Average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Bells Nursing And Rehabilitation Center during CMS and state inspections, most recent first.
The facility failed to protect residents from various forms of abuse and neglect, including physical, mental, and sexual abuse, as well as physical punishment, by any individual.
Opened and Undated Food Items in Storage: Surveyors observed multiple opened food items in the walk-in refrigerator and freezer that were not dated, including mayonnaise, sliced cheese, pickles, single-serve ice cream, granulated onions, imitation banana extract, and pure lemon extract. The facility policy required stored foods and opened containers to be covered, labeled, and dated, and the CDM confirmed all items should be dated when opened.
The facility did not promptly report suspected abuse, neglect, or theft, nor did it communicate the results of its investigation to the proper authorities as required.
Failure to Investigate Injury of Unknown Origin: A severely cognitively impaired resident who was dependent on staff for transfers was found with her contracted arm lodged in a wheelchair armrest opening, then later had bruising noted on the same arm and an x-ray showing an acute humerus fx. Staff did not complete an assessment, incident report, witness statements, or timely notify the DON/administrator/provider when the injury and bruising were first discovered, and the injury was not thoroughly investigated.
The facility failed to follow infection control practices, including improper use of PPE by an LPN and CNAs, inadequate labeling and storage of resident care items, and a CNA handling food without proper hand hygiene. These actions were confirmed by the DON as not aligning with the facility's policies.
The facility failed to uphold residents' dignity during dining as staff members, including CNAs and Hydration Aides, entered rooms without knocking or announcing themselves, contrary to the facility's dignity policy. Additionally, staff did not use courtesy titles when addressing residents, as confirmed by the DON. These actions led to a deficiency in maintaining residents' dignity and respect.
A facility failed to follow a physician's order for a resident with pressure ulcers, as the Treatment Administration Record showed multiple instances where the prescribed Calmoseptine ointment was not signed as administered. The Director of Nursing confirmed the oversight, indicating non-compliance with the preventive measures for the resident's condition.
The facility failed to date and replace oxygen tubing and humidifier bottles for two residents, as required by their policy. Observations showed undated equipment for residents with orders for oxygen use as needed. The DON confirmed the oversight, acknowledging the responsibility to change and date the equipment weekly.
The facility failed to ensure a sanitary environment, as evidenced by stained privacy curtains in four resident rooms. Despite policies requiring regular cleaning, observations revealed dark brown and gray stains. Interviews with housekeeping staff showed a lack of awareness and inconsistency in cleaning practices, contributing to the unsanitary conditions.
Failure to Protect Residents from Abuse and Neglect
Penalty
Summary
A deficiency was identified regarding the facility's failure to protect each resident from all types of abuse, including physical, mental, sexual abuse, physical punishment, and neglect by any individual. The report documents that residents were not adequately safeguarded from these forms of mistreatment, indicating lapses in the facility's responsibility to ensure resident safety and well-being. No specific details about the residents involved, their medical history, or their condition at the time of the deficiency are provided in the report.
Opened and Undated Food Items in Storage
Penalty
Summary
Food was not stored, handled, prepared, and served under sanitary conditions when multiple opened food items were found undated in the kitchen. During the initial kitchen tour, surveyors observed an opened and undated gallon of mayonnaise, an opened and undated bag of sliced cheese, and an opened and undated gallon of pickles in the walk-in refrigerator, as well as an opened and undated box of single-serve ice cream in the walk-in freezer. On a later observation in the kitchen, surveyors found an opened and undated 5-pound container of granulated onions, an opened and undated 16-ounce bottle of imitation banana extract, and an opened and undated 16-ounce bottle of pure lemon extract. The facility policy titled Food Receiving and Storage stated that foods stored in the refrigerator or freezer must be covered, labeled, and dated, and other opened containers must be dated and sealed or covered during storage. The CDM confirmed that all items should be dated when opened and stated staff needed more education.
