2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Ideally situated in the peaceful residential area of Herndon Avenue, Fresno, CA, Horizon Health & Subacute Center is a distinct community that offers skilled nursing, rehabilitation, memory care, assisted living, and behavioral health. Dedicated to improving residents’ well-being, the community provides top-notch care tailored to their special needs and preferences 24/7. Residents ease their worries knowing a trusted community helps with their daily living activities and household responsibilities.
A full calendar of fun activities and engaging events is conducted so residents can live actively and remain socially engaged. The community also prioritizes residents’ mental wellness, providing mental health programs for recovery. With a wide range of comprehensive care options, residents can rest assured of finding the care they need for their ever-changing needs.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 69th out of 354 homes in California for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 32m per day | ▼ 17% State avg: 39m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 27m per day | ▲ 20% State avg: 1h 13m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 34m per day | ■ Avg State avg: 2h 38m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 9m per day | ■ Avg State avg: 4h 5m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 4m per day | ▼ 25% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 25m per day | ▼ 16% State avg: 30m per day · National avg: 28m per day |
Key information about the people who lead and staff this community.
In California, the Department of Social Services (for assisted living facilities) and the Department of Public Health (for nursing homes) conduct inspections to ensure resident safety and regulatory compliance.
A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the California state average. The score below shows how many points this facility sits above or below the typical California nursing home score (the benchmark); higher is better.
7 points below the California average for nursing homes (81/100)
Rank #998 / 1401 in California Inspection Score — State benchmarked This home is ranked 998th out of 1401 homes in California. Shows this facility's inspection score compared to the California average among 1401 comparable communities in the ranking pool. Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking. Inspection score: 74 out of 100. Letter grade C. 7 points below the California average for nursing homes (81/100)
This scorecard compares key inspection, citation, and complaint metrics at this facility against the California state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 39 | 10 | This facility has 290% more total citations than a typical California nursing home (39 vs. CA avg 10).↑ 290% worse |
|
Citations per year
Average citations per year since 2019.
| 5.6 | 1.4 | This facility has 300% more citations per year than a typical California nursing home (5.6 vs. CA avg 1.4).↑ 300% worse |
|
Citations per inspection
Average citations per inspection.
| 3.3 | 3.3 | This facility has citations per inspection in line with the California average (3.3 vs. CA avg 3.3).— At avg |
Inspections & Visits
| This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
|
Total visits
Combined count of complaint visits, other regulatory visits, and official scheduled inspections.
| 8 | 16 | This facility has 50% fewer total visits than a typical California nursing home (8 vs. CA avg 16).↓ 50% better |
|
Complaint visits
On-site visits triggered by formal complaints filed by residents, families, or staff.
| 8 | 13 | This facility has 38% fewer complaint visits than a typical California nursing home (8 vs. CA avg 13).↓ 38% better |
|
Other visits
Regulatory visits that are neither routine inspections nor complaint investigations — administrative check-ins, follow-up reviews, licensing-related visits.
| 0 | 7 | This facility has 100% fewer other visits than a typical California nursing home (0 vs. CA avg 7).↓ 100% better |
California average 12.5
Last Health inspection on Mar 2025
California average 50.2
California average 4.65
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
29 of 43 citations resulted from standard inspections; and 14 of 43 resulted from complaint investigations.
150% worse than California averageCalifornia average: 0.4
In line with California averageCalifornia average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with California average
5% better than California average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 17 RN Staff are full-time employees. No contractors work on this role.
17
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursAssists with medical care and medications.
All 78 LPN Staff are full-time employees. No contractors work on this role.
78
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursHelps with daily care and mobility.
All 110 CNA Staff are full-time employees. No contractors work on this role.
