All states › Michigan › Howell › The Willows at Howell
1500 Byron Road Howell, MI 48855 · Livingston County
All 4 nursing homes in Howell, MI (4 take Medicaid)
CMS certification number 235707 · See this home on Medicare Care Compare
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.
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.
About this nursing home
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.
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.
EAssure that each resident’s assessment is updated at least once every 3 months.
DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
DProvide and implement an infection prevention and control program.
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.
May 28, 2024 · 1 citation · includes complaint inspection
EProvide and implement an infection prevention and control program.
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.
DAllow residents to self-administer drugs if determined clinically appropriate.
DEnsure services provided by the nursing facility meet professional standards of quality.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide enough food/fluids to maintain a resident's health.
DProvide or obtain dental services for each resident.
Questions to ask on a tour of The Willows at Howell
- What do families most often ask you about before moving in?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- 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 month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| 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.
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0.5 mi
Saint Joseph Mercy Livingston Hospital HowellEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 43m for patients treated and sent home
- 14.5 mi
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21.9 mi
Chelsea Community Hospital ChelseaEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 16m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Other Trilogy Health Services nursing homes in Michigan
- Shelby Crossing Health Campus · Shelby Townhip · 5 stars
- Orchard Grove Health Campus · Romeo · 5 stars
- The Oaks at Byron Center · Byron Center · 5 stars
- The Oaks at Belmont · Belmont · 5 stars
- The Willows at East Lansing · East Lansing · 5 stars
- The Oaks at Battle Creek · Battle Creek · 5 stars
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.