Horizon Health & Subacute Center

Assisted Living in USA

CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and 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 Info The Overall CMS Rating is scored from 1 to 5 stars and 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.
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Horizon Health & Subacute Center accepts Medicare, Medicaid, and private pay.

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 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.
2/5
Health Inspection Info 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.
2/5
Staffing Info 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.
4/5
Quality Measures Info 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.
3/5

Staffing hours breakdown

Info 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.

Hours per resident per day — compared to state averages

Total nursing care / resident Info 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.
4h 44m per day
Rank #59 / 271Nurse hours — state benchmarkedThis home is ranked 59th out of 271 homes in California.Shows adjusted nurse hours per resident per day benchmarked to the California average, with a ranking across 271 California SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
vs avg

3 of 6 metrics below state avg

Standout metric LPN / LVN is +22% above state avg
Staff typeHours / dayvs state avg
Registered Nurse (RN) Info 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. 33m per day ▼ 15% State avg: 39m per day · National avg: 41m per day
LPN / LVN Info 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 29m per day ▲ 22% State avg: 1h 13m per day · National avg: 52m per day
Nurse Aide Info 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 35m per day ■ Avg State avg: 2h 38m per day · National avg: 2h 20m per day
Total Nursing (Weekend) Info 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 13m per day ▲ 3% State avg: 4h 5m per day · National avg: 3h 26m per day
Physical Therapist Info 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 ▼ 20% State avg: 5m per day · National avg: 4m per day
RN (Weekend) Info 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 ▼ 17% State avg: 30m per day · National avg: 28m per day

Capacity and availability

This home usually has availability

Occupancy lower than 85% suggests more openings may be available.

Lower occupancy than the state average
Occupancy rate 70.2% Rank #221 / 277Occupancy rate — state benchmarkedThis home is ranked 221st out of 277 homes in California.Shows this facility's occupancy rate versus the California average, with its statewide rank out of 277. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay 115 days
Occupancy rate
70.2% Rank #221 / 277Occupancy rate — state benchmarkedThis home is ranked 221st out of 277 homes in California.Shows this facility's occupancy rate versus the California average, with its statewide rank out of 277. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
115 days

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.

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 Rank #265 / 275Revenue — state benchmarkedThis home is ranked 265th out of 275 homes in California.Shows this facility's annual revenue compared to the California SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.
Operating loss
-$701.6K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations. Rank #260 / 275Payroll — state benchmarkedThis home is ranked 260th out of 275 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.
$2.7M
55.2% of revenue Rank #46 / 275Payroll % — state benchmarkedThis home is ranked 46th out of 275 homes in California.Shows payroll as a percentage of revenue versus the California average. Well-run SNFs often land around 55–65%. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.
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 Rank #151 / 229Walk Score — state benchmarkedThis home is ranked 151st out of 229 homes in California.Shows how walkable this facility's neighborhood is compared to the average Walk Score across California SNFs. Higher scores benefit residents, families, and staff.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

License Details

CMS Certification Number55199

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
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Dining Services

Health Programs icon

Health Programs

Recreational activities icon
Recreational activities icon

Recreational Activities

Transportation services icon
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Transportation Services

Types of Care at Horizon Health & Subacute Center

Nursing Home

Contact Horizon Health & Subacute Center

Inspection History

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.

Inspection Scorecard Info This scorecard compares key inspection, citation, and complaint metrics at this facility against the California state average. Metrics worse than average are highlighted in red; those better than average are highlighted in green.

Overall vs. California average 0 Worse No metrics in this bucket. 3 Better Metrics better than California average:
• Total visits (100% below)
• Complaint visits (100% below)
• Other visits (100% below)

Inspections & Visits Info Regulatory visits include scheduled inspections, complaint investigations, and other on-site visits by state regulators.

MetricThis FacilityCalifornia Averagevs. California Avg
Total visits Info Combined count of complaint visits, other regulatory visits, and official scheduled inspections. 016 This facility has 100% fewer total visits than a typical California facility (0 vs. California avg 16).↓ 100% better
Complaint visits Info On-site visits triggered by formal complaints filed by residents, families, or staff. Fewer complaint visits generally indicate fewer reported concerns. 013 This facility has 100% fewer complaint visits than a typical California facility (0 vs. California avg 13).↓ 100% better
Other visits Info Regulatory visits that are neither routine inspections nor complaint investigations — administrative check-ins, follow-up reviews, licensing-related visits. 07 This facility has 100% fewer other visits than a typical California facility (0 vs. California avg 7).↓ 100% better

Read the full state inspection reports, including specific deficiencies and facility responses.

Show Inspection Reports

Health Inspection History

Inspections
Total health inspections 14

State average N/A


Last Health inspection on Mar 2025

Total health citations
43 Rank #156 / 275Health citations — state benchmarkedThis home is ranked 156th out of 275 homes in California.Shows this facility's total health deficiency citations benchmarked to the California state average, with a ranking across all 275 CA SNFs. Lower citation counts earn a better rank.

State average N/A

Citations per inspection
3.07 Rank #51 / 275Citations per inspection — state benchmarkedThis home is ranked 51st out of 275 homes in California.Shows average deficiency citations per CMS inspection for this facility versus the California mean across 275 SNFs with citation data. Lower is better.

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 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 Info 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 Info 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 Info Issues related to building safety, cleanliness, maintenance, and overall living conditions. Mar 07, 2025
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Mar 07, 2025
Corrected

Places of interest near Horizon Health & Subacute Center

Address 9.4 miles from city center Info Estimated distance in miles from Fresno's city center to Horizon Health & Subacute Center's address, calculated via Google Maps.

Calculate Travel Distance to Horizon Health & Subacute 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 average

State average ratio: 0:0

Avg staff/day 111
Average shift 8.2 hours
0% compared with State average

State 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 Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 66
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.6 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 117
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.2 hours

No 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 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
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 residents 155
Medicare
23
14.8% of residents
Medicaid
122
78.7% of residents
Private pay or other
10
6.5% of residents
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.

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
Significantly above average State avg: 4.2 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
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%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.84
26% worse than State average

State average: 2.25

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 3.56
124% worse than State average

State average: 1.59

Short-stay resident measures
Average State avg: 3.5 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
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%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 25.5%
10% worse than State average

State average: 23.2%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 21.3%
90% worse than State average

State average: 11.2%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.7%
9% better than State average

State average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 52.3%
In line with State average

State average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 50.4%
In line with State average

State average: 50.6%

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.

1 penalty in the past 3 years

Mar 1, 2024 · $23K

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

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).

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IL

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MC

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NH

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HC

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HC

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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

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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).

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