Willow Tree Care Center
A nursing home in Delta, Colorado 81416
2050 S Main St, Delta, Colorado 81416. (970) 874-9773.
- Cited for abuse (CMS flag)
Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.
The short answer
Record last released by CMS on Oct 28, 2026.
- 2of 5 CMS’s overall rating
- 14 health citations at the latest inspection cycle Colorado average: 8.7
- 3.28 nurse hours per resident per day Colorado average: 3.69
- 1 fine in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean7
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
14 health citations at the latest inspection cycle
The Colorado average is 8.7.
Last standard inspection Feb 26, 2026.
Most serious in three years: actual harm (G), at a standard inspection on Feb 26, 2026
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
29 citations in 4 months of the last 36. Last cited Feb 2026. Most serious: actual harm (G). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 29 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 8 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Feb 26, 2026: standard inspection12 citations
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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PASARR screening for Mental disorders or Intellectual Disabilities
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Ensure services provided by the nursing facility meet professional standards of quality.
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Observe each nurse aide’s job performance and give regular training.
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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.
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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Provide and implement an infection prevention and control program.
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Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Feb 26, 2026: standard and complaint inspection2 citations
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Protect each resident from the wrongful use of the resident’s belongings or money.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jul 23, 2025: complaint inspection3 citations
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Respond appropriately to all alleged violations.
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Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Apr 16, 2025: complaint inspection1 citation
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Ensure services provided by the nursing facility meet professional standards of quality.
Jan 25, 2024: standard inspection9 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Honor the resident’s right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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Honor the resident’s right to organize and participate in resident/family groups in the facility.
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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PASARR screening for Mental disorders or Intellectual Disabilities
-
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
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Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Jan 25, 2024: complaint inspection2 citations
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Let each resident or the resident’s legal representative access or purchase copies of all the resident’s records.
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Ensure services provided by the nursing facility meet professional standards of quality.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Mar 1, 1989.
- Not on CMS’s special focus list.
- CMS marks it with its abuse icon: cited for abuse or neglect that harmed a resident.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
- 80 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 1 fine in the last three years, $28,756 in all.
- No Medicare payment denials in the last three years.
- 8 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Feb 26, 2026 | Fine | $28,756 |
Who does the caring?
3.28 nurse hours per resident per day
The Colorado average is 3.69.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Colorado average |
|---|---|---|
| Nurse hours per resident per day | 3.28 | 3.69 |
| Of which registered nurses | 0.88 | 0.81 |
| At weekends | 2.83 | 3.26 |
| Nursing staff turnover | 56.7% | 47% |
| Registered nurse turnover | 43.8% | 44.4% |
| Administrators who left | 2 | Not given |
Who owns it?
- Sptihs Properties Trust owns 10% directly since Jan 1, 2024.
- Diversified Healthcare Trust and Stellar Senior Living B LLC and Snh Trs, Inc. and Blackrock Inc. and Stellar V LLC and Snh Proj Lincoln Trs LLC and Flat Footed LLC and Abp Trust and Vanguard Group Inc. and Snh Trs Licensee Holdco LLC and H/2 Special Opportunities IV L.P. and Stellar Willow Tree Management LLC and D.e. Shaw & Co., L.P. and Sptihs Properties Trust and Charles Schwab & Co Inc. run it.
- 22 owners or officers are people: Adam D Portnoy (corporate director, 100%); Christopher J. Bilotto (corporate officer, 100%); Christopher J. Bilotto (corporate director, 100%); Matthew C. Brown (corporate officer, 100%); Adam D Portnoy (owns 5% or more through other companies, 9.67%); Adam D Portnoy (runs it (operational or managerial control)); Adam D Portnoy (additional disclosable party (controls, leases property to, or provides services to the home)); Christopher J. Bilotto (runs it (operational or managerial control)); Christopher J. Bilotto (additional disclosable party (controls, leases property to, or provides services to the home)); Jennifer B Clark (corporate officer); Jennifer B Clark (runs it (operational or managerial control)); Jennifer B Clark (additional disclosable party (controls, leases property to, or provides services to the home)); Matthew C. Brown (runs it (operational or