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The Kings Daughters and Sons

3568 Appling Road, Bartlett, TN 38133 · Shelby County · (901) 272-7405

108 certified beds, about 94 residents a day · Non profit - Corporation · Medicare and Medicaid since 1989

Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 445221 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on October 5, 2023, inspectors cited 8 health deficiencies (the Tennessee average is 4.4, the national average 9.2).

Of 9 health citations since January 2019, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists 2 fines totaling $13,498 in the last three years; the largest was $9,770, and the latest is dated October 5, 2023.

Nurses and nurse aides worked 5.28 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.64 of those hours.

53.5% of nursing staff left within the year CMS measured (Tennessee average 48.9%).

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 9 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
7D
1E
0F
Potential for minimal harm
0A
0B
0C
March 17, 2026Complaint inspection · 1 citation
  1. D
    Administer the facility in a manner that enables it to use its resources effectively and efficiently.
    F835 · Administration · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 25, 2026
    Inspectors wroteBased on facility policy review, personnel file review, facility document review and interview, Administration failed to ensure that nursing services were provided by qualified personnel when the facility hired an imposter nurse (Imposter Nurse A) to function as a Registered Nurse (RN) using another RN's (RN C) Tennessee license. Imposter Nurse A worked at the facility from 06/12/2024 to 11/24/2024The
October 5, 2023Standard inspection, Complaint inspection · 8 citations
  1. G
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) October 16, 2023
    Inspectors wroteBased on Prevention and Treatment of Pressure Ulcers/Injuries Quick Reference Guide 2019, policy review, medical record review, observation, and interview, the facility failed to provide skin and wound assessments, and wound treatments for residents' pressure ulcers for 2 of 4 residents (Resident #7 and #8) reviewed for pressure ulcers. The facility's failure to perform treatments and conduct assessments in accordance with facility policy contributed to the development and deterioration of pressure ulcers/injury for Resident #7 and #8 resulting in harm.
  2. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 30, 2023
    Inspectors wroteBased on policy review, observation, and interview the facility failed to ensure infection control practices to prevent the spread of infection when 2 of 4 (Licensed Practical Nurse (LPN) #2 and #3) and when 1 of 1 (Wound Care Nurse) staff members failed to perform hand hygiene during medication administration and wound care.
  3. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 29, 2023
    Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to maintain and enhance resident's dignity and respect when 1 of 1 (Wound Care Nurse) nurse failed to provide privacy for 1 of 2 (Resident #7) residents observed during wound care.
  4. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 17, 2023
    Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to report an allegation of abuse for 1 of 4 (Resident #285) sampled residents reviewed for allegation of abuse.
  5. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 17, 2023
    Inspectors wroteBased on policy review, medical record review, review of facility investigation, and interview, the facility failed to ensure a thorough investigation was completed for 1 of 4 (Resident #285) sampled residents reviewed for an allegation of abuse.
  6. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 2, 2023
    Inspectors wroteBased on policy review, Family/Staff Conference form, medical record review, and interview, the facility failed to conduct quarterly Interdisciplinary Care Plan Meetings for 2 of 24 (Resident #8 and #19) residents reviewed for Care Plan Meetings.
  7. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 6, 2023
    Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to follow physician's orders for medication administration and failed to obtain a physician's order to apply a foot strap to a resident's wheel chair for 2 of 24 (Resident #35 and #44) sampled residents reviewed for physician orders.
  8. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 6, 2023
    Inspectors wroteBased on policy review, observation, and interview, the facility failed to ensure medications were properly stored in 2 of 16 medication storage areas (One South Nurse Station Medication Room and One North Medication Cart #1) where an expired medication was found a medication cart was left unlocked and unattended.
November 6, 2019Standard inspection · 0 citations
January 15, 2019Standard inspection · 0 citations

Fire safety inspections

5 fire safety citations on file: 2 on October 5, 2023, 3 on November 6, 2019.

