The Bellefontaine Healthcare Center

150 Bellefontaine St · Pasadena, CA · 91105 · 6267961103

130 certified beds For profit - Limited Liability company Chain: Links Healthcare Group

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Inspection results have improved across recent cycles.

Red flags

1 immediate-jeopardy citation in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

Score breakdown

Inspection record 30% of score 39
Serious harm & abuse 20% 94
Staffing 20% 73
Federal penalties 15% 74
Trend 10% 79
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.793.48 min · 4.1 strong
RN hours / resident-day0.500.55–0.75
Weekend hours / resident-day3.47≈ weekday level
Nursing turnover / year27%median 45%
Fines (3-yr window)1 · $14,414

Inspection citations (52 in the current record)

  • Potential for harm · D December 8, 2025 · found via complaint

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    Corrected December 22, 2025 · Quality of Life and Care

  • Potential for harm · E September 9, 2025 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected September 19, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D August 27, 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 September 16, 2025 · Pharmacy Service

  • Immediate jeopardy · J May 21, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected June 13, 2025 · Quality of Life and Care

  • Potential for harm · D May 5, 2025

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected May 28, 2025 · Resident Rights

  • Potential for harm · D May 5, 2025

    Reasonably accommodate the needs and preferences of each resident.

    Corrected May 28, 2025 · Resident Rights

  • Potential for harm · E May 5, 2025

    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.

    Corrected May 28, 2025 · Resident Rights

  • Potential for harm · D May 5, 2025

    Keep residents' personal and medical records private and confidential.

    Corrected May 28, 2025 · Resident Rights

  • Potential for harm · D May 5, 2025

    Ensure each resident receives an accurate assessment.

    Corrected May 28, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 5, 2025

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected May 28, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 5, 2025

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected May 28, 2025 · Quality of Life and Care

  • Potential for harm · D May 5, 2025

    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.

    Corrected May 28, 2025 · Quality of Life and Care

  • Potential for harm · D May 5, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected May 28, 2025 · Quality of Life and Care

  • Potential for harm · D May 5, 2025

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected May 28, 2025 · Pharmacy Service

  • Potential for harm · D May 5, 2025

    Ensure medication error rates are not 5 percent or greater.

    Corrected May 28, 2025 · Pharmacy Service

  • Potential for harm · D May 5, 2025

    Provide or obtain dental services for each resident.

    Corrected May 28, 2025 · Quality of Life and Care

  • Potential for harm · E May 5, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected May 28, 2025 · Nutrition and Dietary

  • Potential for harm · D May 5, 2025

    Have a policy regarding use and storage of foods brought to residents by family and other visitors.

    Corrected May 28, 2025 · Nutrition and Dietary

  • Potential for harm · E May 5, 2025

    Provide and implement an infection prevention and control program.

    Corrected May 28, 2025 · Infection Control

  • Potential for harm · D April 16, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected April 25, 2025 · Quality of Life and Care

  • Potential for harm · E August 13, 2024 · found via complaint

    Reasonably accommodate the needs and preferences of each resident.

    Corrected August 30, 2024 · Resident Rights

  • Potential for harm · D August 13, 2024 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected August 30, 2024 · Quality of Life and Care

  • Potential for harm · E August 13, 2024 · found via complaint

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected August 30, 2024 · Environmental

  • Potential for harm · D May 16, 2024

    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.

    Corrected June 7, 2024 · Resident Rights

  • Potential for harm · D May 16, 2024

    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.

    Corrected June 7, 2024 · Resident Rights

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

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

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 056080 · certified since January 1, 1970. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.