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 : TrueA checkmark indicating true.

Accepts Medicaid 1 : 180 Beds TrueA checkmark indicating true.

CCRC : FalseUsed to indicate false.

For profit - Corporation

Resident Council: TrueA checkmark indicating true.

Family Council: FalseUsed to indicate false.

Medical Staff Hours Per Patient (2019)

Less:
More:
April
April 1, 2019April 2, 2019April 3, 2019April 4, 2019April 5, 2019April 6, 2019April 7, 2019April 8, 2019April 9, 2019April 10, 2019April 11, 2019April 12, 2019April 13, 2019April 14, 2019April 15, 2019April 16, 2019April 17, 2019April 18, 2019April 19, 2019April 20, 2019April 21, 2019April 22, 2019April 23, 2019April 24, 2019April 25, 2019April 26, 2019April 27, 2019April 28, 2019April 29, 2019April 30, 2019
May
May 1, 2019May 2, 2019May 3, 2019May 4, 2019May 5, 2019May 6, 2019May 7, 2019May 8, 2019May 9, 2019May 10, 2019May 11, 2019May 12, 2019May 13, 2019May 14, 2019May 15, 2019May 16, 2019May 17, 2019May 18, 2019May 19, 2019May 20, 2019May 21, 2019May 22, 2019May 23, 2019May 24, 2019May 25, 2019May 26, 2019May 27, 2019May 28, 2019May 29, 2019May 30, 2019May 31, 2019
June
June 1, 2019June 2, 2019June 3, 2019June 4, 2019June 5, 2019June 6, 2019June 7, 2019June 8, 2019June 9, 2019June 10, 2019June 11, 2019June 12, 2019June 13, 2019June 14, 2019June 15, 2019June 16, 2019June 17, 2019June 18, 2019June 19, 2019June 20, 2019June 21, 2019June 22, 2019June 23, 2019June 24, 2019June 25, 2019June 26, 2019June 27, 2019June 28, 2019June 29, 2019June 30, 2019
July
July 1, 2019July 2, 2019July 3, 2019July 4, 2019July 5, 2019July 6, 2019July 7, 2019July 8, 2019July 9, 2019July 10, 2019July 11, 2019July 12, 2019July 13, 2019July 14, 2019July 15, 2019July 16, 2019July 17, 2019July 18, 2019July 19, 2019July 20, 2019July 21, 2019July 22, 2019July 23, 2019July 24, 2019July 25, 2019July 26, 2019July 27, 2019July 28, 2019July 29, 2019July 30, 2019July 31, 2019
August
August 1, 2019August 2, 2019August 3, 2019August 4, 2019August 5, 2019August 6, 2019August 7, 2019August 8, 2019August 9, 2019August 10, 2019August 11, 2019August 12, 2019August 13, 2019August 14, 2019August 15, 2019August 16, 2019August 17, 2019August 18, 2019August 19, 2019August 20, 2019August 21, 2019August 22, 2019August 23, 2019August 24, 2019August 25, 2019August 26, 2019August 27, 2019August 28, 2019August 29, 2019August 30, 2019August 31, 2019
September
September 1, 2019September 2, 2019September 3, 2019September 4, 2019September 5, 2019September 6, 2019September 7, 2019September 8, 2019September 9, 2019September 10, 2019September 11, 2019September 12, 2019September 13, 2019September 14, 2019September 15, 2019September 16, 2019September 17, 2019September 18, 2019September 19, 2019September 20, 2019September 21, 2019September 22, 2019September 23, 2019September 24, 2019September 25, 2019September 26, 2019September 27, 2019September 28, 2019September 29, 2019September 30, 2019
October
October 1, 2019October 2, 2019October 3, 2019October 4, 2019October 5, 2019October 6, 2019October 7, 2019October 8, 2019October 9, 2019October 10, 2019October 11, 2019October 12, 2019October 13, 2019October 14, 2019October 15, 2019October 16, 2019October 17, 2019October 18, 2019October 19, 2019October 20, 2019October 21, 2019October 22, 2019October 23, 2019October 24, 2019October 25, 2019October 26, 2019October 27, 2019October 28, 2019October 29, 2019October 30, 2019October 31, 2019
November
November 1, 2019November 2, 2019November 3, 2019November 4, 2019November 5, 2019November 6, 2019November 7, 2019November 8, 2019November 9, 2019November 10, 2019November 11, 2019November 12, 2019November 13, 2019November 14, 2019November 15, 2019November 16, 2019November 17, 2019November 18, 2019November 19, 2019November 20, 2019November 21, 2019November 22, 2019November 23, 2019November 24, 2019November 25, 2019November 26, 2019November 27, 2019November 28, 2019November 29, 2019November 30, 2019
December
December 1, 2019December 2, 2019December 3, 2019December 4, 2019December 5, 2019December 6, 2019December 7, 2019December 8, 2019December 9, 2019December 10, 2019December 11, 2019December 12, 2019December 13, 2019December 14, 2019December 15, 2019December 16, 2019December 17, 2019December 18, 2019December 19, 2019December 20, 2019December 21, 2019December 22, 2019December 23, 2019December 24, 2019December 25, 2019December 26, 2019December 27, 2019December 28, 2019December 29, 2019December 30, 2019December 31, 2019

