Horizon Health & Subacute Center

    3034 Herndon Ave, Fresno, CA 93720
    • Assisted Living
    • Memory Care
    • Skilled Nursing
    4.0ยท166 reviews

    Caring professional stroke rehab experience

    I placed my mom at Horizon for stroke rehab and was very pleased with the caring, friendly staff - nurses, CNAs and therapists were attentive and professional. Therapy helped her regain strength, the food and activities kept her engaged, and the building is clean, welcoming and well maintained (support animals are allowed). Communication with management and case staff was easy; overall a very positive experience and I'd recommend Horizon.

    Loved one of resident
    Jul 2026

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    3.99ยท(166)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.4
    • Staff

      4.0
    • Meals

      3.7
    • Amenities

      3.6
    • Value

      3.0

    Pros

    • Skilled physical and occupational therapy team
    • Compassionate nursing and CNA staff
    • Effective case management and business-office support
    • Clean, well-maintained building and common areas
    • Engaging activities and social programming
    • Improved dietary offerings and meal accommodations
    • Welcoming front-desk and reception staff
    • Support-animal friendly environment
    • Demonstrated success with stroke and rehab outcomes
    • Attentive pain-management practices
    • Responsive housekeeping services
    • Convenient location and parking
    • Caring social-work and family-support services
    • Visible improvements under newer leadership

    Cons

    • Inconsistent staffing levels and high turnover
    • Delays in responding to call lights and toileting assistance
    • Gaps in medication administration and documentation
    • Variable bathing and personal-hygiene routines
    • Inconsistent meal-service continuity and food quality
    • Weak clinical communication and family updates
    • Inadequate emergency escalation and response protocols
    • Phone-accessibility and front-desk responsiveness problems
    • Safety and equipment maintenance deficiencies
    • Billing, discharge, and medication-transfer coordination issues
    • Reduced weekend and evening coverage
    • Allegations of financial and clinical misconduct

    Summary of reviews

    This collection of reviews presents a facility with clear strengths in rehabilitation services, supportive ancillary staff, and a generally clean, welcoming environment โ€” alongside recurring operational weaknesses that families should evaluate before placement.

    Care quality: Many reviews highlight a competent and effective therapy program (physical and occupational therapy) that achieves measurable functional gains, particularly for stroke and post-surgical patients. Several families praised attentive pain management and successful return-to-function outcomes. However, there are repeated accounts of clinical-process gaps: medication delays and documentation issues, missed or delayed bathing and personal care, missed therapy sessions or inconsistent PT scheduling, and occasional hospital readmissions. These patterns suggest variability in consistent clinical oversight and medication-administration controls across shifts.

    Staff and conduct: Numerous reviewers described nursing, CNA, therapy, and housekeeping staff as compassionate and hands-on; specific staff members and leadership changes were credited with improvements. At the same time, concerns about staffing consistency, shift-to-shift continuity, and conduct tone appear frequently. Families reported long waits for assistance, unresponsiveness to call systems, and some instances of problematic communication from front-line staff or supervisors. Some reviews referenced isolated but serious allegations concerning financial and clinical conduct that would merit further inquiry during any tour or intake conversation.

    Dining and activities: Opinions about dining are mixed but lean positive where management and dietary leadership are engaged. Several reviews praise improved meal quality, flexibility for dietary preferences, and a social dining atmosphere. Other accounts cite missed warm-meal delivery to rooms, inconsistent substitutions, and variable food quality. The activities program is repeatedly noted as an asset, with active engagement opportunities and programs that residents and families find meaningful.

    Facilities and safety: The building and common areas are frequently described as clean and well maintained, with some reviewers noting pleasant aesthetics and safe, accessible spaces. Conversely, reviewers also pointed to maintenance and safety gaps โ€” inconsistent availability of appropriate beds and bed rails, uneven sidewalks and exterior trip hazards, and localized sanitation or odor concerns in some areas. These indicate that while the overall facility is maintained, attention to equipment condition and targeted maintenance is needed.

    Management, communication, and logistics: Several families praised case managers and the business office for helpful navigation of care, while others described poor responsiveness from the front desk, unanswered phones, and difficulty obtaining timely updates. Billing, discharge coordination, and timely transfer of medications to pharmacies were raised as operational weaknesses. Reviewers also described variability in weekend and evening coverage, which correlates with many of the reported delays in assistance and therapies.

