Willow Tree Care Center - 1-Star Rehab Facility in Delta, CO | PlacetClinical Quality Indicators
Long-stay residents , lower is better
Antipsychotic medication use 30.83%Falls causing major injury 6.82%Pressure ulcers (high-risk) 5.07%Admissions Contacts
No admissions contacts on file yet.
CMS Star Ratings
Last inspected: Jul 2025 (320 days ago)🔍 Health Inspection
1/5
★☆☆☆☆
📊 Quality Measures
3/5
★★★☆☆
Source: CMS MDS Quality Measures. Updated quarterly.
State avg: 50 min · US avg: 41 min
Total Nurse / Resident / Day
3h 26m
State avg: 3h 44m · US avg: 3h 53m
9 min
State avg: 5 min · US avg: 4 min
61 per 100
State avg: 49 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
Weekend vs. Weekday RN
18%well below avg
US avg: 64%
Total Nurse Weekend
2h 24m
Federal Penalties
No federal penalties in the past 3 years.
✅ No penalty records on file
Inspection Citations
Survey: July 23, 2025(9 citations)
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
Survey: April 16, 2025(3 citations)
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
Survey: January 25, 2024(33 citations)
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
Survey: October 5, 2022(69 citations)
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
14.8 per 100
State avg: 20.3 · US avg: 23.9
34.3 per 100
State avg: 12.8 · US avg: 12.0
6.8 per 100
State avg: 3.4 · US avg: 3.3
5.1 per 100
State avg: 3.7 · US avg: 5.1
1.1 per 100
State avg: 1.5 · US avg: 1.6
85.7 per 100
State avg: 75.6 · US avg: 79.7
Rates shown per 100 patients · Green = better than average · Amber = average · Red = below average
VBP Performance Score
32/100
Incentive Payment
-1.31% penalty
Healthcare-Assoc. Infections
7.9 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Avg Length of Stay
27.0 days
Avg Payment / Stay
$14,081.06
Patient Complexity
1.73 × avg
Avg LOS 15-30 days is typical for short-term rehab · Patient complexity = HCC risk score (1.0 = national average; higher = sicker patient mix)
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care Deficiencies
🔴 Immediate JeopardyQuality of Life and Care Deficiencies
🟠 Actual HarmQuality of Life and Care Deficiencies
🟠 Actual HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🔴 Immediate JeopardyQuality of Life and Care Deficiencies
🟠 Actual HarmQuality of Life and Care Deficiencies
🟠 Actual HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🔴 Immediate JeopardyQuality of Life and Care Deficiencies
🟠 Actual HarmQuality of Life and Care Deficiencies
🟠 Actual HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
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