Total health inspections
3
Tennessee average 3.5
Last Health inspection on Sep 2024
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
White House Health Care, Inc.
CMS overall rating
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.
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.
White House Health Care, Inc.
CMS overall rating
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.
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.
White House Health Care, Inc. accepts Medicare, Medicaid, and private pay.
White House Health Care, Inc. is a 140-bed skilled nursing facility in White House, Tennessee, offering short-term rehabilitation, long-term care, hospice, memory care, respite care, and 24-hour staffing coverage. The community is privately owned by the Dixie Mae Taylor-Huff Estate, administered by Sandi Sparkman, and serves Robertson County. It accepts Medicare, Medicaid, and private pay.
The facility holds a 5-star CMS overall rating — 63% above the Tennessee average — with above-average scores across all four sub-categories. The standout driver is staffing: nurse staffing averages 4 hours and 38 minutes per resident per day compared with the Tennessee average of 3 hours and 40 minutes, placing the facility 16th of 172 Tennessee skilled nursing facilities on adjusted nursing hours. Inspection citation rankings are strong as well, with the facility holding the best-in-state federal fines record among 177 Tennessee SNFs.
The payer mix reflects a predominantly post-acute orientation: Medicare accounts for 61% of new admissions, private pay for 35%, and Medicaid for just 5%. The facility’s occupancy rate is 72%, fractionally below the Tennessee average of 73%.
White House Health Care fits residents seeking short-term Medicare rehabilitation or post-acute recovery in Robertson County, with the staffing depth and ratings profile to support higher-acuity clinical needs.
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
This home is ranked 16th 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.
This home is ranked 16th 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.
4h 38m per day
Rank #16 / 172Nurse hours — State benchmarkedThis home is ranked 16th out of 172 homes in Tennessee for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Tennessee average, with a ranking across 172 Tennessee SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Tennessee avg
+27%
Standout metric
Physical Therapist is +78% above state avg
| 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.
| 45m per day | ▲ 22% 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 2m per day | ▼ 4% 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 25m per day | ▲ 59% 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 53m per day | ▲ 46% 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.
| 9m per day | ▲ 78% 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.
| 41m per day | ▲ 71% State avg: 24m per day · National avg: 28m per day |
Capacity and availability
This home usually has availability
Occupancy rate
72%
Rank #180 / 303Occupancy rate — State benchmarkedThis home is ranked 180th out of 303 homes in Tennessee for occupancy rate. Shows this facility's occupancy rate versus the Tennessee average, with its Statewide rank out of 303. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
87 days
140-bed community Rank #48 / 427Bed count — State benchmarkedThis home is ranked 48th out of 427 homes in Tennessee for bed count. Shows this facility's certified or reported bed count compared to other Tennessee SNFs. Larger communities may offer more amenities, programs, and on-site services for residents and families.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Walk Score: 3 / 100 Rank #501 / 554Walk Score — State benchmarkedThis home is ranked 501st out of 554 homes in Tennessee for walk score. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Tennessee SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.
About this community
Facility TypeNursing Home
StatusWithdrew Appl
CMS Certification Number445513
White House Health Care, Inc. is administrated by Sandi Sparkman.
Owner NameWhite House Health Care, Inc.
Rehabilitation Services
Respite Care
Short-Term Rehab
24-Hour Staffing
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.
Health Inspection History
Inspections
Total health citations
6
Rank #24 / 176Health citations — State benchmarkedThis home is ranked 24th out of 176 homes in Tennessee for health citations. 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
2
Rank #12 / 176Citations per inspection — State benchmarkedThis home is ranked 12th out of 176 homes in Tennessee for citations per inspection. 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.
All 6 citations resulted from standard inspections.
Breakdown of citation severity (last 7 years)
Critical health citations
0
100% better than Tennessee averageTennessee average: 1.1
Serious health citations
0
100% better than Tennessee averageTennessee average: 0.6
Citations history (last 7 years)
Nutrition moderate citation
Sep 12, 2024
Corrected
Care Planning moderate citation
Sep 12, 2024
Corrected
Resident Rights moderate citation
Sep 12, 2024
Corrected
Infection Control moderate citation
Mar 17, 2020
Corrected
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Total staff
130
Employees
129
Contractors
1
Staff to resident ratio
1.76 : 1
0% compared with Tennessee average
Avg staff/day
55
Average shift
8 hours
0% compared with Tennessee average
Total staff hours (quarter)
40,600
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
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
All 16 RN Staff are full-time employees. No contractors work on this role.
