The Bellefontaine Healthcare Center

Nursing Home · Pasadena, CA

CMS overall rating 3/5 For profit - Limited Liability company

CMS certification number056080

Contact & location

150 Bellefontaine ST
Pasadena, CA 91105
Los Angeles County
Phone
(626) 796-1103
ZIP code
91105 – all care providers

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Facility details

Certified beds
130
Residents per day
118.4 (91% occupied)
Ownership
For profit - Limited Liability company
Legal name
Xingu River Holdings LLC
Chain
Links Healthcare Group (32 facilities, avg 2.9★)
Medicare certified since
January 1, 1970
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 3/5
State avg 3.2
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 3/5
State avg 3.3
Quality measures★★★★★ 5/5
State avg 4.1
Long-stay quality★★★★★ 5/5
Short-stay quality★★★★★ 4/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
4.02 (state 4.52 · U.S. 3.86)
Registered nurses (RN)
0.56 (state 0.67 · U.S. 0.69)
Licensed practical nurses
0.92 (state 1.20 · U.S. 0.86)
Nurse aides
2.54 (state 2.65 · U.S. 2.32)
Weekend total
3.69 (state 4.09 · U.S. 3.42)
Nursing staff turnover
35.2 (state 36.7 · U.S. 45.8)%
RN turnover
42.1 (state 38.1 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
June 5, 2026
Health deficiencies (last cycle)
20.0 (state 15.7 · U.S. 9.3)
From complaints
3
Citations on record (3 years)
58 health · 8 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-06-05 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-07-02
2026-06-05 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-07-02
2026-06-05 Keep all essential equipment working safely.
F0908 · Environmental Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-07-02
2026-06-05 Make sure that a working call system is available in each resident's bathroom and bathing area.
F0919 · Environmental Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-07-02
2026-06-05 Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-07-02
2026-06-05 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
F0636 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-07-02
2026-06-05 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-07-02
2026-06-05 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-07-02
2026-06-05 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
F0676 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-07-02
2026-06-05 Assist a resident in gaining access to vision and hearing services.
F0685 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-07-02
2026-06-05 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-07-02
2026-06-05 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-07-02
2026-06-05 Provide care or services that was trauma informed and/or culturally competent.
F0699 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-07-02
2026-06-05 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-07-02
2026-06-05 Dispose of garbage and refuse properly.
F0814 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-07-02
2026-06-05 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-07-02
2026-06-05 Implement a program that monitors antibiotic use.
F0881 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-07-02
2025-12-08 Provide for the safe, appropriate administration of IV fluids for a resident when needed.
F0694 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-22
2025-09-09 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-09-19
2025-08-27 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-16
2025-05-21 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2025-06-13
2025-05-05 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.
F0578 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-05-28
2025-05-05 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-05-28
2025-05-05 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-05-28
2025-05-05 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-28
2025-05-05 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-28
2025-05-05 Keep residents' personal and medical records private and confidential.
F0583 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-28
2025-05-05 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-28
2025-05-05 PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-28
2025-05-05 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-28
2025-05-05 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.
F0688 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-28
2025-05-05 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-28
2025-05-05 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-28
2025-05-05 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-28
2025-05-05 Provide or obtain dental services for each resident.
F0791 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-28
2025-05-05 Have a policy regarding use and storage of foods brought to residents by family and other visitors.
F0813 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-28
2025-04-16 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-25
2024-08-13 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-08-30
2024-08-13 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-08-30
2024-08-13 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-08-30
2024-05-16 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-06-07
2024-05-16 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-06-07
2024-05-16 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-06-07
2024-05-16 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-06-07
2024-05-16 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-06-07
2024-05-16 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.
F0578 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-07
2024-05-16 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.
F0584 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-07
2024-05-16 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-07
2024-05-16 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-07
2024-05-16 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-07

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years, including $14,414 in fines.

DateTypeAmount
2025-05-21Fine$14,414

Ownership & management

NameRoleSince
Forbright Bank (organization)5%+ Security Interest · NOT APPLICABLE
Beardsley, Mary (individual)Administrator · NOT APPLICABLE
Bernholz, Victoria (individual)Administrator · NOT APPLICABLE
Carter, Melissa (individual)Administrator · NOT APPLICABLE
Chapman, Maynor (individual)Administrator · NOT APPLICABLE
Ehman, Christopher (individual)Administrator · NOT APPLICABLE
Frojelin, Antonette (individual)Administrator · NOT APPLICABLE
Links Healthcare Group LLC (organization)Administrator · NOT APPLICABLE
Links Support Services, LLC (organization)Administrator · NOT APPLICABLE
Penuela, Leizl (individual)Administrator · NOT APPLICABLE
Rodriguez, Curtis (individual)Administrator · NOT APPLICABLE
Tilford, Toby (individual)Administrator · NOT APPLICABLE
Rodriguez, Curtis (individual)Corporate Officer · NOT APPLICABLE
Tilford, Toby (individual)Corporate Officer · NOT APPLICABLE
Beardsley, Mary (individual)Operational/managerial Control · NOT APPLICABLE
Bernholz, Victoria (individual)Operational/managerial Control · NOT APPLICABLE
Carter, Melissa (individual)Operational/managerial Control · NOT APPLICABLE
Chapman, Maynor (individual)Operational/managerial Control · NOT APPLICABLE
Ehman, Christopher (individual)Operational/managerial Control · NOT APPLICABLE
Frojelin, Antonette (individual)Operational/managerial Control · NOT APPLICABLE
Links Healthcare Group LLC (organization)Operational/managerial Control · NOT APPLICABLE
Links Support Services, LLC (organization)Operational/managerial Control · NOT APPLICABLE
Penuela, Leizl (individual)Operational/managerial Control · NOT APPLICABLE
Rodriguez, Curtis (individual)Operational/managerial Control · NOT APPLICABLE
Tilford, Toby (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of The Bellefontaine Healthcare Center?

The Bellefontaine Healthcare Center has a 3-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in California.

How many beds does The Bellefontaine Healthcare Center have?

It has 130 certified beds and cares for about 118 residents per day.

Has The Bellefontaine Healthcare Center been fined?

Yes. CMS lists 1 penalty totaling $14,414 in the last three years.

Who owns The Bellefontaine Healthcare Center?

It is part of Links Healthcare Group and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of The Bellefontaine Healthcare Center?

(626) 796-1103. The facility is located at 150 Bellefontaine ST, Pasadena, CA 91105.

Other nursing homes in Pasadena

Compare all nursing homes in Pasadena, CA →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.