Horizon Health & Subacute Center
3034 E Herndon, Fresno, CA 93720 · (559) 321-0883
For profit - Limited Liability company · 180 certified beds
Horizon Health & Subacute Center has a 2-star overall rating from Medicare, out of 5. Its last standard inspection, in March 2025, found 16 citations (the California average is 15.6). It was fined 1 time in the last three years, $22,913 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 2 out of 5 stars · Below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 2 out of 5 stars · Below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 4 out of 5 stars · Above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 4 out of 5 stars · Above average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on March 7, 2025 found 16 citations. What an inspection citation means
- Provide and implement an infection prevention and control program.March 7, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.March 7, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Observe each nurse aide's job performance and give regular training.March 7, 2025 · F0730 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure each resident’s drug regimen must be free from unnecessary drugs.March 7, 2025 · F0757 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure medication error rates are not 5 percent or greater.March 7, 2025 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.March 7, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.March 7, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.March 7, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.March 7, 2025 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.March 7, 2025 · F0561 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.March 7, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.March 7, 2025 · F0623 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure services provided by the nursing facility meet professional standards of quality.March 7, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide routine and 24-hour emergency dental care for each resident.March 7, 2025 · F0790 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.March 7, 2025 · F0802 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.March 7, 2025 · F0921 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 16 citations.
- Ensure services provided by the nursing facility meet professional standards of quality.March 20, 2026 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.March 20, 2026 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.March 20, 2026 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.February 27, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.February 19, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.March 26, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure services provided by the nursing facility meet professional standards of quality.March 26, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.February 20, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.February 7, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.November 22, 2024 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.October 4, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.July 9, 2024 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement policies and procedures to prevent abuse, neglect, and theft.July 9, 2024 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.July 9, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.February 2, 2024 · F0842 · Level of harm: Potential for minimal harm · Residents affected: Many
- Ensure services provided by the nursing facility meet professional standards of quality.November 8, 2023 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
- Fine of $22,913March 1, 2024
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | California average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 4.63 | 4.52 | 3.86 |
| Registered nurses (RN) | 0.52 | 0.67 | 0.69 |
| Licensed practical nurses (LPN) | 1.55 | 1.20 | 0.86 |
| Nurse aides | 2.56 | 2.65 | 2.32 |
| Total nursing staff turnover | 47.1% | 36.7% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 180 |
| Average residents per day | 154.5 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- California Home for the Aged Fresno · ★★★★★ 5 out of 5 stars
- Community Subacute and Transitional Care Center Fresno · ★★★★★ 5 out of 5 stars
- North Point Healthcare & Wellness Centre LP Fresno · ★★★★★ 5 out of 5 stars
- Manning Gardens Care Center, Inc Fresno · ★★★★★ 5 out of 5 stars
- Oakwood Gardens Care Center Fresno · ★★★★★ 5 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Horizon Health & Subacute Center on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.