Federal inspection record · CMS data as of October 1, 2026

The Kings Daughters And Sons

3568 Appling Road, Bartlett, TN · (901) 272-7405

CMS overall rating

2 of 5

Compare with a nearby home →
Certified beds
108
Residents per day
91
Ownership
Non-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
April 19, 1989

1

How this home got 2 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Tennessee.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    2 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Tennessee homes

The Kings Daughters And Sons carries 42 inspection points. That is fewer than 28% of Tennessee's 300 rated homes.

5★4★3★2★1★+9 homes above 175.505102550100inspection points → fewer is better on the leftThis home · 42 pts · 2★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Tennessee: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–9 pts
  • 4★ 9–17 pts
  • 3★ 17–31 pts
  • 2★ 31–61 pts
  • 1★ over 61 pts

Bars show every rated home in Tennessee by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

9 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 1 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 7 4 pts
E 1 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (1)

  1. G

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    October 5, 2023 · Standard inspection · Quality of Life and Care · F686 · Corrected October 16, 2023

Everything else, by area of care

Freedom from Abuse, Neglect, and Exploitation2D
  1. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    October 5, 2023 · Complaint · F609 · Corrected October 17, 2023

  2. D

    Respond appropriately to all alleged violations.

    October 5, 2023 · Complaint · F610 · Corrected October 17, 2023

Administration1D
  1. D

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    March 17, 2026 · Complaint · F835 · Corrected March 25, 2026

Infection Control1E
  1. E

    Provide and implement an infection prevention and control program.

    October 5, 2023 · Standard · F880 · Corrected October 30, 2023

Resident Rights1D
  1. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    October 5, 2023 · Standard · F550 · Corrected October 29, 2023

Resident Assessment and Care Planning1D
  1. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    October 5, 2023 · Standard · F657 · Corrected November 2, 2023

Quality of Life and Care1D
  1. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    October 5, 2023 · Standard · F684 · Corrected November 6, 2023

Pharmacy Service1D
  1. D

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    October 5, 2023 · Standard · F761 · Corrected November 6, 2023

Inspection history

  1. 2023-10-05

    9 health deficiencies · 2 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

  2. 2019-11-06

    0 health deficiencies · 3 fire-safety deficiencies

    No concentrated health issue counts in this cycle.

  3. 2019-01-15

    0 health deficiencies · 0 fire-safety deficiencies

    No concentrated health issue counts in this cycle.

4

Nursing time per resident, per day

Each resident here gets about 5 h 17 min of nursing staff time a day, 34 min of it from a registered nurse.

This home

5 h 17 min

Tennessee average

3 h 49 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 54% of nursing staff and 64% of registered nurses left in the past year, along with 1 administrator.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.4 pts worse2.01.61.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts worse1.71.51.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.4 pts better90.9%89.5%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.3 pts better95.1%93.8%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury2.6 pts better0.7%3.3%3.2%
Percentage of long-stay residents who have depressive symptoms13.4 pts better1.5%14.9%13.5%
Percentage of long-stay residents who lose too much weight0.2 pts worse6.2%6.0%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication15.9 pts better15.8%31.7%19.5%
Percentage of long-stay residents who received an antipsychotic medication9.1 pts better7.9%17.0%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened3.5 pts worse18.9%15.4%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased9.3 pts worse22.8%13.5%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts worse1.0%0.6%0.7%
Percentage of long-stay residents with a urinary tract infection0.1 pts worse1.8%1.7%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence13.6 pts better5.4%19.0%18.3%
Percentage of long-stay residents with pressure ulcers0.5 pts better4.3%4.8%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine15.6 pts better95.0%79.4%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit2.7 pts better8.6%11.3%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.3 pts worse3.0%1.7%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine5 pts better84.2%79.2%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission14.5 pts worse37.1%22.6%23.4%

·

Who owns and runs it

2 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Arrison, RonaldW-2 Managing Employee · Individual0%1 facilities
Wiles, NicholeW-2 Managing Employee · Individual0%1 facilities

·

Fire safety

5 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Gas, Vacuum, and Electrical Systems2D
  1. D

    Have proper medical gas storage and administration areas.

    October 5, 2023 · K923 · Corrected October 2, 2023

  2. D

    Ensure proper usage of power strips and extension cords.

    November 6, 2019 · K920 · Corrected November 15, 2019

Smoke2D
  1. D

    Inspect, test, and maintain automatic sprinkler systems.

    November 6, 2019 · K353 · Corrected November 26, 2019

  2. D

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    November 6, 2019 · K372 · Corrected December 20, 2019

Egress1F
  1. F

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    October 5, 2023 · K222 · Corrected October 6, 2023

·

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