The Willows at Howell
1500 Byron Road, Howell, MI 48855 · Livingston County · (517) 552-9323
66 certified beds, about 55 residents a day · For profit - Corporation · Medicare and Medicaid since 2015
CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 235707 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 31, 2026, inspectors cited 1 health deficiency (the Michigan average is 9.9, the national average 9.2).
None of its 14 health citations since March 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.85 hours per resident per day, against 3.99 across Michigan and 3.86 nationally. Registered nurses accounted for 1.27 of those hours.
34.4% of nursing staff left within the year CMS measured (Michigan average 44.1%).
CMS links it to Trilogy Health Services, an affiliated group of 127 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
603/24
105/24
111/24
501/25
103/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 14 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
9D
2E
3F
Potential for minimal harm
0A
0B
0C
March 31, 2026Standard inspection · 1 citation
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain best practices in the food service area resulting in the potential to spread food borne illness to all residents that consume food from the kitchen. Findings Include:On 03/30/2026 at 8:47 AM observed raw pork stored in a pan on the top shelf of the rack, positioned above pre sliced packaged meats in the walk-in cooler. Director of Food (DOF) G indicated they were unaware why it was stored there. On 03/30/2026 at 8:49 AM observed a pan of raw chicken on the bottom shelf of a rack in the walk-in cooler. Stacked metal pans were beside the raw chicken with a facility label indicating raw chicken. When the lid was removed cooked chicken was observed inside the stacked pans. DOF G removed the pans from their location. [...]
January 22, 2025Standard inspection · 5 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview and record review the facility failed to appropriately store and label food items in the kitchen and a reach-in refrigerator. This deficient practice had the potential to affect all residents that consume food in the facility out of a total census of 55.
- E Assure that each resident’s assessment is updated at least once every 3 months.
Inspectors wroteBased on interview and record review, the facility failed to complete a quarterly Minimum Data Set (MDS) assessment timely for six (R8, R16, R17, R40, R41, and R44) of eight residents reviewed for resident assessments.
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on interview and record review the facility failed to ensure that the Notice of Medicare Non-Coverage (NOMNC) and a Skilled Nursing Facility Advance Beneficiary Notice of Non-Coverage (SNFABN) were provided and completed for one (R26) of three residents reviewed for beneficiary notification, resulting in the resident not being informed timely of private pay charges for continued services at the facility, and the inability to file an appeal.
- D Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wroteBased on interview and record review, the facility failed to complete a comprehensive Minimum Data Set (MDS) assessment timely for two (R1 and R37) of eight residents reviewed for resident assessments.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to utilize proper personal protective equipment (PPE) for COVID-19 transmission-based precautions (TBP) and ensure signage outside of the room included accurate instructions for PPE for two (R6 and R210) of two residents reviewed for TBP.
November 12, 2024Complaint inspection · 1 citation
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteThis citation pertains to intake MI00147778. Based on interview and record review, the facility failed to notify one resident (R801) of three reviewed for discharge, reason of discharge in writing and manner they understand including a thirty day advance notification, and statement of resident's right to appeal.
May 28, 2024Complaint inspection · 1 citation
- E Provide and implement an infection prevention and control program.
Inspectors wroteThis citation pertains to intake MI00143514. Based on interview and record review the facility failed to follow their transmission-based precautions for one resident (R900) of three residents reviewed for infection control.
March 20, 2024Standard inspection, Complaint inspection · 6 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain sanitary equipment, maintain equipment and plumbing in good repair, and properly date mark potentially hazardous foods, resulting in the potential for increased risk of foodborne illness, affecting all residents in the facility.
- D Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure one resident (R3) was assessed for safe self-administration of medication of one residents reviewed for self-administration, resulting in the potential for inappropriate administration of medication.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on interview and record review, the facility failed to ensure Physician ordered medication was appropriately ordered and administered for one resident (R217) of one residents reviewed for Nursing standards, resulting in a delay in pain medication being available for administration.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure an environment was free from accident hazards regarding storage of sharps (blood sugar testing lancets) for two (R6 and R10) of seven residents reviewed for accidents.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on observation, interview, and record review facility failed to monitor weights and follow physician orders for one (R32) of one resident reviewed for change of condition resulting in decreased intake and undetected weight loss. A record review revealed that R32 was admitted to the facility on [DATE]. R32's admitting diagnoses included metabolic encephalopathy, dementia, and chronic kidney disease. Based on a Minimum Data Set (MDS) assessment dated [DATE], R32 had a Brief Interview for Mental Status (BIMS) score of 1/15, indicative of severe cognitive impairment. R32 were dependent on staff assistance with their mobility and most of their Activities of Daily Living (ADLs) such as oral hygiene, eating, dressing etc. An initial observation was completed on 3/18/24, at approximately 9:35 AM. [...]
- D Provide or obtain dental services for each resident.
Inspectors wroteThis citation pertains to intake: MI00140832. Based on observation, interview, and record review the facility failed to ensure timely follow through of an oral surgery referral for dental extractions was made for one resident (R44) of one reviewed for dental services resulting in a delay for oral surgery.
Fire safety inspections
1 fire safety citation on file: 1 on March 31, 2026.
