Lone Tree Post Acute

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

61.1% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 398 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 68.3% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 208 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.51 therapist hours per resident per day in 2026Q1 — more than 82% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 30% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 99 beds and averages 94.9 residents a day — about 96% occupied, or roughly 4 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.03 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.59 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.41 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.61 hrs/resident/day on weekends vs 4.20 on weekdays — 14% thinner on weekends. RN hours go from 0.63 to 0.49 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 33% is below the national median of 45%. 1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

29 citations, most serious first. The 10 most serious are shown; the remaining 19 are one tap away and print in full.

• Potential for harm · E2026-05-01 · tag F0605 — failed to not use drugs as a restraint — pattern
  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, and record review, the facility failed to ensure non-pharmacological interventions (without the use of medication or drugs) were implemented and documented for 3 of 5 sampled residents (Resident 1, Resident 71, and Resident 106) reviewed for unnecessary medications when the facility administered psychotropic medications (mind altering drugs) to Resident 1, Resident 71, and Resident 106 without evidence of individualized non-pharmacological interventions to address the residents' behavioral symptoms, or mood-related concerns prior to or in conjunction with medication use.This failure had the potential to result in unnecessary psychotropic medication use, adverse side effects, excessive sedation (difficult to stay awake), and medication dependency.Findings:a. Review of Resident 1's admission RECORD, indicated Resident 1 was admitted to the facility with diagnoses that included malnutrition (poor nutrition resulting in weight loss and decline in health), weakness, and depression (a condition that may cause sadness, loss of interest, and decline in daily…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-05-01 · tag F0684 — failed to provide proper treatment and quality of care — pattern
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure residents received care and services in accordance with professional standards of practice for 2 of 26 sampled residents (Resident 109, and Resident 4) when:Resident 109 did not have an order for the use of a Continuous Glucose Monitor (CGM - a device that continuously checks a person's blood sugar levels throughout the day and night without the need of a blood sample) and there was no facility policy to address the resident use of a CGM.A physician-ordered fluid restriction (limiting the amount of liquids a person can drink) was not implemented for Resident 4.These failures had the potential to result in inaccurate clinical assessment, improper treatment, and potential adverse health outcomes for Resident 109, and Resident 4 including hypoglycemia (low blood sugar) or hyperglycemia (high blood sugar), and fluid imbalance (the body has too much or too little fluid). Findings: 1. Review of Resident 109's admission RECORD, indicated…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-05-01 · tag F0692 — failed to prevent malnutrition and dehydration — pattern
  Provide enough food/fluids to maintain a resident's health.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, and record review, the facility did not maintain acceptable parameters of nutritional status for 3 of 26 sampled Residents (Resident 1, Resident 86, and Resident 96) when:1. Resident 96's unplanned weight loss in March of 2026 was not addressed,2. Resident 96's monthly weight was not completed for January 2026,3. Resident 86's monthly weights were not completed from January 2026 through March 2026; and,4. Resident 1's monthly weights were not completed from March 2026 through April 2026.These failures placed Resident 1, Resident 86, and Resident 96 at risk of ongoing unplanned weight loss.Findings: 1. A review of Resident 96's admission RECORD, indicated Resident 96 was admitted to the facility with diagnoses that included but not limited to dysphagia (difficulty swallowing), depression, and unspecified dementia (when a person shows clear signs of memory loss and cognitive decline that affect daily life). During a concurrent interview and record review on 4/30/26, at 3 p.m., with the Director of Nursing (DON), Resident 96's, Weights and Vitals Summary, dated…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-05-01 · tag F0695 — failed to provide proper breathing / tracheostomy care — pattern
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure respiratory care (care and treatment provided to help a person breathe better) was provided in accordance with professional standards of practice for 3 of 26 sampled residents (Resident 4 and Resident 106) when:A physician-ordered Continuous Positive Airway Pressure (CPAP - a machine that helps a person breathe by gently blowing air through a mask while sleeping) therapy was not carried out.Resident 106's nasal cannula (a lightweight, flexible tube used to deliver supplemental oxygen directly into a patient's nostrils) was not labeled/dated to identify when the equipment was last changed. Physician orders for supplemental oxygen (extra oxygen given to help a person breathe and maintain healthy oxygen levels) and head of bed orders for Resident 71 were not followed.These failures had the potential to result in inadequate ventilation (not getting enough air in and out of the lungs), decreased oxygenation (lower than normal oxygen…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-05-01 · tag F0759 — failed to keep medication error rate low — pattern
  Ensure medication error rates are not 5 percent or greater.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure safe medication administration practices when the medication error rate was more than 5% (% or percentage- number or ratio that expressed as a fraction of 100) for a census of 94 residents. Medication administration observations were conducted over multiple days, at varied times, in random locations throughout the facility. The facility had a total of 4 errors out of 27 opportunities which resulted in a facility wide medication error rate of 14.81% in three out of six residents (Resident 68, Resident 40, Resident 28) during medication administration observation when:Resident 68 omeprazole (a medication used to protect the stomach lining), 10 mg (mg-milligram a unit or measurement) Delayed Release Oral Capsule was not given as ordered by the doctor; Resident 40 Folic Acid 1mg (a supplement used to help blood production in the body) dosage was not given as ordered by the doctor; Resident 28 Folic Acid 1mg dosage was not given as ordered by the doctor; andResident 28 Ferrous Sulfate (Iron), 324mg