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Public Record

Lone Tree Post Acute

Nursing HomeAntioch, CACMS 056021
48 citations on record

Operated by PACS Group

From CMS

Facility profile

CMS overall rating
5 / 5

*CMS Five-Star

Certified beds
99

*CMS

Avg. residents per day
95.2

*CMS

California cost report

Food cost per resident day

Raw food costs divided by total patient days from the same HCAI filing. Each year is compared with the median across California HCAI filers that carry a Medicare provider number for that report year; the roughly 18 percent of filers without one are not in the comparison.

2024 raw food costs per resident day

$11.67

Filing period: to

California median $8.96 across 825 filers. This facility: 83.9th percentile of those filers.

Within its operator's California portfolio ( 118 filers): median $10.16.

RN, LVN, and CNA staffing mix

Census context: 34,705 total patient days in this filing.

RoleProductive hoursProductive salariesHourly rate
RN15,425$801,681$51.97/hour
LVN35,241$1,460,165$41.43/hour
CNA82,395$2,170,891$26.35/hour

2023 raw food costs per resident day

$11.46

Filing period: to

California median $8.51 across 892 filers. This facility: 84.2th percentile of those filers.

Within its operator's California portfolio ( 118 filers): median $9.62.

RN, LVN, and CNA staffing mix

Census context: 33,925 total patient days in this filing.

RoleProductive hoursProductive salariesHourly rate
RN11,990$621,679$51.85/hour
LVN37,648$1,578,829$41.94/hour
CNA74,498$1,896,307$25.45/hour

2022 raw food costs per resident day

$11.24

Filing period: to

California median $8.23 across 896 filers. This facility: 85.4th percentile of those filers.

Within its operator's California portfolio ( 116 filers): median $9.34.

RN, LVN, and CNA staffing mix

Census context: 33,154 total patient days in this filing.

RoleProductive hoursProductive salariesHourly rate
RN10,980$542,187$49.38/hour
LVN36,393$1,487,665$40.88/hour
CNA71,194$1,621,716$22.78/hour

*HCAI Long-Term Care Integrated Disclosure

Inspection record

On record from CMS

Health citations
48

*CMS

Fire safety findings
20

*CMS

Inspections on file
7

*CMS

Last inspection
2025-04-10

*CMS

Citations

48 citations on record

Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0644Generalpotential for harm

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

  • 0004Generalno actual harm

    Develop and maintain an Emergency Preparedness Program (EP).

  • 0013Generalno actual harm

    Develop Emergency Preparedness policies and procedures.

  • 0029Generalno actual harm

    Develop a communication plan.

  • 0036Generalno actual harm

    Establish emergency prep training and testing.

  • 0352Generalpotential for harm

    Properly install and monitor supervisory attachments on automatic sprinkler systems.

  • 0353Generalpotential for harm

    Inspect, test, and maintain automatic sprinkler systems.

  • 0363Generalpotential for harm

    Install corridor and hallway doors that block smoke.

  • 0605Generalpotential for harm

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

  • 0656Generalpotential for harm

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

  • 0812Generalpotential for harm

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

  • 0759Generalpotential for harm

    Ensure medication error rates are not 5 percent or greater.

  • 0697Generalpotential for harm

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

  • 0695Generalpotential for harm

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

  • 0692Generalpotential for harm

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

  • 0918Generalpotential for harm

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

  • 0684Generalpotential for harm

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

  • 0686Generalpotential for harm

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

  • 0689Generalpotential for harm

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

  • 0550Generalpotential for harm

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

  • 0558Generalpotential for harm

    Reasonably accommodate the needs and preferences of each resident.

  • 0580Generalpotential for harm

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

  • 0836Generalpotential for harm

    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.

  • 0755Generalpotential for harm

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

  • 0695Generalpotential for harm

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

  • 0880Generalpotential for harm

    Provide and implement an infection prevention and control program.

  • 0812Generalpotential for harm

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

  • 0761Generalpotential for harm

    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.

  • 0759Generalpotential for harm

    Ensure medication error rates are not 5 percent or greater.

  • 0732Generalpotential for harm

    Post nurse staffing information every day.

  • 0687Generalpotential for harm

    Provide appropriate foot care.

  • 0677Generalpotential for harm

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

  • 0641Generalpotential for harm

    Ensure each resident receives an accurate assessment.

  • 0559Generalpotential for harm

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

  • 0550Generalpotential for harm

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

  • 0655Generalpotential for harm

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

  • 0759Generalpotential for harm

    Ensure medication error rates are not 5 percent or greater.

  • 0919Seriousimmediate jeopardy

    Make sure that a working call system is available in each resident's bathroom and bathing area.

  • 0880Generalpotential for harm

    Provide and implement an infection prevention and control program.

  • 0812Generalpotential for harm

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

  • 0698Generalpotential for harm

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

  • 0693Generalpotential for harm

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

  • 0688Generalpotential for harm

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

  • 0686Seriousactual harm

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

  • 0677Generalpotential for harm

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

  • 0558Generalpotential for harm

    Reasonably accommodate the needs and preferences of each resident.

  • 0550Generalpotential for harm

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

  • 0761Generalpotential for harm

    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.

Inspection history

Every health inspection on record

Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.

  • Inspection8 deficiencies
    View inspection report
  • Inspection14 deficiencies
    View inspection report
  • Inspection2 deficiencies
    View inspection report
  • Inspection11 deficiencies

    056021 04/10/2025 Lone Tree Post Acute 4001 Lone Tree Way Antioch, CA 94509 F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights…

    Read full statement of deficiencies
  • InspectionFire Safety5 deficiencies
    View inspection report
  • InspectionFire Safety8 deficiencies
    View inspection report
  • Inspection2 deficiencies

    056021 12/06/2023 Lone Tree Post Acute 4001 Lone Tree Way Antioch, CA 94509 F 0655 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Based on…

    Read full statement of deficiencies
  • Inspection1 deficiency

    056021 05/22/2023 Lone Tree Post Acute 4001 Lone Tree Way Antioch, CA 94509 F 0919 Make sure that a working call system is available in each resident's bathroom and bathing area. Level of Harm - Immediate jeopardy to resident health or safety **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO…

    Read full statement of deficiencies
  • Inspection10 deficiencies

    056021 04/15/2021 Lone Tree Post Acute 4001 Lone Tree Way Antioch, CA 94509 F 0550 Level of Harm - Minimal harm or potential for actual harm Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Based on observation…

    Read full statement of deficiencies
  • InspectionFire Safety7 deficiencies
    View inspection report

Ownership

PACS Group

279nursing homes nationwide, in CMS records

134 in California, 145 in other states.

Counted from the chain CMS itself discloses for this home, which matches CMS Care Compare. ReadyRule's own common-control analysis is a separate and broader lens, and the two can differ.

FAQ

Questions and answers

What is Lone Tree Post Acute?
Lone Tree Post Acute is a Medicare- and Medicaid-certified nursing home in Antioch, CA, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 056021.
What is the CMS rating for Lone Tree Post Acute?
Lone Tree Post Acute has a CMS overall rating of 5 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
How many beds does Lone Tree Post Acute have?
Lone Tree Post Acute is certified for 99 beds. It serves an average of 95.2 residents per day.
How many citations does Lone Tree Post Acute have?
Lone Tree Post Acute has 48 citations on record from CMS health inspections, each tied to a federal deficiency tag.
When was Lone Tree Post Acute last inspected?
Lone Tree Post Acute was last inspected on April 10, 2025. CMS surveys nursing homes about once a year and after complaints.
What can I do if I have concerns about care at this facility?
Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.

*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.

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