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2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Established in 1992, The King’s Daughters and Sons Home is a 108-bed nonprofit community in Bartlett, Tennessee, managed by administrator Nicole B. Wiles. The facility covers a range of senior care needs, coordinating long-term skilled nursing, hospice support, and short-term rehabilitation. Admissions reflect a diverse payer mix, 66% utilize Medicare, 24% pay privately, and 10% rely on Medicaid, resulting in an average resident stay of 128 days. The suburban campus maintains an 82.5% occupancy rate, which runs notably higher than the Tennessee benchmark, and sits in an area with a Walk Score of 36.
Public health databases reveal solid operational metrics, highlighted by a daily nursing presence averaging 5 hours and 6 minutes per resident to rank eighth statewide. Much of this time is driven by direct nurse aide support, which tracks at 3 hours and 13 minutes daily, roughly 50% above the state average. Long-stay clinical files show very strong outcomes, including low rates of functional decline, stable physical mobility, and a resident depression rate of less than one percent.
Short-stay recovery metrics indicate some friction, as the facility’s rehospitalization rate for temporary rehab residents reaches 33.2%, tracking about 50% worse than the state standard.
Prospective representatives checking into local long-term care or recovery setups can look through these government health summaries to assess the provider’s strengths. Since the official tracking profiles verify exceptional daily direct care hours and steady physical health trends alongside some elevated readmission marks for short-term recovery, the documentation points to an environment highly geared toward permanent residential care. Arranging an in-person tour is a helpful next step to check out the rehabilitation wing, view the common spaces, and ask the administrative team about their specific protocols for lowering short-stay hospital readmissions.
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.
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.
This home is ranked 8th out of 172 homes in Tennessee for nurse hours. 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.
| Staff type | Hours / Day / Resident | 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.
| 36m per day | ▼ 4% 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 19m per day | ▲ 22% 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 15m per day | ▲ 51% State avg: 2h 9m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
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 51m per day | ▲ 45% 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 |
|
Weekend RN
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.
| 23m per day | ▼ 4% State avg: 24m per day · National avg: 28m per day |
Higher than the Tennessee average: 71.6%The King’s Daughters and Sons Home is administrated by Nicole B. Wiles.
Tennessee average 3.5
Last Health inspection on Oct 2023
Tennessee average 15.4
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).
100% better than Tennessee averageTennessee average: 1.1
67% worse than Tennessee averageTennessee average: 0.6
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
41% more staff per resident than Tennessee average
5% worse than Tennessee average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
12 total: 11 full-time employees and 1 contractor.
12
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursAssists with medical care and medications.
51 total: 33 full-time employees and 18 contractors.
51
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursHelps with daily care and mobility.
126 total: 88 full-time employees and 38 contractors.
126
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,606 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 88 | 38 | 126 | 28,550 | 92 | 100% | 8 |
| Licensed Practical Nurse | 33 | 18 | 51 | 11,651 | 92 | 100% | 8.4 |
| Registered Nurse | 11 | 1 | 12 | 4,193 | 92 | 100% | 8.5 |
| Speech Language Pathologist | 4 | 0 | 4 | 1,572 | 65 | 71% | 7.4 |
| Other Dietary Services Staff | 5 | 0 | 5 | 1,399 | 79 | 86% | 6.4 |
| Physical Therapy Aide | 4 | 0 | 4 | 1,379 | 67 | 73% | 6.7 |
| Physical Therapy Assistant | 4 | 0 | 4 | 964 | 71 | 77% | 7.5 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 513 | 60 | 65% | 8.6 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Dietitian | 1 | 0 | 1 | 472 | 59 | 64% | 8 |
| Qualified Social Worker | 1 | 0 | 1 | 466 | 59 | 64% | 7.9 |
| Mental Health Service Worker | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
| Administrator | 1 | 0 | 1 | 448 | 56 | 61% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 400 | 50 | 54% | 8 |
| Respiratory Therapy Technician | 1 | 0 | 1 | 148 | 57 | 62% | 2.6 |
| Occupational Therapy Aide | 0 | 1 | 1 | 110 | 14 | 15% | 7.9 |
| Medical Director | 0 | 1 | 1 | 53 | 11 | 12% | 4.8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 28 | 9 | 10% | 3.1 |
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)
84% lower than Tennessee averageTennessee average: $86K
15% more fines than Tennessee averageTennessee average: 1.7
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Tennessee averageTennessee average: 0.5
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.
