Horizon Health & Subacute Center
Nursing Home Facility
3034 E Herndon, Fresno, CA 93720
Horizon Health & Subacute Center is a senior care community located in Fresno, CA. It provides nursing home care and senior living for older adults in the Fresno area. To learn more or schedule a tour, call (559) 321-0883.
Operated by Generations Healthcare, which runs 25 communities in our directory.
With 180 beds, Horizon Health & Subacute Center is one of the larger communities in the area, senior care communities in Fresno average about 22 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.
Federal reporting puts occupancy at about 86% of its licensed beds.
Medicare rates this community 2 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Fresno average about 3.4 stars. The individual scores differ noticeably: 4 stars for staffing against 2 stars for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in March 2025 and recorded 21 deficiencies.
Residents receive about 4.6 hours of nursing care per day on average, including 0.5 hours from a registered nurse. Nursing staff turnover over the past year was about 47%.
The community is located in Fresno County, CA.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 45 problems at Horizon Health & Subacute Center. 2 findings involved harm to a resident, including 1 that put residents in immediate danger. 16 came from investigating complaints by residents or families.
In the last three years Medicare fined this home once, a total of $22,913.
Findings from the most recent inspection cycle
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Could cause more than minimal harm, a pattern
Resident Assessment and Care Planning
Ensure services provided by the nursing facility meet professional standards of quality.
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Could cause more than minimal harm, a pattern
Nursing and Physician Services
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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Could cause more than minimal harm, a pattern
Nursing and Physician Services
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.
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Could cause more than minimal harm, a pattern
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Could cause more than minimal harm, a pattern
Infection Control
Provide and implement an infection prevention and control program.
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Could cause more than minimal harm, widespread
Infection Control
Provide and implement an infection prevention and control program.
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Could cause more than minimal harm, a pattern
Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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Could cause more than minimal harm, a pattern
Nursing and Physician Services
Observe each nurse aide's job performance and give regular training.
Show 13 more
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Could cause more than minimal harm, a pattern
Pharmacy Service
Ensure each resident’s drug regimen must be free from unnecessary drugs.
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Could cause more than minimal harm, a pattern
Pharmacy Service
Ensure medication error rates are not 5 percent or greater.
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Could cause more than minimal harm, a pattern
Pharmacy Service
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.
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Could cause more than minimal harm, a pattern
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Could cause more than minimal harm, a pattern
Resident Assessment and Care Planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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Could cause more than minimal harm, one or a few residents
Resident Rights
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.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Ensure services provided by the nursing facility meet professional standards of quality.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide routine and 24-hour emergency dental care for each resident.
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Could cause more than minimal harm, one or a few residents
Nutrition and Dietary
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
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Could cause more than minimal harm, one or a few residents
Environmental
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Horizon Health & Subacute Center offers nursing home care and senior living.
Facility details
- Organization type for-profit corporation
- Beds / units 180
- Occupancy 86%
- Nursing hours per resident/day 4.6
- Annual staff turnover 47%
- Last health inspection March 2025
Resident & family reviews
No one has shared a review of Horizon Health & Subacute Center yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.