Bells Nursing and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Bells Nursing and Rehabilitation Center, in the surveyor’s own words.

• Actual harm, isolatedF600Aug 14, 2025

  Based on policy review, medical record review, and interview, the facility failed to identify, assess, report, and contact a provider for an injury of unknown origin 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). […]

• No harm, potential for more than minimal, patternF689Aug 6, 2026

  Based on facility policy review, observation, and interview, the facility failed to ensure that the resident's (Resident #5) environment remained free of accident hazards during smoking. The findings include: 1. Review of the facility policy titled, Smoking Policy - Residents, dated 3/30/2026, revealed .This facility has established and maintains safe resident smoking practices.Metal containers are available in smoking areas.Ashtrays are emptied only into designated receptacles. 2. Observation of the outside patio at the designated Resident smoking area on 8/3/2026 at 3:09 PM, revealed 4 ashtrays without lids that made them not noncombustible and 2 red smoking receptacles for disposal of cigarettes and ashes that did not close completely, which prevented them from being noncombustible. […]

• No harm, potential for more than minimal, patternF812Aug 14, 2025

  Based 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. The findings include: Review of the facility policy titled, Food Receiving and Storage, revised 11/2018, revealed .Foods shall be received and stored in a manner with safe handling practices.All foods stored in the refrigerator or freezer will be covered, labeled and dated ( use by date or open date).Other opened containers must be dated and sealed or covered during storage. Observation during the initial tour in the kitchen on 8/11/2025 at 8:50 AM, revealed the following in the walk-in refrigerator: a. […]

• No harm, potential for more than minimal, patternF880Jun 21, 2024

  Based 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. […]

• No harm, potential for more than minimal, patternF550Jan 27, 2022

  Based on policy review, medical review, observation, and interview, the facility failed to maintain or enhance residents' dignity and respect when 2 of 3 sampled residents (Resident #57 and #81) were observed without a dignity bag for an indwelling urinary catheter (plastic tube inserted into the bladder to drain urine) and a resident was in the hall with their enteral feeding uncovered; 8 of 26 staff members (Housekeeper #1 and #2, Certified Nursing Assistant (CNA) #2, #3, and #6 Hydration Aide #1, Graduate Practical Nurse (GPN) #1, and Staffing Coordinator) stood over residents to assist with their meals, failed to knock or announce themselves before entering a residents' room, and failed to use courtesy titles to address residents for 13 of 85 sampled residents (Resident #3, #21,#26,… […]