Lone Tree Post Acute

• Properly install and monitor supervisory attachments on automatic sprinkler systems.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 5, 2026

• Have generator or other power source capable of supplying service within 10 seconds.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 5, 2026

• Inspect, test, and maintain automatic sprinkler systems.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 5, 2026

• Provide safe and appropriate respiratory care for a resident when needed.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 1, 2026

• Ensure medication error rates are not 5 percent or greater.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 1, 2026

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 1, 2026

• Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 1, 2026

• Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 1, 2026

• Provide enough food/fluids to maintain a resident's health.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 1, 2026

• Install corridor and hallway doors that block smoke.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 5, 2026

• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 1, 2026

• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 1, 2026

• Reasonably accommodate the needs and preferences of each resident.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 1, 2026

• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 1, 2026

• Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 1, 2026

• Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 1, 2026

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 1, 2026

• Provide safe, appropriate pain management for a resident who requires such services.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 1, 2026

• Establish emergency prep training and testing.

  Severity C of L: potential for minimal harm, widespreadCorrected Jun 5, 2026

• Develop a communication plan.

  Severity C of L: potential for minimal harm, widespreadCorrected Jun 5, 2026

• Develop Emergency Preparedness policies and procedures.

  Severity C of L: potential for minimal harm, widespreadCorrected Jun 5, 2026

• Develop and maintain an Emergency Preparedness Program (EP).

  Severity C of L: potential for minimal harm, widespreadCorrected Jun 5, 2026

• Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionDeficient, Provider has no plan of correction

• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionDeficient, Provider has no plan of correction

• Post nurse staffing information every day.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 11, 2025

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 11, 2025

• Ensure medication error rates are not 5 percent or greater.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 11, 2025

• Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 11, 2025

• Provide and implement an infection prevention and control program.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 11, 2025

• Ensure proper usage of power strips and extension cords.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 22, 2025

• Have proper medical gas storage and administration areas.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 18, 2025

• Provide safe and appropriate respiratory care for a resident when needed.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 11, 2025

• Provide appropriate foot care.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 11, 2025

• Provide care and assistance to perform activities of daily living for any resident who is unable.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 11, 2025

• Ensure each resident receives an accurate assessment.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 11, 2025

• Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 11, 2025

• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 11, 2025

• Install corridor and hallway doors that block smoke.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 17, 2025

• Meet requirements for the use of electrical equipment.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 18, 2025

• Have simulated fire drills held at unexpected times.

  Severity C of L: potential for minimal harm, widespreadCorrected Apr 18, 2025

• Develop a communication plan.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 20, 2023

• Ensure proper usage of power strips and extension cords.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 20, 2023

• Develop and maintain an Emergency Preparedness Program (EP).

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 20, 2023

• Develop Emergency Preparedness policies and procedures.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 20, 2023

• Establish emergency prep training and testing.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 20, 2023

• Install corridor and hallway doors that block smoke.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 20, 2023

• Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 6, 2024

• Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 20, 2023

• Inspect, test, and maintain automatic sprinkler systems.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 20, 2023

• Ensure medication error rates are not 5 percent or greater.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 6, 2024

Lone Tree Post Acute offers Skilled Nursing / Long Term Care.

Lone Tree Post Acute is located at 4001 Lone Tree Way in Antioch, California.

Families describe Lone Tree Post Acute as a skilled nursing and rehab facility where many reviewers praise the physical, occupational, and speech therapy teams along with attentive CNAs and nurses who go out of their way for patients. At the same time, a notable minority report serious problems—slow response to call lights, medication mix-ups, and crowded rooms—creating a wide gap between overwhelmingly positive Google reviews and a much lower Yelp rating.

Lone Tree Post Acute had 4 government inspection visits in the last three years, with 50 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

Submit the Request Information form on this page to connect with Lone Tree Post Acute and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.