Nurse Quality

B
Oct 18: BNov 18: BDec 18: BJan 19: B+Feb 19: B+Mar 19: B+Apr 19: B-May 19: BJun 19: BJul 19: A-Aug 19: A-Sep 19: A-Jan 20: B-Mar 20: B-Apr 20: BMay 20: BJun 20: BJul 20: BAug 20: B
Historical

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

B-
Oct 18: B-Nov 18: B-Dec 18: B-Jan 19: B-Feb 19: B-Mar 19: B-Apr 19: B-May 19: B-Jun 19: B-Jul 19: B+Aug 19: B+Sep 19: B+Jan 20: BMar 20: BApr 20: B-May 20: B-Jun 20: B-Jul 20: B-Aug 20: B-
Historical

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

B-
Oct 18: BNov 18: BDec 18: BJan 19: BFeb 19: BMar 19: BApr 19: BMay 19: BJun 19: BJul 19: B-Aug 19: B-Sep 19: B-Jan 20: CMar 20: CApr 20: B-May 20: B-Jun 20: B-Jul 20: B-Aug 20: B-
Historical

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

B-
Oct 18: B-Nov 18: B-Dec 18: B-Jan 19: BFeb 19: BMar 19: BApr 19: B+May 19: B+Jun 19: BJul 19: BAug 19: BSep 19: BJan 20: CMar 20: CApr 20: B-May 20: B-Jun 20: B-Jul 20: B-Aug 20: B-
Historical

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.

Aug 20
Provider:
C
State:
B
National:
B
FDCB-BB+A-AA+Oct 18Nov 18Dec 18Jan 19Feb 19Mar 19Apr 19May 19Jun 19Jul 19Aug 19Sep 19Oct 19Dec 19Jan 20Mar 20Apr 20May 20Jun 20Jul 20Aug 20
Overall Rating
Nurse Rating
Long-Term Rating
Short-Term Rating
Inspection Rating

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.

Provider
B+
5.58%
State
B+
6.95%
National
B
7.34%

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.

Provider
A-
1.83%
State
A-
1.78%
National
B
3.36%

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.

Provider
B
2.22%
State
A-
1.69%
National
B
2.66%

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.

Provider
A-
8.16%
State
A-
10.4%
National
B
14.15%

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.

Provider
B
20.27%
State
A-
14.21%
National
B
19.69%

Percent of Patients
Lower is Better

Managing Depression Among Residents

Measures the percent of long-term care patients exhibiting symptoms of depression.

Provider
A+
0%
State
A
0.97%
National
B+
5.11%

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.

Provider
A
99.91%
State
B+
94.67%
National
B
92.01%

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.

Provider
A+
6.62%
State
A-
9.21%
National
B
14.47%

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.

Provider
B-
14.92%
State
C
12.94%
National
B
17.10%

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.

Provider
C
2.08
State
B-
1.88
National
B
1.70

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.

Provider
B+
14.92
State
A-
12.94
National
B
17.10

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.

Provider
B
10.09
State
B
9.82
National
B
10.26

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.

Provider
B-
64.17%
State
B+
71.87%
National
B
68.02%

Percentage of Resident
Higher is Better

Nearby Hospitals

Saint Agnes Medical Center 1.7 mi
1303 E Herndon Ave Fresno California 93710
(559) 450-3000
Acute Care Hospitals
Voluntary non-profit - Church
Kaiser Foundation Hospital - Fresno 2.69 mi
7300 North Fresno St Fresno California 93720
(559) 448-4500
Acute Care Hospitals
Voluntary non-profit - Private
Clovis Community Medical Center 4.05 mi
2755 Herndon Ave Clovis California 93611
(559) 324-4000
Acute Care Hospitals
Voluntary non-profit - Private
Valley Children's Hospital 4.89 mi
9300 Valley Childrens Place Madera California 93636
(559) 353-5116
Childrens
Voluntary non-profit - Private
Community Regional Medical Center 7.06 mi
2823 Fresno Street Fresno California 93721
(559) 459-6000
Acute Care Hospitals
Voluntary non-profit - Private

Nearby Dialysis

Fmc North Fresno Dialysis 0.33 mi
CMS Rating: 4 stars
Dialysis Stations: 20
6737 N. Willow Bldg C Fresno California 93710
(559) 324-1070
Davita Herndon Dialysis Center 2.36 mi
CMS Rating: 3 stars
Dialysis Stations: 48
560 E Herndon Ave, Ste 101 Fresno California 93720
(559) 432-5278
Fmc Clovis 3.8 mi
Dialysis Stations: 25
2585 Alluvial Ave Clovis California 93611
(559) 324-8023
Community Dialysis Center - Clovis 4 mi
Dialysis Stations: 12
501 North Medical Center Dr East, Suite 1100 Clovis California 93611
(559) 324-4030
Palm Bluffs Dialysis Center 4.01 mi
CMS Rating: 3 stars
Dialysis Stations: 25
770 West Pinedale Ave Fresno California 93711
(559) 438-8512
San Joaquin Valley Dialysis 4.26 mi
CMS Rating: 3 stars
Dialysis Stations: 22
3636 North First #144 Fresno California 93726
(559) 221-6311
Ash Tree Dialysis 4.41 mi
CMS Rating: 3 stars
Dialysis Stations: 36
2666 North Grove Industrial Drive Suite 106 Fresno California 93727
(559) 251-1919
Fmc Fresno Airport East 4.9 mi
Dialysis Stations: 24
1899 North Helm Ave Suite 101 Fresno California 93727
(559) 452-1480