| The Bellefontaine Healthcare Center | |
| 150 Bellefontaine St, Pasadena, California 91105 | |
| (626) 796-1103 | |
| Name | The Bellefontaine Healthcare Center |
|---|---|
| Location | 150 Bellefontaine St, Pasadena, California |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 130 |
| Occupancy Rate | 91.08% |
| Medicare ID (CCN) | 056080 |
| Legal Business Name | Xingu River Holdings LLC |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | Links Healthcare Group (32 nursing homes) |
| Chain Average Overall Rating | 2.9 out of 5 |
| NPI Number | 1245920263 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Xingu River Holdings LLC |
| Address | 150 Bellefontaine St, Pasadena, CA 91105 |
| Phone Number | 858-798-5700 |
| NPI Number | 1548332117 |
| Match | Possible same name, address or phone number |
| Organization Name | Marlinda Imperial, LLC |
| Doing Business As | Marlinda Imperial Convalescent Hospital |
| Address | 150 Bellefontaine St, Pasadena, CA 91105 |
| Phone Number | 626-796-1103 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 4.02 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.56 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.92 | 0.86 |
| Nurse aide hours per resident per day | 2.54 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.69 | 3.42 |
| RN hours per resident per day on the weekend | 0.5 | 0.48 |
| Physical therapist hours per resident per day | 0.09 | 0.07 |
| Total nursing staff turnover | 35.2% | 45.8% |
| Registered nurse turnover | 42.1% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $14,414 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 1 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jun 5, 2026 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Jul 2, 2026 |
| Jun 5, 2026 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Jul 2, 2026 |
| Jun 5, 2026 | Keep all essential equipment working safely. F0908, Environmental, Standard inspection | Potential for harm, pattern | Corrected by Jul 2, 2026 |
| Jun 5, 2026 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919, Environmental, Standard inspection | Potential for harm, pattern | Corrected by Jul 2, 2026 |
| Jun 5, 2026 | 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, Standard inspection | Potential for harm, isolated | Corrected by Jul 2, 2026 |
| Jun 5, 2026 | 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, Standard inspection | Potential for harm, isolated | Corrected by Jul 2, 2026 |
| Jun 5, 2026 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jul 2, 2026 |
| Jun 5, 2026 | 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, Standard inspection | Potential for harm, isolated | Corrected by Jul 2, 2026 |
| Jun 5, 2026 | 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, Standard inspection | Potential for harm, isolated | Corrected by Jul 2, 2026 |
| Jun 5, 2026 | Assist a resident in gaining access to vision and hearing services. F0685, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jul 2, 2026 |
| Jun 5, 2026 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jul 2, 2026 |
| Jun 5, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jul 2, 2026 |
| Jun 5, 2026 | Provide care or services that was trauma informed and/or culturally competent. F0699, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jul 2, 2026 |
| Jun 5, 2026 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jul 2, 2026 |
| Jun 5, 2026 | Dispose of garbage and refuse properly. F0814, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Jul 2, 2026 |
| Jun 5, 2026 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Jul 2, 2026 |
| Jun 5, 2026 | Implement a program that monitors antibiotic use. F0881, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Jul 2, 2026 |
| Dec 8, 2025 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. F0694, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Dec 22, 2025 |
| Sep 9, 2025 | 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, Complaint inspection | Potential for harm, pattern | Corrected by Sep 19, 2025 |
| Aug 27, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Complaint inspection | Potential for harm, isolated | Corrected by Sep 16, 2025 |
| May 21, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Immediate jeopardy, isolated | Corrected by Jun 13, 2025 |
| May 5, 2025 | 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, Standard inspection | Potential for harm, pattern | Corrected by May 28, 2025 |
| May 5, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by May 28, 2025 |
| May 5, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by May 28, 2025 |
| May 5, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by May 28, 2025 |
| May 5, 2025 | Reasonably accommodate the needs and preferences of each resident. F0558, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by May 28, 2025 |
| May 5, 2025 | Keep residents' personal and medical records private and confidential. F0583, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by May 28, 2025 |
| May 5, 2025 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by May 28, 2025 |
| May 5, 2025 | PASARR screening for Mental disorders or Intellectual Disabilities F0645, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by May 28, 2025 |
| May 5, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 28, 2025 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 6.45 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 4.49 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.14 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 1.37 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 30.9 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.05 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 2.82 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.08 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.68 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 3.52 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 3.2 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 16.3 | 15.38 |
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