Every fire safety citation1 citation
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Michigan | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.85 | 3.99 | 3.86 |
| Registered nurses | 1.27 | 0.78 | 0.69 |
| All nursing staff on weekends | 3.63 | 3.50 | 3.42 |
| Nurse aides | 1.86 | ||
| Licensed practical nurses | 0.71 | ||
| Nursing staff turnover (share who left in a year) | 34.4% | 44.1% | 45.8% |
| Registered nurse turnover | 30.0% | 39.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.22 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.94 on weekdays and 3.63 on weekends, 8% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.01 in April to June 2025 to 3.85 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.85 | 1.27 | 3.94 | 3.63 | 0.0% | 0 of 90 | 55 |
| Oct to Dec 2025 | 3.91 | 1.36 | 3.95 | 3.82 | 0.0% | 0 of 92 | 54 |
| Jul to Sep 2025 | 3.95 | 1.28 | 4.04 | 3.73 | 0.0% | 0 of 92 | 55 |
| Apr to Jun 2025 | 4.01 | 1.35 | 4.12 | 3.74 | 0.0% | 0 of 91 | 54 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Michigan, Jan to Mar 2026 | 3.95 | 0.70 | 4.14 | 3.45 | 3.3% | 0.4% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Michigan | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 9.7 | 10.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.5 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.9 | 3.0 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.8 | 1.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 8.1 | 12.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.0 | 5.1 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 0.0 | 14.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 17.4 | 24.0 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 9.3 | 11.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.8 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 1.6 | 1.8 |
Owners and operators
Legal business name: TRILOGY HEALTHCARE OF LIVINGSTON, LLC. CMS links this home to Trilogy Health Services, a group of 127 nursing homes averaging 4.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Continental Merger Sub LLC | 5% or greater indirect ownership interest | Organization | 10/01/2021 | |
| Northstar Healthcare Income Inc | 5% or greater indirect ownership interest | Organization | 10/01/2018 | |
| Northstar Healthcare Income Operating Partnership LP | 5% or greater indirect ownership interest | Organization | 10/01/2018 | |
| Trilogy Holdings Nt-Hci, LLC | 5% or greater indirect ownership interest | Organization | 10/01/2018 | |
| Keybank National Association | 5% or greater mortgage interest | Organization | 07/13/2018 | |
| Corbin, Kathy | W-2 managing employee | Individual | 03/10/2015 | |
| Fightmaster, Lisa | W-2 managing employee | Individual | 12/01/2015 | |
| Barney, Leigh | Corporate officer | Individual | 01/01/2001 | |
| Bryant, William | Corporate officer | Individual | 01/05/2016 | |
| Bufford, Randall | Corporate officer | Individual | 12/10/1997 | |
| Conner, Gregory | Corporate officer | Individual | 06/03/2021 | |
| Davis, David | Corporate officer | Individual | 08/21/2017 | |
| Mehaffey, Todd | Corporate officer | Individual | 01/31/2022 | |
| Pietrowski, Cristina | Corporate officer | Individual | 01/31/2022 | |
| Prosky, Danny | Corporate officer | Individual | 12/01/2015 | |
| Streiff, Mathieu | Corporate officer | Individual | 12/01/2015 | |
| Trilogy Management Services LLC | Operational/managerial control | Organization | 12/01/2015 | |
| Scott, Jamie | Operational/managerial control | Individual | 07/25/2018 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on March 31, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on January 22, 2025: "Assure that each resident’s assessment is updated at least once every 3 months."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on January 22, 2025: "Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on March 20, 2024: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
Other nursing homes nearby
- Medilodge of Livingston Howell, 1.5 mi · 3 of 5 stars · 28 citations
- Medilodge of Howell Howell, 1.9 mi · 2 of 5 stars · 56 citations
- Wellbridge of Brighton Howell, 6.6 mi · 3 of 5 stars · 26 citations
- Caretel Inns of Brighton Brighton, 11 mi · 2 of 5 stars · 29 citations
- Wellbridge of Pinckney Pinckney, 11.9 mi · 5 of 5 stars · 22 citations
- Argentine Care Center Linden, 12.7 mi · 5 of 5 stars · 25 citations
- West Hickory Haven Milford, 14.3 mi · 2 of 5 stars · 38 citations
- Caretel Inns of Linden Linden, 15.5 mi · 2 of 5 stars · 58 citations
Michigan contacts for a concern about a nursing home
These are the official offices in Michigan. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Michigan Department of Licensing and Regulatory Affairs, Bureau of Survey and Certification, Long Term Care Division, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Michigan Long Term Care Ombudsman Program, 1-866-485-9393. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: LARA State Licensing Search, where Michigan publishes its own records on licensed homes.
Common questions
- What is The Willows at Howell's Medicare star rating?
- CMS rates The Willows at Howell 5 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did The Willows at Howell get at its last inspection?
- 1 health deficiency at the standard inspection on March 31, 2026. The Michigan average is 9.9.
- Has The Willows at Howell been fined?
- CMS lists no fines in the last three years.
- Does The Willows at Howell accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns The Willows at Howell?
- CMS lists 18 owners and managers, and links the home to Trilogy Health Services. Legal business name: TRILOGY HEALTHCARE OF LIVINGSTON, LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.