Willow Tree Care Center
2050 S Main St · Delta, CO · 81416 · 9708749773
80 certified beds For profit - Limited Liability company Chain: Stellar Senior Living
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
- 5 citations involved actual harm to residents.
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Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
66% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.32 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.85 | 0.55–0.75 |
| Weekend hours / resident-day | 2.85 | ≈ weekday level |
| Nursing turnover / year | 66% | median 45% |
| Fines (3-yr window) | 1 · $44,240 |
Inspection citations (52 in the current record)
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Actual harm · G February 26, 2026
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 19, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G February 26, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 19, 2026 · Quality of Life and Care
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Potential for harm · D February 26, 2026
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected March 19, 2026 · Resident Rights
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Potential for harm · D February 26, 2026
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected March 19, 2026 · Resident Rights
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Potential for harm · D February 26, 2026
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected March 19, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 26, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 19, 2026 · Resident Assessment and Care Planning
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Potential for harm · E February 26, 2026
Observe each nurse aide's job performance and give regular training.
Corrected March 19, 2026 · Nursing and Physician Services
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Potential for harm · D February 26, 2026
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.
Corrected March 19, 2026 · Pharmacy Service
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Potential for harm · E February 26, 2026
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected March 20, 2026 · Nutrition and Dietary
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Potential for harm · F February 26, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 20, 2026 · Nutrition and Dietary
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Potential for harm · E February 26, 2026
Provide and implement an infection prevention and control program.
Corrected March 20, 2026 · Infection Control
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Potential for harm · D February 26, 2026
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected March 19, 2026 · Nursing and Physician Services
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Potential for harm · D February 26, 2026 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected March 20, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 26, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 19, 2026 · Quality of Life and Care
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Potential for harm · E July 23, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected September 1, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 23, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected September 1, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 23, 2025 · found via complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected September 1, 2025 · Quality of Life and Care
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Potential for harm · D April 16, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 23, 2025 · Resident Assessment and Care Planning
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Potential for harm · E January 25, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 16, 2024 · Resident Rights
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Potential for harm · D January 25, 2024
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected February 16, 2024 · Resident Rights
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Potential for harm · E January 25, 2024
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected February 16, 2024 · Resident Rights
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Potential for harm · E January 25, 2024
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 16, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 25, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected February 16, 2024 · Resident Assessment and Care Planning
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Potential for harm · D January 25, 2024
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected February 16, 2024 · Quality of Life and Care
-
Potential for harm · E January 25, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected February 16, 2024 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 26, 2026 | Fine | $44,240 |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 065249 · certified since March 1, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.