Inspection Reports for The Willows at Howell

1500 Byron Road, Howell, MI, 48855

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Deficiencies (last 4 years)

Deficiencies (over 4 years) 0.8 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

85% better than Michigan average
Michigan average: 5.2 deficiencies/year

Deficiencies per year

4 3 2 1 0
2015
2021
2023
2024

Census

Latest occupancy rate 26% occupied

Based on a April 2024 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Census over time

0 20 40 60 Jun 2015 Apr 2024

Inspection Report

Renewal
Census: 10 Capacity: 39 Deficiencies: 3 Date: Apr 22, 2024

Visit Reason
The inspection was conducted as a Renewal Licensing Study to evaluate compliance with licensing rules and regulations for The Willows at Howell facility.

Findings
The facility was found to be in non-compliance with several rules related to governing bodies, administrators, supervisors, employee provisions, and resident medication management. Specific deficiencies included incomplete service plans regarding medication administration and hospice services for residents.

Deficiencies (3)
Lack of detailed information in Resident A's and C's service plans on how anxiety is demonstrated and when medication administration is appropriate.
Resident A and C's hospice agency and role of hospice not detailed in the resident’s service plans.
Resident B’s service plan did not correctly identify medication management responsibilities between the facility and the resident.
Report Facts
Number of residents interviewed and/or observed: 10 Number of staff interviewed and/or observed: 3 Facility capacity: 39

Inspection Report

Renewal
Deficiencies: 0 Date: Jun 6, 2023

Visit Reason
The document is an administrative review and renewal of the Home for the Aged license for the facility The Legacy at Howell, confirming substantial compliance with public health code and administrative rules over the past year.

Findings
The review revealed substantial compliance with the public health code and administrative rules regulating home for the aged facilities, resulting in the renewal of the facility's license for 12 months effective 07/07/2023.

Report Facts
License duration: 12

Employees mentioned
NameTitleContext
Kimberly HorstLicensing StaffSigned the renewal letter and communicated the licensing decision

Inspection Report

Original Licensing
Capacity: 39 Deficiencies: 0 Date: Feb 17, 2021

Visit Reason
The facility requested to convert a former resident sitting area into a new private resident room, increasing the bed capacity from 38 to 39.

Findings
A video inspection on 2021-02-17 found the new room compliant with facility standards, including adequate square footage and amenities, and no issues were identified with the addition of the room. Fire safety and occupancy approvals were obtained prior to the inspection.

Report Facts
Bed capacity increase: 1

Employees mentioned
NameTitleContext
Kimberly HorstLicensing StaffConducted video inspection and authored report
Russell MisiakArea ManagerSigned off on report

Inspection Report

Original Licensing
Capacity: 38 Deficiencies: 0 Date: Jun 10, 2015

Visit Reason
The inspection was conducted as part of the original licensing process for The Willows at Howell, a newly constructed home for the aged facility seeking licensure to operate with a maximum capacity of 38 residents.

Findings
The facility was found to be in substantial compliance with applicable licensing statutes and administrative rules. The building and resident rooms met all regulatory requirements, and the fire safety inspection was approved. The facility was recommended for issuance of a temporary license for 38 residents.

Report Facts
Licensed capacity: 38 Staff shifts: 3 Square footage: 24000 Resident rooms: 33 Double occupancy rooms: 5 Scheduled move-ins: 28 Surety bond amount: 10000

Employees mentioned
NameTitleContext
Emery DumasAdministrator and Authorized RepresentativeNamed as the administrator and authorized representative of The Willows at Howell.
Loma M CampbellLicensing StaffAuthor of the licensing study report.
Betsy MontgomeryArea ManagerApproved the licensing report.

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