Horizon Health & Subacute Center

Assisted Living Home

Horizon Health & Subacute Center

3034 Herndon Ave, Fresno, CA 93720 View Map
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Overview of Horizon Health & Subacute Center

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.

(559) 321-0883

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
2/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
2/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
4/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
3/5

Nursing care per resident

Info Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
4h 44m per day

Capacity and availability

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the state average
Occupancy rate 70.2%
Residents per day (avg) 155
Occupancy rate
70.2%
Residents per day (avg)
155

Who this home usually serves

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Might be optimal for
Post-acute recovery Temporary care Transitional stays

Breakdown by payment type

Medicare

26% of new residents, usually for short-term rehab.

Typical stay 1 months

Private pay

60% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

14% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Finances and operations

Proprietary home
Other
Home revenue
$4.8M
Operating loss
-$701.6K
Proprietary home Other
Home revenue
$4,804,147.00
Operating loss
$-701,624.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.7M
55.2% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.9M
Total costs $5.5M
Walk Score
Walk Score: 58 / 100
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

Additional licensing details

CMS Certification Number: 55199

What does this home offer?

Total residents icon
Total residents icon

Total Residents: 157 Residents

Housing options icon
Housing options icon

Housing Options: Private / Semi-Private Rooms

Building type icon
Building type icon

Building Type: Single-story

Dining services icon
Dining services icon

Dining Services

Health Programs icon

Health Programs

Recreational activities icon
Recreational activities icon

Recreational Activities

Transportation services icon
Transportation services icon

Transportation Services

Types of Care at Horizon Health & Subacute Center

Nursing Home
Contact Horizon Health & Subacute Center

Compare Assisted Living around Usa

The information below is reported by the California Department of Social Services and Department of Public Health.
Horizon Health & Subacute Center
SNF

Nursing Homes 24/7 care needed

Fresno
180
No
58
GALLEY, CHAD
70.2%
$4,764,948.00
$2,654,166.00
55.7%
155.00
2/5
4.7273
2/5
4/5
3/5
1
43
2
-4%
+12%
-17%
Private / Semi-Private Rooms
Village Veranda at Lady Lake
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

SNF

Nursing Homes 24/7 care needed

Lady Lake
145
Yes
25
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
Private / Semi-Private Rooms
The Canopy at Hickory Creek
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

MC

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SNF

Nursing Homes 24/7 care needed

Titusville
72
Yes
38
Hickory Creek Operations, LLC
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
Private / Semi-Private Rooms
Job Haines Home
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

HC

Home Care

HC

Hospice Care

SNF

Nursing Homes 24/7 care needed

Bloomfield
40
No
85
HAVERON, NOREEN
45.5%
$13,340,016.00
$10,214,151.00
76.6%
36.90
5/5
6.3081
5/5
5/5
4/5
-
4
-
-21%
+63%
-41%
Studio / 1 Bed / Private / Semi-Private Rooms
Amani Place AFH III
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

HC

Hospice Care

MC

Memory Care Specialized care for those with Memory Loss, Alzheimer's, or dementia, ensuring safety and support.

SNF

Nursing Homes 24/7 care needed

Spokane Valley
-
No
1
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
Private / Semi-Private Rooms

Places of interest near Horizon Health & Subacute Center

Address 9.4 miles from city center

Address 3034 Herndon Ave, Fresno, CA 93720

Calculate Travel Distance to Horizon Health & Subacute Center

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Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

256
Total Staff
256
Employees
0
Contractors
82,857
Total Hours (Quarter)
111
Avg Staff/Day
8.2
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse219 No
Licensed Practical Nurse668.6 No
Certified Nursing Assistant1178.2 No
Staff by Category
Administration
1 staff
8hs shift avg
Nursing Staff
207 staff
8.4hs shift avg
Physicians & Practitioners
3 staff
8hs shift avg
Therapy Services
22 staff
7.1hs shift avg
Activities & Recreation
4 staff
12hs shift avg
Social Services
3 staff
7.3hs shift avg
Dietary Services
6 staff
7.3hs shift avg
Other Services
10 staff
7.9hs shift avg
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant117011740,83191100%8.2
Licensed Practical Nurse6606619,76191100%8.6
Registered Nurse210216,06191100%9
Diagnostic X-ray Services Staff8083,00291100%7.9
Other Dietary Services Staff5051,74491100%7.2
Speech Language Pathologist6061,5307481%7.7
RN Director of Nursing3031,3926470%8
Respiratory Therapy Technician6061,2427785%6.9
Qualified Activities Professional4041,10291100%12
Clinical Nurse Specialist2021,0086470%8
Physical Therapy Assistant5059438189%6
Physical Therapy Aide4048926571%7.1
Occupational Therapy Aide1015126470%8
Mental Health Service Worker1015046369%8
Dental Services Staff1014785864%8.2
Administrator1014725965%8
Nurse Practitioner1014725965%8
Dietitian1014686268%7.6
Qualified Social Worker3034436167%7.3

Health Inspection History

Inspections
Total health inspections 14

State average N/A


Last Health inspection on Mar 2025

Total health citations 43
Citations per inspection
3.07

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.

Breakdown of citation severity (last 3 years)
Critical Health citations More info 1
In line with State average

State average: N/A


Serious Health citations More info 1
In line with State average

State average: N/A

1 critical citation More info State average: N/A

1 serious citation More info State average: N/A

40 moderate citations More info State average: N/A

1 minor citation More info State average: N/A
Citations history (last 3 years)
Care Planning moderate citation Mar 26, 2025
Corrected

Resident Rights moderate citation Mar 26, 2025
Corrected

Environmental moderate citation Mar 07, 2025
Corrected

Infection Control moderate citation Mar 07, 2025
Corrected

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Ownership: For-Profit LLC
Part of: Life Generation Healthcare, LLC
Resident Census by Payment Source
155 Total Residents
Medicare 23 (14.8%)
Medicaid 122 (78.7%)
Private Pay/Other 10 (6.5%)
Specialized Care Beds
79 Total Specialty Beds
43.9% of Bed Capacity
35
Ventilator Beds
19.4%
44
Other Specialized Rehab Beds
24.4%
Programs & Services
Residents' Group
Family Engagement

Active councils help families stay involved in care decisions and facility operations.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info 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 State average

State average: 6.6

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 9.9
12% better than State average

State average: 11.3

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 6.3%
43% better than State average

State average: 11.1%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 10.2%
15% better than State average

State average: 12.0%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 13.3%
18% worse than State average

State average: 11.3%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 1.5%
9% better than State average

State average: 1.7%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.4%
9% worse than State average

State average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.4%
69% better than State average

State average: 1.2%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 6.1%
45% worse than State average

State average: 4.2%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 1.2%
83% better than State average

State average: 6.7%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 6.2%
39% better than State average

State average: 10.1%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
In line with State average

State average: 98.5%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with State average

State average: 98.2%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 97.5%
In line with State average

State average: 94.0%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.3%
8% better than State average

State average: 1.5%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 90.8%
In line with State average

State average: 93.2%

Penalties and fines

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)

Total fines amount $23K
58% lower than State average

State average: $55K

Number of fines 1
58% fewer fines than State average

State average: 2.4

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than State average

State average: 0.5

Fines amount comparison
Fines amount comparison
This facility $23K
State average $55K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Mar 1, 2024
$23K

Last updated: Jan 2026

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