Show Inspection Reports
Total health inspections
5
Michigan average 6.5
Last Health inspection on Jan 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
The Willows at Howell
Nursing Home
The Willows at Howell
Nursing Home
The Willows at Howell is a senior living community located in Howell, Michigan. It offers Independent Living Apartments, Assisted Living, Memory Care, and Skilled Services. Residents can enjoy a variety of programs and services designed to enhance their quality of life.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
39
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
85%
Residents per day (avg)
54
Occupancy rate
85%
Residents per day (avg)
54
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
46% of new residents, usually for short-term rehab.
Typical stay
20 days
Private pay
43% of new residents, often for short stays.
Typical stay
5 - 6 months
Medicaid
12% of new residents, often for long-term daily care.
Typical stay
7 - 8 months
Finances and operations
Proprietary home
Corporation
Home revenue
$14.5M
Profit
$1.4M
Proprietary home
Corporation
Home revenue
$14,469,379.00
Profit
$1,413,515.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$5.7M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$7.4M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$13.1M
39-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
License Status
REGULAR
Facility Type
HOMES FOR THE AGED
License Expiration
July 31, 2026
Additional licensing details
License number:
AH470342721
CMS Certification Number:
235707
County:
LIVINGSTON
Ownership & operating entity
Owner name:
Trilogy Healthcare of Livingston, LLC
Safety & Compliance
Care Services
Accepts Medicare
Nursing Services
Rehabilitation Services
Memory Care
Independent Living
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehab
All Levels of Care
Amenities & Lifestyle
Programs & Activities
Activities
Residents enjoy more than 100 programs every single month.
Specific Programs
Independent Living, Assisted Living, Memory Care, Skilled Services
Dining & Nutrition
Food Description
Chef-prepared breakfast, lunch, and dinner are provided.
Meals Included
Yes
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicare Accepted
This facility is certified for eligible Medicare services.
Inspection History
In Michigan, the Department of Licensing and Regulatory Affairs (LARA) conducts unannounced inspections and investigations to ensure long-term care facilities comply with state health codes.
Compare Nursing Homes around Michigan
The information below is reported by the Michigan Department of Licensing and Regulatory Affairs (LARA).
The Willows at Howell
+77%
-13%
+12%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MI 48855
130
No
SCOTT, JAMIE
85.0%
$14,386,361.00
$5,700,732.00
39.6%
54.20
3.7330
20
+77%-13%+12%
Arden Courts (Bingham Farms)
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MI 48025
56
No
-
-
-
-
-
-
-
-
-
-
Besser Senior Living Community
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MI 49707
52
No
-
-
-
-
-
-
-
-
-
-
Brentwood at Niles
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MI 49120
80
No
-
-
-
-
-
-
-
-
-
-
Brookdale Farmington Hills North II
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
MI 48331
32
No
-
-
-
-
-
-
-
-
-
-
The Willows at Howell
Type of care:
SNF
AL
Community:
MI 48855
Bed Count:
130
Pets Allowed:
No
Operator:
SCOTT, JAMIE
CCN:
235707
Occupancy:
85.0%
Home Revenue:
$14,386,361.00
Payroll Costs:
$5,700,732.00
Payroll %:
39.6%
Avg Residents/Day:
54.20
Overall Rating:
Adj Nurse Hours:
3.7330
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
20
RN share vs State Avg:
+77%
+77%
Staffing vs State Avg:
-13%
-13%
Occupancy vs State Avg:
+12%
+12%Places of interest near The Willows at Howell
0.0 miles from city center
Howell, MI 48855
Calculate Travel Distance to The Willows at Howell
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
101
Total Staff
87
Employees
14
Contractors
25,907
Total Hours (Quarter)
38
Avg Staff/Day
7.5
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 18 | 7.8 | No |
| Licensed Practical Nurse | 9 | 10.6 | No |
| Certified Nursing Assistant | 37 | 7.2 | No |
Staff by Category
Administration ⓘ
2 staff
6.2hs shift avg
Nursing Staff ⓘ
66 staff
7.7hs shift avg
Physicians & Practitioners ⓘ
6 staff
8.5hs shift avg
Therapy Services ⓘ
12 staff
6hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
2 staff
5.3hs shift avg
Dietary Services ⓘ
13 staff
8.1hs shift avg
Other Services ⓘ
0 staff
0hs shift avg
Contractor Analysis
13.2%
of total hours from contractors
3,418 contractor hours this quarter
Speech Language Pathologist: 3
Respiratory Therapy Technician: 3
Physical Therapy Aide: 2
Physical Therapy Assistant: 3
Qualified Social Worker: 2
Medical Director: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 37 | 0 | 37 | 10,121 | 91 | 100% | 7.2 |