Failure to Timely Report Suspected Abuse, Neglect, or Theft
Penalty
Summary
The facility failed to timely report suspected abuse, neglect, or theft and did not report the results of the investigation to the proper authorities. This deficiency was identified based on the facility's lack of prompt action in notifying the appropriate agencies when an incident of suspected abuse, neglect, or theft occurred. The report indicates that the required notifications and investigation results were not communicated as mandated.
Failure to Investigate Injury of Unknown Origin
Penalty
Summary
The facility failed to complete a thorough investigation of an injury of unknown origin for a severely cognitively impaired resident who was dependent on staff for transfers and other activities of daily living. The resident had diagnoses including aphasia, right-sided contracture, cerebral infarction, and hemiplegia/hemiparesis affecting the right dominant side. The record showed that on 7/13/2025 a CNA reported the resident had almost slid out of her wheelchair and was repositioned before fully sliding out, with the resident’s contracted right arm involved in the wheelchair armrest area. Later that same day, staff observed bruising on the resident’s right arm, described as discoloration from the elbow to the wrist and a dark red area measuring 24 cm by 7 cm. The resident could not explain how the injury occurred because of aphasia and severe cognitive impairment. The facility did not provide an assessment or documentation for the wheelchair incident or for the bruising when it was first found, and management staff were not notified of the bruising until the next day. The nurse who learned of the bruising failed to immediately notify the provider and DON, and no incident report was completed at the time the injury was discovered. An x-ray obtained after the bruising was noted revealed an acute fracture of the surgical neck of the right humerus. Interviews confirmed that staff did not complete witness statements on the day of the incident, did not assess the resident when the wheelchair event occurred, and did not report the event to administration or oncoming staff. The Regional Nurse Consultant acknowledged that the bruising should have been treated as an injury of unknown origin and reported when discovered, and that the resident should have been assessed and the incident documented when her arm was found lodged in the wheelchair armrest opening. The facility therefore failed to complete a thorough investigation of the resident’s fractured humerus.
Infection Control Deficiencies in LTC Facility
Penalty
Summary
The facility failed to adhere to proper infection control practices, as evidenced by multiple observations and interviews. An LPN did not follow Enhanced Barrier Precautions (EBP) while disconnecting a resident's enteral feeding tube and failed to sanitize her stethoscope after use. Additionally, two CNAs did not wear the appropriate PPE during incontinence care for a resident on EBP, and they neglected to perform hand hygiene after glove removal. These actions were confirmed by the Director of Nursing (DON) as not aligning with the facility's infection control policies. Further deficiencies were noted in the storage and labeling of resident care items. Shared bathrooms contained unlabeled and uncontained items such as bedpans, urinals, and denture cups. These items were not stored according to the facility's policy, which requires them to be labeled, contained, and stored in designated areas. Observations and interviews confirmed that these practices were not followed, posing a risk of cross-contamination among residents. During dining observations, a CNA was seen handling residents' food with bare hands and failing to perform hand hygiene after touching items in residents' rooms. This was contrary to the facility's hand hygiene policy, which mandates hand sanitization after contact with the resident's environment and before handling food. The DON confirmed that these practices were not in compliance with the facility's infection prevention protocols.
Failure to Maintain Resident Dignity During Dining
Penalty
Summary
The facility failed to maintain or enhance residents' dignity and respect during dining, as observed in multiple instances involving staff members. Certified Nursing Assistants (CNAs) and Hydration Aides were noted to enter residents' rooms without knocking or announcing themselves, which is against the facility's policy on dignity. This policy requires staff to knock and request permission before entering a resident's room and to address residents respectfully by their preferred names. Specific observations included CNAs and Hydration Aides entering rooms to deliver meal trays without following these protocols. Additionally, there were instances where staff did not use courtesy titles when addressing or referring to residents. For example, a CNA was heard loudly asking about residents who needed assistance with feeding, referring to them in a manner that lacked respect. The Director of Nursing confirmed that staff should knock and announce themselves before entering a resident's room and should address residents with courtesy titles or their preferred names, as care planned. These actions and inactions by the staff led to the deficiency in maintaining residents' dignity and respect.
