Cycle 1
Health 2025-03-30 · Fire 2025-03-30
20 health deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
4 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Gainesville, GA
Bell Minor Home, The
1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $74,979 in total fines with 20 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
2200 Old Hamilton Place Ne, Gainesville, GA
(770) 532-2066
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
104
Certified beds
Average residents
99
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Wellington Health Care Services
Operator or chain grouping
Approved since
1967-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
14 facilities
Chain averages 2 overall / 2 health / 2 staffing / 2 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.34
Registered nurse staffing · state 0.49 · national 0.68
LPN hours / resident day
0.91
Licensed practical nurse staffing · state 0.93 · national 0.87
Aide hours / resident day
1.70
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
2.94
All reported nurse hours · state 3.57 · national 3.89
Licensed hours
1.24
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
2.32
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.22
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.11
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.34
CMS adjusted RN staffing hours
Adjusted total hours
2.94
CMS adjusted total nurse staffing hours
Case-mix index
1.37
Higher values indicate more complex resident acuity
RN turnover
100%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
83%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
13,649
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
2.37
Composite VBP score used to determine payment impact.
Payment multiplier
0.9804
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 19.99% · Performance 23.01% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 7.96% · Performance 9.69% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
0
Baseline 71.43% · Performance 86.61% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
0.95
Baseline 2.75 hours · Performance 3.19 hours · Measure score 0.95 · Achievement 0 · Improvement 0.95
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.43% |
10.72%
0.3 pts better
|
No Different than the National Rate · Eligible stays 201 · Observed rate 11.44% · Lower 95% interval 7.9% |
| Discharge to community | 42.72% |
50.57%
7.9 pts worse
|
Worse than the National Rate · Eligible stays 185 · Observed rate 34.59% · Lower 95% interval 35.56% |
| Medicare spending per beneficiary | 1.1 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 152 · Denominator 152 |
| Falls with major injury | 2.63% |
0.77%
1.9 pts worse
|
Numerator 4 · Denominator 152 |
| Discharge self-care score | 8.42% |
53.69%
45.3 pts worse
|
Numerator 8 · Denominator 95 |
| Discharge mobility score | 9.47% |
50.94%
41.5 pts worse
|
Numerator 9 · Denominator 95 |
| Pressure ulcers or injuries, new or worsened | 1.32% |
2.29%
1 pts better
|
Numerator 2 · Denominator 152 · Adjusted rate 0.79% |
| Healthcare-associated infections requiring hospitalization | 9.69% |
7.12%
2.6 pts worse
|
No Different than the National Rate · Eligible stays 140 · Observed rate 12.86% · Lower 95% interval 6.54% |
| Staff COVID-19 vaccination coverage | 12.87% |
8.2%
4.7 pts better
|
Numerator 13 · Denominator 101 |
| Staff flu vaccination coverage | 13.86% |
42%
28.1 pts worse
|
Numerator 14 · Denominator 101 |
| Discharge function score | 10.53% |
56.45%
45.9 pts worse
|
Numerator 10 · Denominator 95 |
| Transfer of health information to provider | 97.73% |
95.95%
1.8 pts better
|
Numerator 43 · Denominator 44 |
| Transfer of health information to patient | 94.12% |
96.28%
2.2 pts worse
|
Numerator 48 · Denominator 51 |
| Resident COVID-19 vaccinations up to date | 57.32% |
25.2%
32.1 pts better
|
Numerator 47 · Denominator 82 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.4 |
2.2
1.2 pts worse
|
1.9
1.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.4 · Observed 3.4 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.3 |
2.0
0.3 pts worse
|
1.8
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 2.2 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.0% |
91.2%
6.8 pts better
|
93.4%
4.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.9% · Q3 97.8% · Q4 95.6% · 4Q avg 98.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.8% |
95.0%
0.8 pts better
|
95.5%
0.3 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.3% |
3.2%
0.9 pts better
|
3.3%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 3.4% · Q3 0.0% · Q4 0.0% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 37.9% |
9.6%
28.3 pts worse
|
11.4%
26.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 46.1% · Q3 42.4% · Q4 60.0% · 4Q avg 37.9% |
| Percentage of long-stay residents who lose too much weight | 4.5% |
5.9%
1.4 pts better
|
5.4%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.8% · Q3 11.0% · Q4 4.2% · 4Q avg 4.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 30.4% |
20.7%
9.7 pts worse
|
19.6%
10.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 39.0% · Q2 35.4% · Q3 27.3% · Q4 19.7% · 4Q avg 30.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 24.1% |
21.4%
2.7 pts worse
|
16.7%
7.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.3% · Q2 23.7% · Q3 26.6% · Q4 24.6% · 4Q avg 24.1% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 17.5% |
17.9%
0.4 pts better
|
16.3%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q3 19.1% · Q4 0.0% · 4Q avg 17.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.8% |
16.2%
4.4 pts better
|
14.9%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 14.9% · Q3 20.8% · Q4 6.9% · 4Q avg 11.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.6% |
1.1%
0.5 pts better
|
1.0%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.7% |
2.5%
0.2 pts worse
|
1.7%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 5.0% · Q3 1.2% · Q4 0.0% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 26.0% |
16.1%
9.9 pts worse
|
19.8%
6.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.8% · Q2 40.6% · Q3 22.8% · Q4 19.7% · 4Q avg 26.0% |
| Percentage of long-stay residents with pressure ulcers | 3.3% |
6.2%
2.9 pts better
|
5.1%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 3.5% · Q3 1.2% · Q4 4.6% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 94.3% |
80.4%
13.9 pts better
|
81.7%
12.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 93.9% · Q4 79.2% · 4Q avg 94.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 18.6% |
12.2%
6.4 pts worse
|
12.0%
6.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 18.6% · Observed 18.6% · Expected 11.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 6.4% |
2.2%
4.2 pts worse
|
1.6%
4.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 1.8% · Q3 8.2% · Q4 9.5% · 4Q avg 6.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 99.0% |
78.2%
20.8 pts better
|
79.7%
19.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 99.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 29.6% |
24.2%
5.4 pts worse
|
23.9%
5.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 29.6% · Observed 29.0% · Expected 23.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-11-16 · Fire 2023-11-16
10 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2022-04-14 · Fire 2022-04-14
7 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-03-30
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-06-09
E · Potential for more than minimal harm
2025-03-30
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-06-09
D · Potential for more than minimal harm
2025-03-30
K200 · Egress Deficiencies
Fire Safety
Meet other general requirements.
