Nursing HomeInspections

Horizon Health & Subacute Center

Nursing home in Fresno, CA

Medicare & Medicaid certified3★ overall (CMS)

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Public-record details

Address
3034 E Herndon, Fresno, CA 93720
Phone
(559) 321-0883
Listed under
For-profit
Medicare CCN
055199
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
2 of 5
Staffing rating
4 of 5
Quality measures rating
5 of 5
Certified beds
180
Average residents per day
153
Ownership
For-profit, limited Liability company
Legal business name
Ghc of Fresno, LLC
Chain
Generations Healthcare (27 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jun 1, 1980
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 055199. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Jul 31, 2026. CMS lists 53 health citations for this facility across its last three standard inspection cycles and complaint inspections (Nov 8, 2023 to Jul 31, 2026): 16 from complaint inspections, 1 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Jul 31, 2026Give the resident's representative the ability to exercise the resident's rights.
Resident Rights
D
Potential for more than minimal harm, isolated
Jul 31, 2026Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights
D
Potential for more than minimal harm, isolated
Jul 31, 2026Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights
D
Potential for more than minimal harm, isolated
Jul 31, 2026Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Jul 31, 2026Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Jul 31, 2026Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Jul 31, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Jul 31, 2026Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Jul 31, 2026Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Jul 31, 2026Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Jul 31, 2026Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary
D
Potential for more than minimal harm, isolated
Jul 31, 2026Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Nutrition and Dietary
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 53. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $22,913 in the last three years.

Mar 1, 2024Fine: $22,913

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.79 hours
Registered nurse (RN) time per resident per day
0.54 hours
Nurse aide time per resident per day
2.66 hours
Total nurse staffing on weekends
4.23 hours
Nursing staff turnover (yearly)
46%
RN turnover (yearly)
33%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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