THE BELLEFONTAINE HEALTHCARE CENTER
150 BELLEFONTAINE ST, PASADENA, CA 91105 · CCN 056080
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 130
- Avg residents/day
- 117.2
- Phone
- 6267961103
Inspection history vs California & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | California avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-05-05 | 20 | 15.6 | 9.5 | +4.4 worse |
| 2 | 2024-05-16 | 21 | 17.4 | 9.8 | +3.6 worse |
| 3 | 2022-02-11 | 11 | 17.1 | 9.3 | -6.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 7 |
| Resident assessment and care planning | 3 |
| Resident rights | 4 |
| Nutrition and dietary | 2 |
| Pharmacy service | 3 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.02 | 23.9% |
| RN staffing (reported) | 0.52 | 6.7% |
| Total nurse staffing (adjusted) | 3.57 | — |
Fines & penalties
- Total fines
- $14,414
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Chain
- Chain
- LINKS HEALTHCARE GROUP
- Facilities in chain
- 31
- Chain avg overall
- 2.80 / 5
Inspection citations (52)1 immediate jeopardy
- DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2025-12-08 · Health · corrected 2025-12-22
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-09-09 · Health · corrected 2025-09-19
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-08-27 · Health · corrected 2025-09-16
Potential for more than minimal harm
- JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-05-21 · Health · corrected 2025-06-13
Immediate jeopardy
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-05-05 · Health · corrected 2025-05-28
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2025-05-05 · Health · corrected 2025-05-28
Potential for more than minimal harm
- EF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2025-05-05 · Health · corrected 2025-05-28
Potential for more than minimal harm
- DF0583Keep residents' personal and medical records private and confidential.2025-05-05 · Health · corrected 2025-05-28
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2025-05-05 · Health · corrected 2025-05-28
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-05-05 · Health · corrected 2025-05-28
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-05-05 · Health · corrected 2025-05-28
Potential for more than minimal harm
- DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2025-05-05 · Health · corrected 2025-05-28
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-05-05 · Health · corrected 2025-05-28
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-05-05 · Health · corrected 2025-05-28
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2025-05-05 · Health · corrected 2025-05-28
Potential for more than minimal harm
- DF0791Provide or obtain dental services for each resident.2025-05-05 · Health · corrected 2025-05-28
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-05-05 · Health · corrected 2025-05-28
Potential for more than minimal harm
- DF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2025-05-05 · Health · corrected 2025-05-28
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-05-05 · Health · corrected 2025-05-28
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-16 · Health · corrected 2025-04-25
Potential for more than minimal harm
- EF0558Reasonably accommodate the needs and preferences of each resident.2024-08-13 · Health · corrected 2024-08-30
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-08-13 · Health · corrected 2024-08-30
Potential for more than minimal harm
- EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-08-13 · Health · corrected 2024-08-30
Potential for more than minimal harm
- DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2024-05-16 · Health · corrected 2024-06-07
Potential for more than minimal harm
- DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2024-05-16 · Health · corrected 2024-06-07
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-05-16 · Health · corrected 2024-06-07
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-05-16 · Health · corrected 2024-06-07
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-05-16 · Health · corrected 2024-06-07
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-16 · Health · corrected 2024-06-07
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2024-05-16 · Health · corrected 2024-06-07
Potential for more than minimal harm
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2024-05-16 · Health · corrected 2024-06-07
Potential for more than minimal harm
- BF0732Post nurse staffing information every day.2024-05-16 · Health · corrected 2024-06-07
Potential for minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-05-16 · Health · corrected 2024-06-07
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-05-16 · Health · corrected 2024-06-07
Potential for more than minimal harm
- EF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-05-16 · Health · corrected 2024-06-07
Potential for more than minimal harm
- DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2024-05-16 · Health · corrected 2024-06-07
Potential for more than minimal harm
- DF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2024-05-16 · Health · corrected 2024-06-07
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-05-16 · Health · corrected 2024-06-07
Potential for more than minimal harm
- DF0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.2024-05-16 · Health · corrected 2024-06-07
Potential for more than minimal harm
- DF0908Keep all essential equipment working safely.2024-05-16 · Health · corrected 2024-06-07
Potential for more than minimal harm
- DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2024-05-16 · Health · corrected 2024-06-07
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2022-02-11 · Health · corrected 2022-03-11
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-02-11 · Health · corrected 2022-03-11
Potential for more than minimal harm
- DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2022-02-11 · Health · corrected 2022-03-11
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-02-11 · Health · corrected 2022-03-11
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-02-11 · Health · corrected 2022-03-11
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-02-11 · Health · corrected 2022-03-11
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2022-02-11 · Health · corrected 2022-03-11
Potential for more than minimal harm
- DF0732Post nurse staffing information every day.2022-02-11 · Health · corrected 2022-03-11
Potential for more than minimal harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-02-11 · Health · corrected 2022-03-11
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2022-02-11 · Health · corrected 2022-03-11
Potential for more than minimal harm
- DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2022-02-11 · Health · corrected 2022-03-11
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| LINKS HEALTHCARE GROUP LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2024-02-01 |
| RODRIGUEZ, CURTIS | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 47% | 2024-02-01 |
| TILFORD, TOBY | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 47% | 2024-02-01 |
| LINKS HEALTHCARE GROUP LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-01 |
| LINKS SUPPORT SERVICES, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-01 |
| BEARDSLEY, MARY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-01 |
| BERNHOLZ, VICTORIA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-01 |
| CARTER, MELISSA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-01 |
| CHAPMAN, MAYNOR | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-01 |
| EHMAN, CHRISTOPHER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-01 |
| FROJELIN, ANTONETTE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-01 |
| PENUELA, LEIZL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-01 |
| RODRIGUEZ, CURTIS | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-01 |
| TILFORD, TOBY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-01 |
| RODRIGUEZ, CURTIS | Individual | CORPORATE OFFICER | — | 2024-02-01 |
| TILFORD, TOBY | Individual | CORPORATE OFFICER | — | 2024-02-01 |
| FORBRIGHT BANK | Organization | 5% OR GREATER SECURITY INTEREST | — | 2024-02-01 |
Other facilities in PASADENA
| Name | Overall | Beds |
|---|---|---|
| VILLA GARDENS HEALTH CARE UNIT | ★★★★☆ | 54 |
| PASADENA PARK HEALTHCARE AND WELLNESS CENTER | ★★★☆☆ | 99 |
| SAINT VINCENT HEALTHCARE | ★★★☆☆ | 78 |
| FOOTHILL HEIGHTS CARE CENTER | ★★★☆☆ | 49 |
| THE CALIFORNIAN PASADENA HEALTHCARE | ★★☆☆☆ | 82 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.