Every fire safety citation5 citations
  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.
    K 222 · October 5, 2023 · Corrected (the home has a date of correction)
  2. D
    Have proper medical gas storage and administration areas.
    K 923 · October 5, 2023 · Corrected (the home has a date of correction)
  3. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · November 6, 2019 · Corrected (the home has a date of correction)
  4. D
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · November 6, 2019 · Corrected (the home has a date of correction)
  5. D
    Ensure proper usage of power strips and extension cords.
    K 920 · November 6, 2019 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
October 5, 2023Fine $3,728
October 5, 2023Fine $9,770

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeTennesseeUnited States
All nursing staff (RN, LPN and aides)5.283.803.86
Registered nurses0.640.600.69
All nursing staff on weekends4.993.313.42
Nurse aides3.32
Licensed practical nurses1.32
Nursing staff turnover (share who left in a year)53.5%48.9%45.8%
Registered nurse turnover20.0%43.2%42.9%
Administrators who left0

CMS expects 3.82 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.39 on weekdays and 4.99 on weekends, 7% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.01 in April to June 2025 to 5.28 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20265.280.645.394.99 3.1%0 of 9094
Oct to Dec 20255.160.595.284.85 3.1%0 of 9296
Jul to Sep 20255.000.545.144.66 2.4%0 of 9296
Apr to Jun 20255.010.555.124.74 3.8%0 of 9193
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Tennessee, Jan to Mar 20263.750.563.953.274.0%0.7% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Tennessee

JobMedianMiddle halfEmployed
Tennessee, all employers
CNAs (nursing assistants)$18.27$17.09 to $19.6627,040
LPNs and LVNs$28.31$23.64 to $30.1220,830
Registered nurses$39.18$36.28 to $45.7972,200
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For The Kings Daughters and Sons. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeTennesseeUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
16.614.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.00.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.71.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
0.33.43.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
3.31.71.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
16.617.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
4.25.04.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
5.816.915.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
37.222.623.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
8.911.212.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.01.71.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.21.61.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for The Kings Daughters and Sons's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (53.0% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

53.0% this home

No different from the national rate

US median of homes 51.5% · Tennessee: 62 better, 16 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 239 eligible stays.

Potentially preventable readmissions

10.9% this home

No different from the national rate

US median of homes 10.7% · Tennessee: 1 better, 7 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 239 eligible stays.

Infections that led to a hospital stay

9.8% this home

No different from the national rate

US median of homes 7.1% · Tennessee: 2 better, 1 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 181 eligible stays.

Self-care and mobility at discharge

46.0% this home

Median of homes: Tennessee58.3% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 100 residents counted.

Falls with major injury

2.4% this home

Median of homes: Tennessee0.8% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 168 residents counted.

New or worsened pressure ulcers

1.2% this home

Median of homes: Tennessee1.6% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 168 residents counted.

Medication list given at discharge

100.0% this home

Median of homes: Tennessee98.7% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 69 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: THE KING'S DAUGHTERS AND SONS HOME.

NameRoleTypeShareSince
Arrison, RonaldW-2 managing employeeIndividual04/01/1987
Wiles, NicholeW-2 managing employeeIndividual07/03/2015

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on October 5, 2023: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
  2. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on October 5, 2023: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
  3. Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 1 problem in this area, most recently on March 17, 2026: "Administer the facility in a manner that enables it to use its resources effectively and efficiently."
  4. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on October 5, 2023: "Provide and implement an infection prevention and control program."

Other nursing homes nearby

Tennessee contacts for a concern about a nursing home

These are the official offices in Tennessee. NursingHomeClear cannot take or act on complaints.

Common questions

What is The Kings Daughters and Sons's Medicare star rating?
CMS rates The Kings Daughters and Sons 2 out of 5 stars overall, with 2 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did The Kings Daughters and Sons get at its last inspection?
8 health deficiencies at the standard inspection on October 5, 2023. The Tennessee average is 4.4.
Has The Kings Daughters and Sons been fined?
Yes. CMS lists 2 fines totaling $13,498 in the last three years.
Does The Kings Daughters and Sons accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns The Kings Daughters and Sons?
CMS lists 2 owners and managers. Legal business name: THE KING'S DAUGHTERS AND SONS HOME.

Sources

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