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Horizon Health & Subacute Center

3034 E Herndon

4(179 ratings)· Fresno average: 4.3

Horizon Health & Subacute Center, photo 11 / 5

Quick Facts

Total units
180
Medicare rating
2 of 5

CMS Care Compare

Ownership
For profit, Limited Liability company
Certified beds
180
Mental health unit
44-bed secured unit with on-site psychiatric care
Complex care specialties
Treats ventilator-dependent and spinal cord injury patients
Dining flexibility
Choice of dining room or in-room service

What Families Think

Horizon Health & Subacute Center is a skilled nursing and rehabilitation facility in Fresno that treats medically complex patients, including those needing ventilator support, spinal cord injury care, or psychiatric treatment. Most reviewers praise the therapy team and nursing staff as attentive and effective in helping patients regain mobility, though one reviewer described serious neglect during a family member's rehab stay. The facility also allows supervised visits from support animals and offers flexible dining options.

The Good

  • Therapy team praised for helping patients regain mobility
  • Staff described as attentive, professional, and caring
  • Clean, welcoming building noted by visiting family
  • Dietary staff accommodate individual food preferences
  • Support animal visits allowed with proper documentation

The Bad

  • One report of neglected call lights and slow rehab progress
  • One reviewer said medical issues were not properly addressed

AI-generated from reviews and community data.

Horizon Health & Subacute Center is a senior living community in Fresno, California offering Skilled Nursing / Long Term Care. Amenities include Gathering / Activity Spaces, Social Activities and Housekeeping. Families rate it 4.0 out of 5 across 179 reviews.

About Horizon Health & Subacute Center

Horizon Health & Sub-Acute Center in Fresno, California is a post-acute care facility offering skilled nursing and rehabilitation services for medically complex patients. The center provides short-term subacute care for patients recovering from surgery or acute illness, as well as specialized treatment for conditions including ventilator-dependent care, spinal cord injuries, neuromuscular degenerative diseases, COPD, and brain tumors.

The facility operates a 44-bed secured special treatment unit dedicated to mental health care, offering on-site psychiatric and psychological services alongside skilled nursing and rehabilitation. This program employs a recovery, wellness, and discovery approach focused on helping residents manage mental illness diagnoses, improve self-esteem, and reintegrate into their community.

Clinical services include IV and IM medication administration with antibiotics, ostomy care and gastrostomy feeding instruction, and comprehensive therapy programs designed to help patients achieve maximum functional capacity. An experienced therapy team works with doctors, patients, and family members to develop individualized treatment plans tailored to each person's needs.

The facility emphasizes quality of life alongside quality care, incorporating animals, plants, and children into the environment to enhance residents' well-being. A calendar of daily activities with different themes and guests is provided, along with personalized one-to-one activity plans. Wireless internet and bedside workstations are available to residents.

Dining services feature restaurant-quality meals prepared by the culinary staff and overseen by a registered dietitian who accommodates food preferences and dietary needs. Residents may choose to dine in the spacious, fine-dining room with tablecloths and warm service, or request room service delivered to their accommodations with refreshment options available throughout meals.

Types of Care at Horizon Health & Subacute Center

Skilled Nursing / Long Term Care

Amenities

Room Amenities

  • Emergency Call System
  • Private Bathroom
  • Private Rooms
  • Wheelchair Accessible

Meals & Dining

  • Dietary Accommodations (Gluten-Free, Low / No Sodium, No Sugar, Vegan)

Community Amenities

  • 24-Hour Staff
  • Chapel / Religious Services
  • Gathering / Activity Spaces
  • Housekeeping
  • Laundry Service
  • Medication Management
  • On-Site Nurse (RN)
  • Security

Activities

  • Social Activities (Happy Hour, Wine Tasting, Dances, Karaoke)

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Help Me Choose

Reviews of Horizon Health & Subacute Center

4overall · 179 ratings combined

4★ on Google (179)

