Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Will-o-bell during CMS and state inspections, most recent first.
A CNA failed to properly dispose of a soiled brief and did not change gloves or perform hand hygiene after providing incontinent care to a resident with severe cognitive impairment. The soiled brief was placed on the floor in the hallway, then picked up and disposed of without the CNA removing gloves or sanitizing hands before continuing to assist the resident. Facility staff confirmed these actions were not in line with infection control policies.
Two residents in the facility did not receive care according to professional standards and their care plans. One resident was found in bed with feces and urine-soaked clothing, lacking proper skin assessments and treatment for MASD. Another resident was left in a urine-soaked brief without barrier cream application, leading to skin irritation. Staff failed to perform regular checks and provide necessary care, impacting the residents' quality of life.
The facility failed to provide accurate pharmaceutical services, resulting in a resident being discharged with another resident's medications. The error was discovered by the family member, who returned the incorrect medications to the facility. Interviews revealed a lack of adherence to the facility's discharge medication policy.
Failure to Follow Infection Control Protocols During Incontinent Care
Penalty
Summary
A certified nursing assistant (CNA) failed to follow proper infection prevention and control procedures while providing care to a resident with severe cognitive impairment and multiple diagnoses, including dementia and major depressive disorder. The resident required maximum assistance with toileting hygiene due to significant self-care deficits. After changing the resident's soiled brief, the CNA placed the soiled brief on the floor in the hallway instead of immediately disposing of it in a designated container as required by facility policy. The CNA then picked up the soiled brief with gloved hands and disposed of it in a nearby barrel, but did not remove the gloves or perform hand hygiene before continuing to walk with the resident. The CNA admitted to being aware that placing the soiled brief on the floor and wearing contaminated gloves in the hallway were not sanitary practices and could contribute to the spread of infection. The CNA also acknowledged that touching the resident with soiled gloves could cause infection. Interviews with the Infection Control Preventionist and the Director of Nursing (DON) confirmed that the CNA's actions were not in accordance with facility policies, which require soiled briefs to be placed in a bag and disposed of in a designated container, and mandate glove removal and hand hygiene after handling soiled items. Facility policies also prohibit walking in the hallway with gloves on and emphasize the importance of hand hygiene to prevent the transmission of infections.
Failure to Provide Adequate Care and Treatment
Penalty
Summary
The facility failed to provide appropriate treatment and care according to professional standards of practice and the comprehensive person-centered care plan for two residents. Resident #1 was found sitting in his bed with linens covered in feces and his pants saturated with urine. Despite being at high risk for pressure sores, accurate skin assessments were not completed, and there was no evidence of appropriate treatment for Moisture Associated Skin Damage (MASD) on his buttocks. Observations and interviews revealed that Resident #1 required frequent assistance with toileting and was unable to use the call light, necessitating regular checks by staff, which were not adequately performed. Resident #2, who was severely cognitively impaired and dependent for toileting hygiene, was often left in a soiled, wet brief for extended periods. During an assessment, Resident #2 was found sitting in a urine-soaked brief with a red area across her buttocks, indicating irritation from sitting in urine and possibly the start of MASD. There was no evidence of barrier cream application, which was supposed to be part of her care plan. Interviews with staff indicated a lack of communication and follow-through regarding skin issues and the application of necessary treatments. The facility's policies on routine resident checks and bathing procedures were not adhered to, leading to these deficiencies. The Director of Nursing acknowledged the issues, noting that the presence of feces and urine on residents was a dignity and infection control issue, which could lead to skin breakdown and illness. Despite the facility's policies, staff failed to perform regular checks and provide necessary care, resulting in a decreased quality of life for the residents involved.
Failure to Provide Accurate Pharmaceutical Services
Penalty
Summary
The facility failed to provide pharmaceutical services to meet the needs of each resident, specifically for two residents reviewed for medications. Resident #1 was discharged home with two medications, Trazodone and Tegretol, that belonged to Resident #2. This error occurred despite Resident #1 not having any physician orders for these medications. The incident was discovered when Resident #1's family member noticed the incorrect medications and contacted the facility to return them. The family member had initially been given a plastic bag of medications without proper documentation or instructions, leading to confusion and the discovery of the error at home. Resident #1, a male with chronic myelomonocytic leukemia, acute pulmonary edema, and hypertension, was discharged without proper medication reconciliation. His discharge summary did not include any medications, and the nurse responsible for his discharge, RN B, failed to verify the names on the medications. Resident #2, who had major depressive disorder, insomnia, stroke, vascular dementia, and unspecified convulsions, was the rightful recipient of the Trazodone and Tegretol. The error was not immediately reported to the Director of Nursing (DON), who later expressed shock and emphasized the potential serious outcomes of such a mistake. Interviews with the DON, RN B, and the Nurse Practitioner (NP) revealed a lack of adherence to the facility's discharge medication policy. The DON expected nurses to hand-write all medications and their administration times, which was not done in this case. RN B admitted to the chaotic nature of the evening and her failure to verify the medications properly. The NP highlighted the importance of reconciling medications with orders to prevent negative outcomes. The facility's policy required a thorough review of medication instructions with the resident or their representative, which was not adequately followed in this incident.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 77 citations issued within 25 miles in the last 12 months — including the 10 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Bartlett
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Spjst Rest Home 1 | 14.7 mi | — | 6 | 0 |
| Park Place Care Center | 16.2 mi | — | 17 | 3 |
| Creekside Terrace Rehabilitation | 18 mi | — | 3 | 0 |
| Morada Temple | 18.3 mi | — | 1 | 0 |
| Avir At Belton | 18.5 mi | — | 9 | 1 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Will-o-bell.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.