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The Willows at Howell

All states › Michigan › Howell › The Willows at Howell

1500 Byron Road Howell, MI 48855 · Livingston County

(517) 552-9323

All 4 nursing homes in Howell, MI (4 take Medicaid)

Accepts Medicare Accepts Medicaid 66 certified beds For profit

CMS certification number 235707 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is The Willows at Howell a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for The Willows at Howell as of October 2026.

CMS rates it 5 out of 5 stars overall, above the Michigan average of 3.2. Inspectors issued 14 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 5 out of 5; for long-term residents, 5 out of 5.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 3.96 hours per resident per day at The Willows at Howell, about the same as the Michigan median of 3.86 (US median: 3.72). About 1.32 of those hours are from registered nurses. On weekends it falls to 3.62 hours, 9% below its all-week average. 29.6% of nursing staff left within a year (Michigan median 43.8%). That is lower than most homes in Michigan, a sign of a steadier team.

Nursing care per resident per day 3.96 hours
Above the Michigan median of 3.86 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 1.32 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.62 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 29.6% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 29.4% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds66
Residents per day 54 About 82% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceSeptember 2015
Part of a chainTrilogy Health Services
Legal business nameTRILOGY HEALTHCARE OF LIVINGSTON, LLC

Paying for care at The Willows at Howell: Medicare and Medicaid

The Willows at Howell is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Michigan's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on March 31, 2026 and found 1 deficiency. In total, inspectors issued 14 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 14 citations at The Willows at Howell across 5 inspection dates, 4 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 14 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were nutrition and dietary (3) and quality of life and care (3). The most serious was cited under the CMS rule to "procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards" (tag F0812, level F, March 31, 2026).

March 31, 2026 · 1 citation

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Apr 17, 2026)

January 22, 2025 · 5 citations

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Feb 12, 2025)

EAssure that each resident’s assessment is updated at least once every 3 months.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0638 · Deficient, Provider has date of correction (Feb 12, 2025)

DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0582 · Deficient, Provider has date of correction (Feb 12, 2025)

DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0636 · Deficient, Provider has date of correction (Feb 12, 2025)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Feb 12, 2025)

November 12, 2024 · 1 citation · includes complaint inspection

DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0623 · Complaint inspection · Deficient, Provider has date of correction (Dec 4, 2024)

May 28, 2024 · 1 citation · includes complaint inspection

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (Jun 14, 2024)

March 20, 2024 · 6 citations · includes complaint inspection

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Apr 16, 2024)

DAllow residents to self-administer drugs if determined clinically appropriate.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0554 · Deficient, Provider has date of correction (Apr 16, 2024)

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Apr 16, 2024)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Apr 16, 2024)

DProvide enough food/fluids to maintain a resident's health.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0692 · Complaint inspection · Deficient, Provider has date of correction (Apr 16, 2024)

DProvide or obtain dental services for each resident.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0791 · Complaint inspection · Deficient, Provider has date of correction (Apr 16, 2024)

Questions to ask on a tour of The Willows at Howell

  1. What do families most often ask you about before moving in?
  2. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  3. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 5/5 4/5 4/5 5/5
August 2026 5/5 4/5 4/5 5/5
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Location

Hospitals near The Willows at Howell

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Medilodge of Livingston Howell · 1.5 mi away ★★★★☆ Inspection 3/5 · Staffing 3/5 125 beds · Medicaid
Medilodge of Howell Howell · 1.9 mi away ★★☆☆☆ Inspection 2/5 · Staffing 4/5 200 beds · Medicaid
WellBridge of Brighton Howell · 6.6 mi away ★★★★☆ Inspection 3/5 · Staffing 4/5 88 beds · Medicaid
Caretel Inns of Brighton Brighton · 11.0 mi away ★★☆☆☆ Inspection 2/5 · Staffing 3/5 60 beds · Medicaid
WellBridge of Pinckney Pinckney · 11.9 mi away ★★★★★ Inspection 4/5 · Staffing 4/5 100 beds · Medicaid

More nursing homes near The Willows at Howell ›   All nursing homes in Howell ›

Compare The Willows at Howell with the 3 closest homes side by side ›

Other Trilogy Health Services nursing homes in Michigan

Affiliation comes from CMS's affiliated-entity data, October 2026. All 127 Trilogy Health Services nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/michigan/howell/the-willows-at-howell/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.