Cassidy Cody

Jun 2026

via Google

PROTECT YOUR LOVED ONES!! Most of the doctors and nurses are neglectful. My grandfather went in for rehab only, supposed to be only a couple week. It's been nearly a month and the docs and pt people aren't treating the issues, or getting him walking. And if the patient has a call light on because they need help in the restroom, they ignore it and let the patient have an accident

ACHA

Apr 2026

via Google

Horizon is an awsome place to have mom rehab. They help her strength Excercise get her up and walking. This is the second time she’s been at this facility. They truly care for their patients

Carol Lopez

Mar 2026

via Google

The best place anybody can go, the staff, all of them and a therapy. Everybody is perfect. They were always there for me. I would recommend this place to anybody that needs it. And believe you me. I needed it and they were always there. Whenever I called them or needed them they were always there for me. All the therapy people you can't ask for anybody better everyone. I just absolutely love the whole staff. I can't say enough positive stuff. It's that good. Thank you all for helping me through everything, by the Grace of God I am learning how to walk again. First there now at home. If you ever need help, go to Herizon.

Gurnoor Grewal

Jan 2026

via Google

I visited my grandmother today who was recently admitted to Horizon Health. My first experience there was very positive, building is very beautiful and clean. All staff were very welcoming and pleasant. Nurses and CNAs were very professional and helpful. My grandma did not wanted ham in dinner, CNA went and got her alternative from the kitchen. PT team is great and experience.

Willie TEE

Apr 2025

via Google

Staff was splendid. Courteous, helpful, and all with a joy for life. A friend of mine is there, recuperating after a mishap at home, and I sought approval from Administrative Staff for permission to bring my Support Animal when I visit. I presented the required documents and, after a short discussion, was admitted with a warm welcome. My friend and Staff were overjoyed to see my dog, as were the numerous additional patients we encountered inside the facility. It is healing to my heart and soul to see how the presence of a calm animal brings such immediate joy to others while they might be struggling with their personal issues. Thank You, Horizon, from my heart, and I feel there are many we left at your facility that are feeling a similar. Thanks. The White Shepard is My Billie Girl. The Setter is her "Playdate Mate" Wags.

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Government Inspection History

14 inspection visits in the last three years, 75 citations on file. Inspections are conducted by state agencies on behalf of the U.S. Centers for Medicare & Medicaid Services (CMS).

Mar 20, 2026Health Complaint3 citations
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Apr 19, 2026

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

    Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Apr 19, 2026

  • 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.

    Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Apr 19, 2026

Feb 27, 2026Health Complaint1 citation
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Feb 27, 2026

Feb 19, 2026Health Complaint1 citation
  • Provide and implement an infection prevention and control program.

    Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Mar 15, 2026

Mar 26, 2025Health Complaint2 citations
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 18, 2025

  • 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.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 18, 2025

Mar 7, 2025Fire Safety StandardHealth Standard26 citations
  • Have a battery powered remote alarm panel in a location accessible by operating personnel.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 10, 2025

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

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 10, 2025

  • Provide and implement an infection prevention and control program.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 16, 2025

  • Inspect, test, and maintain automatic sprinkler systems.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 10, 2025

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

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 16, 2025

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

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 16, 2025

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

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 16, 2025

  • Ensure medication error rates are not 5 percent or greater.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 16, 2025

  • 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.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 16, 2025

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

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 16, 2025

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

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 16, 2025

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

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 10, 2025

  • Install corridor and hallway doors that block smoke.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 10, 2025

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 16, 2025

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 16, 2025

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 16, 2025

  • Meet requirements for the use of electrical equipment.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 10, 2025

  • Provide a written emergency evacuation plan.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 10, 2025

  • Use approved construction type or materials.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 10, 2025

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 16, 2025

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 16, 2025

  • 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.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 16, 2025

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 16, 2025

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 16, 2025

  • Ensure proper usage of power strips and extension cords.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 10, 2025

