Horizon Health & Subacute Center
3034 E Herndon, Fresno, CA 937205593210883Ownership: For profit - Limited Liability companyCertified beds: 180Avg. daily residents: 154Chain: Generations Healthcare (27 facilities)County: Fresno
The complete public record on Horizon Health & Subacute Center, a Medicare & Medicaid–certified nursing home in Fresno, California, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.
CMS Star Ratings
Overall rating
★★☆☆☆
CMS’s composite of the three ratings below. California average: 3.2 stars.
Health inspection
★★☆☆☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★★★★☆
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★★★★☆
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
Horizon Health & Subacute Center holds a 2-star overall rating, in the bottom two tiers CMS assigns. Nursing staff turnover of 47% is well above the California average of 37%; high turnover is one of the strongest predictors of inconsistent care. Federal regulators have fined this facility $22,913 in the last three years. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.
Staffing
4.63 total nurse staff hours per resident per day
about the state average (4.52)
0.52 RN hours per resident per day
below the state average (0.67)
4.10 weekend nurse staff hours per resident per day
47.1% total nursing staff turnover
above the state average (36.7)
35.0% RN turnover
0 administrators left in the reporting period
Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.
Inspections & Penalties
March 7, 2025 most recent standard health inspection
21 health deficiencies cited in the most recent inspection cycle
above the state average (15.6)
13 health deficiencies in the two prior cycles combined
$22,913 in federal fines across 1 penalty (last 3 years)
below the state average ($24,666)
0 payment denials
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed
Recent Inspection Citations
45 citations on record across recent inspections, 2 at the actual-harm or immediate-jeopardy level. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.
| Inspection | Tag | What was cited | Severity |
|---|
| March 20, 2026 | 0658 | Ensure services provided by the nursing facility meet professional standards of quality. Complaint | E · Potential for more than minimal harm |
| March 20, 2026 | 0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Complaint | E · Potential for more than minimal harm |
| March 20, 2026 | 0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's… Complaint | E · Potential for more than minimal harm |
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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.