The Bellefontaine Healthcare Center is an average performer in CMS ratings, earning a C grade with a score of 55/100. Located in Pasadena, California, the facility meets baseline standards across most quality metrics.
Staffing at The Bellefontaine Healthcare Center is near the national average, with 4.02 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 52 deficiencies at The Bellefontaine Healthcare Center, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: provide for the safe, appropriate administration of iv fluids for a resident when needed..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.02 | 3.8 | Average |
| Registered Nurses (RN) | 0.52 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.08 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.42 | 2.4 | Average |
| Weekend Total Nursing | 3.62 | 3.8 | Average |
| Weekend RN Hours | 0.42 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0694 Severity DProvide for the safe, appropriate administration of IV fluids for a resident when needed.Dec 7, 2025 · Quality of Life and Care Deficiencies
- Tag 0842 Severity ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standarSep 8, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0755 Severity DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Aug 26, 2025 · Pharmacy Service Deficiencies
- Tag 0684 Severity JProvide appropriate treatment and care according to orders, resident’s preferences and goals.May 20, 2025 · Quality of Life and Care Deficiencies
- Tag 0578 Severity EHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, andMay 4, 2025 · Resident Rights Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 3.2% | 4.5% | Better |
| Falls with major injury | 0.0% | 3.0% | Better |
| On antipsychotic medication | 9.2% | 14.5% | Better |
| Urinary tract infections | 1.6% | 2.5% | Better |
| ADL decline (daily activities) | 5.9% | 14.0% | Better |
| Excessive weight loss | 4.6% | 7.5% | Better |
| New/worsened incontinence | 3.1% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $14,414
How This Grade Was Calculated
This facility's grade of C is based on a score of 55 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -1 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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