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

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

CA · Nursing Home

Northridge Care Center 7836 Reseda Blvd, Reseda, CA 91335
Van Nuys Health Care Center 6835 Hazeltine Ave., Van Nuys, CA 91405
Children's Recovery Center of No Ca D/p Snf 3777 South Bascom Avenue, Campbell, CA 95008
Shields Richmond Nursing Center 1919 Cutting Blvd, Richmond, CA 94804
Windsor Manor Rehabilitation Center 3806 Clayton Road, Concord, CA 94521
Copper Ridge Care Center 201 Hartnell Avenue, Redding, CA 96002
Villa Marin 100 Thorndale Drive, San Rafael, CA 94903
Clairemont Healthcare & Wellness Centre, LLC 8060 Frost Street, San Diego, CA 92123
Jacob Health Care Center, LLC 4075 54th St., San Diego, CA 92105
Villa Maria Healthcare Center 425 E Barcellus Ave, Santa Maria, CA 93454
Woodside Healthcare Center 2240 Northrop Ave, Sacramento, CA 95825
Crescent City Skilled Nursing 1280 Marshall Street, Crescent City, CA 95531
Flagship Healthcare Center 466 Flagship Road, Newport Beach, CA 92663
Gordon Lane Care Center 1821 E Chapman Ave, Fullerton, CA 92831
Berkley Valley Conv Hospital 6600 Sepulveda Blvd., Van Nuys, CA 91411
Lotus Care Center 6011 West Blvd, Los Angeles, CA 90043
Auburn Oaks Care Center 3400 Bell Road, Auburn, CA 95603
Guardian Rehabilitation Hospital 533 S. Fairfax Ave, Los Angeles, CA 90036
California Pacific Medical Ctr- Davies Campus Hosp 601 Duboce Ave, San Francisco, CA 94117
Mocho Park Care Center 752 Holmes Street, Livermore, CA 94550
Madera Rehabilitation & Nursing Center 517 South A Street, Madera, CA 93638
Sunny View Manor 22445 Cupertino Road, Cupertino, CA 95014
San Francisco General Hospital D/p Snf 1001 Potrero Avenue, San Francisco, CA 94110
Glenbrook 1950 Calle Barcelona, Carlsbad, CA 92009
Sherman Oaks Health & Rehab 14401 Huston St., Sherman Oaks, CA 91423
Pleasanton Nursing and Rehabilitation Center 300 Neal Street, Pleasanton, CA 94566
Windsor Gardens Conv Center of San Diego 220 East 24th Street, National City, CA 91950
Blythe Post Acute LLC 285 West Chanslor Way, Blythe, CA 92225
Brookdale Northridge 17650 Devonshire Street, Northridge, CA 91325
Hayes Convalescent Hospital 1250 Hayes Street, San Francisco, CA 94117
Kindred Nursing and Healthcare - Livermore 76 Fenton Street, Livermore, CA 94550
Martinez Convalescent Hospital 4110 Alhambra Way, Martinez, CA 94553
North Walk Villa Conval. Hosp. 12350 Rosecrans, Norwalk, CA 90650
The Cove At La Jolla 7160 Fay Avenue, La Jolla, CA 92037
Victoria Care Center 3541 Puente Avenue, Baldwin Park, CA 91706
The Terraces At Los Altos Health Facility 373 Pine Lane, Los Altos, CA 94022
Casa De Modesto 1745 Eldena Way, Modesto, CA 95350
Mountain View Healthcare Center 2530 Solace Place, Mountain View, CA 94040
Bellflower Post Acute 9710 E. Artesia Ave, Bellflower, CA 90706
Las Villas De Carlsbad Health Center 1094 Laguna Drive, Carlsbad, CA 92008