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HomeCaliforniaHorizon Health & Subacute Center

Horizon Health & Subacute Center

3034 E Herndon, Fresno, CA 937205593210883WebsiteGoogle Maps
4.0on Google(165 reviews)
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
2/5
Staffing
4/5
Quality
4/5
Beds
180
certified
1 fine(s) totaling $22,913

How Horizon Health & Subacute Center Compares in California

Facility results compared with averages for CMS-certified nursing homes in California. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
2/5
CA average
3.2/5
Below state average
Health inspection rating
2/5
CA average
2.8/5
Below state average
Staffing rating
4/5
CA average
3.3/5
Above state average
Nursing hours per resident
4.63 hrs/day
CA average
4.52 hrs/day
Close to state average
RN hours per resident
0.52 hrs/day
CA average
0.67 hrs/day
Below state average
Staff turnover
47.1%
CA average
36.7%
Higher than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 2/5 overall CMS rating is below the California average of 3.2/5.
Its 2/5 health inspection rating is below the California average of 2.8/5.
Reported RN time is 0.52 hours per resident per day, below the state average of 0.67.
Staff turnover is 47.1%, higher than the California average of 36.7%.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
13
deficiency citations
Inspected Mar 1, 2024
Most recent cycle
21
deficiency citations
Inspected Mar 7, 2025
The most recent cycle recorded 8 more deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$11,476/mo
California median
Private Room
$13,870/mo
California median
Fresno County 65+
125,708
12.5% of county
County Population
1,008,280
Fresno County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

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. Its overall CMS rating is 2 out of 5.

Beds
180
Avg Residents/Day
154.5
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)
21
Weighted Score
137.8
Infection Citations
0

Deficiency Citations (45)

F0658Potential for Harm

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

Survey: Mar 20, 2026Corrected: NoCycle: 1
F0725Potential for Harm

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Survey: Mar 20, 2026Corrected: NoCycle: 1
F0726Potential for Harm

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.

Survey: Mar 20, 2026Corrected: 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: Feb 27, 2026Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Feb 19, 2026Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

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
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
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
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
F0658Potential for Harm

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

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
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
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: 2
F0658Potential for Harm

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

Survey: Mar 26, 2025Corrected: NoCycle: 2
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: 2
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: 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: 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

+ 15 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 Aide2.56 hrs
National avg: 2.32 hrs
LPN1.55 hrs
National avg: 0.86 hrs
RN0.52 hrs
National avg: 0.69 hrs
Total Nursing4.63 hrs
National avg: 3.86 hrs
Weekend Total4.10 hrs
National avg: 0.00 hrs
Physical Therapist0.05 hrs
National avg: 0.07 hrs
Total Turnover
47.1%
RN Turnover
35.0%
Administrators Left
0

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

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (3)

NameRoleTypeOwnership %Since
GALLEY, CHADW-2 MANAGING EMPLOYEEIndividualN/AApr 1, 2023
MASTROCOLA, LOISCORPORATE OFFICERIndividualN/AApr 1, 2023
OLDS, THOMASCORPORATE OFFICERIndividualN/AApr 1, 2023

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Horizon Health & Subacute Center and nearby alternatives.

All California facilities
Horizon Health & Subacute Center
Fresno, CACurrent facility
CMS
2/5
Health
2/5
Staffing
4/5
Recorded fines: $22,913
Willow Creek Healthcare Center
Clovis, CA3,696 ft
CMS
3/5
Health
2/5
Staffing
3/5
Recorded fines: $25,045
Morning Star Post Acute
Clovis, CA2.2 mi
CMS
3/5
Health
2/5
Staffing
2/5
Recorded fines: None
North Point Healthcare & Wellness Centre LP
Fresno, CA2.4 mi
CMS
5/5
Health
5/5
Staffing
3/5
Recorded fines: None
The Terraces at San Joaquin Gardens Village
Fresno, CA2.6 mi
CMS
5/5
Health
3/5
Staffing
5/5
Recorded fines: None
Keystone Post-Acute
Fresno, CA4.1 mi
CMS
2/5
Health
2/5
Staffing
2/5
Recorded fines: $42,764
Oakwood Gardens Care Center
Fresno, CA4.3 mi
CMS
5/5
Health
4/5
Staffing
3/5
Recorded fines: None
FacilityDistanceCMSHealthStaffingRecorded fines
Horizon Health & Subacute Center
Fresno, CA · Current facility
—2/52/54/5$22,913
Willow Creek Healthcare Center
Clovis, CA
3,696 ft3/52/53/5$25,045
Morning Star Post Acute
Clovis, CA
2.2 mi3/52/52/5None recorded
North Point Healthcare & Wellness Centre LP
Fresno, CA
2.4 mi5/55/53/5None recorded
The Terraces at San Joaquin Gardens Village
Fresno, CA
2.6 mi5/53/55/5None recorded
Keystone Post-Acute
Fresno, CA
4.1 mi2/52/52/5$42,764
Oakwood Gardens Care Center
Fresno, CA
4.3 mi5/54/53/5None recorded

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

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.
How much does Horizon Health & Subacute Center cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in California is $11,476/month for a semi-private room and $13,870/month for a private room (Genworth/CareScout 2024). Horizon Health & Subacute Center participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Horizon Health & Subacute Center had any health inspection violations?▾
Horizon Health & Subacute Center had 21 deficiency citations in its most recent health inspection (Mar 7, 2025). The current CMS dataset records 1 fine(s) totaling $22,913.
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 0.52 RN hours, 1.55 LPN hours, and 2.56 nurse aide hours. The total staff turnover rate is 47.1%.
How many beds does Horizon Health & Subacute Center have?▾
Horizon Health & Subacute Center has 180 certified beds with an average of 154.5 residents per day, resulting in approximately 86% 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. This page lists 6 nearby nursing homes in California, including 4 in Fresno. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Horizon Health & Subacute Center?▾
On Google Maps, Horizon Health & Subacute Center has a rating of 4.0 out of 5 based on 165 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 2/5.

Part of Generations Healthcare

This chain operates 27 facilities. View all →