| Will-o-bell | |
| 412 N. Dalton, Bartlett, Texas 76511 | |
| (254) 527-3371 | |
| Name | Will-o-bell |
|---|---|
| Location | 412 N. Dalton, Bartlett, Texas |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 90 |
| Occupancy Rate | 81.22% |
| Medicare ID (CCN) | 676026 |
| Legal Business Name | Chambers County Public Hospital District No. 1 |
| Ownership Type | Government - Hospital District |
| Chain | Chambers County Public Hospital District No. 1 (7 nursing homes) |
| Chain Average Overall Rating | 3 out of 5 |
| NPI Number | 1407992654 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Chambers County Public Hospital District No 1 |
| Doing Business As | Will-o-bell |
| Address | 412 N Dalton St, Bartlett, TX 76511 |
| Phone Number | 254-527-3371 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.29 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.23 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.74 | 0.86 |
| Nurse aide hours per resident per day | 2.32 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 2.77 | 3.42 |
| RN hours per resident per day on the weekend | 0.13 | 0.48 |
| Physical therapist hours per resident per day | 0.02 | 0.07 |
| Total nursing staff turnover | 38.7% | 45.8% |
| Registered nurse turnover | Not available: the staffing data did not meet CMS's criteria for this measure | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $8,279 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 1 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| May 14, 2026 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. F0636, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jun 10, 2026 |
| May 14, 2026 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jun 10, 2026 |
| May 14, 2026 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Jun 10, 2026 |
| Jul 3, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Complaint inspection | Potential for harm, isolated | Corrected by Jul 11, 2025 |
| Mar 27, 2025 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Apr 4, 2025 |
| Mar 27, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Apr 4, 2025 |
| Mar 27, 2025 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644, Resident Assessment and Care Planning, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Apr 4, 2025 |
| Mar 27, 2025 | PASARR screening for Mental disorders or Intellectual Disabilities F0645, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Apr 4, 2025 |
| Aug 5, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, pattern | Corrected by Aug 14, 2024 |
| Apr 23, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Complaint inspection | Potential for harm, isolated | Corrected by Apr 24, 2024 |
| Feb 9, 2024 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Mar 9, 2024 |
| Feb 9, 2024 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. F0802, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Mar 7, 2024 |
| Feb 9, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Mar 7, 2024 |
| Feb 9, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Mar 7, 2024 |
| Feb 9, 2024 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921, Environmental, Standard inspection | Potential for harm, pattern | Corrected by Mar 25, 2024 |
| Feb 9, 2024 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. F0941, Administration, Standard inspection | Potential for harm, pattern | Corrected by Mar 7, 2024 |
| Feb 9, 2024 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. F0942, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Mar 7, 2024 |
| Feb 9, 2024 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. F0943, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, pattern | Corrected by Mar 7, 2024 |
| Feb 9, 2024 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. F0944, Administration, Standard inspection | Potential for harm, pattern | Corrected by Mar 7, 2024 |
| Feb 9, 2024 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. F0945, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Mar 7, 2024 |
| Feb 9, 2024 | Provide training in compliance and ethics. F0946, Administration, Standard inspection | Potential for harm, pattern | Corrected by Mar 7, 2024 |
| Feb 9, 2024 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. F0947, Nursing and Physician Services, Standard inspection | Potential for harm, pattern | Corrected by Mar 7, 2024 |
| Feb 9, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Mar 9, 2024 |
| Feb 9, 2024 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Mar 9, 2024 |
| Feb 9, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Mar 9, 2024 |
| Feb 9, 2024 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Mar 9, 2024 |
| Oct 9, 2023 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Complaint inspection | Actual harm, isolated | Corrected by Nov 2, 2023 |
| Oct 9, 2023 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Actual harm, isolated | Corrected by Nov 2, 2023 |
| Oct 9, 2023 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Actual harm, isolated | Corrected by Nov 2, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 4.98 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 3.61 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.26 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.73 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 0 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.78 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.28 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 80.3 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.78 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 5.41 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.18 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Not Available | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 4 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 10.8 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 7.46 | 15.38 |