Horizon Health and Subacute Center
3034 E Herndon, Fresno CA 93720 · (559) 321-0883 · 92.05% estimated occupancy 1Updated: Aug 1, 2020 · By Sara Levinsohn
Horizon Health and Subacute Center is on a list of 20 facilities in Fresno, California. This is a respectable facility, with an overall grade of C. Based on our analysis, this nursing home has some redeeming qualities. One of the better aspects of this facility's report card is its impressive nursing grade, which you can find in the next section.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 180 Beds
CCRC :
For profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Nurse Quality
We would like to point out that this facility's nursing grade exceeded its overall grade. This nursing home earned a B in this category, which is one of our better grades. Nursing ratings are mostly tied to the nursing home's level of nurse staffing. This nursing home provides an impressive 4.5 hours of nursing care per resident per day. Lastly, this facility appears to be above average in several of the major quality-based metrics we assessed in this area. By way of illustration, it performed well when it comes to avoiding major falls and pressure ulcers. These metrics to be good indicators of the quality of nursing care a nursing home offers.
Short-term Care Quality
One of this facility's more favorable category grades came in the area of short-term care. This wound up being its second best category. In that area, we gave this facility a B-. Our short-term care scores are important for patients requiring rehabilitation. Rehabilitation usually utilizes more highly-skilled nursing services. This includes a broad scope of nursing services, spanning from registered nurses to physical and occupational therapists, as well as other variations of therapy. This nursing home employs both physical therapists and registered nurses. Not all facilities employ these skilled professionals. The last datapoint we considered in this area is the number of patients who were able to leave the nursing home and return home. In fact, we found that it was above average in this metric with 52.8 percent of its residents returning home.
Long-term Care Quality
This nursing home's third most favorable area ended up being long-term care. In that category, we awarded this facility a grade of B-. Long-term care scores are based in part on the nursing home's quantity of nursing services. This means a vast spectrum of personal care services, ranging from help with activities of daily living to routine medical services. One of the statistics we considered on top of nursing hours was vaccines. Thankfully, this nursing home administered the pneumonia vaccine to 99.81651 percent of its residents. Unfortunately, this nursing home's hospitalization rate was less favorable. Here we found that this facility had 2.13 hospitalizations per 1,000 long-term resident days.
Facility Inspections
Turning to our inspection category, it appears this facility has earned quality government inspections in recent years as well. We gave it a grade of B- in this category. We believe that one of the most important factors in assessing an inspection report is deficiencies. We especially focus on the severity of those deficiencies. Fortunately, although this facility had a few minor dings on its inspection report, it had zero severe deficiencies. Severe deficiencies are those labeled as categories G, H, I, J, K and L. This tells you the inspectors did not deem any of the deficiencies on this facility's report to pose an imminent threat to patient safety or health. A few minor deficiencies should not lead you to cross a nursing home off your list.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Horizon Health and Subacute Center Quality Metrics
Minimizes Pressure Ulcers
This is the percent of residents that have had a pressure ulcer. Pressure ulcers are considered by many in the nursing home industry to be a measure of the quality of nursing care at a nursing home. Pressure ulcers, which are also called bed sores, are often the result of residents not being moved frequently enough.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This figure gauges the percent of long-term patients who suffered falls which caused severe injury. This is one of the statistics we use in determining our nursing ratings.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This measures the percentage of long-term stay patients that experienced a UTI. UTI's may be a sign of poor nursing care. However, this statistic may be skewed for some nursing homes due to varying reporting standards for these infections.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This is the percentage of patients given antipsychotic medications. These medications may be used for several medical conditions, including Alzheimer's or other dementias.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This is the percent of patients prescribed antianxiety medications. Antianxiety medications are administered to residents suffering from anxiety and depression.
Percent of Patients
Lower is Better
Managing Depression Among Residents
Measures the percent of long-term care patients exhibiting symptoms of depression.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This datapoint measures the percent of long-term care patients that received the flu and pneumonia vaccines. Respiratory viruses can be very dangerous for seniors, making these vaccines critical to patient care.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This metric measures the percent of long-term residents that needed more assistance with activities of daily living over time. Activities of daily living include activities such as getting dressed and continence. Some experts argue this is a reliable measure of a patient's well-being.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This is a measure of the percent of long-term stay residents who retained mobility levels.
Percentage of Residents
Higher is Better
Hospitalizations
This tells you the number of times residents are hospitalized per 1,000 days of patient care. There is generally a correlation between staying out of the hospital and the quality of long-term care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This indicates the number of times residents are rehospitalized per 1,000 days of short-term care. There is usually a correlation between reduced hospitalizations and the quality of rehabilitation services.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
Measures the number of emergency room visits per thousand days of short-term patient care.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This indicates the percentage of short-term stay patients that experienced functional improvements, such as enhanced ability to perform activities of daily living. Higher levels of autonomy with ADL's often correlates with better rehabilitation.
Percentage of Resident
Higher is Better