Total health inspections
14
State average N/A
Last Health inspection on Mar 2025
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
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Assisted Living in USA
CMS overall rating
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.
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.
Horizon Health & Subacute Center
Assisted Living in USA
CMS overall rating
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.
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.
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.
Quality ratings
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
70.2%
Residents per day (avg)
155
Occupancy rate
70.2%
Residents per day (avg)
155
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
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
Privately-owned community
Home revenue
$4.8M
Operating loss
-$701.6K
Privately-owned community
Home revenue
$4.8M
Operating loss
-$701.6K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.7M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.9M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$5.5M
Walk Score: 58 / 100
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
CMS Certification Number55199
What does this home offer?
Total Residents: 157 Residents
Housing Options: Private / Semi-Private Rooms
Building Type: Single-story
Dining Services
Health Programs
Recreational Activities
Transportation Services
Types of Care at Horizon Health & Subacute Center
Nursing Home
Health Inspection History
Inspections
Total health citations
43
State average N/A
Citations per inspection
3.07
State average N/A
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
1
1
In line with State averageState average: N/A
Serious Health citations
1
1
In line with State averageState average: N/A
1 critical citation
1 serious citation
40 moderate citations
1 minor citation
Citations history (last 3 years)
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Mar 26, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Mar 26, 2025
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Mar 26, 2025
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Mar 26, 2025
Corrected
Environmental moderate citation
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Mar 07, 2025
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Mar 07, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Mar 07, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Mar 07, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Assisted Living around Usa The information below is reported by the California Department of Social Services and Department of Public Health.
Filter by care type
Horizon Health & Subacute Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Fresno
180
No
-
58
Private / Semi-Private Rooms
Alexandria Care Center
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Los Angeles (East Hollywood)
177
No
-
92
Private / Semi-Private Rooms
Alvarado Care Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Los Angeles (Pico-Union)
72
No
A+
95
Private / Semi-Private Rooms
Job Haines Home
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.
Bloomfield
40
No
-
85
Studio / 1 Bed / Private / Semi-Private Rooms
Amani Place AFH III
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Spokane Valley
-
No
-
1
Private / Semi-Private Rooms
Places of interest near Horizon Health & Subacute Center
9.4 miles from city center
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
256
Employees
256
Contractors
0
Staff to resident ratio
1.65:1
0% compared with State averageState average ratio: 0:0
Avg staff/day
111
Average shift
8.2 hours
0% compared with State averageState average: 0 hours
Total staff hours (quarter)
82,857
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
21
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
66
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
117
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
0%
0 contractor hours this quarter
No contractor roles were reported this quarter.
Staff by category
| Certified Nursing Assistant | 117 | 0 | 117 | 40,831 | 91 | 100% | 8.2 |
| Licensed Practical Nurse | 66 | 0 | 66 | 19,761 | 91 | 100% | 8.6 |
| Registered Nurse | 21 | 0 | 21 | 6,061 | 91 | 100% | 9 |
| Diagnostic X-ray Services Staff | 8 | 0 | 8 | 3,002 | 91 | 100% | 7.9 |
| Other Dietary Services Staff | 5 | 0 | 5 | 1,744 | 91 | 100% | 7.2 |
| Speech Language Pathologist | 6 | 0 | 6 | 1,530 | 74 | 81% | 7.7 |
| RN Director of Nursing | 3 | 0 | 3 | 1,392 | 64 | 70% | 8 |
| Respiratory Therapy Technician | 6 | 0 | 6 | 1,242 | 77 | 85% | 6.9 |
| Qualified Activities Professional | 4 | 0 | 4 | 1,102 | 91 | 100% | 12 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 1,008 | 64 | 70% | 8 |
| Physical Therapy Assistant | 5 | 0 | 5 | 943 | 81 | 89% | 6 |
| Physical Therapy Aide | 4 | 0 | 4 | 892 | 65 | 71% | 7.1 |
| Occupational Therapy Aide | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 478 | 58 | 64% | 8.2 |
| Administrator | 1 | 0 | 1 | 472 | 59 | 65% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 472 | 59 | 65% | 8 |
| Dietitian | 1 | 0 | 1 | 468 | 62 | 68% | 7.6 |
| Qualified Social Worker | 3 | 0 | 3 | 443 | 61 | 67% | 7.3 |
117 Certified Nursing Assistant
% of Days
100%
66 Licensed Practical Nurse
% of Days
100%
21 Registered Nurse
% of Days
100%
8 Diagnostic X-ray Services Staff
% of Days
100%
5 Other Dietary Services Staff
% of Days
100%
6 Speech Language Pathologist
% of Days
81%
3 RN Director of Nursing
% of Days
70%
6 Respiratory Therapy Technician
% of Days
85%
4 Qualified Activities Professional
% of Days
100%
2 Clinical Nurse Specialist
% of Days
70%
5 Physical Therapy Assistant
% of Days
89%
4 Physical Therapy Aide
% of Days
71%
1 Occupational Therapy Aide
% of Days
70%
1 Mental Health Service Worker
% of Days
69%
1 Dental Services Staff
% of Days
64%
1 Administrator
% of Days
65%
1 Nurse Practitioner
% of Days
65%
1 Dietitian
% of Days
68%
3 Qualified Social Worker
% of Days
67%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
155 residents
Residents by payment source
Medicare
23 residents (14.8%)
Medicaid
122 residents (78.7%)
Private pay or other
10 residents (6.5%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
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.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
5.9
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 averageState average: 6.6
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
9.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
9.9
12% better than State averageState average: 11.3
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
6.3%
Percent of long-stay residents whose need for help with daily activities has increased
6.3%
43% better than State averageState average: 11.1%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
10.2%
Percent of long-stay residents whose ability to move independently worsened
10.2%
15% better than State averageState average: 12.0%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
13.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
13.3%
18% worse than State averageState average: 11.3%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
1.5%
Percent of long-stay residents experiencing one or more falls with major injury
1.5%
9% better than State averageState average: 1.7%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.4%
Percent of long-stay high risk residents with pressure ulcers
5.4%
9% worse than State averageState average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.4%
Percent of long-stay residents with a urinary tract infection
0.4%
69% better than State averageState average: 1.2%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
6.1%
Percent of long-stay residents who lose too much weight
6.1%
45% worse than State averageState average: 4.2%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.2%
Percent of long-stay residents who have depressive symptoms
1.2%
83% better than State averageState average: 6.7%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
6.2%
Percent of long-stay residents who received an antipsychotic medication
6.2%
39% better than State averageState average: 10.1%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with State averageState average: 98.5%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with State averageState average: 98.2%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.5%
In line with State averageState average: 94.0%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
8% better than State averageState average: 1.5%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
90.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
90.8%
In line with State averageState average: 93.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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 averageState average: $55K
Number of fines
1
58% fewer fines than State averageState average: 2.4
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than State averageState 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
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 1, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 1, 2024
$23K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Horizon Health & Subacute Center based on CMS SNF Cost Reports.
Occupancy Rate
70.2%
↑ 2.6pp vs 2022
Net Income
-$701.6K
↑ ~$3.0M vs 2022
Total Payroll
$3.6M
↓ ~$8.2M vs 2022
Profit Margin
-14.7%
↑ 6.3pp vs 2022
Loading trend charts...
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