In the first quarter of 2026, Life Generations Healthcare, LLC owned Horizon Health & Subacute Center, according to Centers for Medicare and Medicaid Services (CMS). Situated in Fresno County, the facility has been operated by Life Generations Healthcare, LLC since April 1, 2023.
Horizon Health & Subacute Center is designated as a for-profit institution.
Over that timeframe, the center earned an overall CMS rating of 2, falling below California’s statewide nursing home average of 3.2. CMS bases ratings on essential areas such as inspection results, staffing metrics, and resident care quality.
Data showed Horizon Health & Subacute Center served an average of 153.3 daily residents during the first quarter of 2026, from a total of 180 available beds. The home currently is not affiliated with a hospital.
Horizon Health & Subacute Center reported 1 fine totaling $22,913 and incurred 1 penalty as of Q1 2026.
There were 24 for-profit nursing care facilities in Fresno County in total.
Data from the U.S. Census Bureau show the country’s population of seniors is increasing as numbers of younger residents continue a downward trend. Between 2020 and 2024, Americans aged 65 and above rose by 13%, while those under 18 decreased by 1.7%. The U.S. older adult population has grown substantially since the 1920s, climbing from 4.9 million in 1920 to over 61 million in 2024.
A 2021 report estimates nearly half of individuals in this age range—approximately 28 million—may need long-term support and services, and more than a third could eventually require nursing home care.
“Living a long life is something that many of us want and could get,” said Jesse Slome, executive director of the American Association for Long-Term Care Insurance, an insurance advocacy organization. “But when we live a long life, the chances of us needing long-term care increase exponentially. But when you need that type of care, there are limited options.”
| Nursing Home | Owner | Ownership Type | Overall Rating | Avg. No. of Residents per day |
|---|---|---|---|---|
| Community Subacute and Transitional Care Center | Community Hospitals of Central California | Non profit – Corporation | 5 | 99.9 |
| Cornerstone Care Center | Bayshire Central Valley, LLC | For profit – Limited Liability company | 2 | 95.7 |
| Countryside Care Center | AHT Holdings, LLC | For profit – Limited Liability company | 1 | 56.8 |
| Covenant Post Acute | AHT Holdings, LLC | For profit – Limited Liability company | 3 | 115.9 |
| Evergreen Care Center | Evergreen Care Center Holdings, LLC | For profit – Limited Liability company | 3 | 46.2 |
| Fresno Postacute Care | RMG Capital Partners, LLC | For profit – Corporation | 1 | 74.8 |
| Grace Healthcare Center | Llatisha Gonzalez | For profit – Partnership | 1 | 60.5 |
| Healthcare Centre of Fresno | Brius, LLC, Fresno BM, LLC, and Katz Fresno Healthcare Partnership | For profit – Individual | 1 | 137.8 |
| Horizon Health & Subacute Center | Life Generations Healthcare, LLC | For profit – Limited Liability company | 2 | 153.3 |
| Keystone Post-Acute | Fresno Nursing and Rehabilitation Center, LLC | For profit – Limited Liability company | 2 | 60.9 |
| Manning Gardens Care Center, Inc. | Ronald Kinnersley | For profit – Corporation | 4 | 52 |
| Morning Star Post Acute | Bayshire Central Valley, LLC | For profit – Limited Liability company | 3 | 51.4 |
| Oakwood Gardens Care Center | Hudson River Opco, LLC | For profit – Corporation | 5 | 97.1 |
| Orchard Post Acute | Providence Group NH, LLC | For profit – Limited Liability company | 3 | 90.2 |
| Pacific Gardens Nursing and Rehabilitation Center | Covenant Care California, LLC and Covenant Care, LLC | For profit – Limited Liability company | 3 | 154 |
| Palm Village Retirement Community | Mennonite Brethren Homes, Inc. | Non profit – Church related | 4 | 112.4 |
| Rolling Hills Care Center | Rolling Hills Care Center Holdings, LLC | For profit – Limited Liability company | 3 | 30.6 |
| The Terraces at San Joaquin Gardens Village | Humangood Fresno | Non profit – Corporation | 5 | 45.8 |
| Veterans Home of California – Fresno | Department of Veterans Affairs of the State of California | Government – State | 5 | 108.2 |
| Vineyard Care Center | Bayshire Central Valley, LLC | For profit – Limited Liability company | 4 | 49.1 |
| Vineyards at Fowler | SWC CA Opco 2, LLC | For profit – Limited Liability company | 2 | 46.6 |
| Willow Creek Healthcare Center | Providence Group, Inc. | For profit – Limited Liability company | 3 | 151.7 |
The article’s information was sourced from the Centers for Medicare and Medicaid Services. The underlying data is accessible here.
