Nursing Care Index

Willow Tree Care Center

Delta, Delta County, Colorado · CCN 065249 · For-profit (LLC) · part of Stellar Senior Living (7 facilities, chain average 2.3 stars)

CMS rates Willow Tree Care Center 2 of 5 overall as of August 2026. 80 certified beds, 54 residents a day on average. 52 citations on record from the current inspection cycles, 5 involving actual harm; 1 fine totalling $28,756.

On record

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★☆☆☆ 2 of 5
Health inspections★★☆☆☆ 2 of 5
Staffing★★★☆☆ 3 of 5
Quality measures★★☆☆☆ 2 of 5
Quality: long-stay / short-stay2 / 3 of 5

Staffing

Total nurse staffing3.30996 hours per resident per day
Registered nurses0.92669 hours per resident per day
Weekend total2.92517 hours per resident per day
Nursing staff turnover59.7% (registered nurses 46.2%)
Administrators who left3

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2026-02-26 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2026-03-19
2026-02-26 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2026-03-19
2026-02-26 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2026-03-20
2026-02-26 Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services Deficiencies · tag F0730
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-03-19
2026-02-26 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · tag F0804
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-03-20
2026-02-26 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-03-20
2026-02-26 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · tag F0580
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-03-19
2026-02-26 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · tag F0582
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-03-19
2026-02-26
complaint survey
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0602
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-03-20
2026-02-26 PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · tag F0645
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-03-19
2026-02-26 Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · tag F0658
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-03-19
2026-02-26
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-03-19
2026-02-26 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.
Pharmacy Service Deficiencies · tag F0761
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-03-19
2026-02-26 Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services Deficiencies · tag F0947
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-03-19
2025-07-23
complaint survey
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-09-01
2025-07-23
complaint survey
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-09-01
2025-07-23
complaint survey
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Quality of Life and Care Deficiencies · tag F0744
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-09-01
2025-04-16
complaint survey
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · tag F0658
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-05-23
2024-01-25 Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Administration Deficiencies · tag F0847
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-02-16
2024-01-25 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · tag F0550
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-02-16
2024-01-25 Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies · tag F0565
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-02-16
2024-01-25 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-02-16
2024-01-25 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · tag F0804
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-02-16
2024-01-25 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · tag F0561
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-02-16
2024-01-25
complaint survey
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Resident Rights Deficiencies · tag F0573
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-02-16
2024-01-25 PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · tag F0645
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-02-16
2024-01-25
complaint survey
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · tag F0658
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-02-16
2024-01-25 Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Quality of Life and Care Deficiencies · tag F0744
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-02-16
2024-01-25 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · tag F0806
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-02-16
2022-10-05 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
H Actual harm that is not immediate jeopardy; pattern Deficient, Provider has date of correction
2022-11-09
2022-10-05 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · tag F0690
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2022-11-09
2022-10-05 Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · tag F0692
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2022-11-09
2022-10-05 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.
Administration Deficiencies · tag F0838
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2022-11-09
2022-10-05 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · tag F0867
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2022-11-09
2022-10-05 Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control Deficiencies · tag F0882
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2022-11-09
2022-10-05 The resident has the right to receive notices in a format and a language he or she understands.
Resident Rights Deficiencies · tag F0574
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2022-11-09
2022-10-05 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.
Resident Rights Deficiencies · tag F0585
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2022-11-09
2022-10-05 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2022-11-09
2022-10-05 Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · tag F0679
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2022-11-09
2022-10-05 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.
Quality of Life and Care Deficiencies · tag F0688
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2022-11-09
2022-10-05 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2022-11-09
2022-10-05 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · tag F0725
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2022-11-09
2022-10-05 Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Quality of Life and Care Deficiencies · tag F0744
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2022-12-23
2022-10-05 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.
Pharmacy Service Deficiencies · tag F0758
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2022-11-09
2022-10-05 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2022-11-09
2022-10-05 Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0943
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2022-11-09
2022-10-05 Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services Deficiencies · tag F0947
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2022-11-09
2022-10-05 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · tag F0550
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2022-11-09
2022-10-05 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.
Resident Rights Deficiencies · tag F0578
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2022-11-09
2022-10-05 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2022-12-23
2022-10-05 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · tag F0756
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2022-11-09
2022-10-05 Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · tag F0883
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2022-11-09

