Horizon Health & Subacute Center: Staffing, Turnover, and Inspection Record
Horizon Health & Subacute Center is a 180-bed for-profit nursing home in Fresno, California, part of Generations Healthcare. In the CMS August 2026 release it reported 2.56 nurse aide hours per resident per day, 3% below the California average of 2.65, and 47.1% nursing staff turnover (California average 36.7%).
Horizon Health & Subacute Center
3034 E HerndonFresno, CA 93720
Fresno County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Horizon Health & Subacute Center, nurse aides logged 2.56 hours per resident per day, 3% below the California average. With about 155 residents a day, that works out to roughly 395 aide hours a day, or about 49 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 12% below the all-days figure.
| Hours per resident per day | This home | California avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.56 | 2.65 | 2.32 |
| Licensed practical nurses | 1.55 | 1.20 | 0.86 |
| Registered nurses | 0.52 | 0.67 | 0.69 |
| All nursing staff | 4.63 | 4.52 | 3.86 |
| All nursing staff, weekends | 4.10 | 4.09 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
47.1% of nursing staff at Horizon Health & Subacute Center left over the year CMS measured, against a California average of 36.7% and a US average of 45.8%. Registered nurse turnover was 35.0%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Mar 7, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 21 health deficiencies (California average 15.7). CMS lists 1 fine totaling $22,913 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Mar 1, 2024 | Fine | $22,913 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Horizon Health & Subacute Center holds 2 of 5 overall; the California average is 3.2.
About Horizon Health & Subacute Center
- Ownership: For profit - Limited Liability company
- Chain: Generations Healthcare, 27 homes
- Legal name: GHC of Fresno, LLC
- Medicare and Medicaid certified since: Jun 1, 1980
- Councils: resident council
- Area: urban
Nursing homes near Horizon Health & Subacute Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Willow Creek Healthcare Center Clovis | 0.7 | 159 | 2.70 | 4.18 | 59.7% | 3 | $25,045 |
| Morning Star Post Acute Clovis | 2.2 | 57 | 2.57 | 3.91 | 47.7% | 3 | None |
| North Point Healthcare & Wellness Centre LP Fresno | 2.4 | 99 | 2.50 | 3.98 | — | 5 | None |
| The Terraces at San Joaquin Gardens Village Fresno | 2.6 | 54 | 2.85 | 5.13 | 30.3% | 5 | None |
| Keystone Post-Acute Fresno | 4.1 | 65 | 2.47 | 3.93 | 47.1% | 2 | $42,764 |
| Oakwood Gardens Care Center Fresno | 4.3 | 103 | 2.58 | 4.01 | 51.7% | 5 | None |
| Covenant Post Acute Fresno | 4.3 | 121 | 2.35 | 3.68 | 46.5% | 3 | None |
| Community Subacute and Transitional Care Center Fresno | 4.7 | 106 | 4.45 | 9.19 | 21.7% | 5 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.