| Registered Nurse | 18 | 0 | 18 | 5,275 | 91 | 100% | 7.8 |
| Licensed Practical Nurse | 9 | 0 | 9 | 2,351 | 90 | 99% | 10.6 |
| Other Dietary Services Staff | 12 | 0 | 12 | 2,007 | 91 | 100% | 8.1 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 900 | 83 | 91% | 8.9 |
| Physical Therapy Assistant | 0 | 3 | 3 | 887 | 77 | 85% | 6.3 |
| Speech Language Pathologist | 0 | 3 | 3 | 860 | 65 | 71% | 6.8 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 772 | 73 | 80% | 5.7 |
| RN Director of Nursing | 1 | 0 | 1 | 572 | 61 | 67% | 9.4 |
| Physical Therapy Aide | 0 | 2 | 2 | 540 | 63 | 69% | 6.9 |
| Nurse Practitioner | 1 | 0 | 1 | 494 | 63 | 69% | 7.8 |
| Administrator | 1 | 0 | 1 | 480 | 60 | 66% | 8 |
| Qualified Social Worker | 0 | 2 | 2 | 315 | 60 | 66% | 5.3 |
| Dietitian | 1 | 0 | 1 | 170 | 21 | 23% | 8.1 |
| Nurse Aide in Training | 1 | 0 | 1 | 96 | 14 | 15% | 6.8 |
| Medical Director | 0 | 1 | 1 | 43 | 25 | 27% | 1.7 |
| Occupational Therapy Assistant | 1 | 0 | 1 | 24 | 31 | 34% | 0.8 |
Health Inspection History
Inspections
Total health citations
20
Citations per inspection
4
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
15 of 20 citations resulted from standard inspections; 2 of 20 resulted from complaint investigations; and 3 of 20 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Michigan averageMichigan average: 0.3
Serious Health citations
0
0
100% better than Michigan averageMichigan average: 1.9
0 critical citations
0 serious citations
20 moderate citations
0 minor citations
Citations history (last 3 years)
Infection Control moderate citation
Jan 22, 2025
Corrected
Nutrition moderate citation
Jan 22, 2025
Corrected
Care Planning moderate citation
Jan 22, 2025
Corrected
Care Planning moderate citation
Jan 22, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit Corporation
Resident Census by Payment Source
55
Total Residents
Medicare
13
(23.6%)
ⓘ
Medicaid
27
(49.1%)
ⓘ
Private Pay/Other
15
(27.3%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Family Member Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Family Council
ⓘ
Active
Resident Council
ⓘ
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.8
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.8
19% better than Michigan averageMichigan average: 8.4
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.2
6% worse than Michigan averageMichigan average: 16.3
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
12.0%
Percent of long-stay residents whose need for help with daily activities has increased
12.0%
In line with Michigan averageMichigan average: 12.5%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
12.6%
Percent of long-stay residents whose ability to move independently worsened
12.6%
18% better than Michigan averageMichigan average: 15.3%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.1%
29% worse than Michigan averageMichigan average: 21.0%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.6%
Percent of long-stay residents experiencing one or more falls with major injury
2.6%
19% better than Michigan averageMichigan average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
0.0%
Percent of long-stay high risk residents with pressure ulcers
0.0%
100% better than Michigan averageMichigan average: 5.7%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.9%
Percent of long-stay residents with a urinary tract infection
0.9%
48% better than Michigan averageMichigan average: 1.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
6.9%
Percent of long-stay residents who lose too much weight
6.9%
21% worse than Michigan averageMichigan average: 5.7%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
2.9%
Percent of long-stay residents who have depressive symptoms
2.9%
24% better than Michigan averageMichigan average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
10.6%
Percent of long-stay residents who received an antipsychotic medication
10.6%
29% better than Michigan averageMichigan average: 15.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
5% better than Michigan averageMichigan average: 94.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Michigan averageMichigan average: 95.0%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.6%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.6%
19% better than Michigan averageMichigan average: 82.5%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Michigan averageMichigan average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
99.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
99.0%
24% better than Michigan averageMichigan average: 79.5%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for The Willows at Howell based on CMS SNF Cost Reports.
Occupancy Rate
85.0%
↑ 1.4pp vs 2022
Net Income
$1,413,515
↑ ~$292K vs 2022
Total Payroll
$7,628,948
↑ ~$750K vs 2022
Profit Margin
9.8%
↑ 1.1pp vs 2022
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