Michigan › Livingston County › Howell
The Willows At Howell
1500 Byron Road, Howell, MI 48855
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.
Certified for 56 beds, The Willows At Howell serves Howell in Livingston County, Michigan and has taken Medicare and Medicaid residents since 2015.
CMS gives it 5 of 5 stars overall, above the Michigan median of 3; the health inspection rating is 4, staffing 4 and quality measures 5.
Inspectors recorded 14 health deficiencies across the three most recent survey cycles (1, 6, 7 by cycle, most recent first), none at the actual-harm level. That is 25.0 per 100 beds, about the same as the state median of 29.4.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.8 hours per resident per day (1.3 RN), close to the Michigan median of 3.8; nursing staff turnover is 34.4%.
Compared with county, state and nation
| Measure | This facility | Livingston Co. median | Michigan median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 14 | 27 | 29 | 28.7 |
| Citations per 100 beds | 25.0 | 27.2 | 29.4 | 26.8 |
| Total nurse hours per resident day | 3.8 | 3.9 | 3.8 | 3.9 |
| RN hours per resident day | 1.3 | 0.9 | 0.7 | 0.7 |
| Nursing staff turnover | 34.4% | 52.4% | 44.6% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (6 in the county, 422 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Michigan average per facility for the same cycle, as published by CMS. Standard health survey dates: 31 Mar 2026, 22 Jan 2025.
Severity mix: D ×9 E ×2 F ×3
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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 31 Mar 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 17 Apr 2026 |
| 22 Jan 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 12 Feb 2025 |
| 22 Jan 2025 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Standard survey | 12 Feb 2025 |
| 22 Jan 2025 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 12 Feb 2025 |
| 22 Jan 2025 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 12 Feb 2025 |
| 22 Jan 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 12 Feb 2025 |
| 12 Nov 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint investigation | 4 Dec 2024 |
| 28 May 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 14 Jun 2024 |
| 20 Mar 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 16 Apr 2024 |
| 20 Mar 2024 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 16 Apr 2024 |
| 20 Mar 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 16 Apr 2024 |
| 20 Mar 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 16 Apr 2024 |
| 20 Mar 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 16 Apr 2024 |
| 20 Mar 2024 | F0791 | Provide or obtain dental services for each resident. | D | Complaint investigation | 16 Apr 2024 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Michigan average. Turnover: nursing staff 34.4%, RNs 30.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Michigan median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 9.7% | 9.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.5% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.9% | 2.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.9% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 8.1% | 10.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.0% | 4.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 0.0% | 13.5% | 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: Trilogy Healthcare Of Livingston, Llc. Chain: Trilogy Health Services (123 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Continental Merger Sub LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 10/01/2021 |
| Northstar Healthcare Income Inc | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 10/01/2018 |
| Northstar Healthcare Income Operating Partnership LP | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 10/01/2018 |
| Trilogy Holdings Nt-Hci, LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 10/01/2018 |
| Keybank National Association | 5% or greater mortgage interest | NOT APPLICABLE | 07/13/2018 |
| Trilogy Management Services LLC | Operational/managerial control | NOT APPLICABLE | 12/01/2015 |
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 Livingston County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Wellbridge of Pinckney | Pinckney | 100 | 5 | 4 | 3 | 22 | 22.0 | — | 18 Dec 2025 |
| Medilodge of Livingston | Howell | 125 | 3 | 3 | 3 | 27 | 21.6 | — | 7 Jan 2026 |
| Wellbridge of Brighton | Howell | 88 | 3 | 3 | 4 | 26 | 29.5 | $27K | 12 May 2026 |
| Caretel Inns of Brighton | Brighton | 60 | 2 | 2 | 3 | 29 | 48.3 | — | 11 Feb 2026 |
| Medilodge of Howell | Howell | 206 | 1 | 1 | 4 | 56 | 27.2 | $72K | 23 Mar 2026 |
All 6 facilities in Livingston County
Questions and answers
How many deficiencies has The Willows At Howell been cited for?
14 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Michigan median is 29 per facility.
Has The Willows At Howell been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at The Willows At Howell compare?
Reported total nurse staffing is 3.8 hours per resident per day against a Michigan median of 3.8 and a national average of 3.9.
Who operates The Willows At Howell?
It is part of the Trilogy Health Services chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Continental Merger Sub LLC, Northstar Healthcare Income Inc and Northstar Healthcare Income Operating Partnership LP. Individual owners and managers are not listed on this site.
When was The Willows At Howell last inspected?
The most recent survey or investigation in the CMS record is dated 31 Mar 2026; the most recent standard health survey was 31 Mar 2026.
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.