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, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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 averageTennessee average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
10.6
46% better than Tennessee averageTennessee average: 19.5
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
8.3%
48% better than Tennessee averageTennessee average: 16.0%
Percent of long-stay residents whose ability to move independently worsened
16.0%
26% better than Tennessee averageTennessee average: 21.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
7.4%
64% better than Tennessee averageTennessee average: 20.7%
Percent of long-stay residents experiencing one or more falls with major injury
1.4%
63% better than Tennessee averageTennessee average: 3.7%
Percent of long-stay high risk residents with pressure ulcers
5.9%
8% worse than Tennessee averageTennessee average: 5.4%
Percent of long-stay residents with a urinary tract infection
0.7%
67% better than Tennessee averageTennessee average: 2.1%
Percent of long-stay residents who lose too much weight
4.7%
25% better than Tennessee averageTennessee average: 6.3%
Percent of long-stay residents who have depressive symptoms
0.8%
93% better than Tennessee averageTennessee average: 11.0%
Percent of long-stay residents who received an antipsychotic medication
6.5%
61% better than Tennessee averageTennessee average: 16.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.0%
10% better than Tennessee averageTennessee average: 89.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.3%
In line with Tennessee averageTennessee average: 94.5%
Number of hospitalizations per 1,000 long-stay resident days.
1.19
25% better than Tennessee averageTennessee average: 1.58
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.64
In line with Tennessee averageTennessee average: 1.57
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
90.9%
14% better than Tennessee averageTennessee average: 79.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.8%
54% better than Tennessee averageTennessee average: 1.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
89.7%
12% better than Tennessee averageTennessee average: 79.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
33.2%
50% worse than Tennessee averageTennessee average: 22.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
8.2%
27% better than Tennessee averageTennessee average: 11.2%
Percentage of SNF residents who experience falls with major injury during their stay.
1.9%
148% worse than Tennessee averageTennessee average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
67.3%
25% better than Tennessee averageTennessee average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
53.0%
5% better than Tennessee averageTennessee average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
66% of new residents, usually for short-term rehab.
24% of new residents, often for short stays.
10% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
88Residents meet regularly to discuss policies, care quality, and activities
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.
Historical financial and operational data for The King’s Daughters and Sons Home from 2011–2023, based on CMS SNF Cost Reports.
Based on the 2023 CMS SNF Cost Report.
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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (66% of admissions), and a typical Medicare stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
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.
Add your location
The King’s Daughters and Sons Home is located in Bartlett, Tennessee.
Here are the financial assistance programs available to residents in Tennessee.
The information below is reported by the Tennessee Department of Health, Division of Health Care Facilities.
