Horizon Health & Subacute Center

Horizon Health & Subacute Center is in 3034 E HERNDON, Fresno, CA 93720. Phone: 559-321-0883. Ownership: For profit - Limited Liability company. CMS rates it 3 out of 5 stars overall (health inspection 2, staffing 4, quality measures 5).

Horizon Post Acute in Fresno offers post-acute and subacute care centered on restoring each person to their best possible health. Services include 24-hour licensed nursing care, physical, occupational, and speech therapy, IV therapy, wound care, pain management, restorative nursing, discharge planning, and social services. A special subacute unit cares for medically complex patients, including ventilator-dependent and tracheostomy patients, while a 44-bed secured special treatment unit supports people living with mental illness with on-site psychiatric and psychological services. Residents also enjoy daily activities, pet therapy, community outings, a registered dietitian, and restaurant-quality dining. CMS inspection and staffing detail: total weighted health survey score 144.000; 1 federal fines totaling $22913.00; total nursing staff turnover 46.3%.

Quality measures

Source: CMS · CMS processing date: 2026-10-01

Star ratings and staffing hours
Overall rating	3 of 5
Health inspection rating	2 of 5
Staffing rating	4 of 5
Quality measure rating	5 of 5
Long-stay quality rating	5 of 5
Short-stay quality rating	4 of 5
RN staffing hours per resident per day	0.54
Total nurse staffing hours per resident per day	4.79

Inspection results

Source: CMS · processing date 2026-10-01
Rating Cycle 1 Total Health Score	144
Total Weighted Health Survey Score	144.000
Rating Cycle 2/3 Total Health Score	144
Rating Cycle 1 Health Deficiency Score	144
Rating Cycle 2/3 Health Deficiency Score	144
Rating Cycle 1 Standard Survey Health Date	2026-07-31
Rating Cycle 1 Total Number of Health Deficiencies	24
Rating Cycle 2/3 Total Number of Health Deficiencies	27
Rating Cycle 1 Number of Standard Health Deficiencies	19
Rating Cycle 1 Number of Complaint Health Deficiencies	5
Rating Cycle 2/3 Number of Complaint Health Deficiencies	11

Staffing

Source: CMS · processing date 2026-10-01
Nursing Case-Mix Index	1.45857
Registered Nurse turnover	33.3
Nursing Case-Mix Index Ratio	1.03426
Total nursing staff turnover	46.3
Reported LPN Staffing Hours per Resident per Day	1.58157
Reported Licensed Staffing Hours per Resident per Day	2.12528
Number of administrators who have left the nursing home	0
Reported Nurse Aide Staffing Hours per Resident per Day	2.66229
Registered Nurse hours per resident per day on the weekend	0.35338
Total number of nurse staff hours per resident per day on the weekend	4.23354

Penalties

Source: CMS · processing date 2026-10-01
Number of Fines	1
Number of Payment Denials	0
Total Number of Penalties	1
Total Amount of Fines in Dollars	22913.00

Ownership

Source: CMS · processing date 2026-10-01
Chain ID	236
Chain Name	GENERATIONS HEALTHCARE
Legal Business Name	GHC OF FRESNO, LLC
Chain Average QM Rating	4.7
Chain Average Staffing Rating	3.9
Number of Facilities in Chain	27
Chain Average Overall 5-star Rating	4.1
Chain Average Health Inspection Rating	3.6
Provider Changed Ownership in Last 12 Months	N

Occupancy and payer mix

Source: CMS · processing date 2026-10-01
Abuse Icon	N
High Performing Icon	N
With a Resident and Family Council	Resident
Average Number of Residents per Day	153.3
Automatic Sprinkler Systems in All Required Areas	Yes
Most Recent Health Inspection More Than 2 Years Ago	N