nursing home in Pasadena, CA

The Bellefontaine Healthcare Center

150 Bellefontaine St, Pasadena, CA 91105 · (626) 796-1103

★★★★★3
Average
CMS overall star rating
  • Health inspections★★★★★2
  • Staffing★★★★★3
  • Quality measures★★★★★5

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

The Bellefontaine Healthcare Center at a glance

The Bellefontaine Healthcare Center is a 130-bed for-profit nursing home in Pasadena, California (Los Angeles County).

CMS gives it 3 out of 5 stars on its overall star rating, close to the California average of 3.2.

Residents receive about 4 hours of nursing care per day (0.6 of them from registered nurses), worse than the state average of 4.5 hours.

Its most recent standard health inspection (June 5, 2026) found 19 health citations. The California average is 15.5.

Federal regulators fined it 1 time in the past three years, totaling $14,414.

Nursing staff turnover is 35.2% per year (state average 36.7%).

Facility details

Type
Nursing home
Ownership
For Profit - Limited Liability Company
Beds
130
Certified for
Medicare and Medicaid
Chain / affiliated entity
Links Healthcare Group
Medicare-certified since
January 1, 1970
Resident/family council
Resident
County
Los Angeles County
CMS Certification Number
056080

Ratings

MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)3 / 53.2 / 53 / 5Average
Health inspection rating ⓘ (higher is better)2 / 52.8 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)3 / 53.3 / 52.9 / 5Average
Quality measures rating ⓘ (higher is better)5 / 54.1 / 53.6 / 5Better
Long-stay quality rating (higher is better)5 / 54.4 / 53.8 / 5Better
Short-stay (rehab) quality rating (higher is better)4 / 53.6 / 53.3 / 5Better

Staffing

This facility4.02 hrsCalifornia average4.52 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. California and U.S. averages
MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)4.02 hrs4.52 hrs3.86 hrsAverage
Registered nurse hours per resident per day (higher is better)0.56 hrs0.67 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)2.54 hrs2.65 hrs2.32 hrsBetter
Weekend nurse staff hours per resident per day (higher is better)3.69 hrs4.09 hrs3.42 hrsBetter
Nursing staff turnover (yearly) (lower is better)35.2%36.7%45.8%Better
Registered nurse turnover (yearly) (lower is better)42.1%38.1%42.9%Average
Administrators who left in the past year (lower is better)001Better

Inspections

This facility19California average16U.S. average9
Health citations in the most recent inspection: this facility vs. California and U.S. averages
MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)19169Worse
Citations from complaint investigations (latest cycle) (lower is better)243Better
Weighted health inspection score ⓘ (lower is better)115.8105.880.6Worse

Penalties

This facility1California average1U.S. average1
Fines in the past 3 years: this facility vs. California and U.S. averages
MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)111Worse
Total fines in the past 3 years (lower is better)$14,414$23,986$30,972Better
All federal penalties in the past 3 years (lower is better)111Average

Size

MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Certified beds13099107
Average residents per day1188886
Occupancy91.1%88.4%80.9%

Long-stay residents

This facility1.1%California average1.6%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. California and U.S. averages
MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)1.1%1.6%3.2%Better
Long-stay residents with pressure ulcers (lower is better)3.5%4.3%4.6%Better
Long-stay residents given antipsychotic medication (lower is better)16.3%12%15.4%Worse
Long-stay residents with a urinary tract infection (lower is better)1.4%1.2%1.6%Better
Long-stay residents with a catheter left in the bladder (lower is better)0.1%0.8%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)6.5%10.2%13.9%Better
Long-stay residents whose walking worsened (lower is better)2.8%9.8%14.1%Better
Long-stay residents who lose too much weight (lower is better)4.5%4%5.2%Better
Long-stay residents with depressive symptoms (lower is better)30.9%7.3%12.8%Worse
Long-stay residents who were physically restrained (lower is better)0%0.4%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)11.1%13.7%19.5%Better
Long-stay residents with new or worse incontinence (lower is better)3.2%10.2%19%Better
Long-stay residents given a flu vaccine (higher is better)100%98.2%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)100%98.6%93.6%Better

Short-stay residents

This facility0%California average1.5%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. California and U.S. averages
MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)0%1.5%1.6%Better
Short-stay residents given a flu vaccine (higher is better)98.7%93.2%79.8%Better
Short-stay residents given a pneumonia vaccine (higher is better)100%94.4%82%Better

Inspection citations

State inspectors cited this home for 58 health deficiencies and 8 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".

