Willow Tree Healthcare Center

    1263 South George Street, Charles Town, WV, 25414
    2.2 · 5 reviews
    • Skilled nursing
    AnonymousLoved one of resident
    1.0

    Understaffed facility, dangerous medication errors

    I chose this facility for its location, comfortable room (bed by the window), good food with vegetarian options, and regular activities-many nurses and CNAs were wonderful and tried their best. However, the place is clearly understaffed: aides are overworked, long waits for help, water not provided, and my mom fell out of bed twice. Medication management and responsiveness were poor-doctors were slow to adjust meds, medical orders were delayed, hospice was ineffective, and I believe medication problems contributed to my mom's death; we were notified late and received a heartless letter. Rehab staff were friendly and flexible, but overall care quality, safety, communication, and empathy were unacceptable. I'm grateful for the kind staff who helped, but I'm overall very dissatisfied and cannot recommend this facility.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    2.20 · 5 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.0
    • Staff

      2.0
    • Meals

      3.7
    • Amenities

      3.0
    • Value

      2.2

    Pros

    • Friendly, helpful staff and caregivers
    • Compassionate nurses and CNAs
    • Staff tried to do their best despite constraints
    • Comfortable atmosphere and room setup flexibility
    • Vegetarian and varied food options; generally good food
    • Regular activities and engagement available
    • Rehabilitation services attempted
    • Convenient/close location
    • Room features such as a bed by the window appreciated
    • Sister/resident satisfaction in some cases

    Cons

    • Chronic understaffing and not enough aides
    • Long wait times for assistance and delayed responses
    • Poor medication management and slow doctor adjustments
    • Reported death allegedly linked to medication issues
    • Ineffective or poorly coordinated hospice services
    • Safety concerns including a resident falling out of bed twice
    • Delays in medical orders and seeing physicians
    • Lack of timely basic care (e.g., water not provided)
    • Overall inconsistent or poor care quality
    • Poor communication from management and clinical team
    • Late notification of a resident's death and heartless correspondence
    • Staff run ragged and overwhelmed
    • Lack of empathy and insensitive handling of serious events
    • Facility does not feel like home to some families
    • Overall dissatisfaction among several family reviewers

    Summary review

    Overall sentiment across the reviews is mixed but leans toward concern. Multiple reviewers praise individual staff members—nurses, CNAs, and other caregivers are frequently described as friendly, compassionate, and doing their best. Family members noted a comfortable atmosphere in rooms, flexibility in room setup, favorable food (including vegetarian options), and regular activities. Rehabilitation efforts were also acknowledged positively in at least one review, and the facility’s convenient location and simple comforts (for example, a bed by the window) were appreciated by some residents and families.

    Despite these positives, the dominant and recurring theme is chronic understaffing and its downstream effects. Reviewers repeatedly describe not having enough aides, long wait times for help, staff who are “run ragged,” and delays in routine care. These staffing shortages appear to affect responsiveness for basic needs (an example cited was not receiving water) and create long waits for assistance. Several comments emphasize that while individual staff are kind, systemic staffing problems limit the quality and timeliness of care.

    Medication management and clinical responsiveness are major areas of concern. Multiple reviews mention poor medication practices, doctors being slow to adjust medications, and delays in processing medical orders or in seeing physicians. One review explicitly links a resident’s death to medication issues; reviewers also described hospice services as ineffective in that case. These allegations point to potentially serious clinical and safety lapses rather than only comfort or hospitality problems.

    Safety and care-quality incidents are also raised: there is a specific report of a resident falling out of bed twice, which underscores risk and supervision concerns. Other reported safety-related problems include late or delayed medical orders and lack of adequate monitoring or timely interventions. Overall, families expressed dissatisfaction with the consistency and reliability of clinical care, even when they acknowledged that certain staff members were doing their best under difficult conditions.

    Communication and management handling of critical events are additional weak points. Several reviewers reported poor communication from the facility, including late notification of a resident’s death and receiving what was described as a “heartless” letter — indicating a lack of empathy and inadequate family outreach during sensitive moments. These communication failures aggravated family dissatisfaction and contributed to perceptions of poor organizational responsiveness and compassion at the administrative or management level.

    Dining, activities, and environment were the most consistently positive areas. Multiple reviewers said the food was fine or great, vegetarian options were available, and regular activities were provided. A few families specifically noted the facility felt comfortable and that their relatives were happy there. However, these positives often coexist with the more serious clinical and safety concerns described above, creating a mixed overall impression.

    In summary, reviews present a facility with caring, friendly staff and some solid offerings in dining, activities, and room comfort, but with systemic problems that materially affect resident safety and clinical care. The most critical themes to note are chronic understaffing, medication management failures with serious consequences cited by reviewers, delays in medical orders and physician responsiveness, safety incidents (including falls), and poor communication from management, particularly around grave events. Families who prioritize compassionate staff and activities may find strengths here, but those for whom clinical reliability, safety, and timely medical management are paramount are likely to be concerned based on these accounts.

    Location

    Map showing location of Willow Tree Healthcare Center

    About Willow Tree Healthcare Center

    Willow Tree Healthcare Center sits at 1263 South George Street in Charles Town, West Virginia, and belongs to the Communicare Health network, operating as a for-profit facility under Wo Holdings LLC, and it's managed by Health Care Facility Management LLC since 2016, with several indirect owners like the C.R. Stoltz Irrevocable Trust and Health Care Holdings LLC, so a lot of people have their hands in it, and what you get is a 104-bed facility that usually has an average of 102 residents a day and nurse hours per resident per day at 3.31, which is lower than the state average of 3.7, but the nurse turnover rate-people leaving and being replaced-sits at 47.7%, which is slightly better than the state average. Residents can expect skilled nursing and 12-16 hour nurse coverage with 24-hour supervision, plus help with bathing, getting dressed, transfers, and day-to-day needs, plus medication management, an emergency call system, and support for both short-term rehabilitation and long-term stays, including special services for memory care that help folks with Alzheimer's and dementia. The staff includes people who tailor care plans for each person, trying to look after body, mind, heart, and soul, and they approach things person by person.

    The rooms come furnished, you get private bathrooms, cable TV, air conditioning, Wi-Fi, and a kitchenette in some options, with layouts including both studio and suite styles, so some variety is available, while common areas include community gardens, outdoor spaces, walking paths, a game room, a therapy room, a library, and a fitness room, so there's enough going on outside the rooms, and plenty of social groups and activities like Bingo, Karaoke, Arts & Crafts, movie nights, music programs, fitness opportunities, and regular holiday celebrations to give folks a chance to stay busy, plus resident and family councils keep voices heard, and family support services help with move-in and adjustment.

    Housekeeping handles cleaning, and meal services offer a restaurant-style dining room with a professional chef, special diet options including diabetes and allergy considerations, and meals are prepared on-site, while transportation and parking are provided for those who need to get out. The center takes both Medicaid and Medicare. There's a 24-hour call system for emergencies, and the facility's got a history of 50 deficiencies showing up in inspection reports-including four related to infections-plus a recent report from January 2024 documenting six more deficiencies, and, of note, there are some issues on record for not reporting possible neglect or theft quickly and not following through completely on complaints, but these didn't result in actual harm, though they had the potential. The most recent inspection happened over two years ago, so the state's been a little slow to follow up. Short-term respite care is offered to give a break to families, and the center's got only two certified beds available as of June 2025. Skilled nursing care covers nursing home residents and provides intermediate care for people who need consistent medical attention, also aiming to help some residents regain independence through rehabilitation after hospital stays. There aren't any public reviews listed about the center.

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