Occupancy rate
26%
In line with Michigan averageMostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Nursing Home in Michigan
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Willows at Howell
Nursing Home in Michigan
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Willows at Howell
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
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
39
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
25.6%
Residents per day
10
Occupancy rate
25.6%
Residents per day
10
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
Privately-owned community
Operated by a business corporation.
Home revenue
$14.5M
Profit
$1.4M
Privately-owned community
Operated by a business corporation.
Home revenue
$14.5M
Profit
$1.4M
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
Occupancy
In line with Michigan averageOccupied beds
10 / 39
Average residents
84 per day
Facility TypeHomes For The Aged
StatusRegular
ExpirationJuly 31, 2026
CountyLIVINGSTON
License NumberAH470342721
CMS Certification Number235707
Owner NameTrilogy Healthcare of Livingston, LLC
Accept Medicare
Rehabilitation Services
Short-Term Rehab
Skilled Nursing
24-Hour Staffing
Skilled Services
Salon
Private Dining Room
Onsite Laundry
Resident Garden
Library
Courtyard
ActivitiesResidents enjoy more than 100 programs every single month.
Specific ProgramsIndependent Living, Assisted Living, Memory Care, Skilled Services
Food DescriptionChef-prepared breakfast, lunch, and dinner are provided.
Meals IncludedYes
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.
4 visits/inspections
Results
1 with issues
3 without issues
Michigan average: 5 visits/inspections
Show Inspection Reports
Latest inspection
Date
April 22, 2024
Renewal3 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Michigan average: 8 deficiencies
Health Inspection History
Inspections
Total health inspections
5
Michigan average 6.5
Last Health inspection on Jan 2025
Total health citations
20
Michigan average 33.5
Citations per inspection
4
Michigan average 5.18
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
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jan 22, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jan 22, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Jan 22, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Jan 22, 2025
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Jan 22, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Jan 22, 2025
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Jan 22, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
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.
Compare Nursing Homes around Michigan The information below is reported by the Michigan Department of Licensing and Regulatory Affairs (LARA).
Filter by care type
The Willows at Howell
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Howell
130
85.0%
+12%
3.73
-13%
0
20
4.0
0
54
-
-
Scott, Jamie
$14.4M
$5.7M
39.6%
235707
Arden Courts (Bingham Farms)
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Bingham Farms
56
-
-
-
-
0
0
0.0
0
-
-
-
-
-
-
-
-
Besser Senior Living Community
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Alpena
52
-
-
-
-
0
0
0.0
0
-
-
-
-
-
-
-
-
Brentwood at Niles
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Niles
80
-
-
-
-
0
0
0.0
0
-
-
-
-
-
-
-
-
Brookdale Farmington Hills North II
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Farmington Hills
32
-
-
-
-
0
0
0.0
0
-
-
-
-
-
-
-
-
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
101
Employees
87
Contractors
14
Staff to resident ratio
1.84:1
5% better than Michigan averageMichigan average ratio: 1.75:1
Avg staff/day
38
Average shift
7.5 hours
5% worse than Michigan averageMichigan average: 7.9 hours
Total staff hours (quarter)
25,907
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
18
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
9
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.6 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
37
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
13.2%
3,418 contractor hours this quarter
Speech Language Pathologist: 3
Respiratory Therapy Technician: 3
Physical Therapy Assistant: 3
Physical Therapy Aide: 2
Qualified Social Worker: 2
Medical Director: 1
Staff by category
| 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 |
37 Certified Nursing Assistant
% of Days
100%
18 Registered Nurse
% of Days
100%
9 Licensed Practical Nurse
% of Days
99%
12 Other Dietary Services Staff
% of Days
100%
5 Clinical Nurse Specialist
% of Days
91%
3 Physical Therapy Assistant
% of Days
85%
3 Speech Language Pathologist
% of Days
71%
3 Respiratory Therapy Technician
% of Days
80%
1 RN Director of Nursing
% of Days
67%
2 Physical Therapy Aide
% of Days
69%
1 Nurse Practitioner
% of Days
69%
1 Administrator
% of Days
66%
2 Qualified Social Worker
% of Days
66%
1 Dietitian
% of Days
23%
1 Nurse Aide in Training
% of Days
15%
1 Medical Director
% of Days
27%
1 Occupational Therapy Assistant
% of Days
34%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
55 residents
Residents by payment source
Medicare
13 residents (23.6%)
Medicaid
27 residents (49.1%)
Private pay or other
15 residents (27.3%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Family Member Group
Family members meet regularly to discuss policies, care quality, and activities
Active Family Council
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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
$1.4M
↑ ~$292.0K vs 2022
Total Payroll
$7.6M
↑ ~$750.5K vs 2022
Profit Margin
9.8%
↑ 1.1pp vs 2022
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