All citations for Willow Tree Care Center

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Willow Tree Care Center

Last standard health inspection on record

February 26, 2026

Showing 1 to 25 of 52 citations

  1. Harm to a resident

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

    Pattern (more than a few residents). CMS level H.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of October 5, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 9, 2022).

  2. Harm to a resident

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

    Isolated (one or a few residents). CMS level G.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of February 26, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 19, 2026).

  3. Harm to a resident

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

    Isolated (one or a few residents). CMS level G.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of February 26, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 19, 2026).

  4. Harm to a resident

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of October 5, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 9, 2022).

  5. Harm to a resident

    Provide enough food/fluids to maintain a resident's health.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of October 5, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 9, 2022).

  6. No harm, with potential for more than minimal harm

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

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of February 26, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 20, 2026).

  7. No harm, with potential for more than minimal harm

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

    Widespread (many residents). CMS level F.

    Health citation F-0847, Administration Deficiencies. Inspection of January 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 16, 2024).

  8. No harm, with potential for more than minimal harm

    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.

    Widespread (many residents). CMS level F.

    Health citation F-0838, Administration Deficiencies. Inspection of October 5, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 9, 2022).

  9. No harm, with potential for more than minimal harm

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Widespread (many residents). CMS level F.

    Health citation F-0867, Administration Deficiencies. Inspection of October 5, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 9, 2022).

  10. No harm, with potential for more than minimal harm

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Widespread (many residents). CMS level F.

    Health citation F-0882, Infection Control Deficiencies. Inspection of October 5, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 9, 2022).

  11. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0730, Nursing and Physician Services Deficiencies. Inspection of February 26, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 19, 2026).

  12. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of February 26, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 20, 2026).

  13. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of February 26, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 20, 2026).

  14. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of July 23, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 1, 2025).

  15. No harm, with potential for more than minimal harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of January 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 16, 2024).

  16. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0565, Resident Rights Deficiencies. Inspection of January 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 16, 2024).

  17. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of January 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 16, 2024).

  18. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of January 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 16, 2024).

  19. No harm, with potential for more than minimal harm

    The resident has the right to receive notices in a format and a language he or she understands.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0574, Resident Rights Deficiencies. Inspection of October 5, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 9, 2022).

  20. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0585, Resident Rights Deficiencies. Inspection of October 5, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 9, 2022).

  21. No harm, with potential for more than minimal harm

    Ensure each resident receives an accurate assessment.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of October 5, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 9, 2022).

  22. No harm, with potential for more than minimal harm

    Provide activities to meet all resident's needs.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0679, Quality of Life and Care Deficiencies. Inspection of October 5, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 9, 2022).

  23. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of October 5, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 9, 2022).

  24. No harm, with potential for more than minimal harm

    Provide safe and appropriate respiratory care for a resident when needed.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of October 5, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 9, 2022).

  25. No harm, with potential for more than minimal harm

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of October 5, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 9, 2022).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.