Hearth Record

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)
CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 29 citations in 4 months of the last 36. Last cited Feb 2026. Most serious: actual harm (G). Every month

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

Source:

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.

29 citations by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

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 , from A, the least serious, to L, the most. 8 came from complaint inspections.

Source:

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Feb 26, 2026: standard inspection12 citations
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Rule F0600. G: actual harm. Correction date, as CMS recorded it: Mar 19, 2026.

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. G: actual harm. Correction date, as CMS recorded it: Mar 19, 2026.

  • Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Rule F0580. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 19, 2026.

  • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Rule F0582. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 19, 2026.

  • PASARR screening for Mental disorders or Intellectual Disabilities

    Rule F0645. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 19, 2026.

  • Ensure services provided by the nursing facility meet professional standards of quality.

    Rule F0658. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 19, 2026.

  • Observe each nurse aide’s job performance and give regular training.

    Rule F0730. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 19, 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.

    Rule F0761. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 19, 2026.

  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Rule F0804. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 20, 2026.

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Rule F0812. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 20, 2026.

  • Provide and implement an infection prevention and control program.

    Rule F0880. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 20, 2026.

  • Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Rule F0947. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 19, 2026.

Feb 26, 2026: standard and complaint inspection2 citations
  • Protect each resident from the wrongful use of the resident’s belongings or money.

    Rule F0602. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 20, 2026.

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 19, 2026.

Jul 23, 2025: complaint inspection3 citations
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Rule F0600. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 1, 2025.

  • Respond appropriately to all alleged violations.

    Rule F0610. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 1, 2025.

  • Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    Rule F0744. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 1, 2025.

Apr 16, 2025: complaint inspection1 citation
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Rule F0658. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 23, 2025.

Jan 25, 2024: standard inspection9 citations
  • Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Rule F0550. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 16, 2024.

  • Honor the resident’s right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Rule F0561. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 16, 2024.

  • Honor the resident’s right to organize and participate in resident/family groups in the facility.

    Rule F0565. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 16, 2024.

  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Rule F0600. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 16, 2024.

  • PASARR screening for Mental disorders or Intellectual Disabilities

    Rule F0645. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 16, 2024.

  • Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    Rule F0744. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 16, 2024.

  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Rule F0804. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 16, 2024.

  • Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Rule F0806. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 16, 2024.

  • Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

    Rule F0847. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 16, 2024.

Jan 25, 2024: complaint inspection2 citations
  • Let each resident or the resident’s legal representative access or purchase copies of all the resident’s records.

    Rule F0573. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 16, 2024.

  • Ensure services provided by the nursing facility meet professional standards of quality.

    Rule F0658. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 16, 2024.

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.
Source:

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.
Source:

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Fines and payment denials, newest first
DateKindAmount
Feb 26, 2026Fine$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.

Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

Staffing measures
MeasureThis homeColorado average
Nurse hours per resident per day3.283.69
Of which registered nurses0.880.81
At weekends2.833.26
Nursing staff turnover56.7%47%
Registered nurse turnover43.8%44.4%
Administrators who left2Not 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.
Source:

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
OrganisationRoleShareSince
Diversified Healthcare TrustOwns 5% or more through other companies100%Jan 1, 2020
Snh Trs, Inc.Owns 5% or more through other companies100%Jan 1, 2020
Snh Proj Lincoln Trs LLCOwns 5% or more through other companies100%Jan 1, 2024
Snh Trs Licensee Holdco LLCOwns 5% or more through other companies100%Jan 1, 2020
Sptihs Properties TrustOwns 5% or more directly10%Jan 1, 2024
Flat Footed LLCOwns 5% or more through other companies9.77%Mar 22, 2024
Abp TrustOwns 5% or more through other companies9.67%Mar 22, 2024
Vanguard Group Inc.Owns 5% or more through other companies8.35%Mar 22, 2024
Blackrock Inc.Owns 5% or more through other companies7.77%Mar 22, 2024
H/2 Special Opportunities IV L.P.Owns 5% or more through other companies6.2%Mar 22, 2024
Charles Schwab & Co Inc.Owns 5% or more through other companies5.97%Mar 22, 2024
D.e. Shaw & Co., L.P.Owns 5% or more through other companies5.73%Mar 22, 2024
Diversified Healthcare TrustRuns it (operational or managerial control)Jan 1, 2020
Diversified Healthcare TrustAdditional disclosable party (controls, leases property to, or provides services to the home)Mar 27, 2025
Stellar Senior Living B LLCRuns it (operational or managerial control)Aug 1, 2021
Stellar Senior Living B LLCAdditional 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 nameAdditional disclosable party (controls, leases property to, or provides services to the home)Mar 27, 2025
Stellar V LLCRuns it (operational or managerial control)Aug 1, 2021
Stellar V LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Mar 27, 2025
Snh Proj Lincoln Trs LLCRuns it (operational or managerial control)Jan 1, 2024
Snh Proj Lincoln Trs LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Mar 27, 2025
Flat Footed LLCRuns it (operational or managerial control)Mar 22, 2024
Flat Footed LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Mar 27, 2025
Abp TrustRuns it (operational or managerial control)Mar 22, 2024
Abp TrustAdditional 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 LLCRuns it (operational or managerial control)Jan 1, 2020
Snh Trs Licensee Holdco LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Mar 27, 2025
An organisation CMS lists without a nameAdditional 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 nameAdditional disclosable party (controls, leases property to, or provides services to the home)Mar 27, 2025
Stellar Willow Tree Management LLCRuns it (operational or managerial control)Aug 1, 2021
Stellar Willow Tree Management LLCAdditional 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 TrustRuns it (operational or managerial control)Jan 1, 2024
Sptihs Properties TrustAdditional 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).
Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
MeasureRating
Overall rating2 of 5
Health inspections2 of 5
Staffing3 of 5
Quality measures2 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).
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

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).

  • 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).

  • 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).

  • 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.

Source:

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.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

Every fact names its source.

Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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