Horizon Health & Subacute Center
3034 E Herndon, Fresno, CA, 93720
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Generations Healthcare
- Certified beds
- 180 · avg 153 residents/day
- Total nursing staff turnover
- 45.5% — higher than most California nursing homesCalifornia avg: 37.4% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 27.8% — lower than most California nursing homesCalifornia avg: 39.4% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the California averageCalifornia avg: 0.4 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $22,913 total
Medicare certification
- CMS Certification Number
- 055199
- Certified beds
- 180 beds · avg 153 residents/day
- Ownership type
- For profit - Limited Liability company
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Ghc Of Fresno, Llc
- Chain affiliation
- Generations Healthcare
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Generations Healthcare chain — 27 facilities across 2 states. Chain-wide average overall rating 4.2 / 5.
Disclosed owners (5 on record)
- Chad l Galley
W-2 Managing Employee · since 2023
- Fred Smith
5% or Greater Indirect Ownership Interest · 13% · since 2023
- Life Generations Healthcare, Llc
5% or Greater Direct Ownership Interest · 100% · since 2023
- Lois a Mastrocola
5% or Greater Indirect Ownership Interest · 9% · since 2023
- Thomas Olds
5% or Greater Indirect Ownership Interest · 100% · since 2023
Recent change of ownership
April 2023 (3 years ago) · acquired from Horizon Health And Subacute Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 45)
- E0726·Mar 20, 2026Complaint
Nursing and Physician Services Deficiencies
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.
- E0725·Mar 20, 2026Complaint
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E0658·Mar 20, 2026Complaint
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
- E0812·Feb 27, 2026Complaint
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E0880·Feb 19, 2026Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0658·Mar 26, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
- D0584·Mar 26, 2025Complaint
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.
- D0921·Mar 7, 2025
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Federal penalties
By year
- 20241 fine · $23K
Most recent events
- Mar 1, 2024Fine · $23K
Fire-safety citations
30 Life-Safety-Code citations on file. Most recent: Mar 7, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Horizon Health & Subacute Centerinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.