    Notable patterns and recommendations: The reviews show a split experienceโ€”many positive clinical and rehabilitative outcomes paired with operational shortfalls that can impact resident comfort and safety. Serious events like hospital readmissions and concerns following resident deaths were mentioned; these underscore the importance of asking about emergency escalation protocols, staffing ratios, medication-administration checks, bathing and incontinence-care schedules, and infection-control history. Prospective residents and families should request recent staffing metrics, medication error logs or safety reports, examples of weekend coverage plans, and to observe call-response times during a visit. Clarify dietary accommodations, bed/equipment availability, and procedures for discharge and medication transfers.

    In summary, Horizon Health & Subacute Center demonstrates substantive strengths in therapy, many areas of compassionate caregiving, and an active activities/dining program, but shows recurring operational weaknesses in staffing consistency, medication management, responsiveness, and targeted maintenance. These mixed patterns recommend a careful, document-oriented tour and direct questions to leadership before placement; several reviewers also noted recent improvements under new management, suggesting that current performance may be evolving.

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    Medicare Ratings

    2ยท/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Horizon Health & Subacute Center

    Horizon Health & Subacute Center is located at 3034 Herndon Ave, Fresno, CA, 93720.

    About Horizon Health & Subacute Center

    Horizon Health & Subacute Center sits at 3034 E Herndon Ave in Fresno, California, tucked away in a quiet residential spot with a single-story building and a welcoming atmosphere. The facility cares for about 157 residents and has a dedicated staff of between 201 and 500 people, including positions like Chief Financial Officer, Prevention Case Manager, and Business Office Manager. Nurses, therapists, psychologists, and full-time social workers provide health care, subacute care, skilled nursing, memory care, behavioral health programs, and rehabilitative support, focusing on people recovering from illness, surgery, or injury. The center has a specialized unit with 44 beds for residents who need extra support with ventilators, tracheostomies, complex wounds, central line care, and degenerative diseases like spinal cord injuries or neuromuscular disease, and they also have services for people with brain tumors, COPD, and other tough conditions.

    Care at Horizon Health includes 24-hour licensed nursing, post-acute rehab, physical, occupational, and speech therapy, and individual treatment plans. Mental health support comes through behavioral team meetings, a full-time psychologist, group and individual therapy, on-site psychiatric and psychological services, and regular clinic visits. Recovery-focused programs address both physical and mental wellness, and substance-abuse recovery meetings and pet therapy are also part of their approach. People can expect different options for room style, with private and semi-private rooms available, as well as electric beds, wireless internet, bedside workstations, and clean facilities.

    Meals come from a team that's earned high marks, serving nutritious food with restaurant-like experiences, including tablecloths, music, and registered dietitian consultations. Horizon Health offers many daily activities like movies, bingo, music events, casino games, karaoke, holiday events, and family nights-plus trips to the community, a patient library, pet therapy with cats, and personalized activity plans. Residents can use beauty and barber services, get audiology support, and arrange for doctor, vision, dental, and podiatrist visits on-site. There are also personal laundry services, transportation, regular and special diets, and religious services available.

    Laboratory and X-ray services, pharmacy consulting, intravenous therapy, wound care, pain and ostomy help, medication management, and discharge planning are all included. The staff invests in learning, safety, and dignity, trying their best to keep a positive team, family-like culture, and they value pets, plants, and children around to help everyone's quality of life. The center mainly takes Medicare, HMOs, and private insurance, and families often describe the place as clean, safe, and focused on each person's needs. Horizon Health & Subacute Center has won awards for its care and food, keeps its details updated, and continues working to help every resident recover and reach their best health, letting the staff's compassion and attention drive their efforts every day.

    People often ask...

    Horizon Health & Subacute Center offers assisted living, memory care, and skilled nursing.

    There are 1 photos of Horizon Health & Subacute Center on Mirador.

    The full address for this community is 3034 Herndon Ave, Fresno, CA 93720.

    No, Horizon Health & Subacute Center does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Horizon Health & Subacute Center. The information above has not been verified or approved by the owner or operator. For exact information, please contact Horizon Health & Subacute Center directly. There is no cost for this service. We are compensated by the community you select.

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