Home›Browse›California›Fresno›Horizon Health & Subacute Center

Nursing homeFAID #689

Horizon Health & Subacute Center

3034 E HERNDON, FRESNO, CA, 93720

(559) 321-0883

180 licensed beds

CMS rates Horizon Health & Subacute Center 3 out of 5 overall. Federal inspectors issued 82 citations across 17 inspections in the last three years, with $22,913 in fines. Listing last updated 2026-11-06.

★★★★★3/5CMS Five-Star overall2/5 health inspections4/5 staffing5/5 quality measuresSource: CMS Care Compare

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Address

3034 E Herndon

Fresno, CA 93720

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Public record summary

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Bed capacity

180

CMS facility ID

055199

Care type

Nursing home

County

Fresno

Facility name

Horizon Health & Subacute Center

Street address

3034 E HERNDON

City / state / ZIP

Fresno, CA 93720

Phone

(559) 321-0883

About this facility — Horizon Health & Subacute Center

Horizon Health & Subacute Center is a Medicare/Medicaid-certified skilled nursing facility in Fresno, California. It is licensed for 180 beds — well above the median for skilled nursing facilities in California (98 beds).

It is one of 213 senior care facilities in Fresno and 1,165 skilled nursing facilities across California. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Generations Healthcare, a group of 27 facilities on this site.

Federal inspectors have cited Horizon Health & Subacute Center 82 times across 17 inspections in the last three years, including 8 food-safety citations, and CMS has imposed $22,913 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Generations Healthcare

Ownership type

For profit - Limited Liability company

Registered owners & officers

Galley, Chad

Managing employee — since 2023

Mastrocola, Lois

Officer — since 2023

Olds, Thomas

Officer — since 2023

Regulatory standing

Federal court records

2 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1980-06-01

CMS overall rating

3 of 5 stars

Health deficiencies

24 at the last standard inspection

Federal fines

$22,913 total

Last standard inspection

2026-07-31

Nurse staffing

4.8 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$567 per day (≈ $17,240/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

7% Medicaid · 11% Medicare · 83% private/other

Occupancy

65% (fiscal year 2023)

Vs. state median

10% above the CA median of $514/day — full state cost breakdown

Services & coverage

Licensed beds

180

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 8 food-safety citations on its three-year record — flagged below among the inspections.

2026-07-31Health inspection19 citations

F-0551

D · No harm found

Give the resident's representative the ability to exercise the resident's rights.

Corrected 2026-09-03

F-0552

D · No harm found

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2026-09-03

F-0554

D · No harm found

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2026-09-03

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2026-09-03

F-0656

E · No harm found

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

Corrected 2026-09-03

F-0657

D · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2026-09-03

F-0658

E · No harm found

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

Corrected 2026-09-03

F-0685

D · No harm found

Assist a resident in gaining access to vision and hearing services.

Corrected 2026-09-03

F-0686

D · No harm found

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2026-09-03

F-0690

D · No harm found

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2026-09-03

F-0692

D · No harm found

Provide enough food/fluids to maintain a resident's health.

Corrected 2026-09-03

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2026-09-03

F-0804

E · No harm foundFood safety

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2026-09-03

F-0806

D · No harm foundFood safety

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2026-09-03

F-0808

D · No harm foundFood safety

Ensure 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.

Corrected 2026-09-03

F-0812

E · No harm foundFood safety

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

Corrected 2026-09-03

F-0814

F · No harm foundFood safety

Dispose of garbage and refuse properly.

Corrected 2026-09-03

F-0842

D · No harm found

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

Corrected 2026-09-03

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-09-03

2026-03-20Health inspectionComplaint-triggered3 citations

F-0658

E · No harm foundFrom a complaint

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

Corrected 2026-04-19

F-0725

E · No harm foundFrom a complaint

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

Corrected 2026-04-19

F-0726

E · No harm foundFrom a complaint

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.

