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Nursing home report

HORIZON HEALTH & SUBACUTE CENTER

FRESNO, CA · Medicare-certified · 180 beds

In good standing
For-profitChain member
2 of 5 overall

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.

Facility ratings

Health inspections

Staffing

4.5676 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 4.5676.

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.

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

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.