Bells Nursing and Rehabilitation Center
213 Herndon Drive, Bells, TN 38006 · Crockett County · (731) 663-2335
120 certified beds, about 86 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2002
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
1 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445463 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 14, 2025, inspectors cited 3 health deficiencies (the Tennessee average is 4.4, the national average 9.2).
None of its 13 health citations since March 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.30 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.44 of those hours.
57.4% 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.
503/23
506/24
308/25
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 13 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
11D
2E
0F
Potential for minimal harm
0A
0B
0C
August 14, 2025Standard inspection, Complaint inspection · 3 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on policy review, observation, and interview, the facility failed to ensure food was stored, handled, prepared, and served under sanitary conditions, when food was found opened and undated. The census was 87 with 87 residents receiving a meal tray from the kitchen.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to report an injury of unknown origin and an allegation of misappropriation of resident property to the appropriate agencies for 2 of 3 (Resident #78 and #94) sampled residents reviewed for abuse.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on policy review, medical record review, and interview, the facility failed to perform a complete and thorough investigation for 1 of 3 (Resident #94) sampled residents reviewed for allegations of abuse. Resident #94, a severely cognitively impaired, vulnerable resident, dependent on staff for transfers was found with her right arm lodged in the opening of the armrest of the wheelchair on 7/13/2025. Later the same day staff observed bruising from her elbow to her wrist. An x-ray obtained on 7/14/2025 revealed a fracture of the right humerus (upper arm).
June 21, 2024Standard inspection · 5 citations
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to ensure proper infection control practices were followed when 1 of 1 Licensed Practical Nurse (LPN R) failed to sanitize her stethoscope, failed to follow Enhanced Barrier Precautions during medication administration, when 2 of 2 Certified Nursing Assistants (CNA P and CNA Q) failed to follow Enhanced Barrier Precautions (EBP) during incontinence care, when the facility failed to ensure resident care items and equipment were labeled, contained and properly stored in resident shared bathrooms, and when 1 of 20 Certified Nursing Assistant (CNA E) directly touched residents food with her bare hands and failed to use proper hand hygiene after touching items in residents rooms during dining.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on policy review, observation, and interview, the facility failed to maintain or enhance residents' dignity and respect during dining when 6 of 18 staff members Certified Nursing Assistant (CNA) C, CNA E, and CNA F, Hydration Aides K and Hydration Aide L, Licensed Practical Nurse (LPN) M, and Activities Tech O, failed to knock and/or announce themselves before entering a resident's room and failed to use courtesy titles when addressing residents and referring to residents.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on medical record review, observation, and interview the facility failed to follow physician's preventive measures order for wounds for 1 of 16 (Resident #43) sampled residents reviewed for physician orders.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on policy review, medical record review, and interview, the facility failed to ensure the residents oxygen tubing and humidifier bottle was dated for 2 of 4 (Resident #54 and #224) reviewed for oxygen.
- D Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on policy review, observation, and interview, the facility failed to ensure a safe, sanitary, and comfortable environment for 4 of 60 (Resident #1, #32, #39, and #173) resident rooms observed.
March 2, 2023Standard inspection · 5 citations
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on policy review, observation, and interview, the facility failed to maintain or enhance resident dignity and respect when 4 of 26 (Certified Nursing Assistant (CNA) #1 and CNA #9, Licensed Practical Nurse (LPN) #1, and the Activities Director) staff members observed during dining failed to knock, announce or introduce themselves when entering a resident's room and failed to use courtesy titles to address residents.
- D Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to ensure 1 of 1 (Resident #41) was free from the use of restraints.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on policy review, medical record review, observation, and interview, the facility failed to monitor oxygen administration for 1 of 2 residents (Resident #51) reviewed for respiratory services.
- 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.
Inspectors wroteBased on policy review, observation, and interview the facility failed to ensure medications were properly stored and secured when opened controlled medications that are subject to abuse were found outside of separately locked, permanently affixed compartments for storage in 2 of 8 (East Hall Medication Storage Room and [NAME] Hall Medication Storage Room) medication storage areas.
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on policy review, observation, and interview, the facility failed to ensure food was served under sanitary conditions when 3 of 26 staff members (Housekeeper #1, Activities Director, and Registered Nurse (RN) #1) failed to perform proper hand hygiene during meal service.
Fire safety inspections
7 fire safety citations on file: 3 on June 21, 2024, 4 on March 2, 2023.
Every fire safety citation7 citations
- D Inspect, test, and maintain automatic sprinkler systems.
- D Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D Have restrictions on the use of portable space heaters.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Have restrictions on the use of portable space heaters.
