See every facility — official ratings, family reviews, no referral fees.
Nursing HomeMedicaid Top Rated

Lone Tree Post Acute

Strong Medicare quality ratings; families often praise outstanding physical and occupational therapy. Still worth an in-person visit.

4001 Lone Tree Way, Antioch, CA 9450999 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.1/5

based on 89 Google reviews

5
4
3
2
1
Lone Tree Post Acute Nursing Home in Antioch, CA — Street View
Street View

Watch Lone Tree Post Acute

Get an email when new inspections, ratings, or penalties are published for this facility.

We’ll only email you about this — no spam, unsubscribe anytime.

What this means for your family

This facility is an excellent choice for patients requiring intensive physical or occupational therapy, as the rehab teams are frequently cited as world-class. However, families must remain active advocates for their loved ones, specifically monitoring call light response times and ensuring medication schedules are strictly followed, as several reviewers noted lapses in basic care and communication.

Google Reviews

Google Reviews

89 reviews on Google
Families considering Lone Tree Post Acute will find a facility highly praised for its exceptional physical and occupational therapy teams and a compassionate nursing staff. However, there are serious, recurring reports of delayed responses to call lights and neglect regarding basic needs like hydration and hygiene. While many celebrate the recent renovations, some reviewers warn of significant issues with medication management and communication.

Quality Themes

Tap a score for details
Food6.0Staff8.0Clean7.0Activities9.0Meds2.0MemoryN/AComms4.0ValueN/A

Strengths

  • Outstanding physical and occupational therapy
  • Compassionate and attentive nursing staff
  • Recently renovated and clean facilities
  • Engaging activities and social programs

Concerns

  • Delayed response to call lights and patient needs (mentioned by 4 reviewers)
  • Inconsistent medication management and administration (mentioned by 2 reviewers)
  • Issues with hygiene and cleanliness of patient care (mentioned by 2 reviewers)
  • Poor communication from administrative/medical staff (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'16(1)'18(2)'20(1)'22(6)'24(24)'26(5)

Distribution · 96 analyzed

5
68
4
9
3
2
2
1
1
16

How They Respond to Reviews

17%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1It is wonderful to see how clean and recently renovated the facility looks; how often are the resident rooms and common areas deep-cleaned?
  • 2We are very impressed by the high ratings for your therapy programs; how closely do the physical and occupational therapists work with the nursing staff to coordinate care?
  • 3How does the nursing team ensure that call lights are answered promptly, especially during busy shift changes or overnight?
  • 4What specific protocols are in place to ensure medication is administered accurately and on a consistent schedule every day?
  • 5How does the administrative team keep families updated on any changes in a resident's medical condition or care plan?
  • 6What kind of social programs or engaging daily activities do you have planned to help residents stay connected with one another?

Personalized based on this facility's data


Key Review Excerpts

I had GREAT OCCUPATIONAL & Physical THERAPY you could be asked for!! All of the therapist were OUTSTANDING!! They’ll treated you like you were their own family!!

Rehab patient · 2025★★★★★

The call buttons? Useless. You're left waiting indefinitely. My grandfather had an accident—wet himself—and staff actually told me he'd only pushed the button ten minutes earlier.

Long-term resident's family · 2025☆☆☆☆

The pain medications that were prescribed and recieved by Lone Tree Post ACUTE were not given to me, or My mom. This caused my mother to have to go without the proper pain relief for over a week.

Long-term resident's family · 2024☆☆☆☆
Source: 89 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.56hrs
75%
Registered nurses for medical care
Total Nursing
3.94hrs
96%
All nurses + aides combined
Staff Turnover
33%
Lower is better (< 30% = good)
RN Turnover
46%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

13

measures

Mixed Results

4

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
15.5%
CA
11.7%
Contra costa
10.5%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility7.0%
Better than Avg
Here
7.0%
US
19.5%
CA
13.7%
Contra costa
8.7%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility3.6%
Better than Avg
Here
3.6%
US
14.4%
CA
10.4%
Contra costa
7.8%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
CA
98.6%
Contra costa
99.7%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility8.8%
Better than Avg
Here
8.8%
US
15.3%
CA
10.5%
Contra costa
10.0%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility14.8%
Mixed vs Avgs
Here
14.8%
US
19.4%
CA
10.7%
Contra costa
10.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.6%
Better than Avg
Here
99.6%
US
81.8%
CA
94.2%
Contra costa
98.5%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility95.8%
Mixed vs Avgs
Here
95.8%
US
79.8%
CA
93.2%
Contra costa
97.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
CA
1.5%
Contra costa
1.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

9deficiencies
Near state avg (15.4)
2 complaint-triggered
$46,860 in fines

Lone Tree Post Acute has recurring deficiencies across multiple surveys, with one triggered by family complaints about emergency call systems. The facility shows persistent issues in medication management, fire safety systems, and resident care planning that appear in multiple inspections from 2021 through 2025. While all deficiencies show correction dates, the pattern of repeated violations in key safety and care areas suggests ongoing operational challenges that families should investigate further.

Apr 27, 2026Complaint
2
0836Potential for harm · WidespreadCorrected

Administration Deficiencies

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.

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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

Apr 10, 2025Routine
16
0732Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0559Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0687Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate foot care.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0919Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the use of electrical equipment.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0712Minimal · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

Dec 6, 2023Routine
10
0036Potential for harm · PatternCorrected

Emergency Preparedness Deficiencies

Establish emergency prep training and testing.

0004Potential for harm · PatternCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0013Potential for harm · PatternCorrected

Emergency Preparedness Deficiencies

Develop Emergency Preparedness policies and procedures.

0029Potential for harm · PatternCorrected

Emergency Preparedness Deficiencies

Develop a communication plan.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Apr 15, 2021Routine
17
0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0688Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0015Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

0161Potential for harm · IsolatedCorrected

Construction Deficiencies

Use approved construction type or materials.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

0345Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0346Potential for harm · IsolatedCorrected

Smoke Deficiencies

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

0354Potential for harm · IsolatedCorrected

Smoke Deficiencies

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Lone Tree Post Acute

Organization Type

for profit

Chain Affiliation

Chain Name

Pacs Group

Chain Size

280 facilities nationwide

Chain avg rating: 2.9/5 · Rank 1 of 260 (Best)

Ownership & Management

Key personnel

Dhugga, GurpreetContracted Managing EmployeeHadley, MatthewW-2 Managing EmployeeApt, FrederickOfficer / DirectorHancock, MarkOfficer / DirectorJergensen, JoshuaOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Nearby Alternatives

Call