Inspection Reports for The Bell Minor Home

A standard survey was conducted from 2025-03-25 through 2025-03-30, including investigation of multiple complaint intake numbers, some substantiated and some unsubstantiated, to assess compliance with Medicare/Medicaid regulations.

The facility was found not in substantial compliance with federal regulations, with deficiencies including immediate jeopardy related to resident abuse, neglect, pressure ulcer care, medication management, and infection control. The immediate jeopardy was removed on 2025-03-31 after corrective actions, but the facility remains out of compliance while implementing systemic changes.

Multiple complaint intake numbers were investigated in conjunction with the standard survey. Several complaints were substantiated, including abuse, neglect, and quality of care issues. Immediate jeopardy was identified related to these complaints.

The visit was a Life Safety Code Survey conducted to assess compliance with 42 CFR Subpart 483.90(a), Life Safety from Fire, and the related NFPA 101 Life Safety Code 2012 edition.

The facility was found not in substantial compliance with Life Safety Code requirements, including issues with means of egress, hazardous area enclosures, combustible storage, and improper storage of oxygen cylinders. Multiple deficiencies were observed affecting one or more smoke compartments.

The inspection was a State Licensure survey conducted from 3/25/2025 through 3/30/2025 to determine compliance with the State Long Term Care Requirements.

Multiple deficiencies were cited including failure to notify medical providers timely of changes in residents' conditions leading to adverse outcomes, inadequate dietary services including excessive meal gaps and poor food palatability, failure to follow infection control practices, failure to provide care according to care plans especially related to pressure ulcers, and unsanitary conditions in the kitchen and dumpster area.

An Abbreviated/Partial Extended Survey was conducted to investigate complaint GA00252341, initiated on November 6, 2024, and continued through November 12 and 13, 2024.

The complaint GA00252341 was found to be unsubstantiated and no regulatory violations were cited during the survey.

Complaint GA00252341 was investigated and found to be unsubstantiated.

This document is a Statement of Deficiencies and Plan of Correction for Bell Minor Home, indicating regulatory oversight and corrective actions following an inspection.

The report contains initial comments but does not specify any detailed deficiencies or findings.

A health revisit survey was conducted to verify correction of deficiencies cited in a prior complaint investigation survey concluded on September 9, 2024.

All deficiencies cited during the complaint investigation survey were found to be corrected during this revisit survey.

This visit was a follow-up to a complaint investigation survey concluded on September 9, 2024. All cited deficiencies were corrected.

The inspection was conducted as a State Licensure survey from August 28, 2024 through September 9, 2024, to determine compliance with the State Long Term Care Requirements.

The facility was cited for multiple deficiencies including failure to timely report an allegation of verbal abuse by a staff member, failure to provide a nourishing and well-balanced diet due to non-receipt of food orders caused by non-payment, and failure to maintain a safe environment by not keeping shower room cabinets locked containing hazardous items.

An Abbreviated/Partial Extended Survey was conducted from August 28, 2024 through September 9, 2024 to investigate multiple complaints regarding verbal abuse and other concerns at The Bell Minor Home.

The facility was found to have substantiated deficiencies related to verbal abuse between the Director of Nursing (DON) and a resident, failure to report the verbal abuse allegation timely to the State Survey Agency, unsecured cabinets in shower rooms posing accident hazards, and failure to provide residents with a nourishing diet due to non-receipt of food orders caused by non-payment.

The complaint investigation was triggered by multiple complaint intake numbers. Two complaints were substantiated with deficiencies cited, including verbal abuse by the DON towards resident R5 and failure to report the abuse timely. Other complaints were unsubstantiated.

An Abbreviated/Partial Extended survey was conducted to investigate multiple complaints against the facility.

No deficiencies were cited for the investigated complaints and all complaints were found to be unsubstantiated.

The survey investigated complaints GA00245699, GA00243904, GA00243664, GA00243188, GA00245622, GA00245737, and GA00245256, all of which were unsubstantiated.

The facility was reviewed for compliance with COVID-19 reporting requirements to the CDC's National Healthcare Safety Network during a seven-day period.

The facility failed to report complete COVID-19 information to the CDC's NHSN between 02/12/2024 and 02/18/2024 as required by regulation, which has the potential to cause more than minimal harm to all residents.

The inspection was conducted due to the facility's failure to report complete COVID-19 information to the CDC's National Healthcare Safety Network during a required seven-day reporting period.

The facility did not report complete COVID-19 data to the NHSN between 02/05/2024 and 02/11/2024 as required by CMS and CDC regulations, which could potentially cause more than minimal harm to residents.

The facility was reviewed due to failure to report complete COVID-19 information to the CDC's National Healthcare Safety Network during a required seven-day reporting period.

The facility did not report complete COVID-19 data to the NHSN between 01/29/2024 and 02/04/2024 as required by CMS and CDC regulations, potentially causing more than minimal harm to residents.

An Abbreviated/Partial Extended Survey was conducted to investigate complaints GA00242979 and GA00243019.

No deficiencies were cited related to the complaints GA00242979 and GA00243019.

The survey investigated complaints GA00242979 and GA00243019 and found no deficiencies related to these complaints.

This document is a Statement of Deficiencies and Plan of Correction for Bell Minor Home, indicating regulatory oversight and corrective actions following an inspection.

The report contains initial comments and a summary statement of deficiencies, but no specific deficiencies or findings are detailed in the provided page.

A health revisit survey was conducted to verify correction of deficiencies cited in the November 16, 2023 Recertification Survey.

All deficiencies cited in the November 16, 2023 Recertification Survey were found to be corrected during this revisit survey.

A life safety Code revisit survey was conducted to verify correction of previously cited deficiencies.

All previously cited survey tags have been corrected as noted during the revisit survey.

The Life Safety Code Survey was conducted to assess compliance with Medicare/Medicaid participation requirements related to fire safety and electrical safety standards.

The facility was found not in substantial compliance with fire safety and electrical safety requirements, including an obstructed fire extinguisher in the kitchen, open breaker slots on electrical panel K1, and the use of power extension cords and multi-plug adapters as fixed wiring in the server room.

The inspection was a State Licensure survey conducted to determine compliance with the State Long Term Care Requirements.

The facility was found deficient in multiple areas including timely meal assistance for residents, medication administration failures due to pharmacy supply issues, inadequate hand hygiene practices during dressing changes, lack of routine maintenance and inspection of bedrails and mattresses, and poor physical plant conditions such as extensive ice buildup in the walk-in freezer and improper food storage.

A standard survey was conducted from November 13 through November 16, 2023, including investigation of two complaint intakes (GA00239441 substantiated with no deficiencies cited, GA00240718 unsubstantiated). The survey assessed compliance with Medicare/Medicaid regulations for long term care facilities.

The facility was found not in substantial compliance with Medicare/Medicaid regulations, with deficiencies including failure to revise care plans, follow physician orders, maintain bedrails, ensure medication availability and administration, timely meal assistance, sanitary food storage and preparation, infection control practices, vaccine education, and maintenance of essential equipment such as the walk-in freezer.

Complaint Intake Number GA00239441 was substantiated with no deficiencies cited, and intake GA00240718 was unsubstantiated.

The document is a statement of deficiencies and plan of correction for Bell Minor Home, indicating a regulatory inspection was conducted.

The report contains initial comments but does not provide specific details on deficiencies or findings.

A revisit survey was conducted to verify correction of deficiencies cited during the March 10, 2023 Complaint Survey.

All deficiencies cited as a result of the March 10, 2023 Complaint Survey were found to be corrected.

The revisit survey was conducted following a complaint survey on March 10, 2023; all cited deficiencies were corrected.

A State Licensure survey was conducted at Bell Minor Home from March 7, 2023 through March 10, 2023 to assess compliance with state health regulations.

