The Willows at Howell

1500 Byron Road · Howell, MI · 48855 · 5175529323

56 certified beds For profit - Corporation Chain: Trilogy Health Services

  • Staffing hours comfortably above national benchmarks.
  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 69
Serious harm & abuse 20% 100
Staffing 20% 87
Federal penalties 15% 100
Trend 10% 86
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 5 of 5 Inspections: 4 of 5 Staffing: 4 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.913.48 min · 4.1 strong
RN hours / resident-day1.360.55–0.75
Weekend hours / resident-day3.82≈ weekday level
Nursing turnover / year28%median 45%
Fines (3-yr window)none

Inspection citations (14 in the current record)

  • Potential for harm · F March 31, 2026

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

    Corrected April 17, 2026 · Nutrition and Dietary

  • Potential for harm · D January 22, 2025

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

    Corrected February 12, 2025 · Resident Rights

  • Potential for harm · D January 22, 2025

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

    Corrected February 12, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E January 22, 2025

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

    Corrected February 12, 2025 · Resident Assessment and Care Planning

  • Potential for harm · F January 22, 2025

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

    Corrected February 12, 2025 · Nutrition and Dietary

  • Potential for harm · D January 22, 2025

    Provide and implement an infection prevention and control program.

    Corrected February 12, 2025 · Infection Control

  • Potential for harm · D November 12, 2024 · found via complaint

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

    Corrected December 4, 2024 · Resident Rights

  • Potential for harm · E May 28, 2024 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected June 14, 2024 · Infection Control

  • Potential for harm · D March 20, 2024

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

    Corrected April 16, 2024 · Resident Rights

  • Potential for harm · D March 20, 2024

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

    Corrected April 16, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D March 20, 2024

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

    Corrected April 16, 2024 · Quality of Life and Care

  • Potential for harm · F March 20, 2024

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

    Corrected April 16, 2024 · Nutrition and Dietary

  • Potential for harm · D March 20, 2024 · found via complaint

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

    Corrected April 16, 2024 · Quality of Life and Care

  • Potential for harm · D March 20, 2024 · found via complaint

    Provide or obtain dental services for each resident.

    Corrected April 16, 2024 · Quality of Life and Care

Family & resident reviews — a separate signal, never mixed into the score

No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 235707 · certified since September 28, 2015. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.