Nursing HomeInspections

The Bellefontaine Healthcare Center

Nursing home in Pasadena, CA

Medicare & Medicaid certified3★ overall (CMS)

Call (626) 796-1103Send a messageMap ↗

Public-record details

Address
150 Bellefontaine St, Pasadena, CA 91105
Phone
(626) 796-1103
Listed under
For-profit
Medicare CCN
056080
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
2 of 5
Staffing rating
3 of 5
Quality measures rating
5 of 5
Certified beds
130
Average residents per day
118
Ownership
For-profit, limited Liability company
Legal business name
Xingu River Holdings LLC
Chain
Links Healthcare Group (32 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jan 1, 1970
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 056080. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jun 5, 2026. CMS lists 58 health citations for this facility across its last three standard inspection cycles and complaint inspections (May 16, 2024 to Jun 5, 2026): 8 from complaint inspections, 1 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Jun 5, 2026Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation
D
Potential for more than minimal harm, isolated
Jun 5, 2026Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Jun 5, 2026Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Jun 5, 2026Develop 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
D
Potential for more than minimal harm, isolated
Jun 5, 2026Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Jun 5, 2026Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Jun 5, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Jun 5, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Jun 5, 2026Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Jun 5, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service
D
Potential for more than minimal harm, isolated
Jun 5, 2026Dispose of garbage and refuse properly.
Nutrition and Dietary
D
Potential for more than minimal harm, isolated
Jun 5, 2026Provide and implement an infection prevention and control program.
Infection Control
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 58. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $14,414 in the last three years.

May 21, 2025Fine: $14,414

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.02 hours
Registered nurse (RN) time per resident per day
0.56 hours
Nurse aide time per resident per day
2.54 hours
Total nurse staffing on weekends
3.69 hours
Nursing staff turnover (yearly)
35%
RN turnover (yearly)
42%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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