Lone Tree Convalescent Hospital - Antioch Nursing Home

General Information

UPDATE
Federal Provider Number
56021
Provider Name
LONE TREE CONVALESCENT HOSPITAL
Provider Address
4001 LONE TREE WAY
ANTIOCH, CA 94509
Provider Phone Number
(925) 754-0470
Provider SSA County
60
Provider County Name
Contra Costa
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
88
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LONE TREE CONV HOSP INC
Date First Approved to Provide Medicare and Medicaid services
1979-11-07
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.88750
Reported LPN Staffing Hours per Resident per Day
0.78466
Reported RN Staffing Hours per Resident per Day
0.77841
Reported Licensed Staffing Hours per Resident per Day
1.56307
Reported Total Nurse Staffing Hours per Resident per Day
4.45057
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02614
Expected CNA Staffing Hours per Resident per Day
2.57734
Expected LPN Staffing Hours per Resident per Day
0.65203
Expected RN Staffing Hours per Resident per Day
1.00842
Expected Total Nurse Staffing Hours per Resident per Day
4.23780
Adjusted CNA Staffing Hours per Resident per Day
2.74898
Adjusted LPN Staffing Hours per Resident per Day
0.99882
Adjusted RN Staffing Hours per Resident per Day
0.57677
Adjusted Total Nurse Staffing Hours per Resident per Day
4.23329
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
104
Cycle 1 Standard Survey Health Date
2014-10-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
104
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-08-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-07-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
70.00000
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
6
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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