Elder Care Record

West Virginia › Jefferson County › Charles Town

Willow Tree Healthcare Center

1263 South George Street, Charles Town, WV 25414

CCN 515156 · For-profit, corporation · 104 certified beds · chain Communicare Health

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Willow Tree Healthcare Center, in Charles Town, West Virginia, is certified for 104 beds under for-profit, corporation ownership and belongs to the Communicare Health chain.

CMS gives it 3 of 5 stars overall, equal to the West Virginia median; the health inspection rating is 3, staffing 2 and quality measures 4.

Inspectors recorded 54 health deficiencies across the three most recent survey cycles (12, 15, 27 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 51.9 per 100 beds, about the same as the state median of 47.3.

CMS lists 1 penalty in the period covered: fines totalling $8K.

Reported nurse staffing is 3.6 hours per resident per day (0.6 RN), close to the West Virginia median of 3.5; nursing staff turnover is 39.6%.

54health deficiencies, 3 survey cycles1 at actual harm or worse
$8Kfines listed by CMS1 penalty in period
3.6nurse hours per resident per daystate median 3.5
97%occupancy (residents ÷ beds)101 residents a day

Compared with county, state and nation

MeasureThis facilityJefferson Co. medianWest Virginia medianUS average
Overall star rating3233.0
Health citations, 3 cycles54543828.7
Citations per 100 beds51.967.947.326.8
Total nurse hours per resident day3.63.13.53.9
RN hours per resident day0.60.90.70.7
Nursing staff turnover39.6%41.9%43.2%45.8%
Fines listed$8,018$8,018$8,021—

County and state figures are medians across facilities (3 in the county, 123 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)12
Cycle 215
Cycle 327

Dark bar: this facility. Grey bar: West Virginia average per facility for the same cycle, as published by CMS. Standard health survey dates: 24 Jul 2025, 3 May 2023.

Severity mix: G ×1 D ×32 E ×21

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
30 Oct 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation5 Dec 2025
30 Oct 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation5 Dec 2025
30 Oct 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation5 Dec 2025
24 Jul 2025F0584Honor 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.EStandard survey29 Aug 2025
24 Jul 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey29 Aug 2025
24 Jul 2025F0880Provide and implement an infection prevention and control program.EStandard survey29 Aug 2025
24 Jul 2025F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey29 Aug 2025
24 Jul 2025F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard survey29 Aug 2025
24 Jul 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey29 Aug 2025
24 Jul 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey29 Aug 2025
24 Jul 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey29 Aug 2025
24 Jul 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey29 Aug 2025
7 May 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation7 May 2025
25 Jul 2024F0624Prepare residents for a safe transfer or discharge from the nursing home.DComplaint investigation23 Aug 2024
25 Jul 2024F0880Provide and implement an infection prevention and control program.DComplaint investigation23 Aug 2024
22 May 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint investigation28 Mar 2024
22 May 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation28 Mar 2024
22 May 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation28 Jun 2024
19 Jan 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation1 Mar 2024
19 Jan 2024F0610Respond appropriately to all alleged violations.DComplaint investigation1 Mar 2024
19 Jan 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation1 Mar 2024
19 Jan 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation1 Mar 2024
19 Jan 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation1 Mar 2024
19 Jan 2024F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DComplaint investigation1 Mar 2024
20 Sep 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint investigation20 Oct 2023
20 Sep 2023F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint investigation20 Oct 2023
20 Sep 2023F0880Provide and implement an infection prevention and control program.DComplaint investigation20 Oct 2023
20 Sep 2023F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DComplaint investigation20 Oct 2023
3 May 2023F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard survey16 Jun 2023
3 May 2023F0679Provide activities to meet all resident's needs.EStandard survey16 Jun 2023
3 May 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard survey16 Jun 2023
3 May 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard survey16 Jun 2023
3 May 2023F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EStandard survey16 Jun 2023
3 May 2023F0730Observe each nurse aide's job performance and give regular training.EStandard survey16 Jun 2023
3 May 2023F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey16 Jun 2023
3 May 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey16 Jun 2023
3 May 2023F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard survey16 Jun 2023
3 May 2023F0919Make sure that a working call system is available in each resident's bathroom and bathing area.EStandard survey16 Jun 2023
3 May 2023F0924Put firmly secured handrails on each side of hallways.EStandard survey16 Jun 2023
3 May 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey16 Jun 2023
3 May 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey16 Jun 2023
3 May 2023F0697Provide safe, appropriate pain management for a resident who requires such services.DStandard survey16 Jun 2023
2 Mar 2022F0584Honor 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.EStandard survey31 Mar 2022
2 Mar 2022F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard survey31 Mar 2022
2 Mar 2022F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey31 Mar 2022
2 Mar 2022F0880Provide and implement an infection prevention and control program.EStandard survey31 Mar 2022
2 Mar 2022F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EStandard survey31 Mar 2022
2 Mar 2022F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard survey31 Mar 2022
2 Mar 2022F0578Honor 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 survey31 Mar 2022
2 Mar 2022F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey31 Mar 2022
2 Mar 2022F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey31 Mar 2022
2 Mar 2022F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey31 Mar 2022
2 Mar 2022F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey31 Mar 2022
2 Mar 2022F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey31 Mar 2022

Penalties

DateTypeAmountDetail
22 May 2024Fine$8,018

Staffing

Total nursing3.63 h
Nurse aides1.9 h
LPN1.11 h
RN0.63 h
Weekend total3.12 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the West Virginia average. Turnover: nursing staff 39.6%, RNs 40.0%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityWest Virginia medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay6.6%14.2%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay3.5%1.0%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.9%4.4%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay11.2%15.1%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay4.0%3.6%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay14.1%10.9%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, corporation. Legal business name: Blue Ridge Nursing Llc. Chain: Communicare Health (110 facilities).

OrganisationRole in the CMS recordInterestSince
Wo Holdings LLCDirect ownership interestNOT APPLICABLE01/01/2016
Health Care Holdings, LLCIndirect ownership interestNOT APPLICABLE01/01/2016
Rrw, LLCIndirect ownership interestNOT APPLICABLE01/01/2016
So George Mgt, LLCOperational/managerial controlNOT APPLICABLE01/01/2016
So George Mgt, LLCAdp of the snfNOT APPLICABLE04/22/2025

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Jefferson County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Canterbury CenterShepherdstown6222271114.5—18 Mar 2025
Shenandoah CenterCharles Town782225367.9$48K11 Mar 2026

All 3 facilities in Jefferson County

Questions and answers

How many deficiencies has Willow Tree Healthcare Center been cited for?

54 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The West Virginia median is 38 per facility.

Has Willow Tree Healthcare Center been fined?

Yes. CMS lists fines totalling $8K in the period covered.

How does staffing at Willow Tree Healthcare Center compare?

Reported total nurse staffing is 3.6 hours per resident per day against a West Virginia median of 3.5 and a national average of 3.9.

Who operates Willow Tree Healthcare Center?

It is part of the Communicare Health chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Wo Holdings LLC, Health Care Holdings, LLC and Rrw, LLC. Individual owners and managers are not listed on this site.

When was Willow Tree Healthcare Center last inspected?

The most recent survey or investigation in the CMS record is dated 30 Oct 2025; the most recent standard health survey was 24 Jul 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.