Failure to Follow Physician's Orders for Pressure Ulcer Prevention
Penalty
Summary
The facility failed to adhere to a physician's preventive measures order for a resident with multiple pressure ulcers. The resident, who was admitted with Alzheimer's, Diabetes, and various pressure ulcers, had a care plan that included implementing pressure ulcer treatment as per medical orders. The physician's orders specified the application of Calmoseptine ointment to the sacrum and bilateral buttocks every shift for preventive measures. However, the Treatment Administration Record (TAR) for April and May 2024 showed multiple instances where the treatment was not signed as administered, indicating non-compliance with the physician's orders. During an observation in June 2024, the resident was found in bed, dressed and eating, but there was no mention of the treatment being applied. An interview with the Director of Nursing confirmed that there were blanks in the TAR for the specified dates, and the physician's orders were not followed. This oversight in administering the prescribed treatment represents a deficiency in the facility's care for the resident, as the preventive measures for the pressure ulcers were not consistently implemented.
Failure to Date and Replace Oxygen Equipment
Penalty
Summary
The facility failed to ensure proper dating and replacement of oxygen tubing and humidifier bottles for two residents, leading to a deficiency in respiratory care. According to the facility's policy on oxygen administration, oxygen tubing and humidifier bottles should be replaced weekly and labeled with a resident identifier and date. However, observations revealed that the oxygen tubing for Resident #54 was not dated, and the humidifier bottle was last dated on 6/7/2024, beyond the required weekly change. Similarly, Resident #224's oxygen tubing and humidifier bottle were not dated at all. Resident #54, who was admitted with diagnoses including Parkinson's, Heart Failure, and Chronic Obstructive Pulmonary Disease, had a physician's order for oxygen use as needed. Despite this, the necessary equipment was not properly dated. Resident #224, with diagnoses including Chronic Obstructive Pulmonary Disease and Atrial Fibrillation, also had an order for oxygen use as needed, but their equipment was similarly undated. Interviews with the Director of Nurses confirmed the oversight, acknowledging that the facility is responsible for ensuring the equipment is changed and dated every seven days.
Failure to Maintain Clean Privacy Curtains
Penalty
Summary
The facility failed to maintain a safe, sanitary, and comfortable environment for residents, as evidenced by the condition of privacy curtains in four resident rooms. The facility's policy on cleaning and disinfection, revised in 2010, requires that walls, blinds, and window curtains in resident areas be cleaned when visibly soiled. Additionally, the housekeeping schedule mandates weekly cleaning of ceiling vents, light fixtures, and cubicle curtains. However, observations in the rooms of four residents revealed dark brown and gray stains on the privacy curtains, indicating a lack of adherence to the cleaning schedule. Interviews with housekeeping staff revealed a lack of awareness and inconsistency in the cleaning process. A housekeeper admitted to never having taken down the curtains for cleaning and was unaware of who was responsible for inspecting and cleaning them. The Housekeeping and Laundry Supervisor claimed to inspect the curtains every other day and to wash them monthly, but could not confirm the last inspection date. This inconsistency in cleaning practices contributed to the unsanitary conditions observed in the resident rooms.
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Illustrative
What surveyors actually found near you
We read the 29 citations issued within 25 miles in the last 12 months — including the 1 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Bells
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Alamo Nursing And Rehabilitation Center | 4.6 mi | ★★★★★ | 4 | 0 |
| W D Bill Manning Tennessee State Veterans Home | 11.2 mi | ★★★★★ | 0 | 0 |
| Avondale Health And Rehabilitation Center, Llc | 11.5 mi | ★★★★★ | 0 | 0 |
| Northbrooke Post Acute | 12.6 mi | ★★★★★ | 0 | 0 |
| Maplewood Health Care Center | 13.8 mi | ★★★★★ | 3 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.