Nursing homes › California › Lone Tree Post Acute
4001 Lone Tree Way, Antioch, CA 94509 · 9257540470 · 99 certified beds
Per CMS filings, this facility is affiliated with Pacs Group, a group operating 281 facilities in 16 states. Group record: average rating 2.8/5, 26 abuse citation icons, 13 facilities on the Special Focus list, $8,841,332 in federal fines. This facility rates above its group average (2.8/5).
Total nurse staffing: 4.03 (California median: 4.24). RN hours: 0.59. Weekend total: 3.61. Nursing staff turnover: 33%.
All-time on record: 29 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-01 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | E | Health | corrected 2026-06-01 |
| 2026-05-01 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Health | corrected 2026-06-01 |
| 2026-05-01 | Provide enough food/fluids to maintain a resident's health. | E | Health | corrected 2026-06-01 |
| 2026-05-01 | Provide safe and appropriate respiratory care for a resident when needed. | E | Health | corrected 2026-06-01 |
| 2026-05-01 | Ensure medication error rates are not 5 percent or greater. | E | Health | corrected 2026-06-01 |
| 2026-05-01 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2026-06-01 |
| 2026-05-01 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2026-06-01 |
| 2026-05-01 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2026-06-01 |
| 2026-05-01 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Health | corrected 2026-06-01 |
| 2026-05-01 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Health | corrected 2026-06-01 |
| 2026-05-01 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2026-06-01 |
| 2026-05-01 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2026-06-01 |
| 2026-05-01 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2026-06-01 |
| 2026-05-01 | Provide safe, appropriate pain management for a resident who requires such services. | D | Health | corrected 2026-06-01 |
| 2026-04-27 | 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. | F | complaint | Deficient, Provider has no plan of correction |
| 2026-04-27 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | complaint | Deficient, Provider has no plan of correction |
| 2025-04-10 | Post nurse staffing information every day. | F | Health | corrected 2025-05-11 |
| 2025-04-10 | Ensure medication error rates are not 5 percent or greater. | E | Health | corrected 2025-05-11 |
| 2025-04-10 | 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. | E | Health | corrected 2025-05-11 |
| 2025-04-10 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2025-05-11 |
| 2025-04-10 | Provide and implement an infection prevention and control program. | E | Health | corrected 2025-05-11 |
| 2025-04-10 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2025-05-11 |
| 2025-04-10 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | Health | corrected 2025-05-11 |
| 2025-04-10 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2025-05-11 |
| 2025-04-10 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2025-05-11 |
| 2025-04-10 | Provide appropriate foot care. | D | Health | corrected 2025-05-11 |
| 2025-04-10 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2025-05-11 |
| 2023-12-06 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Health | corrected 2024-01-06 |
| 2023-12-06 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2024-01-06 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| APT, FREDERICK | Corporate Officer | Individual | NOT APPLICABLE | since 02/10/2021 |
| HANCOCK, MARK | Corporate Officer | Individual | NOT APPLICABLE | since 05/01/2020 |
| JERGENSEN, JOSHUA | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2024 |
| MITCHELL, JOHN | Corporate Officer | Individual | NOT APPLICABLE | since 02/10/2021 |
| MURRAY, JASON | Corporate Officer | Individual | NOT APPLICABLE | since 05/01/2020 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 056021. Corrections: data@carerecords.org.