Horizon Health & Subacute Center
Fresno, CA · Medicare and Medicaid-certified nursing home (CCN 055199) · 180 certified beds
Health inspection: 2 · Quality measures: 4 · Staffing: 4
Federal fines: 1 totaling $22,913
Phone: (559) 321-0883 · Verify on Medicare Care Compare ↗
Horizon Health & Subacute Center has a CMS overall rating of 2 out of 5 stars, below the California state average of 3.16. Its health inspection rating is 2 stars, and its staffing rating is 4 stars.
Horizon Health & Subacute Center reports total nurse staffing of 4.63 hours per resident per day, including 0.52 RN hours per resident per day, with a staffing star rating of 4 out of 5. Nursing staff turnover is reported at 47.1%.
CMS records show Horizon Health & Subacute Center has 1 federal fine on record totaling $22,913.00, with 0 payment denials. CMS does not display an abuse icon for this facility, and it is not listed under the Special Focus Facility program.
About this facility
Horizon Health & Subacute Center is a 180-bed nursing home in Fresno, California, certified for both Medicare and Medicaid since June 1980. The facility reports an average daily census of 154.5 residents and is operated under a for-profit limited liability company structure. It is part of the Generations Healthcare chain, which includes 27 facilities nationally with an average CMS rating of 4.1 stars.
According to CMS Care Compare data, Horizon Health & Subacute Center holds an overall star rating of 2 out of 5, which is below the California state average of 3.16. Its component ratings are: Health Inspection — 2 stars, Quality Measures — 4 stars, and Staffing — 4 stars.
Nurse staffing data show total nurse staffing hours of 4.63 hours per resident per day, including 0.52 RN hours per resident per day. The reported nursing staff turnover rate is 47.1%.
On penalties, CMS records show 1 federal fine totaling $22,913.00 for this facility. There have been 0 payment denials on record. CMS's abuse icon is not displayed for this facility, and it is not currently designated under the CMS Special Focus Facility program.
Ownership has not changed in the past 12 months, so current ratings reflect the current operator.
Source: CMS Medicare Care Compare.
Questions families ask
What is this nursing home's CMS overall star rating and how does it compare to the state average?
It has an overall rating of 2 out of 5 stars, below the California state average of 3.16.
Does this facility accept Medicare, Medicaid, or both?
It accepts both Medicare and Medicaid.
How well is this facility staffed — nurse hours per resident and turnover?
Total nurse staffing is 4.63 hours per resident per day, including 0.52 RN hours per resident per day, with a staffing star rating of 4 out of 5; nursing turnover is 47.1%.
Does this facility have federal fines or penalties on record?
Yes, CMS records show 1 fine totaling $22,913.00 and 0 payment denials.
Has CMS flagged this facility for abuse or placed it in the Special Focus program?
No, CMS does not display an abuse icon for this facility and it is not designated a Special Focus Facility.
How large is this facility and how many residents live there?
It is certified for 180 beds with an average daily census of 154.5 residents.
Who owns this facility — and is it part of a chain?
It is owned by a for-profit limited liability company and is part of the Generations Healthcare chain, which includes 27 facilities with an average rating of 4.1 stars.
How long has this facility been Medicare/Medicaid certified?
It has been certified since June 1, 1980.
What do the four different CMS star ratings mean?
CMS publishes an overall rating plus separate ratings for health inspections (2 stars here), quality measures (4 stars), and staffing (4 stars).
Does this facility offer short-term rehabilitation as well as long-term care?
This information is not available in the CMS data provided; please contact the facility at (559) 321-0883 or check Medicare Care Compare for services offered.
What should I look for when touring this facility?
The data provided does not cover tour details; contact the facility at (559) 321-0883 to arrange a visit.
How do I verify this facility's current record on Medicare Care Compare?
You can review the latest data directly at https://www.medicare.gov/care-compare/details/nursing-home/055199?state=CA.
Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.