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Nursing home report

HORIZON HEALTH & SUBACUTE CENTER

FRESNO, CA · Medicare-certified · 180 beds

In good standing
For-profitChain member
Data as of July 1, 2026
2 of 5 overall

HORIZON HEALTH & SUBACUTE CENTER (FRESNO, CA) has an overall 2-star rating, with a 2-star health inspection rating but stronger staffing and quality ratings at 4 stars. It reports 4.63 nurse staffing hours per resident per day, above the federal benchmark of 4.1, with $0 in fines over the last 24 months; recent inspection citations included treatment and care, accident hazards/supervision, and infection prevention and control.

Facility ratings

Health inspections

Staffing

4.6322 hrs/resident/day

Quality measures

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 4.6322.

Staffing detail

Registered nurses
0.52
Licensed practical nurses
1.55
Nurse aides
2.56
Weekend nursing
4.10

Hours per resident per day.

Total staff turnover: 47%
Registered nurse turnover: 35%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

5.3%1.6%Improving

Residents with a fall causing major injury

2.3%0%Improving

Residents with pressure ulcers (bedsores)

6.1%5.1%Improving

Residents with a urinary tract infection

0%0.8%Worsening

Residents who lost too much weight

7.1%3.7%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

5.4%6.7%Worsening

Residents whose ability to walk got worse

11.8%12.4%Worsening

Long-stay residents on antianxiety or sleep medication

10.3%7.3%Improving

Short-stay residents newly given an antipsychotic

0%2.1%Worsening

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

13.1%15.6%Worsening

Residents with depressive symptoms

0.9%0.9%No change

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

100%

Long-stay residents given the pneumonia vaccine

100%100%No change

Short-stay residents given the seasonal flu vaccine

90.8%

Short-stay residents given the pneumonia vaccine

95.9%100%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.

View the original federal record

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.

View the original federal record

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.

View the original federal record

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.

View the original federal record

F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  2. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $22,913 in total fines.

  • Federal fine

    Mar 1, 2024

    $22,913

Operator & ownership

Recent ownership change · Apr 1, 2023

Now operated by Horizon Health & Subacute Center, previously Horizon Health and Subacute Center.

Ownership
For profit - Limited Liability company
Chain
Part of GENERATIONS HEALTHCARE · 27 homes · 4.2 stars avg
Occupancy
154.5 residents on an average day (86% 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.