Willow Tree Healthcare Center

1263 South George Street · Charles Town, WV · 25414 · 3047256575

104 certified beds For profit - Corporation Chain: Communicare Health

  • Inspection results have improved across recent cycles.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

Score breakdown

Inspection record 30% of score 44
Serious harm & abuse 20% 84
Staffing 20% 65
Federal penalties 15% 77
Trend 10% 85
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.563.48 min · 4.1 strong
RN hours / resident-day0.510.55–0.75
Weekend hours / resident-day3.00≈ weekday level
Nursing turnover / year43%median 45%
Fines (3-yr window)1 · $8,018

Inspection citations (54 in the current record)

  • Potential for harm · D October 30, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected December 5, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D October 30, 2025 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected December 5, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D October 30, 2025 · found via complaint

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

    Corrected December 5, 2025 · Quality of Life and Care

  • Potential for harm · D July 24, 2025

    Reasonably accommodate the needs and preferences of each resident.

    Corrected August 29, 2025 · Resident Rights

  • Potential for harm · D July 24, 2025

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Corrected August 29, 2025 · Resident Rights

  • Potential for harm · E July 24, 2025

    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.

    Corrected August 29, 2025 · Resident Rights

  • Potential for harm · D July 24, 2025

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected August 29, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D July 24, 2025

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

    Corrected August 29, 2025 · Quality of Life and Care

  • Potential for harm · D July 24, 2025

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

    Corrected August 29, 2025 · Quality of Life and Care

  • Potential for harm · D July 24, 2025

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected August 29, 2025 · Quality of Life and Care

  • Potential for harm · E July 24, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected August 29, 2025 · Nutrition and Dietary

  • Potential for harm · E July 24, 2025

    Provide and implement an infection prevention and control program.

    Corrected August 29, 2025 · Infection Control

  • Potential for harm · D May 7, 2025 · found via complaint

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

    Corrected May 7, 2025 · Quality of Life and Care

  • Potential for harm · D July 25, 2024 · found via complaint

    Prepare residents for a safe transfer or discharge from the nursing home.

    Corrected August 23, 2024 · Resident Rights

  • Potential for harm · D July 25, 2024 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected August 23, 2024 · Infection Control

  • Actual harm · G May 22, 2024 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected March 28, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D May 22, 2024 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected March 28, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D May 22, 2024 · found via complaint

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

    Corrected June 28, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D January 19, 2024 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected March 1, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 19, 2024 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected March 1, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 19, 2024 · found via complaint

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

    Corrected March 1, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D January 19, 2024 · found via complaint

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

    Corrected March 1, 2024 · Quality of Life and Care

  • Potential for harm · D January 19, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected March 1, 2024 · Quality of Life and Care

  • Potential for harm · D January 19, 2024 · found via complaint

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected March 1, 2024 · Quality of Life and Care

  • Potential for harm · E September 20, 2023 · found via complaint

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

    Corrected October 20, 2023 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
May 22, 2024Fine$8,018

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 515156 · certified since October 10, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.