| The Heritage at Brentwood |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Brentwood | 66
Facility
66
TN AVG
88
Rank
#266 / 426 |
88.2%
Facility
88.2%
TN AVG
73%
Rank
#70 / 303 | +21% | 5.01
Facility
5.01
TN AVG
3.63
Rank
#10 / 172 | +123% | +38% | $0
Facility
$0
TN AVG
$90.9k
Rank
#1 / 177 | 6
Facility
6
TN AVG
15.4
Rank
#24 / 176 | 3.0
Facility
3.0
TN AVG
4.4
Rank
#42 / 176 | - | 59 | A+ |
7
Facility
7
TN AVG
34
Rank
#471 / 553 | Harpeth Green Properties, LLC | $33.6M
Facility
$33.6M
TN AVG
$11.5M
Rank
#4 / 176 | $12.2M
Facility
$12.2M
TN AVG
$4.6M
Rank
#14 / 176 | 36.3%
Facility
36.3%
TN AVG
41%
Rank
#141 / 176 | 445488 | ||||
| Trezevant |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Memphis (Waynoka) | 104
Facility
104
TN AVG
88
Rank
#132 / 426 |
74.1%
Facility
74.1%
TN AVG
73%
Rank
#170 / 303 | +2% | 8.49
Facility
8.49
TN AVG
3.63
Rank
#1 / 172 | +66% | +134% | $0
Facility
$0
TN AVG
$90.9k
Rank
#1 / 177 | 3
Facility
3
TN AVG
15.4
Rank
#9 / 176 | 1.5
Facility
1.5
TN AVG
4.4
Rank
#5 / 176 | - | 11 | A+ |
29
Facility
29
TN AVG
34
Rank
#317 / 553 | Paul Martin | $43.8M
Facility
$43.8M
TN AVG
$11.5M
Rank
#2 / 176 | $19.0M
Facility
$19.0M
TN AVG
$4.6M
Rank
#2 / 176 | 43.4%
Facility
43.4%
TN AVG
41%
Rank
#92 / 176 | 445133 | ||||
| AdamsPlace |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Murfreesboro (Haynes Haven) | 149
Facility
149
TN AVG
88
Rank
#39 / 426 |
67.8%
Facility
67.8%
TN AVG
73%
Rank
#23 / 303 | -7% | 3.71
Facility
3.71
TN AVG
3.63
Rank
#53 / 172 | +33% | +2% | $0
Facility
$0
TN AVG
$90.9k
Rank
#1 / 177 | 3
Facility
3
TN AVG
15.4
Rank
#9 / 176 | 3.0
Facility
3.0
TN AVG
4.4
Rank
#42 / 176 | - | 40 | - |
49
Facility
49
TN AVG
34
Rank
#149 / 553 | John Winfree | $16.6M
Facility
$16.6M
TN AVG
$11.5M
Rank
#50 / 176 | $8.3M
Facility
$8.3M
TN AVG
$4.6M
Rank
#38 / 176 | 50%
Facility
50%
TN AVG
41%
Rank
#58 / 176 | 445392 | ||||
| The King’s Daughters and Sons Home |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary. | Bartlett (Bartlett Corporate Park) | 108
Facility
108
TN AVG
88
Rank
#123 / 426 |
82.5%
Facility
82.5%
TN AVG
73%
Rank
#112 / 303 | +13% | 5.09
Facility
5.09
TN AVG
3.63
Rank
#8 / 172 | -37% | +40% | $13.5k
Facility
$13.5k
TN AVG
$90.9k
Rank
#133 / 177 | 8
Facility
8
TN AVG
15.4
Rank
#39 / 176 | 8.0
Facility
8.0
TN AVG
4.4
Rank
#165 / 176 | 1 | 96 | - |
36
Facility
36
TN AVG
34
Rank
#259 / 553 | Ronald Arrison | $12.5M
Facility
$12.5M
TN AVG
$11.5M
Rank
#91 / 176 | $7.0M
Facility
$7.0M
TN AVG
$4.6M
Rank
#56 / 176 | 56.1%
Facility
56.1%
TN AVG
41%
Rank
#24 / 176 | 445221 | ||||
| Renaissance Terrace |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Knoxville (Fourth & Gill) | 50
Facility
50
TN AVG
88
Rank
#341 / 426 |
29.2%
Facility
29.2%
TN AVG
73%
Rank
#298 / 303 | -60% | 2.82
Facility
2.82
TN AVG
3.63
Rank
#163 / 172 | +75% | -22% | $9.3k
Facility
$9.3k
TN AVG
$90.9k
Rank
#125 / 177 | 27
Facility
27
TN AVG
15.4
Rank
#157 / 176 | 6.8
Facility
6.8
TN AVG
4.4
Rank
#154 / 176 | 1 | 43 | - |
74
Facility
74
TN AVG
34
Rank
#26 / 553 | William Sharpe | $4.8M
Facility
$4.8M
TN AVG
$11.5M
Rank
#169 / 176 | $2.2M
Facility
$2.2M
TN AVG
$4.6M
Rank
#167 / 176 | 45.2%
Facility
45.2%
TN AVG
41%
Rank
#87 / 176 | 445223 |
The King’s Daughters and Sons Home is in the Bartlett Corporate Park neighborhood of Bartlett.
The legal owner and operator of The King’s Daughters and Sons Home is The King's Daughters and Sons Home.
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.
According to TN state health department records, The King’s Daughters and Sons Home's license number is 00000244.
According to TN state health department records, The King’s Daughters and Sons Home's license expires on June 14, 2026.
The King’s Daughters and Sons Home's occupancy is 83%.
Nicole B. Wiles is the administrator of The King’s Daughters and Sons Home.
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