16
All 16 RN Staff are full-time employees. No contractors work on this role.
16
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursLicensed Practical Nurse
Assists with medical care and medications.
LPN Staff
All 17 LPN Staff are full-time employees. No contractors work on this role.
17
All 17 LPN Staff are full-time employees. No contractors work on this role.
17
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursCertified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
All 45 CNA Staff are full-time employees. No contractors work on this role.
45
All 45 CNA Staff are full-time employees. No contractors work on this role.
45
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 hoursContractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
0.3%
118 contractor hours this quarter
Occupational Therapy Aide: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 45 | 0 | 45 | 15,573 | 92 | 100% | 8.1 |
| Nurse Aide in Training | 26 | 0 | 26 | 7,448 | 92 | 100% | 8 |
| Licensed Practical Nurse | 17 | 0 | 17 | 6,976 | 92 | 100% | 8.7 |
| Registered Nurse | 16 | 0 | 16 | 4,523 | 92 | 100% | 8.5 |
| Physical Therapy Aide | 4 | 0 | 4 | 1,169 | 75 | 82% | 6.9 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 998 | 72 | 78% | 7.5 |
| Speech Language Pathologist | 4 | 0 | 4 | 993 | 70 | 76% | 6.5 |
| Nurse Practitioner | 1 | 0 | 1 | 521 | 61 | 66% | 8.5 |
| Administrator | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Qualified Social Worker | 4 | 0 | 4 | 495 | 69 | 75% | 5.1 |
| Dietitian | 1 | 0 | 1 | 488 | 51 | 55% | 9.6 |
| Dental Services Staff | 1 | 0 | 1 | 431 | 52 | 57% | 8.3 |
| Physical Therapy Assistant | 3 | 0 | 3 | 202 | 59 | 64% | 2.8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 118 | 14 | 15% | 8.4 |
| Medical Director | 1 | 0 | 1 | 104 | 13 | 14% | 8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 67 | 12 | 13% | 5.5 |
45 Certified Nursing Assistant
% of Days
100%
26 Nurse Aide in Training
% of Days
100%
17 Licensed Practical Nurse
% of Days
100%
16 Registered Nurse
% of Days
100%
4 Physical Therapy Aide
% of Days
82%
4 Respiratory Therapy Technician
% of Days
78%
4 Speech Language Pathologist
% of Days
76%
1 Nurse Practitioner
% of Days
66%
1 Administrator
% of Days
67%
4 Qualified Social Worker
% of Days
75%
1 Dietitian
% of Days
55%
1 Dental Services Staff
% of Days
57%
3 Physical Therapy Assistant
% of Days
64%
1 Occupational Therapy Aide
% of Days
15%
1 Medical Director
% of Days
14%
1 Other Dietary Services Staff
% of Days
13%
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
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.
3.9
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
3.9
63% better than Tennessee averageTennessee average: 10.5
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
4.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
4.4
77% better than Tennessee averageTennessee 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
9.7%
Percent of long-stay residents whose need for help with daily activities has increased
9.7%
40% better than Tennessee averageTennessee average: 16.0%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
0.0%
Percent of long-stay residents whose ability to move independently worsened
0.0%
100% better than Tennessee averageTennessee 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
3.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
3.6%
83% better than Tennessee averageTennessee average: 20.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.4%
Percent of long-stay residents experiencing one or more falls with major injury
4.4%
20% worse than Tennessee averageTennessee average: 3.7%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
3.5%
Percent of long-stay high risk residents with pressure ulcers
3.5%
36% better than Tennessee averageTennessee average: 5.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.6%
Percent of long-stay residents with a urinary tract infection
1.6%
25% better than Tennessee averageTennessee average: 2.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
1.8%
Percent of long-stay residents who lose too much weight
1.8%
72% better than Tennessee averageTennessee average: 6.3%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Tennessee averageTennessee average: 11.0%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
19.5%
Percent of long-stay residents who received an antipsychotic medication
19.5%
18% worse than Tennessee averageTennessee average: 16.5%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
11% better than Tennessee averageTennessee average: 89.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
6% better than Tennessee averageTennessee average: 94.5%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.72
Number of hospitalizations per 1,000 long-stay resident days.
