Lone Tree Post Acute
Strong Medicare quality ratings; families often praise outstanding physical and occupational therapy. Still worth an in-person visit.
based on 89 Google reviews

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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 detailsStrengths
- 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
Distribution · 96 analyzed
How They Respond to Reviews
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!!”
“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.”
“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.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
13
measures
4
measures
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents needing more daily help over time
Residents vaccinated for pneumonia
Residents whose walking got worse
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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, 2026Complaint2
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.
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, 2025Routine16
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate foot care.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use of electrical equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Dec 6, 2023Routine10
Emergency Preparedness Deficiencies
Establish emergency prep training and testing.
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Emergency Preparedness Deficiencies
Develop Emergency Preparedness policies and procedures.
Emergency Preparedness Deficiencies
Develop a communication plan.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
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
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Apr 15, 2021Routine17
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
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.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Emergency Preparedness Deficiencies
Address subsistence needs for staff and patients.
Construction Deficiencies
Use approved construction type or materials.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Ownership & Operations
Who Operates This Facility
Lone Tree Post Acute
for profit
Chain Affiliation
Pacs Group
280 facilities nationwide
Chain avg rating: 2.9/5 · Rank 1 of 260 (Best)
Ownership & Management
Key personnel
Contact
Get in Touch
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References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
89 reviews from families & visitors
Official Website
Visit lonetreepa.com
Medicare data downloads
Original nursing home datasets
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