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WILLOW TREE CARE CENTER

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WILLOW TREE CARE CENTER is a for profit - corporation facility in DELTA, CO with 80 certified beds and a 1-star overall CMS rating. The facility has 43 deficiency records on file.

2050 S MAIN ST, DELTA, CO 81416

Phone: 9708749773

Overall Rating

1/5

Health Inspection

1/5

Staffing

3/5

Quality Measures

3/5

Long-Stay Quality

2/5

Facility Information

Provider Number
065249
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
80
Residents
54
In Hospital
No
County
Delta
Last Inspection
Jan 25, 2024
Abuse citation on record

Staffing Data

RN Hours
1.14 (nat'l avg: 0.68)
LPN Hours
0.51
CNA Hours
1.79
Total Nursing Hours
3.44 (nat'l avg: 3.89)
PT Hours
0.15
Nursing Turnover
61.4%
RN Turnover
66.7%

What the CMS Record Reveals About WILLOW TREE CARE CENTER

WILLOW TREE CARE CENTER operates 80 certified beds in DELTA, CO with approximately 54 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (1★), staffing levels (3★), and quality measures (3★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 43 deficiency records from recent surveys, of which 3 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 3.44 total nursing hours per resident day (national average 3.89), with RN coverage at 1.14 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, WILLOW TREE CARE CENTER falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 61.4%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (43 most recent)

D — Isolated - Minimal harm Jul 23, 2025 Tag: 0744

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 1, 2025

D — Isolated - Minimal harm Jul 23, 2025 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 1, 2025

E — Pattern - Minimal harm Jul 23, 2025 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 1, 2025

D — Isolated - Minimal harm Apr 16, 2025 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 23, 2025

D — Isolated - Minimal harm Jan 25, 2024 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 16, 2024

D — Isolated - Minimal harm Jan 25, 2024 Tag: 0573

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

Category: Resident Rights Deficiencies

Corrected: Feb 16, 2024

F — Widespread - Minimal harm Jan 25, 2024 Tag: 0847

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Category: Administration Deficiencies

Corrected: Feb 16, 2024

D — Isolated - Minimal harm Jan 25, 2024 Tag: 0806

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Category: Nutrition and Dietary Deficiencies

Corrected: Feb 16, 2024

E — Pattern - Minimal harm Jan 25, 2024 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Feb 16, 2024

D — Isolated - Minimal harm Jan 25, 2024 Tag: 0744

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 16, 2024

D — Isolated - Minimal harm Jan 25, 2024 Tag: 0645

PASARR screening for Mental disorders or Intellectual Disabilities

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 16, 2024

E — Pattern - Minimal harm Jan 25, 2024 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Feb 16, 2024

E — Pattern - Minimal harm Jan 25, 2024 Tag: 0565

Honor the resident's right to organize and participate in resident/family groups in the facility.

Category: Resident Rights Deficiencies

Corrected: Feb 16, 2024

D — Isolated - Minimal harm Jan 25, 2024 Tag: 0561

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Category: Resident Rights Deficiencies

Corrected: Feb 16, 2024

E — Pattern - Minimal harm Jan 25, 2024 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Feb 16, 2024

E — Pattern - Minimal harm Oct 5, 2022 Tag: 0947

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Category: Nursing and Physician Services Deficiencies

Corrected: Nov 9, 2022

E — Pattern - Minimal harm Oct 5, 2022 Tag: 0943

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Nov 9, 2022

D — Isolated - Minimal harm Oct 5, 2022 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Nov 9, 2022

F — Widespread - Minimal harm Oct 5, 2022 Tag: 0882

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Category: Infection Control Deficiencies

Corrected: Nov 9, 2022

E — Pattern - Minimal harm Oct 5, 2022 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Nov 9, 2022

F — Widespread - Minimal harm Oct 5, 2022 Tag: 0867

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Category: Administration Deficiencies

Corrected: Nov 9, 2022

F — Widespread - Minimal harm Oct 5, 2022 Tag: 0838

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Category: Administration Deficiencies

