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The Willows at Howell
Nursing Home, Adult Day Care, Assisted Living, Independent Living, Memory Care & Skilled Nursing · Howell, MI
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Building exterior with entrance and flag Exterior view of The Willows at Howell Exterior view of The Willows at Howell facility Exterior view of The Willows at Howell entrance

The Willows at Howell

Nursing Home, Adult Day Care, Assisted Living, Independent Living, Memory Care & Skilled Nursing · Howell, MI
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1500 Byron Road, Howell, MI 48855 View map
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The Willows at Howell accepts Medicare, Medicaid, and private pay.
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The Willows at Howell accepts Medicare, Medicaid, and private pay.

Overview of The Willows at Howell

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The Willows at Howell offers nursing home and skilled nursing care, Adult Day Care, Assisted Living, Independent Living, and Memory Care in Howell, Michigan. Assisted Living provides help with daily tasks while a resident keeps a private living space. Memory Care offers a secured setting with supervision for someone at risk of wandering. Independent Living combines private living with community services and no daily care, while Adult Day Care provides daytime support for someone who lives elsewhere.

The community has 39 beds. Nursing services include 3 hours and 30 minutes of total nurse staffing per resident per day, representing the daily hands on nursing time allocated to each resident. Short term rehabilitation is available for a temporary stay focused on recovery. Having several care levels in one community may suit a resident whose needs change over time without requiring a move elsewhere.

Chef prepared breakfast, lunch, and dinner are served on site, and the salon provides a place for personal grooming. A resident garden and courtyard offer outdoor areas, while a private dining room provides a separate space for meals. Pets are allowed, so a resident may continue living with a pet. With a Walk Score of 78, the area is very walkable, and most errands can be done on foot; shops, a pharmacy, or cafes may be within a short walk for a resident who no longer drives. Medicare, Medicaid, and private pay are accepted, and Trilogy Healthcare of Livingston operates The Willows at Howell.

Facility Direct Line (517) 552-9323
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Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▲ 59.2% Above MI avg. ▲ 59.2% Above MI avg.MI average: 3.1Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▲ 42.7% Above MI avg. ▲ 42.7% Above MI avg.MI average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▲ 11.9% Above MI avg. ▲ 11.9% Above MI avg.MI average: 3.6Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▲ 29.7% Above MI avg. ▲ 29.7% Above MI avg.MI average: 3.9Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing Info Data period: Q4 2025 (October 1 – December 31, 2025).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Jun 2026).

Total nursing care per resident / day Info This nursing home is ranked 111th out of 128 nursing homes we track in Michigan for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
↓ 19% · MI 4h 20mThis facility: 3h 30m per resident per day, 19% below the Michigan average of 4h 20m (among Michigan facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. Rank #111 / 128Nurse hours — State benchmarked This nursing home is ranked 111th out of 128 nursing homes we track in Michigan for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Michigan average, with a ranking across 128 Michigan facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Michigan that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
3h 30m

Standout metric: RN, weekends is +126% above Michigan average

3 of 6 metrics below Michigan average

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant340349,48792100%7.4
Registered Nurse180185,24692100%7.7
Licensed Practical Nurse7072,76792100%9.8
Other Dietary Services Staff9092,03992100%8.3
Clinical Nurse Specialist6061,0758896%8.9
Physical Therapy Assistant0339008087%6.5
Speech Language Pathologist0337786672%6.3
Respiratory Therapy Technician0335967784%5.7
Nurse Practitioner1015106470%8
Dietitian1015086470%7.9
Administrator1015046368%8
Physical Therapy Aide0224876672%5.8
RN Director of Nursing1014634852%9.7
Qualified Social Worker0222996470%4.7
Nurse Aide in Training1013855%7.7
Occupational Therapy Assistant202365560%0.6
34 Certified Nursing Assistant
Coverage 100%
18 Registered Nurse
Coverage 100%
7 Licensed Practical Nurse
Coverage 100%
9 Other Dietary Services Staff
Coverage 100%
By The Numbers

Community insights.

