3034 E HERNDON, FRESNO, CA 93720
180 beds · For profit - Limited Liability company
CMS Provider #055199
Data updated: March 1, 2026
Overall Rating
★★★★★
Health Rating
★★★★★
Staffing Rating
★★★★★
Quality Rating
★★★★★
Daily nursing care
4.6 hrs/resident
Getting better
Inspection findings
18
More issues
Ownership changes
0
For-profit Limited Liability Company under chain ownership.
Complaint trend
More complaints
Moderate complaint activity with 12 complaint-related inspection findings in the most recent periods.
Overall Rating
Health Inspection
Staffing Rating
Quality Rating
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Horizon Health & Subacute Center demonstrates higher-than-average total staffing hours and zero reliance on agency contract workers, but its profile is marked by a rising number of health inspection findings and a significant weekend staffing reduction.
The data for Horizon Health & Subacute Center reflects a profile with contrasting metrics in staffing and inspection performance. The facility provides 4.63 total hours of nursing care per resident per day, which is slightly above the California state average of 4.51 hours. However, registered nurse staffing of 0.55 hours per resident per day is lower than the California average of 0.65 hours. A notable finding is the absence of any contract or agency staffing, meaning 100% of nursing care is provided by direct employees, a factor that typically supports continuity of care.
Inspection records show a downward trend in health compliance, with the number of findings increasing from 12 in the previous cycle to 18 in the most recent March 2025 survey. These findings included issues related to maintaining a safe and clean environment and meeting professional standards of quality. One finding reached a 'Severity J' level, indicating a situation that caused or was likely to cause serious injury or harm. While the facility maintains high scores in long-stay quality measures, the inspection history and a 2024 financial penalty of $22,913 result in an overall government rating that is lower than both the state average and the average for other facilities within the same corporate chain.
The facility reported 18 health inspection findings in the most recent survey cycle, which is higher than the California state average of 15.6.
Total nursing staff turnover is 45.3%, which is higher than the state average of 38.1%, though registered nurse turnover is lower at 23.8%.
Records indicate a 11.5% reduction in total nursing care hours during weekends (4.09 hours) compared to the weekday average (4.63 hours).
This shows how the facility's federal ratings have changed over the past 24 months. Consistent high ratings suggest stable quality, while declining trends may warrant further investigation.
| Category | Apr 24 | Jun 24 | Aug 24 | Oct 24 | Dec 24 | Mar 25 | May 25 | Jul 25 | Nov 25 | Jan 26 | Mar 26 | Apr 26 | Trend |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall | 2★ | 2★ | 2★ | 2★ | 2★ | 2★ | 2★ | 2★ | 2★ | 2★ | 2★ | 2★ | |
| Staffing | 2★ | 2★ | 3★ | 4★ | 4★ | 3★ | 3★ | 4★ | 4★ | 4★ | 4★ | 4★ | |
| Health | 2★ | 2★ | 2★ | 2★ | 2★ | 2★ | 2★ | 2★ | 2★ | 2★ | 2★ | 2★ |
Staffing depth is the strongest predictor of care quality. Facilities routinely cut staff on evenings and weekends — the shifts when falls happen and call lights go unanswered.
RN Hours Specifically
State avg total staffing: 4.5 hrs/resident/day
1
administrator departed in past year
Some change45.3%
State avg: 38.1%
23.8%
State avg: 40.6%
0.0%
of nursing hours from contract/agency staff
Low — good continuitySource: PBJ data, 2025Q3
A facility's location matters — nearby hospitals, pharmacies, and public transit can make visits easier and ensure quick access to emergency care.
Walk Score
42
Car-Dependent
Transit Score
32
Some Transit
Median Income
$104,428
Median Home Value
$434,000
Poverty Rate
6.9%
Age 65+
16.6%
Median Age
38
Pop. Density
48,597/mi²
Median Rent
$1,889
Google reviews provide firsthand accounts from residents' families and visitors.
Federal and state inspectors conduct regular surveys of every nursing home. Deficiencies listed here are problems found during those inspections.
| Date | Tag | Category | Description | Severity | Corrected | Type | IC |
|---|---|---|---|---|---|---|---|
| 3/26/2025 | 0584 | 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. | Minimal harm | 4/18/2025 | Complaint | |
| 3/26/2025 | 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | Minimal harm | 4/18/2025 | Complaint | |
| 3/7/2025 | 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Minimal harm | 4/16/2025 | Standard | |
| 3/7/2025 | 0561 | Resident Rights Deficiencies | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Minimal harm | 4/16/2025 | Standard | |
| 3/7/2025 | 0584 | 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. | Minimal harm | 4/16/2025 | Standard | |
| 3/7/2025 | 0623 | 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. | Minimal harm | 4/16/2025 | Standard | |
| 3/7/2025 | 0656 | 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. | Actual harm | 4/16/2025 | Standard | |
| 3/7/2025 | 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | Minimal harm | 4/16/2025 | Standard | |
| 3/7/2025 | 0730 | Nursing and Physician Services Deficiencies | Observe each nurse aide's job performance and give regular training. | Actual harm | 4/16/2025 | Standard | |
| 3/7/2025 | 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | Actual harm | 4/16/2025 | Standard |
When inspection deficiencies are serious enough, the government may impose financial penalties or deny Medicare/Medicaid payments.
Total Penalties
1
Total Fines
$22,913
| Date | Type | Fine Amount | Payment Denial |
|---|---|---|---|
| 3/1/2024 | Fine | $22,913 | — |
Ownership structure and changes can affect facility quality.
Facilities in Chain
33
Chain Avg Rating
3.8 ★
Years Operating
45
| Owner Name | Type | Role | Ownership % | Association Date |
|---|---|---|---|---|
| LIFE GENERATIONS HEALTHCARE, LLC | Organization | — | 100% | 4/1/2023 |
| MASTROCOLA, LOIS | Individual | — | — | 4/1/2023 |
| OLDS, THOMAS | Individual | — | — | 4/1/2023 |
| SMITH, FRED | Individual | — | — | 4/1/2023 |
| MASTROCOLA, LOIS | Individual | — | — | 4/1/2023 |
| OLDS, THOMAS | Individual | — | — | 4/1/2023 |
| GALLEY, CHAD | Individual | — | — | 4/1/2023 |
Recent news articles, lawsuits, and media coverage mentioning this facility.
HORIZON HEALTH AND SUB-ACUTE is listed with a financial deficit of -$3,749,282.00 amid reports of financial collapses in senior living facilities.
Horizon Health & Subacute, LLC is scheduled for a Status Conference on 04/22/2025 at 3:29 PM in Department 53.
Data updated: March 1, 2026 · CMS, OSCAR, state inspection records
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