The Bellefontaine Healthcare Center
Pasadena, California · CCN 056080
44 surveys since 2011. The first finding at harm level was recorded in 2016.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 222
- Surveys
- 44
- Harm or worse
- 5
- Immediate jeopardy
- 1
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 130
- Ownership
- For profit - Limited Liability company
- Chain
- LINKS HEALTHCARE GROUP
- County
- Los Angeles
- Medicare-certified since
- 1970
CMS ratings
- Overall
- 3
- Health inspection
- 2
- Staffing
- 3
- Quality measures
- 5
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.
Weighted by harm level, against 225 for-profit facilities with 128 or more beds in California.
Last survey on record
Jun 5, 2026
157 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 4.02 | 4.08 |
| Registered-nurse hours per resident day | 0.56 | — |
| Annual nurse turnover | 35.2% | 37.2% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $14,414 across 1 penalty
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J11.4% | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D5072.5% | E1724.6% | F— |
| No harm, potential for minimal | A— | B11.4% | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6844×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F6894×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F7554×
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- F8124×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F5583×
Reasonably accommodate the needs and preferences of each resident.
In the surveyor’s words
From the most serious findings on record at The Bellefontaine Healthcare Center, in the surveyor’s own words.
- Immediate jeopardy, isolatedF684May 21, 2025
Based on interview and record review, the facility failed to provide treatment and services in accordance with professional standards of practice (guidelines and expectations that define competent and ethical conduct within specific profession) for one of two sampled residents (Resident 1) who had a diagnosis of other sequalae of cerebral infarction (the long-term conditions and complications that result from brain tissue damage due to reduced blood supply), other interval disc (a cushion of cartilage found between the vertebrae (bones) of the spine) lumbar region (the lower back region of your spinal column or backbone), other spondylosis with radiculopathy - lumbar region (a condition where the degenerative changes of spondylosis [osteoarthritis of the spine] lead to compression of… […]
- No harm, potential for more than minimal, patternF804Jun 5, 2026
Based on observation, interview, and record review, the facility failed to provide three (3) of 3 sampled residents (Residents 11, 43, and 139) meal trays that were appetizing and palatable (agreeable to one's sense of taste).This failure had the potential to result in dissatisfaction, decreased food intake and place Residents 11, 43, and 139 at risk for unplanned weight loss. During a review of Resident 11's admission Record, the admission Record indicated the resident was initially admitted to the facility on [DATE] and readmitted [DATE] with diagnoses of osteomyelitis (infection of the bone and bone marrow) and protein-calorie malnutrition (a dangerous state of undernutrition caused by a lack of both dietary protein and total calories). […]
- No harm, potential for more than minimal, patternF812Jun 5, 2026
Based on observation, interview, and record review, the facility failed to ensure proper food handling practices in accordance with the facility's policy and procedure (P&P) by failing to ensure: Dietary Aide 1 (DA 1) wore a hairnet while inside the kitchen.Dietary Aide 2 (DA 2) perform hand hygiene between handling dirty dishes and clean dishes.One container of poultry seasoning was closed.One opened container of dill weed seasoning was labeled with an open and/or use by date.These failures had the potential for residents to be at risk for food-borne illness (illness caused by food contaminated with bacteria).These deficient practices have the potential to result in pathogen (germ) exposure to residents, which could place the residents at risk for developing foodborne illness (caused by… […]
- No harm, potential for more than minimal, patternF908Jun 5, 2026
Based on observation, interview, and record review, the facility failed to ensure the ice machine drainage had an air gap (a vertical, unobstructed space between the ice machine's drain and the buildings drainage system that prevent contaminated drain water from flowing back into the machine's clean water supply. It is a safety measure, often a simple pipe fitting or a dedicated device, that acts as a barrier, with the most common requirement being a one to two - inch gap to comply with health and plumbing codes) to ensure no contact with outside contaminated (unfit for use, or unsafe) source as indicated in the facility's policy and procedure (P&P). […]
- No harm, potential for more than minimal, patternF919Jun 5, 2026
Based on observation, interview, and record review, the facility failed to ensure that the call light (a device used by a Resident to signal his or her need for assistance) was within reach for four (4) of six (6) sampled residents (Resident 37, 8, 113, and 137) who were reviewed for environment care area. This deficient practice had the potential to negatively impact on the psychosocial well-being (the individual's mental and emotional health and their social interactions and environment) of Residents 37, 8, 113, and 137 as a result in delayed provision of care and services. Findings: 1. […]
Read 25 findings in full →The most serious and the most recent: 25 of 222 on record.
Every survey on record
FindingsAt actual harm or above
- Aug 6, 2026Complaint2 findings
- Jun 5, 2026Standard17 findings
- Dec 8, 2025Complaint1 finding
- Sep 9, 2025Complaint1 finding
- Aug 27, 2025Complaint1 finding
- May 21, 2025Complaint1 finding · 1 harm
- May 5, 2025Standard15 findings
- Apr 16, 2025Complaint1 finding
Show the 36 earlier surveys
- Aug 13, 2024Complaint3 findings
- May 16, 2024Standard18 findings
- Dec 29, 2022Complaint1 finding
- Nov 18, 2022Complaint1 finding
- Nov 17, 2022Infection control1 finding
- Feb 11, 2022Standard11 findings
- May 20, 2020Complaint1 finding
- Mar 22, 2019Standard and complaint13 findings
- Dec 21, 2018Complaint1 finding
- Nov 21, 2018Complaint5 findings · 2 harm
- Oct 9, 2018Complaint1 finding
- Jul 26, 2018Complaint1 finding
- Jun 18, 2018Complaint1 finding
- May 8, 2018Complaint2 findings
- Mar 16, 2018Standard and complaint17 findings
- Oct 23, 2017Complaint2 findings
- Oct 11, 2017Complaint1 finding
- May 21, 2017Complaint1 finding
- May 19, 2017Standard and complaint13 findings
- Jan 27, 2017Complaint2 findings
- Sep 16, 2016Complaint1 finding
- Jul 19, 2016Complaint1 finding
- Jun 6, 2016Complaint2 findings · 1 harm
- Jun 3, 2016Complaint1 finding
- May 6, 2016Complaint2 findings
- Apr 1, 2016Standard and complaint25 findings · 1 harm
- Mar 16, 2016Complaint1 finding
- Mar 9, 2016Complaint1 finding
- Mar 8, 2016Complaint1 finding
- Mar 7, 2016Complaint1 finding
- Jan 21, 2016Complaint1 finding
- Jun 24, 2015Complaint1 finding
- Jan 26, 2015Standard12 findings
- Sep 30, 2013—14 findings
- Jul 13, 2012—11 findings
- Apr 29, 2011—12 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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