DateCitationSeverityStatus
June 5, 2026
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
F
Potential harm, widespread
Corrected July 2, 2026
June 5, 2026
Fire safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Miscellaneous Deficiencies · Tag K0761
F
Potential harm, widespread
Corrected July 2, 2026
June 5, 2026
Fire safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies · Tag K0355
D
Potential harm, isolated
Corrected July 2, 2026
June 5, 2026
Standard
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · Tag F0919
E
Potential harm, pattern
Corrected July 2, 2026
June 5, 2026
Standard
Keep all essential equipment working safely.
Environmental Deficiencies · Tag F0908
E
Potential harm, pattern
Corrected July 2, 2026
June 5, 2026
Standard
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Tag F0804
E
Potential harm, pattern
Corrected July 2, 2026
June 5, 2026
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected July 2, 2026
June 5, 2026
Standard
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies · Tag F0636
D
Potential harm, isolated
Corrected July 2, 2026
June 5, 2026
Standard
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies · Tag F0676
D
Potential harm, isolated
Corrected July 2, 2026
June 5, 2026
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected July 2, 2026
June 5, 2026
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
D
Potential harm, isolated
Corrected July 2, 2026
June 5, 2026
Standard
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605
D
Potential harm, isolated
Corrected July 2, 2026
June 5, 2026
Standard
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · Tag F0881
D
Potential harm, isolated
Corrected July 2, 2026
June 5, 2026
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected July 2, 2026
June 5, 2026
Standard
Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies · Tag F0814
D
Potential harm, isolated
Corrected July 2, 2026
June 5, 2026
Standard
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected July 2, 2026
June 5, 2026
Standard
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care Deficiencies · Tag F0699
D
Potential harm, isolated
Corrected July 2, 2026
June 5, 2026
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected July 2, 2026
June 5, 2026
Standard
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
D
Potential harm, isolated
Corrected July 2, 2026
June 5, 2026
Standard
Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care Deficiencies · Tag F0685
D
Potential harm, isolated
Corrected July 2, 2026
December 8, 2025
Complaint
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0694
D
Potential harm, isolated
Corrected December 22, 2025
September 9, 2025
Complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
E
Potential harm, pattern
Corrected September 19, 2025
August 27, 2025
Complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected September 16, 2025
May 21, 2025
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
J
Immediate jeopardy, isolated
Corrected June 13, 2025
May 5, 2025
Fire safety
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Smoke Deficiencies · Tag K0342
E
Potential harm, pattern
Corrected May 19, 2025
May 5, 2025
Fire safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Miscellaneous Deficiencies · Tag K0761
D
Potential harm, isolated
Corrected May 19, 2025
May 5, 2025
Fire safety
Have properly installed electrical wiring and gas equipment.
Services Deficiencies · Tag K0511
D
Potential harm, isolated
Corrected May 19, 2025
May 5, 2025
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
D
Potential harm, isolated
Corrected May 19, 2025
May 5, 2025
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected May 28, 2025
May 5, 2025
Standard
Honor 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.
Resident Rights Deficiencies · Tag F0578
E
Potential harm, pattern
Corrected May 28, 2025
May 5, 2025
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected May 28, 2025
May 5, 2025
Standard
Provide or obtain dental services for each resident.
Quality of Life and Care Deficiencies · Tag F0791
D
Potential harm, isolated
Corrected May 28, 2025
May 5, 2025
Standard
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
D
Potential harm, isolated
Corrected May 28, 2025
May 5, 2025
Standard
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Tag F0558
D
Potential harm, isolated
Corrected May 28, 2025
May 5, 2025
Standard
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Tag F0583
D
Potential harm, isolated
Corrected May 28, 2025
May 5, 2025
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
D
Potential harm, isolated
Corrected May 28, 2025
May 5, 2025
Standard
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Tag F0645
D
Potential harm, isolated
Corrected May 28, 2025
May 5, 2025
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected May 28, 2025
May 5, 2025
Standard
Provide 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.
Quality of Life and Care Deficiencies · Tag F0688
D
Potential harm, isolated
Corrected May 28, 2025
May 5, 2025
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
D
Potential harm, isolated
Corrected May 28, 2025
May 5, 2025
Standard
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected May 28, 2025
May 5, 2025
Standard
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Tag F0759
D
Potential harm, isolated
Corrected May 28, 2025
May 5, 2025
Standard
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary Deficiencies · Tag F0813
D
Potential harm, isolated
Corrected May 28, 2025
April 16, 2025
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected April 25, 2025
August 13, 2024
Complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Tag F0921
E
Potential harm, pattern
Corrected August 30, 2024
August 13, 2024
Complaint
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Tag F0558
E
Potential harm, pattern
Corrected August 30, 2024
August 13, 2024
Complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
D
Potential harm, isolated
Corrected August 30, 2024
May 16, 2024
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
D
Potential harm, isolated
Corrected June 9, 2024
May 16, 2024
Standard
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Tag F0757
E
Potential harm, pattern
Corrected June 7, 2024
May 16, 2024
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected June 7, 2024
May 16, 2024
Standard
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
E
Potential harm, pattern
Corrected June 7, 2024
May 16, 2024
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
E
Potential harm, pattern
Corrected June 7, 2024
May 16, 2024
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
E
Potential harm, pattern
Corrected June 7, 2024
May 16, 2024
Standard
Ensure 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.
Nutrition and Dietary Deficiencies · Tag F0803
D
Potential harm, isolated
Corrected June 7, 2024
May 16, 2024
Standard
Honor 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.
Resident Rights Deficiencies · Tag F0578
D
Potential harm, isolated
Corrected June 7, 2024
May 16, 2024
Standard
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Tag F0756
D
Potential harm, isolated
Corrected June 7, 2024
May 16, 2024
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
D
Potential harm, isolated
Corrected June 7, 2024
May 16, 2024
Standard
Implement 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.
Pharmacy Service Deficiencies · Tag F0758
D
Potential harm, isolated
Corrected June 7, 2024
May 16, 2024
Standard
Honor 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.
Resident Rights Deficiencies · Tag F0584
D
Potential harm, isolated
Corrected June 7, 2024
May 16, 2024
Standard
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Tag F0692
D
Potential harm, isolated
Corrected June 7, 2024
May 16, 2024
Standard
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · Tag F0919
D
Potential harm, isolated
Corrected June 7, 2024
May 16, 2024
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected June 7, 2024
May 16, 2024
Standard
Keep all essential equipment working safely.
Environmental Deficiencies · Tag F0908
D
Potential harm, isolated
Corrected June 7, 2024
May 16, 2024
Standard
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Administration Deficiencies · Tag F0847
D
Potential harm, isolated
Corrected June 7, 2024
May 16, 2024
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected June 7, 2024
May 16, 2024
Standard
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Tag F0732
B
No harm, pattern
Corrected June 7, 2024

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports 1 federal penalty in the past three years, including $14,414 in fines.

DatePenaltyAmount / length
May 21, 2025Fine$14,414

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
FORBRIGHT BANK
Organization
5% or greater security interestNOT APPLICABLE02/01/2024
BEARDSLEY, MARY
Individual
adp of the snfNOT APPLICABLE02/01/2024
BERNHOLZ, VICTORIA
Individual
adp of the snfNOT APPLICABLE02/01/2024
CARTER, MELISSA
Individual
adp of the snfNOT APPLICABLE02/01/2024
CHAPMAN, MAYNOR
Individual
adp of the snfNOT APPLICABLE02/01/2024
EHMAN, CHRISTOPHER
Individual
adp of the snfNOT APPLICABLE02/01/2024
FROJELIN, ANTONETTE
Individual
adp of the snfNOT APPLICABLE02/01/2024
LINKS HEALTHCARE GROUP LLC
Organization
adp of the snfNOT APPLICABLE06/18/2025
LINKS SUPPORT SERVICES, LLC
Organization
adp of the snfNOT APPLICABLE06/18/2025
PENUELA, LEIZL
Individual
adp of the snfNOT APPLICABLE02/01/2024
RODRIGUEZ, CURTIS
Individual
adp of the snfNOT APPLICABLE02/01/2024
TILFORD, TOBY
Individual
adp of the snfNOT APPLICABLE02/01/2024
RODRIGUEZ, CURTIS
Individual
corporate officerNOT APPLICABLE02/01/2024
TILFORD, TOBY
Individual
corporate officerNOT APPLICABLE02/01/2024
BEARDSLEY, MARY
Individual
operational/managerial controlNOT APPLICABLE02/01/2024
BERNHOLZ, VICTORIA
Individual
operational/managerial controlNOT APPLICABLE02/01/2024
CARTER, MELISSA
Individual
operational/managerial controlNOT APPLICABLE02/01/2024
CHAPMAN, MAYNOR
Individual
operational/managerial controlNOT APPLICABLE02/01/2024
EHMAN, CHRISTOPHER
Individual
operational/managerial controlNOT APPLICABLE02/01/2024
FROJELIN, ANTONETTE
Individual
operational/managerial controlNOT APPLICABLE02/01/2024
LINKS HEALTHCARE GROUP LLC
Organization
operational/managerial controlNOT APPLICABLE02/01/2024
LINKS SUPPORT SERVICES, LLC
Organization
operational/managerial controlNOT APPLICABLE02/01/2024
PENUELA, LEIZL
Individual
operational/managerial controlNOT APPLICABLE02/01/2024
RODRIGUEZ, CURTIS
Individual
operational/managerial controlNOT APPLICABLE02/01/2024
TILFORD, TOBY
Individual
operational/managerial controlNOT APPLICABLE02/01/2024

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Frequently asked questions

What is The Bellefontaine Healthcare Center's rating?

The Bellefontaine Healthcare Center has 3 out of 5 stars on the CMS overall star rating. The average for California nursing homes is 3.2 stars.

How many inspection citations did The Bellefontaine Healthcare Center receive?

Its most recent standard health inspection found 19 citations, compared with a California average of 15.5. Every citation is listed on this page with its severity.

Does The Bellefontaine Healthcare Center accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns The Bellefontaine Healthcare Center?

It is for profit - limited liability company and part of Links Healthcare Group. The ownership section on this page lists the owners and managers reported to CMS.

Where is The Bellefontaine Healthcare Center and how do I contact it?

The Bellefontaine Healthcare Center is at 150 Bellefontaine St, Pasadena, CA 91105. Phone: (626) 796-1103.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.