HORIZON HEALTH & SUBACUTE CENTER (FRESNO, CA) has a 2-star overall rating, with a 2-star health inspection rating but stronger 4-star staffing and quality ratings. Reported nurse staffing is 4.57 hours per resident per day, above the federal benchmark of 4.1, and there were $0 in fines in the last 24 months; recent inspection issues included treatment/care orders, accident hazards/supervision, and infection prevention and control.
Last inspection: March 20, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.5676.
Staffing detail
Registered nurses
0.54
Licensed practical nurses
1.45
Nurse aides
2.57
Weekend nursing
4.15
Hours per resident per day.
Total staff turnover: 46%
Registered nurse turnover: 28%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
4.2%Steady
Residents with a fall causing major injury
1.3%Improving
Residents with pressure ulcers (bedsores)
4.5%Improving
Residents with a urinary tract infection
0.4%Worsening
Residents who lost too much weight
5.4%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
4.6%Improving
Residents whose ability to walk got worse
7.8%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
11.5%Worsening
Short-stay residents newly given an antipsychotic
0.8%Steady
Residents with a long-term catheter
0.2%Improving
Residents with new or worsening incontinence
8.4%Improving
Residents with depressive symptoms
1.7%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
99.8%Worsening
Short-stay residents given the seasonal flu vaccine
90.8%Steady
Short-stay residents given the pneumonia vaccine
97.5%Improving
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited March 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2019 — isolated incident, actual harm.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited March 2025 — widespread issue, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to provide enough support staff to safely and effectively run food and nutrition services. Cited June 2019 — widespread issue, potential for harm.
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F-Tag 802 — 42 CFR §483.60 — S/S: F
The nursing home failed to provide services that met professional standards of quality. Cited March 2026 — limited pattern, potential for harm.
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F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: E
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 3 health deficiencies.
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INSPECTION
Health inspection found 1 health deficiency.
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INSPECTION
Health inspection found 1 health deficiency.
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Penalties & enforcement
On record with Medicare: 1 fine · $22,913 in total fines.
Federal fine
Mar 1, 2024
$22,913
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of GENERATIONS HEALTHCARE · 27 homes · 4.2 stars avg
Occupancy
153.3 residents on an average day (85% of 180 beds)
Resident voice
Resident council
Medicare history
Certified for 46 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.