110
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 110 | 0 | 110 | 36,291 | 92 | 100% | 8.4 |
| Licensed Practical Nurse | 78 | 0 | 78 | 19,108 | 92 | 100% | 8.2 |
| Registered Nurse | 17 | 0 | 17 | 6,159 | 92 | 100% | 8.1 |
| Diagnostic X-ray Services Staff | 11 | 0 | 11 | 2,987 | 92 | 100% | 8 |
| Other Dietary Services Staff | 5 | 0 | 5 | 2,029 | 92 | 100% | 7.7 |
| Qualified Activities Professional | 8 | 0 | 8 | 1,913 | 92 | 100% | 10 |
| Speech Language Pathologist | 8 | 0 | 8 | 1,509 | 68 | 74% | 7.7 |
| RN Director of Nursing | 6 | 0 | 6 | 1,405 | 71 | 77% | 8 |
| Physical Therapy Assistant | 7 | 0 | 7 | 1,190 | 82 | 89% | 5 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 1,008 | 64 | 70% | 8 |
| Dental Services Staff | 2 | 0 | 2 | 953 | 66 | 72% | 8.1 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 884 | 78 | 85% | 7.1 |
| Physical Therapy Aide | 6 | 0 | 6 | 786 | 67 | 73% | 6 |
| Occupational Therapy Aide | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
| Administrator | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 440 | 55 | 60% | 8 |
| Dietitian | 1 | 0 | 1 | 414 | 59 | 64% | 7 |
| Qualified Social Worker | 2 | 0 | 2 | 159 | 36 | 39% | 4.4 |
Includes penalties issued in 2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
58% lower than California averageCalifornia average: $55K
58% fewer fines than California averageCalifornia average: 2.4
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than California averageCalifornia average: 0.5
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Mar 1, 2024 · $23K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 1, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
5.9
11% better than California averageCalifornia average: 6.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
9.9
12% better than California averageCalifornia average: 11.3
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
6.3%
43% better than California averageCalifornia average: 11.1%
Percent of long-stay residents whose ability to move independently worsened
10.2%
15% better than California averageCalifornia average: 12.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
13.3%
18% worse than California averageCalifornia average: 11.3%
Percent of long-stay residents experiencing one or more falls with major injury
1.5%
9% better than California averageCalifornia average: 1.7%
Percent of long-stay high risk residents with pressure ulcers
5.4%
9% worse than California averageCalifornia average: 5.0%
Percent of long-stay residents with a urinary tract infection
0.4%
69% better than California averageCalifornia average: 1.2%
Percent of long-stay residents who lose too much weight
6.1%
45% worse than California averageCalifornia average: 4.2%
Percent of long-stay residents who have depressive symptoms
1.2%
83% better than California averageCalifornia average: 6.7%
Percent of long-stay residents who received an antipsychotic medication
6.2%
39% better than California averageCalifornia average: 10.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with California averageCalifornia average: 98.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with California averageCalifornia average: 98.2%
Number of hospitalizations per 1,000 long-stay resident days.
2.84
26% worse than California averageCalifornia average: 2.25
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.56
124% worse than California averageCalifornia average: 1.59
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.5%
In line with California averageCalifornia average: 94.0%
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
8% better than California averageCalifornia average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
90.8%
In line with California averageCalifornia average: 93.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
25.5%
10% worse than California averageCalifornia average: 23.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
21.3%
90% worse than California averageCalifornia average: 11.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.7%
9% better than California averageCalifornia average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
52.3%
In line with California averageCalifornia average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
50.4%
In line with California averageCalifornia average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
26% of new residents, usually for short-term rehab.
60% of new residents, often for short stays.
14% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
155Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Horizon Health & Subacute Center from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 03/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #330 / 355Payroll — State benchmarkedThis home is ranked 330th out of 355 homes in California. Shows total annual staff payroll benchmarked to the California average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #16 / 355Payroll % — State benchmarkedThis home is ranked 16th out of 355 homes in California. Shows payroll as a percentage of revenue versus the California average. Well-run California facilities typically land around 55–67% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Housing Options: Private / Semi-Private Rooms
