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The Overall CMS Rating is scored from 1 to 5 stars and 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 is scored from 1 to 5 stars and 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.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 69th out of 94 homes in Michigan.| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 1h 17m per day | ▲ 67% State avg: 46m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 39m per day | ▼ 26% State avg: 53m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 1m per day | ▼ 15% State avg: 2h 23m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 44m per day | ▲ 6% State avg: 3h 31m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 9m per day | ▲ 125% State avg: 4m per day · National avg: 4m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 1h 13m per day | ▲ 152% State avg: 29m per day · National avg: 28m per day |
Most residents typically stay for a few weeks or months before returning home or moving on.
46% of new residents, usually for short-term rehab.
43% of new residents, often for short stays.
12% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #44 / 95Payroll — state benchmarkedThis home is ranked 44th out of 95 homes in Michigan.Shows total annual staff payroll benchmarked to the Michigan average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Lower than the Michigan average: 75.8%Ways to qualify for care at this community, including accepted programs.
This facility is certified for eligible Medicare services.
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.
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Michigan average: 5 visits/inspections
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Michigan average: 8 deficiencies
The most recent inspection on April 22, 2024, found the facility had deficiencies related to resident medication management and incomplete service plans for some residents. Earlier inspections showed mostly compliance, including a June 6, 2023 review that confirmed substantial compliance and license renewal without deficiencies. Inspectors cited issues with detailing medication administration protocols and hospice roles in service plans. No complaint investigations or enforcement actions were listed in the available reports. The record shows some recent challenges in documentation and medication management after a period of compliance.
Michigan average 6.5
Last Health inspection on Jan 2025
Michigan average 33.5
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).
100% better than Michigan averageMichigan average: 0.3
0
100% better than Michigan averageMichigan average: 1.9
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jan 22, 2025
Corrected
Issues related to food quality, meal service, and resident's nutritional needs.
Jan 22, 2025
Corrected
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Jan 22, 2025
Corrected
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.
The Willows at Howell is located in Howell, Michigan.
Here are the financial assistance programs available to residents in Michigan.
0.0 miles from city center
Estimated distance in miles from Howell's city center to The Willows at Howell's address, calculated via Google Maps.
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
5% better than Michigan averageMichigan average ratio: 1.75:1
5% worse than Michigan averageMichigan average: 7.9 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.6 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hoursNo contractors work on this role.
Total hours from contractors
3,418 contractor hours this quarter
| 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 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
55Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
12.0%
In line with Michigan averageMichigan average: 12.5%
Percent of long-stay residents whose ability to move independently worsened
12.6%
18% better than Michigan averageMichigan average: 15.3%
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%
Percent of long-stay residents experiencing one or more falls with major injury
2.6%
19% better than Michigan averageMichigan average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
0.0%
100% better than Michigan averageMichigan average: 5.7%
Percent of long-stay residents with a urinary tract infection
0.9%
48% better than Michigan averageMichigan average: 1.7%
Percent of long-stay residents who lose too much weight
6.9%
21% worse than Michigan averageMichigan average: 5.7%
Percent of long-stay residents who have depressive symptoms
2.9%
24% better than Michigan averageMichigan average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
10.6%
29% better than Michigan averageMichigan average: 15.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
5% better than Michigan averageMichigan average: 94.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Michigan averageMichigan average: 95.0%
Number of hospitalizations per 1,000 long-stay resident days.
2.54
46% worse than Michigan averageMichigan average: 1.74
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.99
94% worse than Michigan averageMichigan average: 1.54
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.6%
19% better than Michigan averageMichigan average: 82.5%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Michigan averageMichigan average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
99.0%
24% better than Michigan averageMichigan average: 79.5%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
17.7%
27% better than Michigan averageMichigan average: 24.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
7.4%
36% better than Michigan averageMichigan average: 11.5%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Michigan averageMichigan average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
62.8%
17% better than Michigan averageMichigan average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
68.6%
36% better than Michigan averageMichigan average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
Penalties are imposed by CMS for violations of federal nursing home regulations.
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
| 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 | 39 | 85.0% | +12% | 3.73 | +77% | -13% | 0 | 20 | 4.0 | 0 | 54 | - | Scott, Jamie | $14.5M | $5.7M | 39.4% | 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 (Southfield Township) | 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 | - | - | - | - | - | - | - |
Historical financial and operational data for The Willows at Howell based on CMS SNF Cost Reports.
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