THE BELLEFONTAINE HEALTHCARE CENTER
THE BELLEFONTAINE HEALTHCARE CENTER is a 130-bed nursing home in PASADENA, California. CMS has certified it for Medicare and Medicaid since 1970-01-01. It averages 118.4 residents a day.
What harm was found in the violations cited at THE BELLEFONTAINE HEALTHCARE CENTER?
CMS lists 58 health-inspection deficiencies for THE BELLEFONTAINE HEALTHCARE CENTER, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-06-05.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-05 | F0804, F0812, F0908, F0919 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Keep all essential equipment working safely. / Make sure that a working call system is available in each resident's bathroom and bathing area. | E |
| 2026-06-05 | F0605, F0636, F0641, F0656, F0676, F0685, F0686, F0689, F0699, F0755, F0814, F0880, F0881 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Assist a resident in gaining access to vision and hearing services. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide care or services that was trauma informed and/or culturally competent. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Dispose of garbage and refuse properly. / Provide and implement an infection prevention and control program. / Implement a program that monitors antibiotic use. | D |
| 2025-12-08 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D |
| 2025-09-09 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E |
| 2025-08-27 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2025-05-21 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J |
| 2025-05-05 | F0578, F0812, F0880 | 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. | E |
| 2025-05-05 | F0550, F0558, F0583, F0641, F0645, F0684, F0688, F0695, F0755, F0759, F0791, F0813 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Reasonably accommodate the needs and preferences of each resident. / Keep residents' personal and medical records private and confidential. / Ensure each resident receives an accurate assessment. / PASARR screening for Mental disorders or Intellectual Disabilities / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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. / Provide safe and appropriate respiratory care for a resident when needed. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure medication error rates are not 5 percent or greater. / Provide or obtain dental services for each resident. / Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D |
| 2025-04-16 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2024-08-13 | F0558, F0921 | Reasonably accommodate the needs and preferences of each resident. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E |
| 2024-08-13 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D |
| 2024-05-16 | F0689, F0695, F0755, F0757, F0812 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe and appropriate respiratory care for a resident when needed. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2024-05-16 | F0578, F0584, F0641, F0656, F0684, F0692, F0756, F0758, F0803, F0847, F0908, F0919 | 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. / 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. / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide enough food/fluids to maintain a resident's health. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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. / 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. / Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. / Keep all essential equipment working safely. / Make sure that a working call system is available in each resident's bathroom and bathing area. | D |
| 2024-05-16 | F0732 | Post nurse staffing information every day. | B |
Why was THE BELLEFONTAINE HEALTHCARE CENTER fined?
| Date | Type | Amount |
|---|---|---|
| 2025-05-21 | Fine | $14,414 |
How is THE BELLEFONTAINE HEALTHCARE CENTER staffed relative to the CA average?
| Measure | This facility | CA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 4.01602 | 4.51570 |
| Total nursing staff turnover (%) | 35.2 | 36.7 |
| Average number of residents per day | 118.4 | 87.9 |
Who owns THE BELLEFONTAINE HEALTHCARE CENTER, and what chain is it in?
THE BELLEFONTAINE HEALTHCARE CENTER is registered with CMS as For profit - Limited Liability company, operates under the legal business name XINGU RIVER HOLDINGS LLC and belongs to the LINKS HEALTHCARE GROUP chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER SECURITY INTEREST | FORBRIGHT BANK | since 02/01/2024 |
| CORPORATE OFFICER | RODRIGUEZ, CURTIS, TILFORD, TOBY | since 02/01/2024 |
| OPERATIONAL/MANAGERIAL CONTROL | LINKS HEALTHCARE GROUP LLC, LINKS SUPPORT SERVICES, LLC, BEARDSLEY, MARY, BERNHOLZ, VICTORIA, CARTER, MELISSA, CHAPMAN, MAYNOR, EHMAN, CHRISTOPHER, FROJELIN, ANTONETTE, PENUELA, LEIZL, RODRIGUEZ, CURTIS, TILFORD, TOBY | since 02/01/2024 |
| ADP OF THE SNF | LINKS HEALTHCARE GROUP LLC, LINKS SUPPORT SERVICES, LLC, BEARDSLEY, MARY, BERNHOLZ, VICTORIA, CARTER, MELISSA, CHAPMAN, MAYNOR, EHMAN, CHRISTOPHER, FROJELIN, ANTONETTE, PENUELA, LEIZL, RODRIGUEZ, CURTIS, TILFORD, TOBY | since 02/01/2024 |
Were you or a family member harmed at THE BELLEFONTAINE HEALTHCARE CENTER?