Bed count Info A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions. 39 Rank #112 / 131Bed count — State benchmarked This nursing home is ranked 112th out of 131 nursing homes we track in Michigan for bed count. Shows this facility's certified or reported bed count compared to other Michigan facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Michigan that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.

Smaller home · May offer a more intimate, personalized care environment.

Years of operating Info A newer community that may feature more recent facilities and programs. This is the number of years in operation under current management. Rank #19 / 40Years in operation — State benchmarked This nursing home is ranked 19th out of 40 nursing homes we track in Michigan for years in operation. Shows how long this facility has been in operation compared to other Michigan facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Michigan that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
1 year
Walk Score Info Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk. Rank #9 / 157Walk Score — State benchmarked This nursing home is ranked 9th out of 157 nursing homes we track in Michigan for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Michigan facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Michigan that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
78 / 100
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
39 days

About This Community

Pricing & Financial Information

The below pricing was updated on

Starting Price
$3,749/Month

License Details

Facility TypeHomes For The Aged
IssuanceAugust 1, 2025
CountyLivingston
License NumberAH470342721
CMS Certification Number235707

Ownership & Operating Entity

Owner NameTrilogy Healthcare of Livingston, LLC

Payment & Insurance

1 service
Accept Medicare

Therapy & Rehabilitation

5 services
Short-Term Rehab
Respiratory Therapy
Physical Therapy
Occupational Therapy
Speech Therapy

Staffing & Medical

4 services
RN On-Site 8 Hours a Day
Pharmacy and Laboratory Services
Wound Care ManagementClinical care for preventing, assessing, and treating wounds, including pressure injuries and surgical wounds. It can support healing and reduce complications.
Dietitian

Additional Services

6 services
Respite CareRespite care provides families and unpaid caregivers with short-term relief from caregiving duties. Care can range from a few hours to a few weeks.
Discharge Planning
Housekeeping
Laundry & Linen
MaintenanceListed as: Maintenance of apartment, community, and grounds
TransportationListed as: Scheduled transportation

Additional Policies & Features

Pets Allowed

Amenities & Lifestyle

Beauty Salon
Laundry
Garden
Library
Courtyard
Outdoor Seating
Wheelchair Accessible
Internet Access
Cable Tv
Private Dining Room
Activities
Intergenerational Programs
Live a Dream ProgramA Trilogy Health Services Foundation program that helps residents fulfill lifelong or bucket-list wishes through financial support and coordinated experiences. Families may value the chance to honor a parent’s meaningful goals.
Happy Hour
Resident Council Meetings
Wellness Seminars
  • Artisans program (scrapbooking, painting, arts and crafts)

Faith & Spiritual Life

Inspirations Program (Bible Study, Hymn Sing, Meditation, Devotions, Rosary, Grief Bereavement Support Groups)A faith-centered life-enrichment program offering activities such as Bible study, hymn singing, meditation, devotions, rosary, and grief support. It can help residents maintain spiritual connection and find comfort.

Room Accommodations

Studio Floor plans as listed by the community: Studio (334–428 sq ft) · Deluxe Studio (140–355 sq ft) · Studio (140–355 sq ft) · Studio - Short-Term Stay (140–355 sq ft) Floor plans: Deluxe, Short-Term Stay 140–428 sq ft
1 Bedroom Floor plans as listed by the community: 1 Bedroom (521–586 sq ft) · 1 Bedroom (2 Bath) (741–799 sq ft) 521–799 sq ft
In-Room Features
Private Apartment Suite With Shower Individual Heating & Air Conditioning

Contact The Willows at Howell

This profile shows two inspection records, and their totals often differ. Inspection History and the Inspection Scorecard below are state data — the figures the state publishes and the state inspection reports we hold on file — covering the entire facility. CMS Health Inspection History covers only this home's Medicare and Medicaid-certified nursing beds, from federal certification surveys.

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.

