CCN 055199 · Fresno County, California
Horizon Health & Subacute Center
3034 E Herndon, Fresno, CA 93720
Horizon Health & Subacute Center is a 180-bed for-profit nursing home in Fresno, California, first certified for Medicare or Medicaid in 1980. CMS rates it 2 out of 5 stars overall in its September 2026 data, and it averaged 154.5 residents a day, about 86% of its certified beds. It has an active FHA-insured Section 232 loan: $19.8 million originally, at 2.39%, with $12.5 million outstanding as of September 30, 2026 and maturity in January 2043.
Facility facts
- Certified beds
- 180
- Average residents per day
- 154.5 (85.8% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Ghc of Fresno, LLC
- Certified since
- Jun 1, 1980
- Chain or affiliated group
- Generations Healthcare (27 facilities, chain average 4.0 stars)
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | California median | US median |
|---|---|---|---|
| Overall rating | 2 of 5 | State spread: 186 at 1, 213 at 2, 244 at 3, 240 at 4, 270 at 5 | |
| Health inspections | 2 of 5 | ||
| Quality measures | 4 of 5 | ||
| Staffing | 4 of 5 | ||
| Total nurse hours per resident per day | 4.63 | 4.24 | 3.68 |
| RN hours per resident per day | 0.52 | 0.50 | 0.58 |
| Weekend nurse hours per resident per day | 4.10 | ||
| Nursing staff turnover | 47.1% | 36.4% | 44.9% |
| Occupancy (residents / beds) | 85.8% | 92.0% | 85.7% |
| Fines reported by CMS | 1 totaling $22,913 | ||
| Health deficiencies, latest standard survey | 21 (Mar 7, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Horizon Health & Subacute Center meets that part today: 2 stars overall, 2 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
CMS lists no 5% owners or managing organizations for this facility in its current ownership file.
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Apr 1, 2023 | Ghc of Fresno, LLC | Horizon Health and Subacute LLC |
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Dec 21, 2012 | 223(f) refinance or purchaseHUD project name: Horizon Health & Sub-Acute Center, 180 beds. Lender at endorsement: Cambridge Realty Capital Il | $19,817,900 | Active: 2.39%, $12,513,301 balanceMatures Jan 1, 2043. Servicer: Cambridge Realty Capital Il | 12122128 |
| Nov 9, 2004 | 223(f) refinance or purchaseHUD project name: Horizon Health & Sub-Acute Center, 180 beds. Lender at endorsement: Capmark Finance, Inc | $10,914,100 | Ended Apr 29, 2011Prepayment | 12122050 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.