- D Have generator or other power source capable of supplying service within 10 seconds.
- B Ensure proper usage of power strips and extension cords.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Tennessee | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.30 | 3.80 | 3.86 |
| Registered nurses | 0.44 | 0.60 | 0.69 |
| All nursing staff on weekends | 3.50 | 3.31 | 3.42 |
| Nurse aides | 2.41 | ||
| Licensed practical nurses | 1.44 | ||
| Nursing staff turnover (share who left in a year) | 57.4% | 48.9% | 45.8% |
| Registered nurse turnover | 75.0% | 43.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.05 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 4.62 on weekdays and 3.50 on weekends, 24% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.45 in April to June 2025 to 4.30 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.30 | 0.44 | 4.62 | 3.50 | 0.0% | 0 of 90 | 86 |
| Oct to Dec 2025 | 4.56 | 0.51 | 4.87 | 3.78 | 0.0% | 0 of 92 | 83 |
| Jul to Sep 2025 | 4.63 | 0.46 | 4.99 | 3.72 | 0.0% | 0 of 92 | 85 |
| Apr to Jun 2025 | 4.45 | 0.42 | 4.79 | 3.58 | 0.0% | 0 of 91 | 81 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Tennessee, Jan to Mar 2026 | 3.75 | 0.56 | 3.95 | 3.27 | 4.0% | 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.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Tennessee | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 27.6 | 14.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 4.9 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.8 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.7 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 5.6 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 29.8 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.0 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 29.0 | 16.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 13.0 | 22.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 18.9 | 11.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.6 | 1.8 |
Owners and operators
Legal business name: BELLS NURSING HOME INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Bells Holding Inc | Direct ownership interest | Organization | 03/29/1995 | |
| Mann, Joy | Indirect ownership interest | Individual | 11/01/2023 | |
| McBride, David | Managing control - governing body | Individual | 12/14/2023 | |
| Croom, Rita | Corporate officer | Individual | 01/27/2025 | |
| Mann, Joy | Corporate officer | Individual | 11/01/2023 | |
| Bells Holding Inc | Operational/managerial control | Organization | 11/14/2023 | |
| McBride, David | Operational/managerial control | Individual | 12/14/2023 | |
| Rhear, Raymond | Operational/managerial control | Individual | 08/02/1993 | |
| Bells Holding Inc | Adp of the SNF | Organization | 03/29/1995 | |
| Croom, Rita | Adp of the SNF | Individual | 01/27/2025 | |
| Mann, Joy | Adp of the SNF | Individual | 11/01/2023 | |
| McBride, David | Adp of the SNF | Individual | 11/14/2023 | |
| Rhear, Raymond | Adp of the SNF | Individual | 09/04/2025 |
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.
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 3 problems in this area, most recently on August 14, 2025: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on June 21, 2024: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on August 14, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on June 21, 2024: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
Other nursing homes nearby
- Alamo Nursing and Rehabilitation Center Alamo, 4.6 mi · 4 of 5 stars · 17 citations
- W D Bill Manning Tennessee State Veterans Home Humboldt, 11.2 mi · 5 of 5 stars · 8 citations
- Avondale Health and Rehabilitation Center, LLC Humboldt, 11.5 mi · 2 of 5 stars · 19 citations
- Northbrooke Post Acute Jackson, 12.6 mi · 1 of 5 stars · 32 citations
- Maplewood Health Care Center Jackson, 13.8 mi · 1 of 5 stars · 26 citations
- West Tennessee Post Acute Jackson, 15 mi · 4 of 5 stars · 12 citations
- Cypress Grove Post Acute Jackson, 15 mi · 4 of 5 stars · 20 citations
- Christian Care Center of Medina Medina, 16.1 mi · 1 of 5 stars · 28 citations
Tennessee contacts for a concern about a nursing home
These are the official offices in Tennessee. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Tennessee Health Facilities Commission, Division of Licensure and Regulation, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Tennessee Long-Term Care Ombudsman, Department of Disability and Aging, 877-236-0013. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is Bells Nursing and Rehabilitation Center's Medicare star rating?
- CMS rates Bells Nursing and Rehabilitation Center 3 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Bells Nursing and Rehabilitation Center get at its last inspection?
- 3 health deficiencies at the standard inspection on August 14, 2025. The Tennessee average is 4.4.
- Has Bells Nursing and Rehabilitation Center been fined?
- CMS lists no fines in the last three years.
- Does Bells Nursing and Rehabilitation Center 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 Bells Nursing and Rehabilitation Center?
- CMS lists 13 owners and managers. Legal business name: BELLS NURSING HOME INC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.