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).

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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

Inspection record 30% of score 35
Serious harm & abuse 20% 88
Staffing 20% 79
Federal penalties 15% 71
Trend 10% 53
Context 5% 100

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-day4.573.48 min · 4.1 strong
RN hours / resident-day0.540.55–0.75
Weekend hours / resident-day4.15≈ weekday level
Nursing turnover / year46%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

DateTypeAmount / length
March 1, 2024Fine$22,913

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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.