Corrected: Nov 9, 2022

E — Pattern - Minimal harm Oct 5, 2022 Tag: 0758

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Category: Pharmacy Service Deficiencies

Corrected: Nov 9, 2022

D — Isolated - Minimal harm Oct 5, 2022 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Nov 9, 2022

E — Pattern - Minimal harm Oct 5, 2022 Tag: 0744

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 23, 2022

E — Pattern - Minimal harm Oct 5, 2022 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: Nov 9, 2022

E — Pattern - Minimal harm Oct 5, 2022 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 9, 2022

G — Isolated - Actual harm Oct 5, 2022 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 9, 2022

G — Isolated - Actual harm Oct 5, 2022 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 9, 2022

H — Pattern - Actual harm Oct 5, 2022 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 9, 2022

E — Pattern - Minimal harm Oct 5, 2022 Tag: 0688

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 9, 2022

E — Pattern - Minimal harm Oct 5, 2022 Tag: 0679

Provide activities to meet all resident's needs.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 9, 2022

E — Pattern - Minimal harm Oct 5, 2022 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 9, 2022

D — Isolated - Minimal harm Oct 5, 2022 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 23, 2022

E — Pattern - Minimal harm Oct 5, 2022 Tag: 0585

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Category: Resident Rights Deficiencies

Corrected: Nov 9, 2022

D — Isolated - Minimal harm Oct 5, 2022 Tag: 0578

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Category: Resident Rights Deficiencies

Corrected: Nov 9, 2022

E — Pattern - Minimal harm Oct 5, 2022 Tag: 0574

The resident has the right to receive notices in a format and a language he or she understands.

Category: Resident Rights Deficiencies

Corrected: Nov 9, 2022

D — Isolated - Minimal harm Oct 5, 2022 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Nov 9, 2022

E — Pattern - Minimal harm Jun 24, 2021 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: Jul 30, 2021

D — Isolated - Minimal harm Jun 24, 2021 Tag: 0758

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Category: Pharmacy Service Deficiencies

Corrected: Jul 30, 2021

D — Isolated - Minimal harm Jun 24, 2021 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 30, 2021

D — Isolated - Minimal harm Jun 24, 2021 Tag: 0645

PASARR screening for Mental disorders or Intellectual Disabilities

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 30, 2021

D — Isolated - Minimal harm Jun 24, 2021 Tag: 0585

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Category: Resident Rights Deficiencies

Corrected: Jul 30, 2021

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 32.1% Yes
Percentage of long-stay residents who lose too much weight Long Stay 4.4% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.4% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 2.9% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 5.1% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 6.8% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 97.2% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 78.0% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.1% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 21.2% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 30.0% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 91.5% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 85.7% No
Percentage of long-stay residents with pressure ulcers Long Stay 5.1% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 24.7% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 30.8% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for WILLOW TREE CARE CENTER?
WILLOW TREE CARE CENTER has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (3★), and quality measures (3★).
What are the staffing levels at WILLOW TREE CARE CENTER?
WILLOW TREE CARE CENTER reports 3.44 total nursing hours per resident day (national average: 3.89). RN hours are 1.14 per resident day (national average: 0.68). Nursing staff turnover is 61.4%.
How many beds does WILLOW TREE CARE CENTER have?
WILLOW TREE CARE CENTER has 80 certified beds with approximately 54 residents. The facility is located at 2050 S MAIN ST, DELTA, CO 81416.
Does WILLOW TREE CARE CENTER have any deficiencies on record?
Yes, WILLOW TREE CARE CENTER has 43 deficiencies on record from recent inspections. Of these, 3 are classified as causing actual harm or jeopardy.
Has WILLOW TREE CARE CENTER received any fines or penalties?
No, WILLOW TREE CARE CENTER has no fines or penalties on record.
Who owns WILLOW TREE CARE CENTER?
WILLOW TREE CARE CENTER is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was WILLOW TREE CARE CENTER last inspected?
The most recent health inspection for WILLOW TREE CARE CENTER was on Jan 25, 2024. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for WILLOW TREE CARE CENTER?
WILLOW TREE CARE CENTER is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial