Nursing homes › California › The Bellefontaine Healthcare Center
150 Bellefontaine St, Pasadena, CA 91105 · 6267961103 · 130 certified beds
Per CMS filings, this facility is affiliated with Links Healthcare Group, a group operating 32 facilities in 2 states. Group record: average rating 2.8/5, 4 abuse citation icons, 0 facilities on the Special Focus list, $481,905 in federal fines. This facility rates above its group average (2.8/5).
Total nurse staffing: 4.02 (California median: 4.24). RN hours: 0.56. Weekend total: 3.69. Nursing staff turnover: 35%.
All-time on record: 52 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-12-08 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | complaint | 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. | E | complaint | 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. | D | complaint | corrected 2025-09-16 |
| 2025-05-21 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | complaint | 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. | E | Health | 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. | E | Health | corrected 2025-05-28 |
| 2025-05-05 | Provide and implement an infection prevention and control program. | E | Health | 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. | D | Health | corrected 2025-05-28 |
| 2025-05-05 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2025-05-28 |
| 2025-05-05 | Keep residents' personal and medical records private and confidential. | D | Health | corrected 2025-05-28 |
| 2025-05-05 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2025-05-28 |
| 2025-05-05 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Health | corrected 2025-05-28 |
| 2025-05-05 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | 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. | D | Health | corrected 2025-05-28 |
| 2025-05-05 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | 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. | D | Health | corrected 2025-05-28 |
| 2025-05-05 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2025-05-28 |
| 2025-05-05 | Provide or obtain dental services for each resident. | D | Health | corrected 2025-05-28 |
| 2025-05-05 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Health | 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. | D | complaint | corrected 2025-04-25 |
| 2024-08-13 | Reasonably accommodate the needs and preferences of each resident. | E | complaint | 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. | E | complaint | corrected 2024-08-30 |
| 2024-08-13 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | complaint | 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. | E | Health | corrected 2024-06-07 |
| 2024-05-16 | Provide safe and appropriate respiratory care for a resident when needed. | E | Health | 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. | E | Health | corrected 2024-06-07 |
| 2024-05-16 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Health | 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. | E | Health | 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. | D | Health | 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. | D | Health | corrected 2024-06-07 |
| 2024-05-16 | Ensure each resident receives an accurate assessment. | D | Health | 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. | D | Health | corrected 2024-06-07 |
| 2024-05-16 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2024-06-07 |
| 2024-05-16 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2024-06-07 |
| 2024-05-16 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Health | corrected 2024-06-07 |
| 2024-05-16 | 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. | D | Health | corrected 2024-06-07 |
| 2024-05-16 | 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. | D | Health | corrected 2024-06-07 |
| 2024-05-16 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | Health | corrected 2024-06-07 |
| 2024-05-16 | Keep all essential equipment working safely. | D | Health | corrected 2024-06-07 |
| 2024-05-16 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Health | corrected 2024-06-07 |
| Date | Type | Amount |
|---|---|---|
| 2025-05-21 | Fine | $14,414 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| RODRIGUEZ, CURTIS | Corporate Officer | Individual | NOT APPLICABLE | since 02/01/2024 |
| TILFORD, TOBY | Corporate Officer | Individual | NOT APPLICABLE | since 02/01/2024 |
| LINKS HEALTHCARE GROUP LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 02/01/2024 |
| LINKS SUPPORT SERVICES, LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 02/01/2024 |
| BEARDSLEY, MARY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2024 |
| BERNHOLZ, VICTORIA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2024 |
| CARTER, MELISSA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2024 |
| CHAPMAN, MAYNOR | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2024 |
| EHMAN, CHRISTOPHER | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2024 |
| FROJELIN, ANTONETTE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2024 |
| PENUELA, LEIZL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2024 |
| RODRIGUEZ, CURTIS | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2024 |
| TILFORD, TOBY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2024 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 056080. Corrections: data@carerecords.org.