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 25 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

  12. 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).

  13. 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).

  14. 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).

  15. 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).

  16. 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).

  17. 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).

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

    Put firmly secured handrails on each side of hallways.

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

    Health citation F-0924, 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).

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

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of May 7, 2025. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (May 7, 2025).

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

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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

    Health citation F-0656, 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).

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

    Provide care and assistance to perform activities of daily living for any resident who is unable.

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

    Health citation F-0677, 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).

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

    Provide safe, appropriate pain management for a resident who requires such services.

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

    Health citation F-0697, 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).

  23. No harm, with potential for minimal harm

    Have elevators that firefighters can control in the event of a fire.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0531, Services Deficiencies. Inspection of May 3, 2023. Found during a standard inspection.

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

  24. No harm, with potential for minimal harm

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of May 3, 2023. Found during a standard inspection.

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

  25. No harm, with potential for minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0918, 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).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.