Bells Nursing And Rehabilitation Center
BELLS NURSING AND REHABILITATION CENTER in BELLS, TN — inspection on August 14, 2025.
Found 4 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Federal health inspectors cited BELLS NURSING AND REHABILITATION CENTER in BELLS, TN for a deficiency under regulatory tag F-F0600 during a complaint investigation conducted on 2025-08-14.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
The facility was found deficient in the following area: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Scope/Severity Level G: isolated, actual harm that is not immediate jeopardy.
Actual harm to residents was documented as a result of this deficiency.
This was one of 4 deficiencies cited during this inspection of BELLS NURSING AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-05.
Review of the quarterly MDS assessment dated [DATE], revealed an interview for mental status could not be conducted due to Resident #94 was severely impaired. Resident #94 was dependent upon staff for toileting, bathing, dressing, hygiene, and transfers.
Review of the Nurse's Note dated 7/14/2025 at 1:07 AM, revealed, .
Staff reported to this nurse that resident's right arm was discolored/bruised from elbow to wrist.
Upon assessment dark red discoloration noted on resident's forearm measuring 24 cm [centimeters] in length by 7 cm in width.
Resident denies complaint of pain or discomfort concerning affected area.[named provider] notified. No new orders.
Resident suffers from aphasia and was not able to communicate how injury may have occurred.
Previous shift had already left for evening.
Staff instructed to use caution when repositioning resident.
Review of the Radiology Results Report dated 7/15/2025 at 9:16 AM, revealed Resident #94 had a fracture to the right humerus (upper arm).
Review of the [named hospital] ED [Emergency Department] Triage Notes, dated 7/15/2025 at 1:51 PM, revealed Resident #94 was admitted to the ED with bruising to the right arm and a humoral fracture as evident by an x-ray that was performed at the nursing home.
The staff at the facility reported to Emergency Medical Services (EMS) that the bruising was observed on 7/14/2025 and that staff was unsure how the injury occurred because .patient [Resident #94] is bed bound and paralyzed on the right side-right also severely contracted at baseline .
During an interview on 8/13/2025 at 8:16 AM, The Regional Nurse Consultant confirmed all injuries of unknown origin should be reported by staff when found.
The Regional Nurse Consultant confirmed Resident #94 had an injury of unknown origin on 7/13/2025 and management staff was not made aware until 7/14/2025.
During a telephone interview on 8/13/2025 at 9:25 AM, Licensed Practical Nurse (LPN) D confirmed on 7/13/2025 after shift change at 7:20 PM, he was asked to come see a bruise on the right forearm on Resident #94. LPN D described the bruise as dark red from the wrist to the elbow. LPN D confirmed he failed to immediately notify the provider and the DON.
During an interview on 8/14/2025 at 3:28 PM, the Administrator confirmed allegations of abuse, injuries of unknown origin, and allegations of misappropriation of resident property, should be reported to the state.
Facility ID:
Federal health inspectors cited BELLS NURSING AND REHABILITATION CENTER in BELLS, TN for a deficiency under regulatory tag F-F0610 during a standard health inspection conducted on 2025-08-14.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
The facility was found deficient in the following area: Respond appropriately to all alleged violations.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 4 deficiencies cited during this inspection of BELLS NURSING AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has plan of correction.
The facility reported correction as of 2025-12-05.
Federal health inspectors cited BELLS NURSING AND REHABILITATION CENTER in BELLS, TN for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-08-14.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 4 deficiencies cited during this inspection of BELLS NURSING AND REHABILITATION CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-05.