Lone Tree Health Care Center Inc has a 5 out of 5 overall rating, with strong staffing (5 out of 5) and reported nurse staffing above the federal benchmark (4.23 vs 4.1 hours per resident per day). Its inspection and quality ratings are both 4 out of 5, and it had $0 in fines in the last 24 months.
Last inspection: November 20, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.2321.
Staffing detail
Registered nurses
0.88
Licensed practical nurses
0.26
Nurse aides
3.10
Weekend nursing
3.79
Hours per resident per day.
Total staff turnover: 25%
Registered nurse turnover: 20%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
—0%—
Residents with a fall causing major injury
0%6.9%Worsening
Residents with pressure ulcers (bedsores)
2.6%2%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
—4.8%—
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
9.5%8.7%Improving
Residents whose ability to walk got worse
—11.7%—
Long-stay residents on antianxiety or sleep medication
14.3%8.7%Improving
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
31%29.4%Improving
Residents with depressive symptoms
0%12%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%93.1%Worsening
Short-stay residents given the seasonal flu vaccine
—67.7%—
Short-stay residents given the pneumonia vaccine
67.7%68.2%No change
What the inspectors found
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited November 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: D
The home failed to properly assess a resident after a major change in condition. Cited November 2025 — isolated incident, potential for harm.
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F-Tag 637 — 42 CFR §483.20(b)(2) — S/S: D
The home failed to make sure feeding tubes were used only when medically needed and that residents with feeding tubes received proper care. Cited April 2024 — isolated incident, potential for harm.
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F-Tag 693 — 42 CFR §483.25 — S/S: D
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited June 2023 — isolated incident, potential for harm.
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F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: D
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited June 2023 — isolated incident, potential for harm.
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F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: D
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
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INSPECTION
Health inspection found 5 health deficiencies.
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Operator & ownership
Ownership
For profit - Individual
Occupancy
32.1 residents on an average day (73% of 44 beds)
Medicare history
Certified for 28 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.