Fines and payment denials

DatePenaltyAmount
2026-02-26Fine$28,756

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Sptihs Properties Trust
Organization
5% or greater direct ownership interest10%2024-01-01
Charles Schwab & Co Inc.
Organization
5% or greater indirect ownership interest2024-03-22
D.E. Shaw & Co., L.P.
Organization
5% or greater indirect ownership interest2024-03-22
Diversified Healthcare Trust
Organization
5% or greater indirect ownership interest2020-01-01
H/2 Special Opportunities IV L.P.
Organization
5% or greater indirect ownership interest2024-03-22
Snh Proj Lincoln Trs LLC
Organization
5% or greater indirect ownership interest2024-01-01
Snh Trs Licensee Holdco LLC
Organization
5% or greater indirect ownership interest2020-01-01
Snh Trs, Inc.
Organization
5% or greater indirect ownership interest2020-01-01
Abp Trust
Organization
adp of the snf2025-03-27
Blackrock Inc.
Organization
adp of the snf2025-03-27
Charles Schwab & Co Inc.
Organization
adp of the snf2025-03-27
D.E. Shaw & Co., L.P.
Organization
adp of the snf2025-03-27
Diversified Healthcare Trust
Organization
adp of the snf2025-03-27
Flat Footed LLC
Organization
adp of the snf2025-03-27
H/2 Special Opportunities IV L.P.
Organization
adp of the snf2025-03-27
Snh Proj Lincoln Trs LLC
Organization
adp of the snf2025-03-27
Snh Trs Licensee Holdco LLC
Organization
adp of the snf2025-03-27
Snh Trs, Inc.
Organization
adp of the snf2025-03-27
Sptihs Properties Trust
Organization
adp of the snf2020-01-01
Stellar Senior Living B LLC
Organization
adp of the snf2025-03-27
Stellar V LLC
Organization
adp of the snf2025-03-27
Stellar Willow Tree Management LLC
Organization
adp of the snf2025-03-27
Vanguard Group Inc.
Organization
adp of the snf2025-03-27
Abp Trust
Organization
operational/managerial control2024-03-22
Blackrock Inc.
Organization
operational/managerial control2024-03-22
Charles Schwab & Co Inc.
Organization
operational/managerial control2024-03-22
D.E. Shaw & Co., L.P.
Organization
operational/managerial control2024-03-22
Diversified Healthcare Trust
Organization
operational/managerial control2020-01-01
Flat Footed LLC
Organization
operational/managerial control2024-03-22
H/2 Special Opportunities IV L.P.
Organization
operational/managerial control2024-03-22
Snh Proj Lincoln Trs LLC
Organization
operational/managerial control2024-01-01
Snh Trs Licensee Holdco LLC
Organization
operational/managerial control2020-01-01
Snh Trs, Inc.
Organization
operational/managerial control2020-01-01
Sptihs Properties Trust
Organization
operational/managerial control2024-01-01
Stellar Senior Living B LLC
Organization
operational/managerial control2021-08-01
Stellar V LLC
Organization
operational/managerial control2021-08-01
Stellar Willow Tree Management LLC
Organization
operational/managerial control2021-08-01
Vanguard Group Inc.
Organization
operational/managerial control2024-03-22
Benton, Evrett
Individual
adp of the snf2021-08-01
Bilotto, Christopher
Individual
adp of the snf2024-01-01
Brown, Matthew
Individual
adp of the snf2023-10-01
Clark, Jennifer
Individual
adp of the snf2020-01-01
Portnoy, Adam
Individual
adp of the snf2020-01-01
Pulsipher, Kevin
Individual
adp of the snf2025-01-01
Waddell, Kellie
Individual
adp of the snf2024-02-23
Wood, Melissa K.
Individual
adp of the snf2025-12-15
Bilotto, Christopher
Individual
corporate director2024-01-01
Portnoy, Adam
Individual
corporate director2020-01-01
Bilotto, Christopher
Individual
corporate officer2024-01-01
Brown, Matthew
Individual
corporate officer2023-10-01
Clark, Jennifer
Individual
corporate officer2020-01-01
Benton, Evrett
Individual
operational/managerial control2021-08-01
Bilotto, Christopher
Individual
operational/managerial control2024-01-01
Brown, Matthew
Individual
operational/managerial control2023-10-01
Clark, Jennifer
Individual
operational/managerial control2020-01-01
Portnoy, Adam
Individual
operational/managerial control2020-01-01
Pulsipher, Kevin
Individual
operational/managerial control2025-01-01
Waddell, Kellie
Individual
operational/managerial control2024-02-23
Wood, Melissa K.
Individual
operational/managerial control2025-12-15

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Delta County.