Nursing HomeInspections

The Willows at Howell

Nursing home in Howell, MI

Medicare & Medicaid certified5★ overall (CMS)

Call (517) 552-9323Send a messageMap ↗

Public-record details

Address
1500 Byron Road, Howell, MI 48855
Phone
(517) 552-9323
Listed under
For-profit, 4–5 star overall rating, No fines in 3 years
Medicare CCN
235707
Overall star rating
5 of 5 ★★★★★
Health inspection rating
4 of 5
Staffing rating
4 of 5
Quality measures rating
5 of 5
Certified beds
56
Average residents per day
55
Ownership
For-profit, corporation
Legal business name
Trilogy Healthcare of Livingston, LLC
Chain
Trilogy Health Services (123 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Sep 28, 2015
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident and family councils
Sprinklers in all required areas
Yes

CMS certification number 235707. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Mar 31, 2026. CMS lists 14 health citations for this facility across its last three standard inspection cycles and complaint inspections (Mar 20, 2024 to Mar 31, 2026): 4 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Mar 31, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
Jan 22, 2025Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights		D
Potential for more than minimal harm, isolated
Jan 22, 2025Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jan 22, 2025Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Jan 22, 2025Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning		E
Potential for more than minimal harm, pattern
Jan 22, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
Nov 12, 2024Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
May 28, 2024Provide and implement an infection prevention and control program.
Infection Control · complaint inspection		E
Potential for more than minimal harm, pattern
Mar 20, 2024Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights		D
Potential for more than minimal harm, isolated
Mar 20, 2024Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Mar 20, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 20, 2024Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 14. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.85 hours
Registered nurse (RN) time per resident per day
1.27 hours
Nurse aide time per resident per day
1.86 hours
Total nurse staffing on weekends
3.63 hours
Nursing staff turnover (yearly)
34%
RN turnover (yearly)
30%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Howell

Medilodge of Livingston3003 W Grand River · Howell, MI 48843 · (517) 546-4210 · For-profit27 health citations in 3 inspection cycles · last standard inspection Jan 7, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified3★ overall (CMS)WellBridge of Brighton2200 Dorr Road · Howell, MI 48843 · (330) 998-1865 · For-profit26 health citations in 3 inspection cycles · last standard inspection Jan 14, 2026 · $26,686 in CMS fines (3 yrs)Medicare & Medicaid certified3★ overall (CMS)Medilodge of Howell1333 W Grand River · Howell, MI 48843 · (517) 548-1900 · For-profit56 health citations in 3 inspection cycles · last standard inspection Dec 11, 2025 · $71,919 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)

All 4 in Howell →