Delayed…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-05-01 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review the facility failed to store, prepare, and serve food per food safety standards when:The reach-in refrigerator in the dry storage area of the kitchen had missing entries on the temperature log.The reach-in refrigerator in the dry storage area of the kitchen had several strawberries with mold.A vent in the dry storage area of the kitchen had dust.Two vents in the food prep area were dusty and with rust.The ceiling above the tray line was cracked approximately three feet in length.These failures had the potential to lead to cross contamination and food borne illness for the 94 residents eating facility prepared meals.Findings: 1.During the initial kitchen tour with the Dietary Manager (DM) on 4/28/26, at 8:30 a.m., the temperature log of the reach-in refrigerator in the dry storage area was reviewed. The DM confirmed the log had a missing temperature entry on 4/24 at 1:30 p.m., and on 3/27 at 1:30 p.m.During an interview at 9:10 a.m., with the DM, the DM stated it was important to monitor and log the reach in refrigerator temperatures…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-05-01 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure residents were treated with dignity and respect for 1 of 26 sampled residents (Resident 32), when Resident 32's Foley catheter (a thin, flexible tube used to drain urine from the bladder) drainage bag was left uncovered and visible.This failure did not promote a dignified environment and had the potential to compromise Resident 32's privacy, autonomy, and dignity.Findings:Review of Resident 32's admission RECORD, indicated Resident 32 was admitted to the facility with a diagnosis of, but not limited to acute kidney failure (sudden kidney failure), and benign prostatic hyperplasia (an enlarged prostate gland that is not cancer).A review of Resident 32's Order Summary Report, dated 4/29/26, indicated, .Indwelling urinary (Foley) catheter is in privacy bag and catheter leg strap/leg bag on at all times.A review of Resident 32's Care Plan Report, date initiated on 4/19/26, under the section titled, Focus, indicated, .Bladder: At risk for complications with urinary system related to Benign Prostatic…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-01 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
  Reasonably accommodate the needs and preferences of each resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure call lights were within reach for 2 of 26 sampled residents (Resident 108 and Resident 54).This failure limited Resident 108 and Resident 54's ability to request assistance and had the potential risk for unmet needs, falls, and injury.Findings:a. Review of Resident 108's admission RECORD, indicated Resident 108 was admitted to the facility with a diagnosis of, but not limited to unspecified fall, unspecified injury of head, weakness, need for assistance with personal care, repeated falls, dementia (a condition that affects the brain and causes problems with memory, thinking, and daily activities) and cerebral infarction (stroke - a part of the brain gets damaged because it did not receive enough blood and oxygen).A review of Resident 108's clinical record titled, Care Plan Report, initiated on 4/22/26, in the section titled, Focus, indicated, Falls: Resident [Resident 108] is at risk for falls with or without injury related to altered balance.history of falls, unsteady gait. Further review of the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-01 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, and record review, the facility failed to notify the physician of a change of condition for 1 of 26 sampled residents (Resident 96), when Resident 96 experienced an unplanned weight loss in March 2026.This failure resulted in a delayed physician response and delayed interventions to address Resident 96's change of condition. This failure also had the potential to impact Resident 96's health.Findings: A review of Resident 96's admission RECORD, indicated Resident 96 was admitted to the facility with diagnoses that included but not limited to dysphagia (difficulty swallowing), depression, and unspecified dementia (when a person shows clear signs of memory loss and cognitive decline that affect daily life).During a concurrent interview and record review on 4/30/26, at 9:47 a.m., with the Registered Dietitian (RD), Resident 96's Weights and Vitals Summary, dated 4/29/26, was reviewed. The RD confirmed that Resident 96 weighed 165.3 pounds (Lb, a unit of measurement) in December 2025 and then weighed 146.8 Lb in March 2026, which was an 11.2% weight loss.During a…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-01 · tag F0644 — isolated
  Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to submit a new Level I Preadmission Screening and Resident Review (PASRR- a screening for mental illness and treatment to ensure the facility coordinates with the appropriate State-designated authority to ensure that individuals with a mental disorder, intellectual disability, or a related condition receives care and services appropriate to their needs) for 1 of 26 sampled residents (Resident 12), when a level I PASRR was not completed for Resident 12.This failure had the potential to result in unmet specialized service needs for Resident 12 and the lack of appropriate evaluation and care plan interventions. Findings:Review of Resident 12's admission RECORD, indicated Resident 12 was admitted to the facility with diagnosis of, but not limited to depression unspecified (a condition where a person is feeling very sad, down or emotionally low), unspecified psychosis not due to a substance abuse or known physiological condition (a mental condition where a person may have trouble knowing what is real and what is not), vascular…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

“Disputed” is CMS’s own flag, not our reading: the CMS deficiency file records whether the home has formally contested a citation, and we reproduce that. IDR is Informal Dispute Resolution, run by the state survey agency that wrote the citation; IIDR is Independent Informal Dispute Resolution, a separate process before an outside entity, available when CMS has proposed a civil money penalty. They are different processes and we mark them differently. Two things to hold at once. A disputed citation is still a citation — it was written by a surveyor, it stands on the record unless and until it is changed, and we neither hide it nor discount it. And we cannot tell you how the dispute came out: CMS publishes that a citation is under dispute, not the outcome, so a tag marked here may since have been upheld, reduced, or deleted, and an unmarked tag may have been disputed and resolved before this file was cut. Ask the home what it disputed and why — it is entitled to tell you, and the answer is often the most informative thing on this page.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to PACS GROUP — 274 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $2.2M paid to related parties — landlords or management companies under common ownership — equal to about 12% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in CA