1.72
9% worse than Tennessee averageTennessee average: 1.58
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.36
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.36
13% better than Tennessee averageTennessee 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
100.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
26% better than Tennessee averageTennessee average: 79.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.0%
Percent of short-stay residents who newly received an antipsychotic medication
2.0%
16% worse than Tennessee averageTennessee average: 1.7%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
91.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
91.0%
14% better than Tennessee averageTennessee average: 79.8%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
16.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
16.0%
28% better than Tennessee averageTennessee average: 22.2%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
11.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
11.2%
In line with Tennessee averageTennessee average: 11.2%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.6%
Percentage of SNF residents who experience falls with major injury during their stay.
0.6%
21% better than Tennessee averageTennessee average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
45.5%
Percentage of residents at or above expected ability to care for themselves at discharge.
45.5%
15% worse than Tennessee averageTennessee average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
61.0%
Rate of successful return to home or community from a skilled nursing facility.
61.0%
21% 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.
Breakdown by payment type
Medicare
61% of new residents, usually for short-term rehab.
Typical stay
25 days
Private pay
35% of new residents, often for short stays.
Typical stay
2 - 3 months
Medicaid
5% of new residents, often for long-term daily care.
Typical stay
2 years
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
74
Medicare
24
32.4% of residents
Medicaid
37
50% of residents
Private pay or other
13
17.6% 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.
Financial Trends
Historical financial and operational data for White House Health Care, Inc. based on CMS SNF Cost Reports.
Occupancy Rate
72.0%
↑ 1.7pp vs 2022
Net Income
-$265.5K
↓ ~$22.3K vs 2022
Total Payroll
$4.4M
↑ ~$482.7K vs 2022
Profit Margin
-3.0%
↓ 0.2pp vs 2022
Finances and operations
Voluntary non-profit community
Operated by a church.
Home revenue
$9.0M
Operating deficit
-$265.5K
Voluntary non-profit community
Operated by a church.
Home revenue
$9.0M Rank #141 / 176Revenue — State benchmarkedThis home is ranked 141st out of 176 homes in Tennessee for revenue. 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.
Operating deficit
-$265.5K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #113 / 176Payroll — State benchmarkedThis home is ranked 113th out of 176 homes in Tennessee for payroll. 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.
$4.4M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #113 / 176Payroll — State benchmarkedThis home is ranked 113th out of 176 homes in Tennessee for payroll. 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.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.8M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$9.3M
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near White House Health Care, Inc.
67.3 miles from city center
Estimated distance in miles from White House's city center to White House Health Care, Inc.'s address, calculated via Google Maps.
Calculate Travel Distance to White House Health Care, Inc.
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Financial Assistance for
Nursing Home in Tennessee
White House Health Care, Inc. is located in White House, Tennessee.
Here are the financial assistance programs available to residents in Tennessee.
Frequently Asked Questions about White House Health Care, Inc.
Is White House Health Care, Inc. in a walkable area?
White House Health Care, Inc. has a walk score of 3. Car-dependent. Most errands require a car, with limited nearby walkable options.
Who is the administrator of White House Health Care, Inc.?
Sandi Sparkman is the administrator of White House Health Care, Inc..
How many beds does White House Health Care, Inc. have?
White House Health Care, Inc. has 140 beds.
Are there photos of White House Health Care, Inc.?
Yes — there are 3 photos of White House Health Care, Inc. in the photo gallery on this page.
What is the address of White House Health Care, Inc.?
White House Health Care, Inc. is located at WILKERSON.
What is the phone number of White House Health Care, Inc.?
(615) 444-1836 will put you in contact with the team at White House Health Care, Inc..
Is White House Health Care, Inc. Medicare or Medicaid certified?
Yes — White House Health Care, Inc. is a CMS-certified provider of Medicare and Medicaid.
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