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

    Severity C of L: potential for minimal harm, widespreadCorrected Mar 10, 2025

Feb 20, 2025Health Complaint1 citation
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 19, 2025

Feb 7, 2025Health Complaint1 citation
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 6, 2025

Nov 22, 2024Health Complaint1 citation
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 22, 2024

Oct 4, 2024Health Complaint1 citation
  • Provide and implement an infection prevention and control program.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Nov 4, 2024

Jul 9, 2024Health Complaint3 citations
  • Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 25, 2024

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 25, 2024

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 25, 2024

Mar 1, 2024Fire Safety StandardHealth Standard15 citations
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Severity J of L: immediate jeopardy, isolatedCorrected Mar 15, 2024

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

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 12, 2024

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

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 12, 2024

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

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 12, 2024

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

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 12, 2024

  • Inspect, test, and maintain automatic sprinkler systems.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 12, 2024

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 12, 2024

  • Have simulated fire drills held at unexpected times.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 12, 2024

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 12, 2024

  • Conduct testing and exercise requirements.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 12, 2024

  • Have properly located and lighted "Exit" signs.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 12, 2024

  • Provide properly protected cooking facilities.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 12, 2024

  • Ensure proper usage of power strips and extension cords.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 12, 2024

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 15, 2024

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 12, 2024

Feb 2, 2024Health Complaint1 citation
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Severity C of L: potential for minimal harm, widespreadFound during a complaint inspectionCorrected Apr 8, 2024

Nov 8, 2023Health Complaint1 citation
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 22, 2023

Jun 21, 2019Fire Safety StandardHealth Standard18 citations
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Severity G of L: actual harm, isolatedCorrected Oct 29, 2019

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

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 29, 2019

  • Provide and implement an infection prevention and control program.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 29, 2019

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

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 29, 2019

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

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 29, 2019

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

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 29, 2019

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

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 19, 2019

  • Conduct risk assessment and an All-Hazards approach.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 19, 2019

  • Implement emergency and standby power systems.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 19, 2019

  • Inspect, test, and maintain automatic sprinkler systems.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 19, 2019

  • Install corridor and hallway doors that block smoke.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 19, 2019

  • Have simulated fire drills held at unexpected times.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 19, 2019

  • Have restrictions on the use of highly flammable decorations.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 19, 2019

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 29, 2019

  • 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.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 29, 2019

  • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 29, 2019

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 29, 2019

  • Have proper medical gas storage and administration areas.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 19, 2019

Source: CMS Care Compare, public federal data covering certified nursing facilities, refreshed monthly. Citations range from A (least serious) to L (most serious) on the federal scope and severity scale. Most citations are corrected quickly; review the details and ask the community about anything that concerns you.

Frequently Asked Questions

What types of care does Horizon Health & Subacute Center offer?

Horizon Health & Subacute Center offers Skilled Nursing / Long Term Care.

Where is Horizon Health & Subacute Center located?

Horizon Health & Subacute Center is located at 3034 E Herndon in Fresno, California.

What do families say about Horizon Health & Subacute Center?

Horizon Health & Subacute Center is a skilled nursing and rehabilitation facility in Fresno that treats medically complex patients, including those needing ventilator support, spinal cord injury care, or psychiatric treatment. Most reviewers praise the therapy team and nursing staff as attentive and effective in helping patients regain mobility, though one reviewer described serious neglect during a family member's rehab stay. The facility also allows supervised visits from support animals and offers flexible dining options.

How did Horizon Health & Subacute Center do on recent health and safety inspections?

Horizon Health & Subacute Center had 14 government inspection visits in the last three years, with 75 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

How can families visit Horizon Health & Subacute Center?

Submit the Request Information form on this page to connect with Horizon Health & Subacute Center and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.

Work at Horizon Health & Subacute Center? Claim this listing to update photos, pricing, and details. It's free.

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