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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeCaliforniaHorizon Health & Subacute Center

Horizon Health & Subacute Center

3034 E Herndon, Fresno, CA 937205593210883
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
4/5
Quality
4/5
Beds
180
certified
1 fine(s) totaling $22,913

Key Findings

• CMS rates this facility 2/5 stars (below average)

• Has 180 certified beds with an average of 153.2 residents per day (85% occupancy)

• Last health inspection found 20 deficiencies (inspected Mar 7, 2025)

• Has been fined a total of $22,913 across 1 fine(s)

• Total nursing staff: 4.63 hours per resident per day

• Staff turnover rate: 45.3%

• Part of the Generations Healthcare chain (33 facilities)

Horizon Health & Subacute Center is a 2-star Medicare and Medicaid certified nursing home in Fresno, California with 180 certified beds. It has been operating since 1980. The facility scored below average compared to California facilities.

Beds
180
Avg Residents/Day
153.2
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jun 1, 1980
Sprinklers
Yes
Council
Resident
County
Fresno
Last Inspection
Mar 7, 2025
Deficiencies (Cycle 1)
20
Weighted Score
118.8
Infection Citations
0

Deficiency Citations (42)

F0584Potential for Harm

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.

Survey: Mar 26, 2025Corrected: NoCycle: 1
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Mar 26, 2025Corrected: NoCycle: 1
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Feb 20, 2025Corrected: NoCycle: 1
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Feb 7, 2025Corrected: NoCycle: 1
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0561Potential for Harm

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0584Potential for Harm

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.

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0623Potential for Harm

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0730Potential for Harm

Observe each nurse aide's job performance and give regular training.

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0757Potential for Harm

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0761Potential for Harm

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.

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0790Potential for Harm

Provide routine and 24-hour emergency dental care for each resident.

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0802Potential for Harm

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0921Potential for Harm

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Survey: Mar 7, 2025Corrected: NoCycle: 1
F0600Potential for Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Nov 22, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Oct 4, 2024Corrected: NoCycle: 2
F0600Potential for Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Jul 9, 2024Corrected: NoCycle: 2
F0607Potential for Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: Jul 9, 2024Corrected: NoCycle: 2
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Jul 9, 2024Corrected: NoCycle: 2
F0842Minimal Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Feb 2, 2024Corrected: NoCycle: 2
F0684Immediate Jeopardy

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Mar 1, 2024Corrected: NoCycle: 2
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Mar 1, 2024Corrected: NoCycle: 2
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Nov 8, 2023Corrected: NoCycle: 3
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Mar 17, 2023Corrected: NoCycle: 3

+ 12 more deficiencies

Total Fines
$22,913
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineMar 1, 2024
$22,913

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.59 hrs
National avg: 2.35 hrs
LPN1.48 hrs
National avg: 0.86 hrs
RN0.56 hrs
National avg: 0.68 hrs
Total Nursing4.63 hrs
National avg: 3.89 hrs
Weekend Total4.10 hrs
National avg: 0.00 hrs
Physical Therapist0.07 hrs
National avg: 0.07 hrs
Total Turnover
45.3%
RN Turnover
23.8%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (7)

NameRoleTypeOwnership %Since
LIFE GENERATIONS HEALTHCARE, LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Apr 1, 2023
MASTROCOLA, LOIS5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualN/AApr 1, 2023
OLDS, THOMAS5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualN/AApr 1, 2023
SMITH, FRED5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividualN/AApr 1, 2023
MASTROCOLA, LOISCORPORATE OFFICERIndividualN/AApr 1, 2023
OLDS, THOMASCORPORATE OFFICERIndividualN/AApr 1, 2023
GALLEY, CHADW-2 MANAGING EMPLOYEEIndividualN/AApr 1, 2023

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Frequently Asked Questions

What is the CMS rating for Horizon Health & Subacute Center?▾
Horizon Health & Subacute Center has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 4/5, and quality measures rating of 4/5. This facility is rated below average.
Has Horizon Health & Subacute Center had any health inspection violations?▾
Horizon Health & Subacute Center had 20 deficiency citations in its most recent health inspection (Mar 7, 2025). The facility has been fined a total of $22,913 across 1 fine(s).
What are the staffing levels at Horizon Health & Subacute Center?▾
Horizon Health & Subacute Center provides 4.63 total nursing staff hours per resident per day, including 0.56 RN hours, 1.48 LPN hours, and 2.59 nurse aide hours. The total staff turnover rate is 45.3%.
How many beds does Horizon Health & Subacute Center have?▾
Horizon Health & Subacute Center has 180 certified beds with an average of 153.2 residents per day, resulting in approximately 85% occupancy. The facility is For profit - Limited Liability company owned and is part of the Generations Healthcare chain.
Are there other nursing homes near Horizon Health & Subacute Center?▾
Yes, there are 18 other nursing homes in Fresno, California with an average rating of 3/5. You can compare all facilities on the Fresno nursing homes page.

Part of Generations Healthcare

This chain operates 33 facilities. View all →