Horizon Health & Subacute Center

Nursing home in Fresno, CA

Medicare & Medicaid certified2★ overall (CMS)

Call (559) 321-0883 Send a message Map ↗

Public-record details

Address: 3034 E Herndon, Fresno, CA 93720
Phone: (559) 321-0883
Listed under: For-profit
Medicare CCN: 055199
Overall star rating: 2 of 5 ★★☆☆☆
Health inspection rating: 2 of 5
Staffing rating: 4 of 5
Quality measures rating: 4 of 5
Certified beds: 180
Average residents per day: 155
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 2026-09-30.

Inspection record

Most recent standard health inspection: Mar 7, 2025. CMS lists 45 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jun 21, 2019 to Mar 20, 2026): 16 from complaint inspections, 2 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

Inspection	Citation	Severity
Mar 20, 2026	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning · complaint inspection	E Potential for more than minimal harm, pattern
Mar 20, 2026	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services · complaint inspection	E Potential for more than minimal harm, pattern
Mar 20, 2026	Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services · complaint inspection	E Potential for more than minimal harm, pattern
Feb 27, 2026	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary · complaint inspection	E Potential for more than minimal harm, pattern
Feb 19, 2026	Provide and implement an infection prevention and control program. Infection Control · complaint inspection	E Potential for more than minimal harm, pattern
Mar 26, 2025	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights · complaint inspection	D Potential for more than minimal harm, isolated
Mar 26, 2025	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning · complaint inspection	D Potential for more than minimal harm, isolated
Mar 7, 2025	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights	D Potential for more than minimal harm, isolated
Mar 7, 2025	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights	D Potential for more than minimal harm, isolated
Mar 7, 2025	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights	D Potential for more than minimal harm, isolated
Mar 7, 2025	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights	D Potential for more than minimal harm, isolated
Mar 7, 2025	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated

Showing the 12 most recent of 45. 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 Aug 1, 2026.

Fines and payment denials

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

Mar 1, 2024

Fine: $22,913

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

Staffing

Total nurse staffing per resident per day: 4.63 hours
Registered nurse (RN) time per resident per day: 0.52 hours
Nurse aide time per resident per day: 2.56 hours
Total nurse staffing on weekends: 4.10 hours
Nursing staff turnover (yearly): 47%
RN turnover (yearly): 35%
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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