Bells Nursing and Rehabilitation Center
213 Herndon Drive, Bells, TN 38006 · Crockett County · 120 certified beds · avg 86 residents/day · certified since Oct 1, 2002
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (13)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Aug 14, 2025 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Aug 14, 2025 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Aug 14, 2025 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. |
| Jun 21, 2024 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jun 21, 2024 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Jun 21, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jun 21, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jun 21, 2024 | D · Potential for harm, one-off | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Mar 2, 2023 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Mar 2, 2023 | D · Potential for harm, one-off | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. |
| Mar 2, 2023 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Mar 2, 2023 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Mar 2, 2023 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (5 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 5 | 0 | D |
| 2024 | 5 | 0 | E |
| 2025 | 3 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Tennessee avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.07 | 3.62 | 3.95 | top 19% in Tennessee; top 37% in the U.S. |
| Registered Nurse hours | 0.42 | 0.57 | 0.69 | bottom 29% in Tennessee; bottom 25% in the U.S. |
| Weekend total nurse staffing | 3.31 | 3.15 | 3.50 | top 29% in Tennessee; bottom 48% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.27 | 0.39 | 0.48 | bottom 32% in Tennessee; bottom 25% in the U.S. |
| Total nursing staff turnover (%) | 57.4 | 48.9 | 45.8 | bottom 25% in Tennessee; bottom 20% in the U.S. |
| RN turnover (%) | 75.0 | 43.2 | 42.9 | bottom 8% in Tennessee; bottom 9% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.30, RN 0.44, weekend 3.50. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: 1/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bells Holding INC | Organization | Direct Ownership Interest | NOT APPLICABLE | 03/29/1995 |
| Mann, Joy | Individual | Indirect Ownership Interest | NOT APPLICABLE | 11/01/2023 |
| Bells Holding INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 11/14/2023 |
| Bells Holding INC | Organization | ADP of the SNF | NOT APPLICABLE | 03/29/1995 |
| Croom, Rita | Individual | Corporate Officer | NOT APPLICABLE | 01/27/2025 |
| Croom, Rita | Individual | ADP of the SNF | NOT APPLICABLE | 01/27/2025 |
| Mann, Joy | Individual | Corporate Officer | NOT APPLICABLE | 11/01/2023 |
| Mann, Joy | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2023 |
| McBride, David | Individual | Managing Control - Governing Body | NOT APPLICABLE | 12/14/2023 |
| McBride, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/14/2023 |
| McBride, David | Individual | ADP of the SNF | NOT APPLICABLE | 11/14/2023 |
| Rhear, Raymond | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/02/1993 |
| Rhear, Raymond | Individual | ADP of the SNF | NOT APPLICABLE | 09/04/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Alamo Nursing and Rehabilitation Center | 4.6 mi | Alamo, TN | ★★★★☆ | 4/5 | |
| W D Bill Manning Tennessee State Veterans Home | 11.2 mi | Humboldt, TN | ★★★★★ | 5/5 | |
| Avondale Health and Rehabilitation Center, LLC | 11.5 mi | Humboldt, TN | ★★☆☆☆ | 2/5 | |
| Northbrooke Post Acute | 12.6 mi | Jackson, TN | ★☆☆☆☆ | 2/5 | |
| Maplewood Health Care Center | 13.8 mi | Jackson, TN | ★☆☆☆☆ | 2/5 | |
| West Tennessee Post Acute | 15.0 mi | Jackson, TN | ★★★★☆ | 4/5 | |
| Cypress Grove Post Acute | 15.0 mi | Jackson, TN | ★★★☆☆ | 3/5 | |
| Christian Care Center of Medina | 16.1 mi | Medina, TN | ★☆☆☆☆ | 1/5 | |
| Haywood Post Acute | 16.6 mi | Brownsville, TN | ★★★☆☆ | 3/5 | |
| Mission Convalescent Home | 16.6 mi | Jackson, TN | ★★★☆☆ | 4/5 | |
| Laurelwood Health Care Center | 17.8 mi | Jackson, TN | ★☆☆☆☆ | 1/5 | |
| Trenton Health and Rehabilitation Center, LLC | 18.3 mi | Trenton, TN | ★★★★★ | 5/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 445463.