Lone Tree Convalescent Hospital
4001 Lone Tree Way, Antioch, CA 94509


Lone Tree Convalescent Hospital is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 056021. The address is 4001 Lone Tree Way, Antioch, CA 94509. The zip code is 94509. The phone number is 9257540470.


Lone Tree Convalescent Hospital · 4001 Lone Tree Way, Antioch, CA 94509

Federal Provider Number 056021
Provider Name LONE TREE CONVALESCENT HOSPITAL
Address 4001 LONE TREE WAY
ANTIOCH, CA 94509
Phone Number 9257540470
SSA County Code 60
County Name Contra Costa
Ownership Type For profit - Individual
Certified Beds 99
Certified Beds Residents 89
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name LONE TREE CONV HOSP INC
Date First Approved to Provide Medicare Medicaid Services 11/07/1979
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 4
Health Inspection Rating 3
Quality Measure Rating 4
Staffing Rating 4
RN Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 2.61798
Reported LPN Staffing Hours per Resident per Day 0.7736
Reported RN Staffing Hours per Resident per Day 0.70899
Reported Licensed Staffing Hours per Resident per Day 1.48258
Reported Total Nurse Staffing Hours per Resident per Day 4.10057
Reported Physical Therapist Staffing Hours per Resident Per Day 0.03427
Expected CNA Staffing Hours per Resident per Day 2.44109
Expected LPN Staffing Hours per Resident per Day 0.62938
Expected RN Staffing Hours per Resident per Day 1.00084
Expected Total Nurse Staffing Hours per Resident per Day 4.07131
Adjusted CNA Staffing Hours per Resident per Day 2.63151
Adjusted LPN Staffing Hours per Resident per Day 1.02019
Adjusted RN Staffing Hours per Resident per Day 0.52931
Adjusted Total Nurse Staffing Hours per Resident per Day 4.05987
Cycle 1 Total Number of Health Deficiencies 8
Cycle 1 Number of Standard Health Deficiencies 6
Cycle 1 Number of Complaint Health Deficiencies 2
Cycle 1 Health Deficiency Score 56
Cycle 1 Standard Survey Health Date 11/23/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 56
Cycle 2 Total Number of Health Deficiencies 6
Cycle 2 Number of Standard Health Deficiencies 3
Cycle 2 Number of Complaint Health Deficiencies 3
Cycle 2 Health Deficiency Score 56
Cycle 2 Standard Health Survey Date 11/19/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 56
Cycle 3 Total Number of Health Deficiencies 15
Cycle 3 Number of Standard Health Deficiencies 13
Cycle 3 Number of Complaint Health Deficiencies 2
Cycle 3 Health Deficiency Score 84
Cycle 3 Standard Health Survey Date 10/16/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 84
Total Weighted Health Survey Score 60.667
Number of Facility Reported Incidents 6
Number of Substantiated Complaints 10
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Lone Tree Convalescent Hospital

Owner Name Role Association Date
CALLAWAY, LOWELL (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
since 11/07/1979
CALLAWAY, LOWELL (Individual) OFFICER since 02/01/2008
CALLAWAY, MARK (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
since 11/07/1979
CALLAWAY, MARK (Individual) 5% OR GREATER MORTGAGE INTEREST since 01/01/2011
CALLAWAY, MARK (Individual) OFFICER since 02/01/2008
CALLAWAY, MARK (Individual) OPERATIONAL/MANAGERIAL CONTROL since 02/01/2008
RIRIE, PHYLENE (Individual) MANAGING EMPLOYEE since 11/07/1979

94509 · Nursing Home

Antioch Convalescent Hospital 1210 A Street, Antioch, CA 94509

Antioch · Nursing Home

Life Care Center of Hickory Woods 4200 Murfreesboro Pike, Antioch, TN 37013
Good Samaritan Health and Rehab Center 500 Hickory Hollow Terrace, Antioch, TN 37013
Antioch Convalescent Hospital 1210 A Street, Antioch, CA 94509

CA · Nursing Home

Brentwood Health Care Center 1321 Franklin Street, Santa Monica, CA 90404
Brookdale Yorba Linda 17803 Imperial Highway, Yorba Linda, CA 92886
Kindred Nursing and Healthcare - Livermore 76 Fenton Street, Livermore, CA 94550
Windsor Care Center of Cheviot Hills 3533 Motor Avenue, Los Angeles, CA 90034
Providence West Valley 7057 Shoup Ave, West Hills, CA 91307
Kindred Transitional Care & Rehabilitation-lawton 1575 7th Avenue, San Francisco, CA 94122
Villa Maria Healthcare Center 425 E Barcellus Ave, Santa Maria, CA 93454
Leisure Glen Post Acute Care Center 330 Mission Road, Glendale, CA 91205
Royal Crest Health Care 519 W. Badillo St., Covina, CA 91722
Baywood Court Health Center 21966 Dolores Street, Castro Valley, CA 94546
Greenfield Care Center of South Gate 8455 State Street, South Gate, CA 90280
The Dorothy & Joseph Goldberg Healthcare Center 211 Saxony Road, Encinitas, CA 92024
Merced Behavioral Center 1255 B Street, Merced, CA 95340
Magnolia Gardens Convalescent Hospital 17922 San Fernando Mission Rd, Granada Hills, CA 91344
Centinela Skilled Nursing & Wellness Centre West 950 Flower Street, Inglewood, CA 90301
Tarzana Health and Rehabilitation Center 5650 Reseda Blvd, Tarzana, CA 91356
Fireside Convalescent Hospital 947 Third Street, Santa Monica, CA 90403
Oak River Rehab 3300 Franklin Street, Anderson, CA 96007
Avalon Health Care - San Andreas 900 Mountain Ranch Road, San Andreas, CA 95249
Gordon Lane Care Center 1821 E Chapman Ave, Fullerton, CA 92831
Parkside Health and Wellness Center 444 W Lexington, El Cajon, CA 92020
The Rehabilitation Center of Santa Monica 1338 20th Street, Santa Monica, CA 90404
Life Care Center of Escondido 1980 Felicita Road, Escondido, CA 92025
River Valley Care Center 9000 Larkin Road, Live Oak, CA 95953
Linda Valley Care Center 25383 Cole Street, Loma Linda, CA 92354
Olympia Convalescent Hospital 1100 S. Alvarado St, Los Angeles, CA 90006
South Pasadena Care Center 904 Mission St, South Pasadena, CA 91030
New Hope Post Acute Care 2586 Buthmann Ave, Tracy, CA 95376
Highland Care Center of Redlands 700 East Highland Avenue, Redlands, CA 92374
Woodland Skilled Nursing Facility 678 Third Street, Woodland, CA 95695
Glenbrook 1950 Calle Barcelona, Carlsbad, CA 92009
Memorial Hospital of Gardena D/p Snf 1145 W. Redondo Beach, Gardena, CA 90247
West Covina Medical Center D/p Snf 725 S. Orange Avenue, West Covina, CA 91790
Virgil Rehabilitation & Skilled Nursing Center 975 North Virgil Avenue, Los Angeles, CA 90029
Jones Convalescent Hospital 524 Callan Avenue, San Leandro, CA 94577
Highland Palms Healthcare Center 7534 Palm Avenue, Highland, CA 92346
Country Villa South Conv Ctr 3515 Overland Avenue, Los Angeles, CA 90034
Empres Post Acute Rehabilitation 300 Douglas Street, Petaluma, CA 94952
San Francisco Health Care 1477 Grove Street, San Francisco, CA 94117
Kaweah Delta Skilled Nursing Center 1633 South Court Street, Visalia, CA 93277