Nursing home
Horizon Health & Subacute Center
3034 E Herndon, Fresno, CA 93720 · Map
For profit - Limited Liability company · Part of Generations Healthcare (33 facilities) · 180 certified beds
Horizon Health & Subacute Center is a Medicare-certified nursing home in Fresno, California. CMS rates it 2 out of 5 stars overall (4/5 for staffing, 2/5 for health inspections). Nurse staffing is 4.63 hours per resident per day, above the California average of 4.51. Its most recent inspection on Mar 7, 2025 cited 18 deficiencies.
- 1 fine totaling $22,913In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Horizon Health & Subacute Center compares
This facility vs. the California and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | California avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.63 | 4.51 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.56 | 0.65 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.59 | 2.64 | 2.34 | below avg |
| Nursing staff turnover | 45.3% | 38.1% | 46.4% | above avg |
| Deficiencies cited, last inspection | 18.0 | 15.4 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the March 20, 2026 inspection was corrected by April 19, 2026
Penalties in CMS records: 1 fine totaling $22,913, 1 total penalty.
What inspectors found at Horizon Health & Subacute Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential 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.
Nursing and Physician Services Deficiencies · Mar 20, 2026 · Full report (PDF) - Potential 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.
Nursing and Physician Services Deficiencies · Mar 20, 2026 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Mar 20, 2026 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Feb 27, 2026 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Feb 19, 2026 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Mar 26, 2025 · Full report (PDF) - Potential 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.
Resident Rights Deficiencies · Mar 26, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Mar 7, 2025 · Full report (PDF) - Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Mar 7, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Mar 7, 2025 · Full report (PDF) - Potential 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.
Pharmacy Service Deficiencies · Mar 7, 2025 · Full report (PDF) - Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Mar 7, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 3034 E Herndon
Fresno, CA 93720 - CMS certification #
- 055199
- Ownership
- For profit - Limited Liability company
- Certified beds
- 180
- Avg residents/day
- 153.2
- Provider type
- Medicare and Medicaid
- First certified
- 1980-06-01
- Chain
- Generations Healthcare (33 facilities)
- Setting
- Urban
Part of Generations Healthcare
Generations Healthcare operates 33 nursing facilities across the United States. View all Generations Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Horizon Health & Subacute Center using Google Maps.
Other public records
- Workplace safety 1 OSHA workplace safety inspection since 2018, 1 violation cited
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- May 1, 2018: accident investigation inspection, partial (safety). Case closed Jan 31, 2019. 1 violation cited (1 other). Penalties: $5,000 proposed, $3,250 now. OSHA record. OSHA recorded the employer as Horizon Health & Subacute.
Details
- Other than serious: Cited rule 342(A). Penalty $5,000 proposed, $3,250 now. Contested by the employer.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Saint Agnes Medical Center, Fresno. 1.3 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Willow Creek Healthcare Center, Clovis. 0.7 miles away, straight line.
- Nearest home health agency office
- Wellpointe Home Health, Fresno. 0.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Cedar Pharmacy & Medical Supplies. 0.8 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 93720 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fmc Clovis, Clovis, 0.5 miles away, straight line (CMS rating 3 of 5 stars)
Fresenius Medical Care Fresno North, Fresno, 1.6 miles away, straight line (CMS rating 5 of 5 stars)
Davita Herndon Dialysis, Fresno, 2.1 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars) - Hospice
- 26 Medicare hospices tell CMS they serve ZIP code 93720.
Saint Agnes Home Health & Hospice, office in Fresno, 1.6 miles away, straight line (CMS family survey rating 4 of 5 stars)
Aseracare Hospice, office in Fresno, 2.0 miles away, straight line
Hospice Of The Valley, office in Fresno, 2.3 miles away, straight line - Nearest geriatric medicine practice
- Permanente Medical Group Inc, Fresno. 2.4 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Zone X: 0.2% annual chance (500-year) flood area (moderate risk). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: inland flooding relatively low, tornado very low, heat wave relatively low, earthquake relatively moderate. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: no FEMA wildfire rating of moderate or higher here |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | No plain statements of services found |
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Frequently asked questions
Is Horizon Health & Subacute Center a good nursing home?
CMS gives Horizon Health & Subacute Center an overall rating of 2 out of 5 stars, including 4/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Horizon Health & Subacute Center staffed?
Horizon Health & Subacute Center reports 4.63 total nurse hours per resident per day, compared with the California average of 4.51.
Has Horizon Health & Subacute Center had inspection problems?
Its most recent CMS inspection cited 18 deficiencies.
How many beds does Horizon Health & Subacute Center have?
Horizon Health & Subacute Center is certified for 180 beds.