Building Type: Single-story
Health Programs
Recreational Activities
Transportation Services
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (60% of admissions), and a typical private pay stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
7.5 miles from city center
Estimated distance in miles from Fresno's city center to Horizon Health & Subacute Center's address, calculated via Google Maps.
Add your location
The information below is reported by the California Department of Social Services and Department of Public Health.
| North Pointe Care Center | NH MC RC | Fresno (East Bullard Avenue) | 99
Facility
99
CA AVG
103
Rank
#725 / 1657 |
88.8%
Facility
88.8%
CA AVG
84.7%
Rank
#358 / 1537 | +5% | 3.61
Facility
3.61
CA AVG
4.22
Rank
#269 / 354 | +19% | -14% | $0
Facility
$0
CA AVG
$56.5k
Rank
#1 / 362 | - | 21
Facility
21
CA AVG
50.2
Rank
#47 / 361 | 4.2
Facility
4.2
CA AVG
4.6
Rank
#188 / 361 | - | 92 | - |
80
Facility
80
CA AVG
57
Rank
#417 / 2092 | North Point Wellness Gp LLC | $8.5M
Facility
$8.5M
CA AVG
$17.0M
Rank
#239 / 355 | $5.5M
Facility
$5.5M
CA AVG
$7.0M
Rank
#261 / 355 | 64.7%
Facility
64.7%
CA AVG
45.2%
Rank
#227 / 355 | 555179 | ||||
| The Terraces at San Joaquin Gardens a CCRC | NH AL IL MC | Fresno | 652
Facility
652
CA AVG
103
Rank
#9 / 1657 |
57.2%
Facility
57.2%
CA AVG
84.7%
Rank
#1265 / 1537 | -32% | 5.21
Facility
5.21
CA AVG
4.22
Rank
#31 / 354 | +27% | +23% | $0
Facility
$0
CA AVG
$56.5k
Rank
#1 / 362 | 88
Facility
88
CA AVG
81
Rank
#513 / 1401 | 32
Facility
32
CA AVG
50.2
Rank
#128 / 361 | 4.6
Facility
4.6
CA AVG
4.6
Rank
#216 / 361 | 1 | 373 | A+ |
57
Facility
57
CA AVG
57
Rank
#1157 / 2092 | Humangood Fresno | $33.9M
Facility
$33.9M
CA AVG
$17.0M
Rank
#28 / 355 | $13.6M
Facility
$13.6M
CA AVG
$7.0M
Rank
#32 / 355 | 40.2%
Facility
40.2%
CA AVG
45.2%
Rank
#284 / 355 | 55846 | ||||
| Evergreen Life Care Homes | NH HC MC RC | Fresno (Roosevelt) | 49
Facility
49
CA AVG
103
Rank
#1138 / 1657 |
90.9%
Facility
90.9%
CA AVG
84.7%
Rank
#295 / 1537 | +7% | 4.36
Facility
4.36
CA AVG
4.22
Rank
#105 / 354 | -27% | +3% | $0
Facility
$0
CA AVG
$56.5k
Rank
#1 / 362 | - | 33
Facility
33
CA AVG
50.2
Rank
#136 / 361 | 3.0
Facility
3.0
CA AVG
4.6
Rank
#65 / 361 | 2 | 46 | A+ |
37
Facility
37
CA AVG
57
Rank
#1605 / 2092 | Evergreen Care Center Holdings LLC | $8.6M
Facility
$8.6M
CA AVG
$17.0M
Rank
#326 / 355 | $2.8M
Facility
$2.8M
CA AVG
$7.0M
Rank
#346 / 355 | 32.6%
Facility
32.6%
CA AVG
45.2%
Rank
#252 / 355 | 555920 | ||||
| Horizon Health & Subacute Center | NH | Fresno (East Herndon Avenue) | 180
Facility
180
CA AVG
103
Rank
#210 / 1657 |
70.2%
Facility
70.2%
CA AVG
84.7%
Rank
#949 / 1537 | -17% | 4.73
Facility
4.73
CA AVG
4.22
Rank
#69 / 354 | -29% | +12% | $22.9k
Facility
$22.9k
CA AVG
$56.5k
Rank
#268 / 362 | 74
Facility
74
CA AVG
81
Rank
#998 / 1401 | 43
Facility
43
CA AVG
50.2
Rank
#191 / 361 | 3.1
Facility
3.1
CA AVG
4.6
Rank
#77 / 361 | 2 | 153 | - |
58
Facility
58
CA AVG
57
Rank
#1128 / 2092 | Chad Galley | $4.8M
Facility
$4.8M
CA AVG
$17.0M
Rank
#345 / 355 | $3.1M
Facility
$3.1M
CA AVG
$7.0M
Rank
#330 / 355 | 65.1%
Facility
65.1%
CA AVG
45.2%
Rank
#16 / 355 | 55199 | ||||
| Fresno Nursing Center | NH | Fresno (Mclane) | 65
Facility
65
CA AVG
103
Rank
#1044 / 1657 |
95.3%
Facility
95.3%
CA AVG
84.7%
Rank
#188 / 1537 | +13% | 3.96
Facility
3.96
CA AVG
4.22
Rank
#184 / 354 | -39% | -6% | $42.8k
Facility
$42.8k
CA AVG
$56.5k
Rank
#302 / 362 | - | 50
Facility
50
CA AVG
50.2
Rank
#226 / 361 | 4.6
Facility
4.6
CA AVG
4.6
Rank
#216 / 361 | 4 | 61 | - |
66
Facility
66
CA AVG
57
Rank
#855 / 2092 | Fresno Nursing And Rehab Center LLC | $8.7M
Facility
$8.7M
CA AVG
$17.0M
Rank
#303 / 355 | $5.1M
Facility
$5.1M
CA AVG
$7.0M
Rank
#269 / 355 | 58.1%
Facility
58.1%
CA AVG
45.2%
Rank
#29 / 355 | 56266 |
Horizon Health & Subacute Center is located in Fresno, California.
Here are the financial assistance programs available to residents in California.
Horizon Health & Subacute Center is in the East Herndon Avenue neighborhood of Fresno.
Horizon Health & Subacute Center has a walk score of 58. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Horizon Health & Subacute Center's occupancy is 70.2%.
Horizon Health & Subacute Center is registered as a for-profit in CA.
Yes — there are 4 photos of Horizon Health & Subacute Center in the photo gallery on this page.
Horizon Health & Subacute Center is located at 3034 Herndon Ave, Fresno, CA 93720.
(559) 321-0883 will put you in contact with the team at Horizon Health & Subacute Center.
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