Independent · Federal inspection records, searchable
Not a law firm · Not a government agency
Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 065249

Willow Tree Care Center

43 federal citations on record .

Abuse Icon

Record summary

Federal record · Q1 2026
43
Total citations
15
Last 3 years
3
Actual harm+
0
Federal penalties
$0
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care9 Resident Rights9 Care Planning6 Abuse & Neglect4 Medication & Pharmacy4

Most common F-tags at this facility

F6003 F7443 F6583 F5502 F6452

Citation history

43 on record
SurveyF-TagViolationSeveritySource
Jul 23, 2025F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DComplaint
Jul 23, 2025F610Respond appropriately to all alleged violations.DComplaint
Jul 23, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EComplaint
Apr 16, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Jan 25, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Jan 25, 2024F573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.DComplaint
Jan 25, 2024F847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.FStandard
Jan 25, 2024F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard
Jan 25, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard
Jan 25, 2024F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DStandard
Jan 25, 2024F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Jan 25, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EStandard
Jan 25, 2024F565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard
Jan 25, 2024F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard
Jan 25, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard
Oct 5, 2022F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.EStandard
Oct 5, 2022F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.EStandard
Oct 5, 2022F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Oct 5, 2022F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FStandard
Oct 5, 2022F880Provide and implement an infection prevention and control program.EStandard
Oct 5, 2022F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FStandard
Oct 5, 2022F838Conduct 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.FStandard
Oct 5, 2022F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.EStandard
Oct 5, 2022F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Oct 5, 2022F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.EStandard
Oct 5, 2022F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard
Oct 5, 2022F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Oct 5, 2022F692Provide enough food/fluids to maintain a resident's health.GStandard
Oct 5, 2022F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.GStandard
Oct 5, 2022F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.HStandard
Oct 5, 2022F688Provide 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.EStandard
Oct 5, 2022F679Provide activities to meet all resident's needs.EStandard
Oct 5, 2022F641Ensure each resident receives an accurate assessment.EStandard
Oct 5, 2022F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DStandard
Oct 5, 2022F585Honor 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.EStandard
Oct 5, 2022F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard
Oct 5, 2022F574The resident has the right to receive notices in a format and a language he or she understands.EStandard
Oct 5, 2022F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Jun 24, 2021F761Ensure 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.EStandard
Jun 24, 2021F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard
Jun 24, 2021F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Jun 24, 2021F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Jun 24, 2021F585Honor 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.DStandard
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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