Corrected 2026-04-19

15 earlier / fire-safety inspections (60 citations)

2026-02-27Health inspectionComplaint-triggered1 citation

F-0812

E · No harm foundFood safetyFrom a complaint

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

Corrected 2026-02-27

2026-02-19Health inspectionComplaint-triggered1 citation

F-0880

E · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2026-03-15

2025-03-26Health inspectionComplaint-triggered2 citations

F-0584

D · No harm foundFrom a complaint

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.

Corrected 2025-04-18

F-0658

D · No harm foundFrom a complaint

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

Corrected 2025-04-18

2025-03-07Health inspection16 citations

F-0550

D · No harm found

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

Corrected 2025-04-16

F-0561

D · No harm found

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

Corrected 2025-04-16

F-0584

D · No harm found

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.

Corrected 2025-04-16

F-0623

D · No harm found

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

Corrected 2025-04-16

F-0656

E · No harm found

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

Corrected 2025-04-16

F-0658

D · No harm found

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

Corrected 2025-04-16

F-0730

E · No harm found

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

Corrected 2025-04-16

F-0757

E · No harm found

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

Corrected 2025-04-16

F-0759

E · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-04-16

F-0761

E · No harm found

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.

Corrected 2025-04-16

F-0790

D · No harm found

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

Corrected 2025-04-16

F-0802

D · No harm foundFood safety

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

Corrected 2025-04-16

F-0812

E · No harm foundFood safety

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

Corrected 2025-04-16

F-0842

E · No harm found

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

Corrected 2025-04-16

F-0880

F · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-04-16

F-0921

D · No harm found

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

Corrected 2025-04-16

2025-02-20Health inspectionComplaint-triggered1 citation

F-0689

D · No harm foundFrom a complaint

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

Corrected 2025-03-19

2025-02-07Health inspectionComplaint-triggered1 citation

F-0609

D · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-03-06

2024-11-22Health inspectionComplaint-triggered1 citation

F-0600

D · No harm foundFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-12-22

2024-10-04Health inspectionComplaint-triggered1 citation

F-0880

D · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2024-11-04

2024-07-09Health inspectionComplaint-triggered3 citations

F-0600

D · No harm foundFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-07-25

F-0607

D · No harm foundFrom a complaint

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2024-07-25

F-0609

D · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-07-25

2024-03-01Health inspection2 citations

F-0684

J · Immediate jeopardy

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-03-15

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-03-15

2024-02-02Health inspectionComplaint-triggered1 citation

F-0842

C · No harm foundFrom a complaint

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

Corrected 2024-04-08

2023-11-08Health inspectionComplaint-triggered1 citation

F-0658

D · No harm foundFrom a complaint

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

Corrected 2023-12-22

2026-07-31Fire-safety inspection6 citations

E-0037

F · No harm found

Establish staff and initial training requirements.

Corrected 2026-08-14

K-0324

D · No harm found

Provide properly protected cooking facilities.

Corrected 2026-08-14

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2026-08-14

K-0355

D · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2026-08-14

K-0712

C · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2026-08-14

K-0920

D · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2026-08-14

2025-03-07Fire-safety inspection10 citations

E-0030

C · No harm found

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

Corrected 2025-03-10

K-0161

D · No harm found

Use approved construction type or materials.

Corrected 2025-03-10

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-03-10

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2025-03-10

K-0711

D · No harm found

Provide a written emergency evacuation plan.

Corrected 2025-03-10

K-0908

E · No harm found

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

Corrected 2025-03-10

K-0916

F · No harm found

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

Corrected 2025-03-10

K-0918

F · No harm found

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

Corrected 2025-03-10

K-0919

D · No harm found

Meet requirements for the use of electrical equipment.

Corrected 2025-03-10

K-0920

D · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2025-03-10

2024-03-01Fire-safety inspection13 citations

E-0039

D · No harm found

Conduct testing and exercise requirements.

Corrected 2024-04-12

K-0223

D · No harm found

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2024-04-12

K-0293

D · No harm found

Have properly located and lighted "Exit" signs.

Corrected 2024-04-12

K-0324

D · No harm found

Provide properly protected cooking facilities.

