WILLOW TREE CARE CENTER

CMS abuse icon · CCN 065249 · SNH CO TENANT LLC · For profit - Limited Liability company · STELLAR SENIOR LIVING chain · 80 certified beds · Delta · CO


WILLOW TREE CARE CENTER is a 80-bed nursing home in DELTA, Colorado. CMS has certified it for Medicare and Medicaid since 1989-03-01. It averages 54.0 residents a day.

What harm was found in the violations cited at WILLOW TREE CARE CENTER?

CMS lists 52 health-inspection deficiencies for WILLOW TREE CARE CENTER since 2022-10-05, 29 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is H; the most recent health inspection was 2026-02-26.

Survey dateTagDeficiencySeverity
2026-02-26F0600, F0684Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide appropriate treatment and care according to orders, resident’s preferences and goals.G
2026-02-26F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2026-02-26F0730, F0804, F0880Observe each nurse aide's job performance and give regular training. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Provide and implement an infection prevention and control program.E
2026-02-26F0580, F0582, F0602, F0645, F0658, F0689, F0761, F0947Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Protect each resident from the wrongful use of the resident's belongings or money. / PASARR screening for Mental disorders or Intellectual Disabilities / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.D
2025-07-23F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.E
2025-07-23F0610, F0744Respond appropriately to all alleged violations. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.D
2025-04-16F0658Ensure services provided by the nursing facility meet professional standards of quality.D
2024-01-25F0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.F
2024-01-25F0550, F0565, F0600, F0804Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Honor the resident's right to organize and participate in resident/family groups in the facility. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E
2024-01-25F0561, F0645, F0744, F0806, F0573, F0658Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / PASARR screening for Mental disorders or Intellectual Disabilities / Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Let each resident or the resident's legal representative access or purchase copies of all the resident's records. / Ensure services provided by the nursing facility meet professional standards of quality.D
2022-10-05F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.H
2022-10-05F0690, F0692Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide enough food/fluids to maintain a resident's health.G
2022-10-05F0838, F0867, F0882Conduct 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. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F
2022-10-05F0574, F0585, F0641, F0679, F0688, F0695, F0725, F0744, F0758, F0880, F0943, F0947The resident has the right to receive notices in a format and a language he or she understands. / 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. / Ensure each resident receives an accurate assessment. / Provide activities to meet all resident's needs. / 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. / Provide safe and appropriate respiratory care for a resident when needed. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. / 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. / Provide and implement an infection prevention and control program. / Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.E
2022-10-05F0550, F0578, F0600, F0756, F0883Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / 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. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Develop and implement policies and procedures for flu and pneumonia vaccinations.D

Why was WILLOW TREE CARE CENTER fined?

DateTypeAmount
2026-02-26Fine$28,756

How is WILLOW TREE CARE CENTER staffed relative to the CO average?

MeasureThis facilityCO average
Total nurse staffing hours per resident per day3.309963.72368
Total nursing staff turnover (%)59.747.1
Average number of residents per day54.074.8

Who owns WILLOW TREE CARE CENTER, and what chain is it in?

WILLOW TREE CARE CENTER is registered with CMS as For profit - Limited Liability company, operates under the legal business name SNH CO TENANT LLC and belongs to the STELLAR SENIOR LIVING chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTSPTIHS PROPERTIES TRUSTsince 01/01/2024
5% OR GREATER INDIRECT OWNERSHIP INTERESTCHARLES SCHWAB & CO INC, D.E. SHAW & CO., L.P., DIVERSIFIED HEALTHCARE TRUST, H/2 SPECIAL OPPORTUNITIES IV L.P., SNH PROJ LINCOLN TRS LLC, SNH TRS LICENSEE HOLDCO LLC, SNH TRS, INC.since 01/01/2020
CORPORATE DIRECTORBILOTTO, CHRISTOPHER, PORTNOY, ADAMsince 01/01/2020
CORPORATE OFFICERBILOTTO, CHRISTOPHER, BROWN, MATTHEW, CLARK, JENNIFERsince 01/01/2020
OPERATIONAL/MANAGERIAL CONTROLABP TRUST, BLACKROCK INC, CHARLES SCHWAB & CO INC, D.E. SHAW & CO., L.P., DIVERSIFIED HEALTHCARE TRUST, FLAT FOOTED LLC, H/2 SPECIAL OPPORTUNITIES IV L.P., SNH PROJ LINCOLN TRS LLC, SNH TRS LICENSEE HOLDCO LLC, SNH TRS, INC., SPTIHS PROPERTIES TRUST, STELLAR SENIOR LIVING B LLC, STELLAR V LLC, STELLAR WILLOW TREE MANAGEMENT LLC, VANGUARD GROUP INC, BENTON, EVRETT, BILOTTO, CHRISTOPHER, BROWN, MATTHEW, CLARK, JENNIFER, PORTNOY, ADAM, PULSIPHER, KEVIN, WADDELL, KELLIE, WOOD, MELISSA K.since 01/01/2020
ADP OF THE SNFABP TRUST, BLACKROCK INC, CHARLES SCHWAB & CO INC, D.E. SHAW & CO., L.P., DIVERSIFIED HEALTHCARE TRUST, FLAT FOOTED LLC, H/2 SPECIAL OPPORTUNITIES IV L.P., SNH PROJ LINCOLN TRS LLC, SNH TRS LICENSEE HOLDCO LLC, SNH TRS, INC., SPTIHS PROPERTIES TRUST, STELLAR SENIOR LIVING B LLC, STELLAR V LLC, STELLAR WILLOW TREE MANAGEMENT LLC, VANGUARD GROUP INC, BENTON, EVRETT, BILOTTO, CHRISTOPHER, BROWN, MATTHEW, CLARK, JENNIFER, PORTNOY, ADAM, PULSIPHER, KEVIN, WADDELL, KELLIE, WOOD, MELISSA K.since 01/01/2020

Were you or a family member harmed at WILLOW TREE CARE CENTER?