D

HORIZON HEALTH & SUBACUTE CENTER

3034 E HERNDON, FRESNO, CA 93720
Score: 47 / 100

Horizon Health & Subacute Center faces challenges in its CMS ratings, earning a D grade with a score of 47/100. The facility ranks in the 34th percentile among California nursing homes, suggesting significant room for improvement.

Horizon Health & Subacute Center provides above-average staffing with 4.63 total nurse hours per resident per day. Higher staffing levels are generally associated with better care outcomes and more attentive staff.

Recent CMS inspections identified 41 deficiencies at Horizon Health & Subacute Center, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for d.

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.63 3.8 Above Average
Registered Nurses (RN) 0.56 0.7 Below Average
Licensed Practical Nurses (LPN) 1.48 0.7 Above Average
Certified Nursing Assistants (CNA) 2.59 2.4 Average
Weekend Total Nursing 4.10 3.8 Average
Weekend RN Hours 0.42 0.7 Below Average

🔍 Inspection & Deficiency History

41
Total Deficiencies
Mar 25, 2025
Most Recent Inspection
⚪ 1 Minor 🟠 39 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0584 Severity D
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for d
    Mar 25, 2025 · Resident Rights Deficiencies
  • Tag 0658 Severity D
    Ensure services provided by the nursing facility meet professional standards of quality.
    Mar 25, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0880 Severity F
    Provide and implement an infection prevention and control program.
    Mar 6, 2025 · Infection Control Deficiencies
  • Tag 0656 Severity E
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    Mar 6, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0730 Severity E
    Observe each nurse aide's job performance and give regular training.
    Mar 6, 2025 · Nursing and Physician Services Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 4.8% 4.5% Average
Falls with major injury 1.5% 3.0% Better
On antipsychotic medication 5.8% 14.5% Better
Urinary tract infections 0.6% 2.5% Better
ADL decline (daily activities) 6.3% 14.0% Better
Excessive weight loss 5.9% 7.5% Better
New/worsened incontinence 12.9% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $22,913

How This Grade Was Calculated

This facility's grade of D is based on a score of 47 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -2 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
180
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Mar 6, 2025
Deficiencies (Cycle 1)
18