The survey revealed multiple deficiencies including failure to promptly notify physicians and responsible parties after resident falls, inadequate assistance with activities of daily living such as bathing for several residents, and inaccurate medical record documentation related to neurological checks following a fall.

An Abbreviated/Partial Extended Survey was conducted by CertiSurv on behalf of the Georgia Department of Community Health investigating multiple complaint intake numbers from March 7 to March 10, 2023.

The facility was found noncompliant with deficiencies related to failure to immediately notify physicians of resident falls with injuries, failure to provide scheduled assistance with activities of daily living including showers, failure to provide timely emergency medical treatment and follow-up care for a resident after a fall, and inaccurate documentation of neurological checks after a fall.

The survey investigated complaint intake numbers GA00227772, GA00226762, GA00226778, and GA00224598. Intake numbers GA226762 and GA226778 were substantiated with deficiencies, GA224598 was substantiated without deficiencies, and GA227772 was unsubstantiated.

A revisit survey was conducted to verify correction of deficiencies cited in the 4/12/22 recertification survey.

All deficiencies cited in the prior recertification survey were found to be corrected during this revisit survey.

A revisit survey was conducted to verify correction of deficiencies cited during the 4/14/22 recertification survey.

All deficiencies cited in the prior recertification survey were found to be corrected during this revisit survey.

A standard survey was conducted from 4/12/22 through 4/14/22, including investigation of Complaint Intake Number GA00223088, to assess compliance with Medicare/Medicaid regulations for long term care facilities.

The facility was found not in substantial compliance with regulations, with deficiencies including failure to develop person-centered care plans for two residents, improper oxygen therapy administration for one resident, and failure to follow infection control procedures during medication administration for three residents.

Complaint Intake Number GA00223088 was investigated in conjunction with the standard survey.

The inspection was a Licensure Survey conducted from April 12, 2022 through April 14, 2022 to assess compliance with licensure requirements.

The facility failed to develop person-centered care plans for two residents regarding Hospice services and indwelling urinary catheter use. Additionally, infection control procedures were not followed during medication administration, with an agency nurse failing to perform hand hygiene, risking the spread of infection.

A Life Safety Code Survey was conducted to assess compliance with Medicare/Medicaid participation requirements and the NFPA 101 Life Safety Code 2012 Edition.

The Bell Minor Home was found in compliance with the Emergency Preparedness Program requirements and Life Safety Code standards during the survey conducted on 04/12/2022.

An abbreviated/partial extended survey was conducted to investigate complaint #GA00219865.

The complaint was unsubstantiated and no regulatory violations were cited during the survey.

Complaint #GA00219865 was investigated and found to be unsubstantiated with no regulatory violations cited.

A COVID-19 Focused Emergency Preparedness and Infection Control Survey was conducted to assess compliance with federal regulations and recommended practices related to COVID-19 preparedness and infection control.

The facility was found to be in compliance with 42 CFR §483.73 and §483.80 related to emergency preparedness and infection control regulations, implementing CMS and CDC recommended practices for COVID-19.

An abbreviated/partial extended survey was conducted to investigate complaint #GA00209104.

The complaint was unsubstantiated and no regulatory violations were cited during the survey.

Complaint #GA00209104 was investigated and found to be unsubstantiated.

A COVID-19 Focused Emergency Preparedness and Infection Control Survey was conducted to assess the facility's compliance with CMS and CDC recommended practices related to COVID-19.

The facility was found to be in compliance with 42 CFR §483.73 and 42 CFR §483.80 infection control regulations and has implemented the recommended practices to prepare for COVID-19.

A COVID-19 Focused Emergency Preparedness Survey and Infection Control Survey were conducted by the Centers for Medicare & Medicaid Services (CMS) on April 23, 2020.

The facility was found to be in compliance with 42 CFR §483.73 related to emergency preparedness and 42 CFR §483.80 infection control regulations, implementing CMS and CDC recommended practices to prepare for COVID-19.

A complaint survey was conducted to investigate complaints #GA00202429 by a Qualified Surveyor to determine compliance with Federal and State Long Term Care Requirements.

No deficiencies were cited during the complaint survey.

Complaint #GA00202429 was investigated and found to have no deficiencies.

A complaint survey was conducted to investigate complaints #GA00197626, GA00198249, and GA198984 by a Qualified Surveyor to determine compliance with Federal and State Long Term Care Requirements.

No deficiencies were cited during the complaint survey.

The survey was conducted in response to complaints #GA00197626, GA00198249, and GA198984; no deficiencies were found.

A revisit survey was conducted to verify correction of deficiencies cited in the December 6, 2018 standard survey.

All deficiencies cited in the prior December 6, 2018 standard survey were found to be corrected during this revisit survey.

A Follow-Up Survey was conducted to verify that all previously cited survey tags have been corrected.

The surveyor noted that all previously cited survey tags have been corrected during the follow-up survey.

A standard survey was conducted to assess the facility's compliance with Medicare/Medicaid regulations at 42 CFR Part 483, Subpart B for Long Term Care Facilities.

The facility was found not in substantial compliance with regulations, with deficiencies including failure to notify physicians of resident condition changes, inaccurate resident assessments, failure to revise care plans to current needs, improper medication administration documentation, and inadequate resident positioning during meals.

The inspection was conducted to assess compliance with professional service requirements, specifically focusing on medication administration practices during a routine survey of the facility.

The facility failed to ensure that the resident's electronic Medication Administration Record (eMAR) was initialed by the nurse who prepared and administered the medication for eight medication opportunities for one resident. Interviews revealed that medication administration was initialed by a nurse who did not administer the medications, contrary to facility policy.

The visit was a Life Safety Code Survey conducted to assess compliance with Medicare/Medicaid participation requirements related to fire safety and the NFPA 101 Life Safety Code 2012 edition.

The facility was found not in substantial compliance with fire safety requirements, including missing fire alarm strobes in certain staff restrooms and the front lobby restroom, a trouble signal on the main fire alarm panel, flammable decorations on a patient room door, and improper use of surge protectors in patient care areas.

A revisit survey was conducted to verify correction of deficiencies cited in the 12/14/17 recertification survey.

All deficiencies cited in the prior recertification survey were found to be corrected during this revisit survey.

A Follow-Up Survey was conducted to verify that all previously cited survey tags have been corrected.

The surveyor noted that all previously cited deficiencies had been corrected during the follow-up survey.

The visit was a Life Safety Code Survey conducted to assess compliance with 42 CFR Subpart 483.70(a) and the NFPA 101 Life Safety Code 2012 edition requirements for participation in Medicare/Medicaid.

The facility was found not in substantial compliance due to failure to provide smoke resistance for patient doors, which could place 18 residents at risk in the event of a fire. Several patient room doors did not seal properly to prevent smoke passage and some doors were not latching properly.

A Follow-Up Survey to the Life Safety Code Revisit of 1/10/17 was conducted to verify correction of previously cited deficiencies.

It was determined that all previously cited survey tags have been corrected.

A Life Safety Code Follow-Up Survey was conducted to verify correction of previously cited deficiencies from the Federal Life Safety Code Comparative Survey of 12/16/16.

All previously cited survey tags from the prior Life Safety Code survey were determined to have been corrected.

A Follow-Up Survey was conducted to verify correction of previously cited deficiencies at the facility.

The facility failed to ensure that sprinkler system control valves were supervised properly, specifically the electronic tamper on the exterior Post Indicator Valve had not been repaired, placing 89 residents at risk in the event of a fire.

A Life Safety Code Comparative Federal Monitoring Survey was conducted by CMS following a state survey to assess compliance with Medicare/Medicaid participation requirements related to Life Safety from Fire and related NFPA codes.

The facility was found not in substantial compliance due to failure to install automatic sprinklers under two exterior roof overhangs made of combustible wood, which exceeded the allowable length without sprinkler protection.