Fresno Guest Home #32
State licensed2853 E. Millbrae Avenue, Fresno, CA 93710
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Horizon Health & Subacute Center brings together skilled nursing and rehabilitation services designed for Fresno, California families navigating recovery and ongoing care. Our team focuses on personalized healing plans, compassionate support, and helping residents regain independence through structured therapy and medical expertise.
Capacity
180 residents
Location
Fresno, CA
Status
Listed in a public registry
3034 E HERNDON, Fresno, California 93720
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on March 7, 2025, state inspectors cited 21 health deficiencies (the California average is 15.5).
Nurses and nurse aides spend 4 hours 38 minutes with each resident a day, about the same as the California average.
Medicare fined Horizon Health & Subacute Center once in the last three years, $22,913 in total.
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 4 hours 38 minutes |
| Registered nurse time per resident, per day | 31 minutesBelow the California average |
| Nursing staff who left in the past year | 47%Above the California average |
34 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
March 20, 2026 · Complaint investigation · 3 citations
Ensure services provided by the nursing facility meet professional standards of quality.
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.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
February 27, 2026 · Complaint investigation · 1 citation
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide and implement an infection prevention and control program.
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.
Ensure services provided by the nursing facility meet professional standards of quality.
Provide and implement an infection prevention and control program.
Ensure medication error rates are not 5 percent or greater.
Observe each nurse aide's job performance and give regular training.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
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.
Provide routine and 24-hour emergency dental care for each resident.
Ensure services provided by the nursing facility meet professional standards of quality.
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Provide and implement an infection prevention and control program.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide safe and appropriate respiratory care for a resident when needed.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Ensure services provided by the nursing facility meet professional standards of quality.
1 fine totaling $22,913 in the last three years.
3034 E HERNDONFresno, CA 93720
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State inspectors visited on March 7, 2025 and cited 21 health deficiencies, 5 of them from complaint investigations. The California average is 15.5.
Nurses and aides spend 4 hours 38 minutes with each resident per day, including 31 minutes from registered nurses. 47% of nursing staff left over the past year.
Yes. Medicare fined Horizon Health & Subacute Center once in the last three years, totaling $22,913.
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.