Federal inspection record · CMS data as of October 1, 2026
Bells Nursing And Rehabilitation Center
213 Herndon Drive, Bells, TN · (731) 663-2335
- Certified beds
- 120
- Residents per day
- 88
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 1, 2002
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Tennessee.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★−1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Tennessee homes
Bells Nursing And Rehabilitation Center carries 28 inspection points. That is fewer than 46% of Tennessee's 300 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Tennessee: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–9 pts
- 4★ 9–17 pts
- 3★ 17–31 pts
- 2★ 31–61 pts
- 1★ over 61 pts
Bars show every rated home in Tennessee by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
15 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care4E
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Resident Rights3D
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Infection Control2E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Pharmacy Service1D
- 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.
Resident Assessment and Care Planning1D
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental1D
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspection history
2026-08-06
7 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2025-08-14
3 health deficiencies · 0 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
2024-06-21
5 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 32 min of nursing staff time a day, 26 min of it from a registered nurse.
This home
4 h 32 min
Tennessee average
3 h 49 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 58% of nursing staff and 43% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.5 pts better | 1.1 | 1.6 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts better | 1.4 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine9.5 pts better | 99.0% | 89.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.8 pts better | 97.6% | 93.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.3 pts worse | 6.6% | 3.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms8.5 pts better | 6.4% | 14.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.7 pts worse | 6.7% | 6.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication10.7 pts worse | 42.4% | 31.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication10.6 pts worse | 27.6% | 17.0% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened8.3 pts worse | 23.7% | 15.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased13.5 pts worse | 27.0% | 13.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder3.8 pts worse | 4.4% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.7 pts worse | 2.4% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence9.9 pts worse | 28.9% | 19.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1 pts worse | 5.8% | 4.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine8.3 pts better | 87.7% | 79.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit6.6 pts worse | 17.9% | 11.3% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.9 pts worse | 4.6% | 1.7% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine7.5 pts better | 86.7% | 79.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission7.1 pts better | 15.5% | 22.6% | 23.4% |
·
Who owns and runs it
13 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Bells Holding Inc | Direct Ownership Interest · Organization | 0% | 1 facilities |
| Bells Holding Inc | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Bells Holding Inc | Adp Of The SNF · Organization | 0% | 1 facilities |
| Croom, Rita | Corporate Officer · Individual | 0% | 2 facilities |
| Croom, Rita | Adp Of The SNF · Individual | 0% | 2 facilities |
| Mann, Joy | Indirect Ownership Interest · Individual | 0% | 3 facilities |
| Mann, Joy | Corporate Officer · Individual | 0% | 3 facilities |
| Mann, Joy | Adp Of The SNF · Individual | 0% | 3 facilities |
| Mcbride, David | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Mcbride, David | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Mcbride, David | Adp Of The SNF · Individual | 0% | 1 facilities |
| Rhear, Raymond | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Rhear, Raymond | Adp Of The SNF · Individual | 0% | 1 facilities |
·
Fire safety
3 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Miscellaneous2D
- 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.
Smoke1D
- D
Inspect, test, and maintain automatic sprinkler systems.
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Other homes nearby
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★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 5 h 21 min
- Fines
- $12,542
-
W D Bill Manning Tennessee State Veterans Home
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- Nursing / resident / day
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-
Avondale Health and Rehabilitation Center, LLC
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★★★★★- Worst citation, 3 yrs
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