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
1 of 5 overall
WILLOW TREE CARE CENTER (DELTA, CO) has a 1-star overall rating, with a 1-star health inspection rating, 2-star quality measures, and 3-star staffing. It reports 3.32 nurse staffing hours per resident per day versus the 4.1 federal benchmark, had $44,240 in fines in the last 24 months, and has a recent abuse citation.
Facility ratings
Health inspections
Staffing
3.3208 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 3.3208.
Staffing detail
- Registered nurses
- 0.85
- Licensed practical nurses
- 0.69
- Nurse aides
- 1.78
- Weekend nursing
- 2.85
Hours per resident per day.
Total staff turnover: 66%
Registered nurse turnover: 73%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
31.9%Improving
Residents with a fall causing major injury
7.3%Worsening
Residents with pressure ulcers (bedsores)
5.3%Improving
Residents with a urinary tract infection
4.2%Worsening
Residents who lost too much weight
6.9%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
32.5%Worsening
Residents whose ability to walk got worse
19.7%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
31.4%Steady
Short-stay residents newly given an antipsychotic
2.7%Steady
Residents with a long-term catheter
1.4%Worsening
Residents with new or worsening incontinence
27%Steady
Residents with depressive symptoms
5.9%Worsening
Long-stay residents given the seasonal flu vaccine
91.5%Steady
Long-stay residents given the pneumonia vaccine
95.8%Worsening
Short-stay residents given the seasonal flu vaccine
85.7%Steady
Short-stay residents given the pneumonia vaccine
77.2%Worsening
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
- Ownership
- For profit - Limited Liability company
- Chain
- Part of STELLAR SENIOR LIVING · 8 homes · 2 stars avg
- Occupancy
- 55.7 residents on an average day (70% 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.