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Public Record

The Bellefontaine Healthcare Center

Nursing HomePasadena, CACMS 056080
52 citations on record

Operated by Links Healthcare Group

From CMS

Facility profile

CMS overall rating
3 / 5

*CMS Five-Star

Certified beds
130

*CMS

Avg. residents per day
121.2

*CMS

Inspection record

On record from CMS

Health citations
52

*CMS

Fire safety findings
12

*CMS

Inspections on file
12

*CMS

Last inspection
2025-12-08

*CMS

Citations

52 citations on record

Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0694Generalpotential for harm

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

  • 0842Generalpotential for harm

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

  • 0755Generalpotential for harm

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

  • 0684Seriousimmediate jeopardy

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

  • 0641Generalpotential for harm

    Ensure each resident receives an accurate assessment.

  • 0695Generalpotential for harm

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

  • 0550Generalpotential for harm

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

  • 0558Generalpotential for harm

    Reasonably accommodate the needs and preferences of each resident.

  • 0578Generalpotential for harm

    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.

  • 0583Generalpotential for harm

    Keep residents' personal and medical records private and confidential.

  • 0645Generalpotential for harm

    PASARR screening for Mental disorders or Intellectual Disabilities

  • 0684Generalpotential for harm

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

  • 0688Generalpotential for harm

    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.

  • 0755Generalpotential for harm

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

  • 0759Generalpotential for harm

    Ensure medication error rates are not 5 percent or greater.

  • 0791Generalpotential for harm

    Provide or obtain dental services for each resident.

  • 0812Generalpotential for harm

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

  • 0813Generalpotential for harm

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

  • 0880Generalpotential for harm

    Provide and implement an infection prevention and control program.

  • 0689Generalpotential for harm

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

  • 0686Generalpotential for harm

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

  • 0921Generalpotential for harm

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

  • 0558Generalpotential for harm

    Reasonably accommodate the needs and preferences of each resident.

  • 0757Generalpotential for harm

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

  • 0803Generalpotential for harm

    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.

  • 0578Generalpotential for harm

    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.

  • 0919Generalpotential for harm

    Make sure that a working call system is available in each resident's bathroom and bathing area.

  • 0584Generalpotential for harm

    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.

  • 0641Generalpotential for harm

    Ensure each resident receives an accurate assessment.

  • 0656Generalpotential for harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • 0684Generalpotential for harm

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

  • 0689Generalpotential for harm

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

  • 0692Generalpotential for harm

    Provide enough food/fluids to maintain a resident's health.

  • 0695Generalpotential for harm

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

  • 0732Generalno actual harm

    Post nurse staffing information every day.

  • 0758Generalpotential for harm

    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.

  • 0812Generalpotential for harm

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

  • 0847Generalpotential for harm

    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

  • 0908Generalpotential for harm

    Keep all essential equipment working safely.

  • 0755Generalpotential for harm

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

  • 0756Generalpotential for harm

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  • 0558Generalpotential for harm

    Reasonably accommodate the needs and preferences of each resident.

  • 0656Generalpotential for harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • 0676Generalpotential for harm

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

  • 0677Generalpotential for harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • 0684Generalpotential for harm

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

  • 0689Generalpotential for harm

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

  • 0692Generalpotential for harm

    Provide enough food/fluids to maintain a resident's health.

  • 0732Generalpotential for harm

    Post nurse staffing information every day.

  • 0812Generalpotential for harm

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

  • 0880Generalpotential for harm

    Provide and implement an infection prevention and control program.

  • 0919Generalpotential for harm

    Make sure that a working call system is available in each resident's bathroom and bathing area.

Inspection history

Every health inspection on record

Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.

  • Inspection1 deficiency

    056080 12/08/2025 The Bellefontaine Healthcare Center 150 Bellefontaine St Pasadena, CA 91105 F 0694 Provide for the safe, appropriate administration of IV fluids for a resident when needed. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED…

    Read full statement of deficiencies
  • Inspection1 deficiency

    056080 09/09/2025 The Bellefontaine Healthcare Center 150 Bellefontaine St Pasadena, CA 91105 F 0842 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Safeguard resident-identifiable information and/or maintain medical records on each resident that are in…

    Read full statement of deficiencies
  • Inspection1 deficiency

    056080 08/27/2025 The Bellefontaine Healthcare Center 150 Bellefontaine St Pasadena, CA 91105 F 0755 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a…

    Read full statement of deficiencies
  • Inspection1 deficiency

    056080 05/21/2025 The Bellefontaine Healthcare Center 150 Bellefontaine St Pasadena, CA 91105 F 0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. Level of Harm - Immediate jeopardy to resident health or safety **NOTE- TERMS IN BRACKETS HAVE…

    Read full statement of deficiencies
  • Inspection15 deficiencies

    056080 05/05/2025 The Bellefontaine Healthcare Center 150 Bellefontaine St Pasadena, CA 91105 F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his…

    Read full statement of deficiencies
  • InspectionFire Safety4 deficiencies
    View inspection report
  • Inspection1 deficiency

    056080 04/16/2025 The Bellefontaine Healthcare Center 150 Bellefontaine St Pasadena, CA 91105 F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent…

    Read full statement of deficiencies
  • Inspection3 deficiencies

    056080 08/13/2024 The Bellefontaine Healthcare Center 150 Bellefontaine St Pasadena, CA 91105 F 0558 Reasonably accommodate the needs and preferences of each resident. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT…

    Read full statement of deficiencies
  • InspectionFire Safety1 deficiency
    View inspection report
  • Inspection18 deficiencies

    056080 05/16/2024 The Bellefontaine Healthcare Center 150 Bellefontaine St Pasadena, CA 91105 F 0578 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to…

    Read full statement of deficiencies

Showing the 10 most recent inspections. 2 earlier inspections are also on record.

Ownership

Links Healthcare Group

31nursing homes nationwide, in CMS records

FAQ

Questions and answers

What is The Bellefontaine Healthcare Center?
The Bellefontaine Healthcare Center is a Medicare- and Medicaid-certified nursing home in Pasadena, CA, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 056080.
What is the CMS rating for The Bellefontaine Healthcare Center?
The Bellefontaine Healthcare Center has a CMS overall rating of 3 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
How many beds does The Bellefontaine Healthcare Center have?
The Bellefontaine Healthcare Center is certified for 130 beds. It serves an average of 121.2 residents per day.
How many citations does The Bellefontaine Healthcare Center have?
The Bellefontaine Healthcare Center has 52 citations on record from CMS health inspections, each tied to a federal deficiency tag.
When was The Bellefontaine Healthcare Center last inspected?
The Bellefontaine Healthcare Center was last inspected on December 8, 2025. CMS surveys nursing homes about once a year and after complaints.
What can I do if I have concerns about care at this facility?
Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.

*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.

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