managerial control)); Matthew C. Brown (additional disclosable party (controls, leases property to, or provides services to the home)); Kevin L Pulsipher (runs it (operational or managerial control)); Kevin L Pulsipher (additional disclosable party (controls, leases property to, or provides services to the home)); Melissa K. Wood (runs it (operational or managerial control)); Melissa K. Wood (additional disclosable party (controls, leases property to, or provides services to the home)); Kellie Waddell (runs it (operational or managerial control)); Kellie Waddell (additional disclosable party (controls, leases property to, or provides services to the home)); Evrett Benton (runs it (operational or managerial control)); Evrett Benton (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of Stellar Senior Living (7 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- A real-estate investment trust is among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Diversified Healthcare Trust | Owns 5% or more through other companies | 100% | Jan 1, 2020 |
| Snh Trs, Inc. | Owns 5% or more through other companies | 100% | Jan 1, 2020 |
| Snh Proj Lincoln Trs LLC | Owns 5% or more through other companies | 100% | Jan 1, 2024 |
| Snh Trs Licensee Holdco LLC | Owns 5% or more through other companies | 100% | Jan 1, 2020 |
| Sptihs Properties Trust | Owns 5% or more directly | 10% | Jan 1, 2024 |
| Flat Footed LLC | Owns 5% or more through other companies | 9.77% | Mar 22, 2024 |
| Abp Trust | Owns 5% or more through other companies | 9.67% | Mar 22, 2024 |
| Vanguard Group Inc. | Owns 5% or more through other companies | 8.35% | Mar 22, 2024 |
| Blackrock Inc. | Owns 5% or more through other companies | 7.77% | Mar 22, 2024 |
| H/2 Special Opportunities IV L.P. | Owns 5% or more through other companies | 6.2% | Mar 22, 2024 |
| Charles Schwab & Co Inc. | Owns 5% or more through other companies | 5.97% | Mar 22, 2024 |
| D.e. Shaw & Co., L.P. | Owns 5% or more through other companies | 5.73% | Mar 22, 2024 |
| Diversified Healthcare Trust | Runs it (operational or managerial control) | Jan 1, 2020 | |
| Diversified Healthcare Trust | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 27, 2025 | |
| Stellar Senior Living B LLC | Runs it (operational or managerial control) | Aug 1, 2021 | |
| Stellar Senior Living B LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 27, 2025 | |
| Snh Trs, Inc. | Runs it (operational or managerial control) | Jan 1, 2020 | |
| Snh Trs, Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 27, 2025 | |
| Blackrock Inc. | Runs it (operational or managerial control) | Mar 22, 2024 | |
| Blackrock Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 27, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 27, 2025 | |
| Stellar V LLC | Runs it (operational or managerial control) | Aug 1, 2021 | |
| Stellar V LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 27, 2025 | |
| Snh Proj Lincoln Trs LLC | Runs it (operational or managerial control) | Jan 1, 2024 | |
| Snh Proj Lincoln Trs LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 27, 2025 | |
| Flat Footed LLC | Runs it (operational or managerial control) | Mar 22, 2024 | |
| Flat Footed LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 27, 2025 | |
| Abp Trust | Runs it (operational or managerial control) | Mar 22, 2024 | |
| Abp Trust | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 27, 2025 | |
| Vanguard Group Inc. | Runs it (operational or managerial control) | Mar 22, 2024 | |
| Vanguard Group Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 27, 2025 | |
| Snh Trs Licensee Holdco LLC | Runs it (operational or managerial control) | Jan 1, 2020 | |
| Snh Trs Licensee Holdco LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 27, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 27, 2025 | |
| H/2 Special Opportunities IV L.P. | Runs it (operational or managerial control) | Mar 22, 2024 | |
| H/2 Special Opportunities IV L.P. | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 27, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 27, 2025 | |
| Stellar Willow Tree Management LLC | Runs it (operational or managerial control) | Aug 1, 2021 | |
| Stellar Willow Tree Management LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 27, 2025 | |
| D.e. Shaw & Co., L.P. | Runs it (operational or managerial control) | Mar 22, 2024 | |
| D.e. Shaw & Co., L.P. | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 27, 2025 | |
| Sptihs Properties Trust | Runs it (operational or managerial control) | Jan 1, 2024 | |
| Sptihs Properties Trust | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 1, 2020 | |
| Charles Schwab & Co Inc. | Runs it (operational or managerial control) | Mar 22, 2024 | |
| Charles Schwab & Co Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 27, 2025 |
How do residents fare?
- CMS rates its quality measures 2 of 5 (Colorado average 4.2).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 2 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 3 of 5 |
| Quality measures | 2 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 37.1 miles, this one had the 2nd most health citations at the latest inspection cycle (14; the middle value was 12).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Willow Tree Care Center This nursing home | 14 | |
| Horizons Care Center | 8.2 | 11 |
| Colorow Care Center | 8.7 | 7 |
| Hope Springs Care Center | 19.9 | 9 |
| Valley Manor Care Center | 20.4 | 11 |
| Paonia Care and Rehabilitation Center | 27.7 | 13 |
| Canyon View Care Center | 31.1 | 12 |
| Eagle Ridge Post Acute | 35.6 | 16 |
| Mantey Heights Rehabilitation & Care Center | 36.0 | 12 |
| Larchwood Health and Rehab LLC | 36.8 | 13 |
| Red Cliffs Post Acute | 36.9 | 14 |
| La Villa Grande Care Center | 37.1 | 10 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
-
Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.