All citations for Willow Tree Healthcare 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 Healthcare Center

Last standard health inspection on record

July 24, 2025

Showing 1 to 25 of 68 citations

  1. 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 May 22, 2024. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (March 28, 2024).

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

    Have power receptacles that are properly grounded.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0912, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 19, 2025).

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

    Ensure that testing and maintenance of electrical equipment is performed.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 19, 2025).

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

    Install proper backup exit lighting.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0281, Egress Deficiencies. Inspection of May 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 21, 2023).

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

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of May 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 21, 2023).

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

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of May 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 21, 2023).

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

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of May 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 21, 2023).

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

    Install corridor and hallway doors that block smoke.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of May 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 21, 2023).

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

    Ensure that testing and maintenance of electrical equipment is performed.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 21, 2023).

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

    Have proper medical gas storage and administration areas.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 21, 2023).

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

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of July 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 29, 2025).

  12. 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.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of July 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 29, 2025).

  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 July 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 29, 2025).

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

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of September 20, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 20, 2023).

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

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of September 20, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 20, 2023).

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

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of May 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2023).

  17. 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 May 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2023).

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

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of May 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2023).

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

    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 E.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of May 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2023).

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

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

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

    Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of May 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2023).

  21. 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 May 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2023).

  22. 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 May 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2023).

  23. 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.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of May 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2023).

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

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of May 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2023).

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

    Make sure that a working call system is available in each resident's bathroom and bathing area.

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

    Health citation F-0919, Environmental Deficiencies. Inspection of May 3, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2023).

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.