Corrected 2025-06-09
D · Potential for more than minimal harm
2025-03-30
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-06-09
D · Potential for more than minimal harm
2023-11-16
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-12-31
D · Potential for more than minimal harm
2023-11-16
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-12-31
D · Potential for more than minimal harm
2023-11-16
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-12-31
Inspection history
Recent health citations
J · Immediate jeopardy
2025-03-30
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-06-09
J · Immediate jeopardy
2025-03-30
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-06-09
J · Immediate jeopardy
2025-03-30
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-06-09
J · Immediate jeopardy
2025-03-30
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-06-09
J · Immediate jeopardy
2025-03-30
F835 · Administration Deficiencies
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2025-06-09
F · Potential for more than minimal harm
2025-03-30
F809 · Nutrition and Dietary Deficiencies
Health
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected 2025-06-09
F · Potential for more than minimal harm
2025-03-30
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-06-09
F · Potential for more than minimal harm
2025-03-30
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2025-06-09
F · Potential for more than minimal harm
2025-03-30
F848 · Administration Deficiencies
Health
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Corrected 2025-06-09
E · Potential for more than minimal harm
2025-03-30
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2025-06-09
E · Potential for more than minimal harm
2025-03-30
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-06-09
D · Potential for more than minimal harm
2025-03-30
F637 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident when there is a significant change in condition
Corrected 2025-06-09
D · Potential for more than minimal harm
2025-03-30
F638 · Resident Assessment and Care Planning Deficiencies
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2025-06-09
D · Potential for more than minimal harm
2025-03-30
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-06-09
D · Potential for more than minimal harm
2025-03-30
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-06-09
D · Potential for more than minimal harm
2025-03-30
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-06-09
D · Potential for more than minimal harm
2025-03-30
F700 · Quality of Life and Care Deficiencies
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2025-06-09
D · Potential for more than minimal harm
2025-03-30
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-06-09
D · Potential for more than minimal harm
2025-03-30
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-06-09
D · Potential for more than minimal harm
2025-03-30
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-06-09
D · Potential for more than minimal harm
2024-09-09
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-24
F · Potential for more than minimal harm
2023-11-16
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-12-31
F · Potential for more than minimal harm
2023-11-16
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2023-12-31
E · Potential for more than minimal harm
2023-11-16
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-12-31
D · Potential for more than minimal harm
2023-11-16
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-12-31
D · Potential for more than minimal harm
2023-11-16
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-12-31
D · Potential for more than minimal harm
2023-11-16
F700 · Quality of Life and Care Deficiencies
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2023-12-31
D · Potential for more than minimal harm
2023-11-16
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-12-31
D · Potential for more than minimal harm
2023-11-16
F809 · Nutrition and Dietary Deficiencies
Health
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected 2023-12-31
D · Potential for more than minimal harm
2023-11-16
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-12-31
D · Potential for more than minimal harm
2023-03-10
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-04-24
D · Potential for more than minimal harm
2023-03-10
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-04-24
D · Potential for more than minimal harm
2023-03-10
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-04-24
D · Potential for more than minimal harm
2023-03-10
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-04-24
E · Potential for more than minimal harm
2022-04-14
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-07-12
D · Potential for more than minimal harm
2022-04-14
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-07-12
D · Potential for more than minimal harm
2022-04-14
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-07-12
Penalties and ownership
What sits behind the stars
$70,421
2025-03-30
Fine
Fine · fine $70,421
Fine
$4,558
2024-02-06
Fine
Fine · fine $4,558
Fine
Ownership
Wellington Healthcare Services LP
5% Or Greater Direct Ownership Interest · Organization
Andrews, James
5% Or Greater Indirect Ownership Interest · Individual
Andrews, James
Operational/Managerial Control · Individual
Andrews, James
Corporate Director · Individual
Andrews, James
Corporate Officer · Individual
Andwell Investments, LLC
5% Or Greater Indirect Ownership Interest · Organization
Bailey, Teresa
W-2 Managing Employee · Individual
Elkins Road Associates LLC
General Partnership Interest · Organization
Kelman, Moshe
Corporate Officer · Individual
Wellington Healthcare Services LP
General Partnership Interest · Organization
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#3
Willowbrooke Court At Lanier Village Estates
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