The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2022 — limited pattern, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: H
Nursing home report
WILLOW TREE CARE CENTER
DELTA, CO · Medicare-certified · 80 beds
Needs attention
Abuse citationFor-profitChain member
Data as of July 1, 2026
1 of 5 overall
WILLOW TREE CARE CENTER (Delta, CO) has a 1-out-of-5 overall rating, with a 1-star health inspection rating, 2-star quality measures, and 3-star staffing. Reported nurse staffing is 3.31 hours per resident day versus the 4.1 federal benchmark, and the facility has $44,240 in fines in the last 24 months plus a recent abuse citation.
Facility ratings
Health inspections
Staffing
3.31 hrs/resident/day
Quality measures
Last inspection: February 26, 2026Penalties, last 24 months: $44,240recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.31.
Staffing detail
- Registered nurses
- 0.93
- Licensed practical nurses
- 0.64
- Nurse aides
- 1.75
- Weekend nursing
- 2.93
Hours per resident per day.
Total staff turnover: 60%
Registered nurse turnover: 46%
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).
Long-stay residents on antipsychotic medication
31.4%25.6%Improving
Residents with a fall causing major injury
8.2%9.6%Worsening
Residents with pressure ulcers (bedsores)
4.4%5.2%Worsening
Residents with a urinary tract infection
8.2%4%Improving
Residents who lost too much weight
6.7%13.6%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
42.2%30.2%Improving
Residents whose ability to walk got worse
21.9%28.1%Worsening
Long-stay residents on antianxiety or sleep medication
28.9%21.7%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
24%26.5%Worsening
Residents with depressive symptoms
7%2.5%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—91.5%—
Long-stay residents given the pneumonia vaccine
95.9%98.1%Improving
Short-stay residents given the seasonal flu vaccine
—85.7%—
Short-stay residents given the pneumonia vaccine
77.5%83.8%Improving
What the inspectors found
The nursing home failed to protect residents from abuse and neglect by others. Cited February 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited February 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited October 2022 — isolated incident, actual harm.
View the original federal record
F-Tag 690 — 42 CFR §483.25(e) — S/S: G
The home failed to provide enough food and fluids to keep residents healthy. Cited October 2022 — isolated incident, actual harm.
View the original federal record
F-Tag 692 — 42 CFR §483.25(g) — S/S: G
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $44,240 was recorded.
- INSPECTION
Health inspection found 14 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $44,240 in total fines.
- $44,240
Federal fine
Feb 26, 2026
Operator & ownership
Recent ownership change · Jan 1, 2020
Now operated by Snh CO Tenant LLC, previously Five Star Quality Care-colorado LLC.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of STELLAR SENIOR LIVING · 7 homes · 2 stars avg
- Occupancy
- 54 residents on an average day (68% of 80 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 37 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.