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Lone Tree Post Acute: Licensing Compliance Failure - CA

Healthcare Facility
Lone Tree Post Acute
Antioch, CA  ·  5/5 stars

The citation against Lone Tree Post Acute, issued following a complaint investigation on April 27, 2026, carries a scope and severity rating of F, meaning inspectors determined the deficiency was widespread across the facility, with potential for more than minimal harm to residents, even if no actual harm was documented at the time.

That last part, no documented harm, is the part facilities sometimes point to. It is not the part that should provide comfort.

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A scope rating of widespread means inspectors did not find an isolated lapse in one unit or involving one staff member. It means the compliance failure extended broadly enough that inspectors characterized it as reaching across the facility's operations. The deficiency falls under a regulatory category covering the most foundational obligation a nursing home carries: that it is properly licensed and operating within the legal framework governing its existence.

Lone Tree Post Acute was cited for two deficiencies total during this inspection. The licensing compliance failure was one of them.

What makes the April 27 citation notable is not only what inspectors found, but what has not happened since. The facility has filed no plan of correction. That is not a technicality. A plan of correction is the mechanism by which a cited nursing home tells regulators what went wrong, who is responsible for fixing it, and by what date the problem will be resolved. Without one, there is no timeline. There is no named accountability. There is no commitment on paper that anything will change.

Federal inspectors conducting complaint investigations do not arrive unannounced to check paperwork. They arrive because someone, a resident, a family member, a staff member, filed a complaint serious enough to trigger a review. The nature of the underlying complaint that prompted this inspection is not detailed in the citation record, but the result of the investigation included a finding that the facility was not meeting its basic legal obligations to operate in compliance with state and local law.

Nursing homes in California operate under layered oversight. They are licensed by the state, subject to local codes, and participate in the federal Medicare and Medicaid programs, which carry their own compliance requirements. A deficiency under the tag cited here, F0836, means inspectors found the facility falling short of the requirement to maintain compliance across that entire framework. The citation does not specify which law or regulation was being violated, only that the deficiency was present and widespread.

The residents living at Lone Tree Post Acute on the day inspectors arrived had no way of knowing whether the facility's licensing status was current, whether it was operating within required legal parameters, or whether the complaint that triggered the investigation had anything to do with their own care. That is not unusual. Residents of nursing homes are rarely in a position to audit the administrative and legal compliance of the facilities responsible for their daily lives.

What they depend on, and what the inspection system exists to provide, is outside verification that the facility is doing what it is legally required to do.

On April 27, 2026, inspectors found that Lone Tree Post Acute was not.

The absence of a correction plan means that as of the record available, the facility has not formally told anyone in the regulatory system what it intends to do about that finding. It has not named a date. It has not described a fix. It has offered nothing on paper that would allow a regulator, a resident's family member, or a prospective resident to assess whether the problem is being addressed.

The two families who might be considering Lone Tree Post Acute for a parent or spouse right now, comparing ratings and reading inspection histories, would find this citation in the public record. Whether they would know what to make of a widespread licensing compliance deficiency with no correction plan filed is another question.

For the residents already there, the question is not hypothetical.

Full Inspection Report

The details above represent a summary of key findings. View the complete inspection report for Lone Tree Post Acute from 2026-04-27 including all violations, facility responses, and corrective action plans.

Additional Resources


Editorial Standards

Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).

Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.

Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.

Last verified: July 27, 2026  ·  Our methodology

Quick Answer

LONE TREE POST ACUTE in ANTIOCH, CA was cited for violations during a health inspection on April 27, 2026.

That last part, no documented harm, is the part facilities sometimes point to.

Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.

Frequently Asked Questions

What happened at LONE TREE POST ACUTE?
That last part, no documented harm, is the part facilities sometimes point to.
How serious are these violations?
Violation severity varies from minor documentation issues to serious safety concerns. Review the inspection report for specific deficiency codes and scope. All violations must be corrected within required timeframes and are subject to follow-up verification inspections.
What should families do?
Families should: (1) Ask facility administration about specific corrective actions taken, (2) Request to see the follow-up inspection report verifying corrections, (3) Check if this represents a pattern by reviewing prior inspection reports, (4) Compare this facility's ratings with other nursing homes in ANTIOCH, CA, (5) Report any new concerns directly to state authorities.
Where can I see the full inspection report?
The complete inspection report is available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request a copy directly from LONE TREE POST ACUTE or from the state Department of Health. The report includes specific deficiency codes, facility responses, and correction timelines. This facility's federal provider number is 056021.
Has this facility had violations before?
To check LONE TREE POST ACUTE's history, visit Medicare.gov's Care Compare and review their inspection history, quality ratings, and staffing levels. Look for patterns of repeated violations, especially in critical areas like abuse prevention, medication management, infection control, and resident safety.


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