Horizon Health & Subacute Center
3034 E Herndon · Fresno, CA · 93720 · 5593210883
180 certified beds For profit - Limited Liability company Chain: Generations Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.57 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.54 | 0.55–0.75 |
| Weekend hours / resident-day | 4.15 | ≈ weekday level |
| Nursing turnover / year | 46% | median 45% |
| Fines (3-yr window) | 1 · $22,913 |
Inspection citations (45 in the current record)
-
Potential for harm · E March 20, 2026 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 19, 2026 · Resident Assessment and Care Planning
-
Potential for harm · E March 20, 2026 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected April 19, 2026 · Nursing and Physician Services
-
Potential for harm · E March 20, 2026 · found via complaint
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.
Corrected April 19, 2026 · Nursing and Physician Services
-
Potential for harm · E February 27, 2026 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 27, 2026 · Nutrition and Dietary
-
Potential for harm · E February 19, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected March 15, 2026 · Infection Control
-
Potential for harm · D March 26, 2025 · found via complaint
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.
Corrected April 18, 2025 · Resident Rights
-
Potential for harm · D March 26, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 18, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D March 7, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 16, 2025 · Resident Rights
-
Potential for harm · D March 7, 2025
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected April 16, 2025 · Resident Rights
-
Potential for harm · D March 7, 2025
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.
Corrected April 16, 2025 · Resident Rights
-
Potential for harm · D March 7, 2025
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected April 16, 2025 · Resident Rights
-
Potential for harm · E March 7, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 16, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D March 7, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 16, 2025 · Resident Assessment and Care Planning
-
Potential for harm · E March 7, 2025
Observe each nurse aide's job performance and give regular training.
Corrected April 16, 2025 · Nursing and Physician Services
-
Potential for harm · E March 7, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected April 16, 2025 · Pharmacy Service
-
Potential for harm · E March 7, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected April 16, 2025 · Pharmacy Service
-
Potential for harm · E March 7, 2025
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.
Corrected April 16, 2025 · Pharmacy Service
-
Potential for harm · D March 7, 2025
Provide routine and 24-hour emergency dental care for each resident.
Corrected April 16, 2025 · Quality of Life and Care
-
Potential for harm · D March 7, 2025
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected April 16, 2025 · Nutrition and Dietary
-
Potential for harm · E March 7, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 16, 2025 · Nutrition and Dietary
-
Potential for harm · E March 7, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 16, 2025 · Resident Assessment and Care Planning
-
Potential for harm · F March 7, 2025
Provide and implement an infection prevention and control program.
Corrected April 16, 2025 · Infection Control
-
Potential for harm · D March 7, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected April 16, 2025 · Environmental
-
Potential for harm · D February 20, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 19, 2025 · Quality of Life and Care
-
Potential for harm · D February 7, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 6, 2025 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 1, 2024 | Fine | $22,913 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 055199 · certified since June 1, 1980. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.