tennessee average: 79.8%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 33.2%
50% worse than Tennessee average

Tennessee average: 22.2%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 8.2%
27% better than Tennessee average

Tennessee average: 11.2%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 1.9%
148% worse than Tennessee average

Tennessee average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 67.3%
25% better than Tennessee average

Tennessee average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 53.0%
5% better than Tennessee average

Tennessee average: 50.6%

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

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.

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 #91 / 176Revenue — State benchmarkedThis home is ranked 91st out of 176 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 %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Surplus of revenue
$1.1M
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations. Rank #56 / 176Payroll — State benchmarkedThis home is ranked 56th out of 176 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$7.0M
56.1% of revenue Rank #24 / 176Payroll % — State benchmarkedThis home is ranked 24th out of 176 homes in Tennessee. Shows payroll as a percentage of revenue versus the Tennessee average. Well-run Tennessee SNFs typically land around 50–60% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.4M
Total costs $11.4M

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Places of interest near The King’s Daughters and Sons Home

Address 4.2 miles from city center Info 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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Financial Assistance for
Nursing Home in Tennessee

The King’s Daughters and Sons Home is located in Bartlett, Tennessee.
Here are the financial assistance programs available to residents in Tennessee.

Get Financial aid guidance

CHOICES Program

TN Medicaid CHOICES

Age 65+ or disabled
General Tennessee resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
TN

Managed care model; high rural demand.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care ($65/day) Home modifications ($1,500 avg.)

Tennessee Options for Community Living

TN Options

Age 60+
General Tennessee resident, at risk of nursing home.
Income Limits ~$2,000/month individual, varies
Asset Limits $5,000 individual
TN

Limited funding; rural/urban balance.

Benefits
In-home care (3-5 hours/week) Respite (up to 10 days/year) Transportation (~5 trips/month)

Medicare Savings Program (MSP)

Tennessee Medicare Savings Program

Age 65+ or disabled
General TN resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
TN

Three tiers; includes Extra Help for Part D; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Family Caregiver Support Program (FCSP)

Tennessee Family Caregiver Support Program

Age
General Caregivers of 60+ needing care or 55+ caregivers of others; TN resident; functional needs (2+ ADLs).
Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year
Asset Limits Not assessed; need-based.
TN

Includes grandparent caregivers; high rural demand.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Training Supplies (~$500/year)

VA Aid and Attendance (A&A) and Housebound Benefits

Tennessee VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General TN resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
TN

High veteran population; supports rural/urban care needs.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Elderly Nutrition Program

Tennessee Elderly Nutrition Program

Age 60+
General TN resident; no income limit but prioritizes low-income.
Income Limits (2025) None; donations encouraged.
Asset Limits Not assessed.
TN

Serves ~50,000 annually; 200+ congregate sites plus Meals on Wheels.

Benefits
Congregate meals ($5-$7/meal value) at senior centers Home-delivered meals ($5-$7/meal)

Property Tax Relief Program

Tennessee Property Tax Relief Program

Age 65+
General TN resident, homeowner/renter (or widow/er 50+, disabled 18+).
Income Limits (2025) ~$45,000/year household, excludes half of Social Security
Asset Limits Not assessed; income-focused.
TN

Rebates up to $1,000; serves ~100,000 annually.

Benefits
Tax rebates (~$250-$1,000 based on income; e.g., $1,000 if income < $8,000)

Frequently Asked Questions about The King’s Daughters and Sons Home

What neighborhood is The King’s Daughters and Sons Home in?

The King’s Daughters and Sons Home is in the Bartlett Corporate Park neighborhood of Bartlett.

Who is the owner of The King’s Daughters and Sons Home?

The legal owner and operator of The King’s Daughters and Sons Home is The King's Daughters and Sons Home.

Is The King’s Daughters and Sons Home in a walkable area?

The King’s Daughters and Sons Home has a walk score of 36. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of The King’s Daughters and Sons Home?

According to TN state health department records, The King’s Daughters and Sons Home's license number is 00000244.

When does The King’s Daughters and Sons Home's license expire?

According to TN state health department records, The King’s Daughters and Sons Home's license expires on June 14, 2026.

Who is the administrator of The King’s Daughters and Sons Home?

Nicole B. Wiles is the administrator of The King’s Daughters and Sons Home.

How many beds does The King’s Daughters and Sons Home have?

The King’s Daughters and Sons Home has 108 beds.

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