Corrected 2024-04-12

K-0341

E · No harm found

Install a fire alarm system that can be heard throughout the facility.

Corrected 2024-04-12

K-0345

E · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-04-12

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-04-12

K-0355

D · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-04-12

K-0712

D · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2024-04-12

K-0761

D · No harm found

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-04-12

K-0914

E · No harm found

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-04-12

K-0918

F · No harm found

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

Corrected 2024-04-12

K-0920

D · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2024-04-12

Federal penalties

2024-03-01Fine$22,913

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 055199.

Quality of care & staffing

How it compares in California.

Inspection citations, 3 years

More than 72% of nursing homes in the state

State median: 65

Federal fines, 3 years

$22,913

More than 75% of nursing homes in the state

State median: $0

Nurse staffing, hours per resident per day

4.8

Higher than 78% of nursing homes in the state

State median: 4.3

Nursing staff turnover, annual

46%

Higher than 80% of nursing homes in the state

State median: 36%

Resident outcomes

On 21 federal quality measures, this facility does better than the California average on 11 and worse on 5. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	4.4%	10.2%	13.5%	Better than state
Lose too much weight	4.6%	4.1%	5.1%	Worse than state
With a catheter inserted and left in their bladder	0.0%	0.7%	0.7%	Better than state
With a urinary tract infection	0.6%	1.2%	1.5%	Better than state
Have depressive symptoms	2.1%	7.6%	13.5%	Better than state
Were physically restrained	0.0%	0.3%	0.1%	Better than state
Experiencing one or more falls with major injury	0.4%	1.6%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	99.8%	98.7%	93.7%	Near state average
Ability to walk independently worsened	7.3%	8.9%	12.7%	Better than state
Received an antianxiety or hypnotic medication	11.3%	13.7%	19.5%	Better than state
Assessed and appropriately given the seasonal influenza vaccine	99.3%	97.9%	95.3%	Near state average
With pressure ulcers	4.2%	4.3%	4.5%	Near state average
With new or worsened bowel or bladder incontinence	8.1%	9.8%	18.3%	Better than state
Received an antipsychotic medication	3.4%	12.3%	15.4%	Better than state
Hospitalizations per 1000 long-stay resident days	3.56	2.21	1.81	Worse than state
Outpatient emergency department visits per 1000 long-stay resident days	3.52	1.50	1.69	Worse than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	99.4%	94.6%	82.3%	Near state average
Newly received an antipsychotic medication	1.0%	1.3%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	97.3%	93.1%	80.1%	Near state average
Were rehospitalized after a nursing home admission	25.5%	22.6%	23.4%	Worse than state
Had an outpatient emergency department visit	21.0%	11.1%	11.8%	Worse than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0658 5 inspections. Ensure services provided by the nursing facility meet professional standards of quality.
F-0880 4 inspections. Provide and implement an infection prevention and control program.
F-0812 3 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F-0842 3 inspections. Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
K-0920 3 inspections. Ensure proper usage of power strips and extension cords.
F-0656 2 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Verify & compare

Where to check, and what's nearby.

Who to contact in California

Licensing: California Department of Public Health, Center for Health Care Quality, Licensing and Certification
File a complaint: 844-538-8766 · Online
Long-Term Care Ombudsman: 800-231-4024. A free advocate for residents and families.
Adult Protective Services: 833-401-0832. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Saint Agnes Medical Center, about 1.3 miles. CMS rating 2 of 5.
Kaiser Foundation Hospital - Fresno, about 2.4 miles. CMS rating 4 of 5.
Valley Children's Hospital, about 4.9 miles.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Fresno Guest Homes, Fresno, about 0.2 miles. 1 state visits on record.
Mum's Home Sweet Home, Fresno, about 0.2 miles. 5 state visits on record.
Omums Home Sweet Home 2, Fresno, about 0.2 miles. 4 state visits on record.
Fresno Guest Home Viii, Fresno, about 0.4 miles. 5 state visits on record.
Sunny Garden, Fresno, about 0.4 miles. 8 state visits on record.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 82 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered