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Horizon Health And Subacute Center

  1. Skilled Nursing Home Facilities
  2. California
  3. Fresno Skilled Nursing Home Facilities
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Reviews
Overall Rating 2.8 / 5.0 ★★★★★

  • Roberta Lujan
    ★★★★★ 5 months ago

    The staff is awesome, and DON is making lots of great changes. You can see the pride in the way the facility is maintained. Since a new dietary Director started there have been lots of compliments about the meals. I would definitely recommend .

  • Collene Young
    ★★★★★ 6 months ago

    My grandfather stayed here, the staff is courteous, the food is good, the nurses are knowledgeable and the DON is amazing. The nursing manager of rehab Stacy is awesome and I would recommend this place to any of my family members or friends.

  • M V
    ★★★★★ 6 months ago

    My dad got sent here from the hospital was here for 2 days and he passed away today. They where suppose to have him doing therapy and all he did was lay in the bed and they did nothing for him. His oxygen levels dropped sent back to hospital and none of family was called. When we got to hospital my dad had already passed away. I DO NOT RECCOMEND THIS PLACE TO ANYONE. We will be looking into this further

  • E K
    ★★★★★ in the last week

    This place is disgusting the employees and supervisor are trash and so is the place.Idon't recommend it at all, everyone is rude and everything is so unsanitary.

  • rekha deep
    ★★★★★ 8 months ago

    Worst place I ever encounter! Front receptionist has so much attitude, if you ask something they feel annoyed and all they do is just dress up and sit around. Dont pay the CNAs much. So many people quitting and I dont blame them and surprised at all. The administrator is so rude and he thinks he is the only one educated person in this whole world. The way he walks pretty much everything about him. Never respond if you greet him 'morning' someone needs to fire him as well.

About Horizon Health And Subacute Center

General Information

Legal Business NameHorizon Health And Subacute LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJune 1, 1980 (39 years)
Capacity180
Residents166
Percent Occupied92%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Horizon Health And Subacute Center

Horizon Health And Subacute Center was reviewed by Medicare to have a rating of 2 out of 5 stars.

About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of California Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

March 8, 2017 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmComplaint+InspectionEnsure services provided by the nursing facility meet professional standards of quality.
FManyPotential for HarmHealth InspectionKeep all essential equipment working safely.
FManyPotential for HarmComplaint+InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
FManyPotential for HarmComplaint+InspectionHave a program that investigates, controls and keeps infection from spreading.
FManyPotential for HarmComplaint+InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
FManyPotential for HarmComplaint+InspectionChoose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility.
ESomePotential for HarmHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
ESomePotential for HarmHealth InspectionProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
ESomePotential for HarmHealth InspectionProvide proof that residents' personal money that is deposited with the nursing home is secure.
CManyPotential for Minimal HarmHealth InspectionFollow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.
DFewPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth InspectionProvide housekeeping and maintenance services.
DFewPotential for HarmHealth InspectionPost nurse staffing information/data on a daily basis.
DFewPotential for HarmHealth InspectionTrain all employees on what to do in an emergency, and carry out unannounced staff drills.
DFewPotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DFewPotential for HarmHealth InspectionMake sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.
DFewPotential for HarmHealth InspectionKeep signed and dated reports of x-rays and other diagnostic services.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.

February 22, 2017 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintHave enough nurses to care for every resident in a way that maximizes the resident's well being.
DFewPotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

February 17, 2017 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.

January 27, 2017 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProtect each resident from all abuse, physical punishment, and involuntary separation from others.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Horizon Health And Subacute Center require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 5min
2hr 30min
ReportedExpected
CNA
1hr 30min
45min
ReportedExpected
LPN
30min
1hr 15min
ReportedExpected
RN
4hr 5min
4hr 35min
ReportedExpected
Total Nursing

This facility also provides approximately 55min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

97.7%
97.9%
97.9%
97.9%
95.6%
Q4 2016Q1 2017Q2 2017Q3 2017CA
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.5%
99.2%
100.0%
100.0%
96.5%
Q4 2016Q1 2017Q2 2017Q3 2017CA
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
48.7%
51.3%
48.6%
60.5%
43.9%
Q4 2016Q1 2017Q2 2017Q3 2017CA
Percentage of low risk long-stay residents who lose control of their bowels or bladder
16.9%
12.5%
17.5%
15.8%
18.8%
Q4 2016Q1 2017Q2 2017Q3 2017CA
Percentage of long-stay residents who received an antianxiety or hypnotic medication
7.9%
24.4%
17.8%
15.9%
15.1%
Q4 2016Q1 2017Q2 2017Q3 2017CA
Percentage of long-stay residents whose ability to move independently worsened
8.4%
9.7%
11.8%
11.7%
11.6%
Q4 2016Q1 2017Q2 2017Q3 2017CA
Percentage of long-stay residents who received an antipsychotic medication
8.1%
9.1%
10.6%
6.5%
10.5%
Q4 2016Q1 2017Q2 2017Q3 2017CA
Percentage of long-stay residents whose need for help with daily activities has increased
3.8%
5.7%
5.9%
3.4%
5.8%
Q4 2016Q1 2017Q2 2017Q3 2017CA
Percentage of long-stay residents who lose too much weight
6.3%
4.8%
3.9%
3.8%
5.6%
Q4 2016Q1 2017Q2 2017Q3 2017CA
Percentage of high risk long-stay residents with pressure ulcers
5.7%
5.8%
6.5%
7.1%
2.9%
Q4 2016Q1 2017Q2 2017Q3 2017CA
Percentage of long-stay residents who self-report moderate to severe pain
0.0%
0.0%
0.0%
0.0%
0.8%
Q4 2016Q1 2017Q2 2017Q3 2017CA
Percentage of long-stay residents who have depressive symptoms
1.5%
4.9%
1.7%
6.8%
2.4%
Q4 2016Q1 2017Q2 2017Q3 2017CA
Percentage of long-stay residents with a urinary tract infection
0.8%
0.8%
1.7%
1.7%
1.8%
Q4 2016Q1 2017Q2 2017Q3 2017CA
Percentage of long-stay residents experiencing one or more falls with major injury
4.4%
3.2%
6.1%
2.4%
1.9%
Q4 2016Q1 2017Q2 2017Q3 2017CA
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.7%
Q4 2016Q1 2017Q2 2017Q3 2017CA
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

99.1%
98.3%
97.7%
98.4%
87.4%
Q4 2016Q1 2017Q2 2017Q3 2017CA
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
87.4%
90.0%
90.0%
90.0%
85.1%
Q4 2016Q1 2017Q2 2017Q3 2017CA
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
65.1%
59.9%
63.9%
66.7%
67.5%
Q4 2016Q1 2017Q2 2017Q3 2017CA
Percentage of short-stay residents who made improvements in function
8.6%
3.5%
2.4%
0.5%
8.1%
Q4 2016Q1 2017Q2 2017Q3 2017CA
Percentage of short-stay residents who self-report moderate to severe pain
2.3%
2.1%
1.6%
2.5%
1.5%
Q4 2016Q1 2017Q2 2017Q3 2017CA
Percentage of short-stay residents who newly received an antipsychotic medication
0.5%
0.7%
1.2%
0.8%
0.6%
Q4 2016Q1 2017Q2 2017Q3 2017CA
Percentage of short-stay residents with pressure ulcers that are new or worsened



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