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Nursing HomeMedicaid Investigative

Horizon Health & Subacute Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

3034 E Herndon, Fresno, CA 93720180 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.1/5

based on 178 Google reviews

5
4
3
2
1
Horizon Health & Subacute Center Nursing Home in Fresno, CA — Street View
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3/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Above-median deficiencies (18 vs median 13.0)

Below average in CA · Below recommended RN staffing · Above recommended total nurse staffing · Below chain average · $22,913 in fines

Source: Medicare data

What this means for your family

This facility is an excellent choice for patients specifically needing intensive physical or occupational therapy, as the rehab team is consistently praised. However, families must be vigilant regarding nursing care; you should closely monitor medication schedules and ensure call buttons are being answered promptly, as several reviewers have noted significant lapses in basic nursing attentiveness.

Google Reviews

Google Reviews

178 reviews on Google
Families considering Horizon Health & Subacute Center will find a facility with a highly-regarded rehabilitation and physical therapy department. While many recent reviews praise the cleanliness and the kindness of the therapy team, there are serious, recurring allegations regarding medication errors, delayed response to call buttons, and inconsistent nursing care.

Quality Themes

Tap a score for details
Food4.0Staff6.0Clean8.0Activities7.0Meds2.0MemoryN/AComms4.0ValueN/A

Strengths

  • Excellent physical and occupational therapy teams
  • Clean and well-maintained facility
  • Welcoming and professional rehabilitation staff
  • Compassionate social workers and administration

Concerns

  • Medication errors and delays (mentioned by 3 reviewers)
  • Slow response to call buttons and bathroom assistance (mentioned by 4 reviewers)
  • Inconsistent nursing and CNA attentiveness (mentioned by 5 reviewers)
  • Poor food quality and dietary issues (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'15(2)'17(5)'19(5)'21(7)'23(14)'25(75)'26(20)

Distribution · 180 analyzed

5
123
4
16
3
4
2
3
1
34

How They Respond to Reviews

43%response rate
Good

The owner provides personalized responses that address specific details mentioned in the reviews, such as cleanliness, staff friendliness, or specific patient progress. The tone is consistently warm, professional, and appreciative.

Questions for Your Tour

  • 1We've heard wonderful things about your physical and occupational therapy teams; how do you tailor those rehab programs to meet each resident's specific goals?
  • 2What specific steps is the nursing team taking to ensure medication is administered accurately and on a consistent schedule?
  • 3How do you ensure that call buttons are answered promptly, especially during busy shifts or overnight hours?
  • 4Could you tell us more about the dining experience and how the dietary team manages individual nutritional needs and food quality?
  • 5What is the process for communicating important medical updates or changes in condition to family members?
  • 6What kind of daily activities or social outings are available to keep residents engaged and connected with one another?

Personalized based on this facility's data


Key Review Excerpts

The therapists are awesome!! They are very knowledgeable and caring to the residents and their families. I would give them more than 5 stars!

Long-term resident's family · 2023★★★★★

The lack of care and compassion from the nursing staff. The inadequacy of the nursing staff is beyond understanding. The passing of medications 2 to 3 hours late, not at all, wrong medications given, wrong dose given...

Rehab patient's family · 2026☆☆☆☆

I did my level IIA fieldwork as an OT student here and the rehab department was the best!

OT Student · 2025★★★★★
Source: 178 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.54hrs
72%
Registered nurses for medical care
Total Nursing
4.57hrs
OK
All nurses + aides combined
Staff Turnover
46%
Lower is better (< 30% = good)
RN Turnover
28%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

14

measures

Worse Than Avg

1

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility4.2%
Better than Avg
Here
4.2%
US
15.5%
CA
11.7%
Fresno
8.9%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility8.4%
Better than Avg
Here
8.4%
US
19.4%
CA
10.7%
Fresno
12.4%
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.7%
Better than Avg
Here
1.7%
US
12.1%
CA
7.0%
Fresno
4.7%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility4.6%
Better than Avg
Here
4.6%
US
14.4%
CA
10.4%
Fresno
10.9%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility11.5%
Better than Avg
Here
11.5%
US
19.5%
CA
13.7%
Fresno
15.9%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility7.8%
Better than Avg
Here
7.8%
US
15.3%
CA
10.5%
Fresno
12.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility97.5%
Better than Avg
Here
97.5%
US
81.8%
CA
94.2%
Fresno
94.6%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility90.8%
Mixed vs Avgs
Here
90.8%
US
79.8%
CA
93.2%
Fresno
93.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.8%
Better than Avg
Here
0.8%
US
1.6%
CA
1.5%
Fresno
0.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

21deficiencies
1penalties
Above state avg (15.4)
16 complaint-triggered
$22,913 in fines

This facility shows concerning patterns with frequent family complaints triggering investigations, including reports of abuse and neglect as recently as 2025. Recurring problems span medication management, fire safety systems, and resident care quality standards. While all deficiencies show correction dates, the persistent pattern of similar issues across multiple years—particularly in safety protocols and care delivery—suggests ongoing operational challenges that families should carefully evaluate.

Mar 20, 2026Complaint
3
0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0725Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0726Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

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.

Feb 27, 2026Complaint
1
0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Feb 19, 2026Complaint
1
0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Mar 26, 2025Complaint
2
0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

Mar 7, 2025Routine
26
0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0916Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have a battery powered remote alarm panel in a location accessible by operating personnel.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0656Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0730Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Observe each nurse aide's job performance and give regular training.

0757Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0842Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0908Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0561Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0623Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0790Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide routine and 24-hour emergency dental care for each resident.

0802Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

0921Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0161Potential for harm · IsolatedCorrected

Construction Deficiencies

Use approved construction type or materials.

0711Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

0919Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the use of electrical equipment.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0030Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

List the names and contact information of those in the facility.

Feb 20, 2025Complaint
1
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Federal Penalties

Fine

Mar 1, 2024

$22,913

Ownership & Operations

Who Operates This Facility

Owner / Operator

Horizon Health & Subacute Center

Organization Type

for profit

Chain Affiliation

Chain Name

Generations Healthcare

Chain Size

27 facilities nationwide

Chain avg rating: 3.8/5 · Rank 29 of 33

Ownership & Management

Key personnel

Galley, ChadW-2 Managing EmployeeMastrocola, LoisOfficer / DirectorOlds, ThomasOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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