Bell Minor Home, the
2200 Old Hamilton Place Ne · Gainesville, GA · 30507 · 7705322066
104 certified beds For profit - Partnership Chain: Wellington Health Care Services
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (4 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
4 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$70,421 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.27 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
80% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.15 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.27 | 0.55–0.75 |
| Weekend hours / resident-day | 2.62 | ≈ weekday level |
| Nursing turnover / year | 80% | median 45% |
| Fines (3-yr window) | 2 · $74,979 |
Inspection citations (33 in the current record)
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Immediate jeopardy · J March 30, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected June 9, 2025 · Resident Rights
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Immediate jeopardy · J March 30, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected June 9, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J March 30, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected June 9, 2025 · Resident Assessment and Care Planning
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Immediate jeopardy · J March 30, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected June 9, 2025 · Quality of Life and Care
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Actual harm · H March 30, 2025 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected June 9, 2025 · Administration
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Potential for harm · D March 30, 2025 · found via complaint
Assess the resident when there is a significant change in condition
Corrected June 9, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 30, 2025 · found via complaint
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected June 9, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 30, 2025 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected June 9, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 30, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 9, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 30, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected June 9, 2025 · Quality of Life and Care
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Potential for harm · D March 30, 2025 · found via complaint
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 June 9, 2025 · Quality of Life and Care
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Potential for harm · D March 30, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 9, 2025 · Pharmacy Service
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Potential for harm · E March 30, 2025 · found via complaint
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected June 9, 2025 · Pharmacy Service
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Potential for harm · D March 30, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected June 9, 2025 · Pharmacy Service
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Potential for harm · E March 30, 2025 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected June 9, 2025 · Nutrition and Dietary
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Potential for harm · F March 30, 2025 · found via complaint
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 June 9, 2025 · Nutrition and Dietary
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Potential for harm · F March 30, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 9, 2025 · Nutrition and Dietary
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Potential for harm · F March 30, 2025 · found via complaint
Dispose of garbage and refuse properly.
Corrected June 9, 2025 · Nutrition and Dietary
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Potential for harm · F March 30, 2025 · found via complaint
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Corrected June 9, 2025 · Administration
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Potential for harm · D March 30, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected June 9, 2025 · Infection Control
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Potential for harm · D September 9, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 24, 2024 · Quality of Life and Care
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Potential for harm · D November 16, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected December 31, 2023 · Resident Assessment and Care Planning
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Potential for harm · D November 16, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 31, 2023 · Quality of Life and Care
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Potential for harm · D November 16, 2023
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 December 31, 2023 · Quality of Life and Care
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Potential for harm · D November 16, 2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected December 31, 2023 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 30, 2025 | Fine | $70,421 |
| February 6, 2024 | Fine | $4,558 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 115020 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.