Inspection citations
2’23
11’25
16’26
29 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| May 1, 2026 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| May 1, 2026 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| May 1, 2026 | D · potential | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Routine |
| May 1, 2026 | E · potential | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Routine |
| May 1, 2026 | D · potential | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Routine |
| May 1, 2026 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| May 1, 2026 | E · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| May 1, 2026 | D · potential | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Routine |
| May 1, 2026 | D · potential | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Routine |
| May 1, 2026 | E · potential | Provide enough food/fluids to maintain a resident's health. | Routine |
| May 1, 2026 | E · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| May 1, 2026 | D · potential | Provide safe, appropriate pain management for a resident who requires such services. | Routine |
| May 1, 2026 | E · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| May 1, 2026 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Apr 27, 2026 | E · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Complaint |
| Apr 27, 2026 | F · potential | 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. | Complaint |
| Apr 10, 2025 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Apr 10, 2025 | D · potential | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Routine |
| Apr 10, 2025 | D · potential | Ensure each resident receives an accurate assessment. | Routine |
| Apr 10, 2025 | D · potential | Provide care and assistance to perform activities of daily living for any resident who is unable. | Routine |
| Apr 10, 2025 | D · potential | Provide appropriate foot care. | Routine |
| Apr 10, 2025 | D · potential | Provide safe and appropriate respiratory care for a resident when needed. | Routine |
| Apr 10, 2025 | F · potential | Post nurse staffing information every day. | Routine |
| Apr 10, 2025 | E · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
| Apr 10, 2025 | E · potential | 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. | Routine |
| Apr 10, 2025 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Apr 10, 2025 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Dec 6, 2023 | D · potential | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Routine |
| Dec 6, 2023 | D · potential | Ensure medication error rates are not 5 percent or greater. | Routine |
Medicare's severity letters: A–C minimal harm, D–F potential for more than minimal harm, G–L actual harm or immediate danger. Source: CMS health deficiencies file, processed October 1, 2026.
Questions to ask on a visit
Lone Tree Post Acute
4001 Lone Tree Way, Antioch, CA 94509 · (925) 754-0470
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 056021
- Certified beds
- 99
- Legal owner
- Contra Loma Healthcare, LLC
- Part of
- Pacs Group
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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