California › Fresno County › Fresno
Horizon Health & Subacute Center
3034 E Herndon, Fresno, CA 93720
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 180 beds, Horizon Health & Subacute Center serves Fresno in Fresno County, California and has taken Medicare and Medicaid residents since 1980.
CMS gives it 2 of 5 stars overall, below the California median of 3; the health inspection rating is 2, staffing 4 and quality measures 4.
Inspectors recorded 45 health deficiencies across the three most recent survey cycles (21, 8, 16 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 25.0 per 100 beds, fewer than the state median of 51.1.
CMS lists 1 penalty in the period covered: fines totalling $23K.
Reported nurse staffing is 4.6 hours per resident per day (0.5 RN), close to the California median of 4.2; nursing staff turnover is 47.1%.
Compared with county, state and nation
| Measure | This facility | Fresno Co. median | California median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 45 | 41 | 44 | 28.7 |
| Citations per 100 beds | 25.0 | 53.5 | 51.1 | 26.8 |
| Total nurse hours per resident day | 4.6 | 4.1 | 4.2 | 3.9 |
| RN hours per resident day | 0.5 | 0.4 | 0.5 | 0.7 |
| Nursing staff turnover | 47.1% | 45.7% | 36.4% | 45.8% |
| Fines listed | $22,913 | $0 | $0 | — |
County and state figures are medians across facilities (31 in the county, 1165 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 7 Mar 2025, 1 Mar 2024.
Severity mix: J ×1 G ×1 D ×23 E ×17 F ×2 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 20 Mar 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint investigation | 19 Apr 2026 |
| 20 Mar 2026 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 19 Apr 2026 |
| 20 Mar 2026 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Complaint investigation | 19 Apr 2026 |
| 27 Feb 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 27 Feb 2026 |
| 19 Feb 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 15 Mar 2026 |
| 26 Mar 2025 | F0584 | 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 | Complaint investigation | 18 Apr 2025 |
| 26 Mar 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 18 Apr 2025 |
| 7 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 16 Apr 2025 |
| 7 Mar 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 16 Apr 2025 |
| 7 Mar 2025 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Standard survey | 16 Apr 2025 |
| 7 Mar 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Standard survey | 16 Apr 2025 |
| 7 Mar 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 16 Apr 2025 |
| 7 Mar 2025 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard survey | 16 Apr 2025 |
| 7 Mar 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 16 Apr 2025 |
| 7 Mar 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 16 Apr 2025 |
| 7 Mar 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 16 Apr 2025 |
| 7 Mar 2025 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 16 Apr 2025 |
| 7 Mar 2025 | F0584 | 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 | Standard survey | 16 Apr 2025 |
| 7 Mar 2025 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 16 Apr 2025 |
| 7 Mar 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 16 Apr 2025 |
| 7 Mar 2025 | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | Standard survey | 16 Apr 2025 |
| 7 Mar 2025 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | D | Standard survey | 16 Apr 2025 |
| 7 Mar 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard survey | 16 Apr 2025 |
| 20 Feb 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 19 Mar 2025 |
| 7 Feb 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 6 Mar 2025 |
| 22 Nov 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 22 Dec 2024 |
| 4 Oct 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 4 Nov 2024 |
| 9 Jul 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 25 Jul 2024 |
| 9 Jul 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 25 Jul 2024 |
| 9 Jul 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 25 Jul 2024 |
| 1 Mar 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Standard survey | 15 Mar 2024 |
| 1 Mar 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 15 Mar 2024 |
| 2 Feb 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | C | Complaint investigation | 8 Apr 2024 |
| 8 Nov 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 22 Dec 2023 |
| 21 Jun 2019 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 29 Oct 2019 |
| 21 Jun 2019 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | Standard survey | 29 Oct 2019 |
| 21 Jun 2019 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 19 Nov 2019 |
| 21 Jun 2019 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 29 Oct 2019 |
| 21 Jun 2019 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 29 Oct 2019 |
| 21 Jun 2019 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 29 Oct 2019 |
| 21 Jun 2019 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 29 Oct 2019 |
| 21 Jun 2019 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 29 Oct 2019 |
| 21 Jun 2019 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 29 Oct 2019 |
| 21 Jun 2019 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 29 Oct 2019 |
| 21 Jun 2019 | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | Standard survey | 29 Oct 2019 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 1 Mar 2024 | Fine | $22,913 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 47.1%, RNs 35.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | California median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 4.7% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.6% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.0% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.9% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 9.3% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.3% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 3.5% | 9.1% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Ghc Of Fresno, Llc. Chain: Generations Healthcare (27 facilities).
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Fresno County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| California Home For the Aged | Fresno | 120 | 5 | 5 | 5 | 35 | 29.2 | — | 19 Aug 2025 |
| Community Subacute and Transitional Care Center | Fresno | 106 | 5 | 5 | 5 | 13 | 12.3 | — | 19 Dec 2025 |
| Manning Gardens Care Center, Inc | Fresno | 59 | 5 | 4 | 5 | 40 | 67.8 | $12K | 27 Mar 2026 |
| North Point Healthcare & Wellness Centre LP | Fresno | 99 | 5 | 5 | 3 | 20 | 20.2 | — | 27 Mar 2025 |
| Oakwood Gardens Care Center | Fresno | 103 | 5 | 4 | 3 | 28 | 27.2 | — | 9 Jan 2026 |
| The Terraces At San Joaquin Gardens Village | Fresno | 54 | 5 | 3 | 5 | 31 | 57.4 | — | 23 Apr 2025 |
| Veterans Home of California - Fresno | Fresno | 120 | 5 | 4 | 5 | 29 | 24.2 | — | 9 Apr 2026 |
| Vineyard Care Center | Reedley | 56 | 4 | 3 | 2 | 40 | 71.4 | — | 1 Apr 2026 |
All 31 facilities in Fresno County
Questions and answers
How many deficiencies has Horizon Health & Subacute Center been cited for?
45 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.
Has Horizon Health & Subacute Center been fined?
Yes. CMS lists fines totalling $23K in the period covered.
How does staffing at Horizon Health & Subacute Center compare?
Reported total nurse staffing is 4.6 hours per resident per day against a California median of 4.2 and a national average of 3.9.
Who operates Horizon Health & Subacute Center?
It is part of the Generations Healthcare chain. Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.
When was Horizon Health & Subacute Center last inspected?
The most recent survey or investigation in the CMS record is dated 20 Mar 2026; the most recent standard health survey was 7 Mar 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.