Since 2015 · 11 years of data These figures come from state-published data and the state inspection reports we hold on file. The period covered can vary depending on document availability.
Includes all inspection records for this property, which could include management/ownership changes. 4 deficiencies 4 inspections

Inspection Scorecard Info This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Michigan state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2015 vs. Michigan state average
Overall vs. MI average 0 Worse No metrics in this bucket. 2 Better Metrics better than Michigan average:
• Total deficiencies (43% below)
• Deficiencies per inspection (23% below)

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityMI Averagevs. MI Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 47.0 This facility has 43% fewer total deficiencies than a typical Michigan nursing home (4 vs. MI avg 7).↓ 43% better
Deficiencies per inspection Info Average deficiencies per inspection. 1.01.3 This facility has 23% fewer deficiencies per inspection than a typical Michigan nursing home (1 vs. MI avg 1.3).↓ 23% better

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityMI Averagevs. MI Avg
Total inspections Info Combined count of all inspections conducted at this facility. 45.0 This facility has had 20% fewer total inspections than the Michigan average (4 vs. MI avg 5). More inspections can mean more regulatory scrutiny rather than worse care.↓ 20% fewer
Show Inspection Reports

CMS Health Inspection History

Since 2024 · 2 years of data · Last health inspection Mar 2026

Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.

Total health inspections
5 ↓ 25% · MI 6.7This facility: 5, 25% below the MI average of 6.7 (among MI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
14 Rank #21 / 127Health citations — State benchmarked This nursing home is ranked 21st out of 127 nursing homes we track in Michigan for health citations. Shows this facility's total health deficiency citations benchmarked to the Michigan State average, with a ranking across all 127 MI facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Michigan that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 57% · MI 32.4This facility: 14, 57% below the MI average of 32.4 (among MI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
2.8 Rank #14 / 127Citations per inspection — State benchmarked This nursing home is ranked 14th out of 127 nursing homes we track in Michigan for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Michigan mean across 127 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Michigan that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 42% · MI 4.79This facility: 2.8, 42% below the MI average of 4.79 (among MI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected 14 of 14 citations corrected
Bar = mix of this home's 14 citations, not a state comparison

Lighter shade = corrected

Critical J–L
0 ↓ 100% · MI 0.3This facility: 0, 100% below the MI average of 0.3 (among MI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious G–I
0 ↓ 100% · MI 1.7This facility: 0, 100% below the MI average of 1.7 (among MI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate D–F
14 ↓ 53% · MI 30This facility: 14, 53% below the MI average of 30 (among MI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor A–C
0 ↓ 100% · MI 0.4This facility: 0, 100% below the MI average of 0.4 (among MI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal risk

Latest inspection: Mar 31, 2026 · 1 citation (Nutrition, moderate), corrected

Most cited category: Resident Rights, 3 of 14 citations · 5 categories in total

Citations history
Most recent first
Mar 31, 2026 1 citation
Nutrition moderate citation Corrected
Jan 22, 2025 5 citations
Infection Control moderate citation Corrected
Nutrition moderate citation Corrected
Care Planning moderate citation Corrected
Care Planning moderate citation Corrected
Resident Rights moderate citation Corrected
Nov 12, 2024 1 citation
Resident Rights moderate citation Corrected
May 28, 2024 1 citation
Infection Control moderate citation Corrected
Mar 20, 2024 6 citations
Nutrition moderate citation Corrected
Quality of Care moderate citation Corrected
Quality of Care moderate citation Corrected
Quality of Care moderate citation Corrected
Care Planning moderate citation Corrected
Resident Rights moderate citation Corrected
Top deficiency categories
Share of 14 citations
Resident Rights 3 deficiencies (21%)
Resident Assessment & Care Planning 3 deficiencies (21%)
Quality of Life & Care 3 deficiencies (21%)
Nutrition & Dietary 3 deficiencies (21%)
Infection Control 2 deficiencies (14%)
How citations are counted

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

10 of 14 citations resulted from standard inspections; 2 of 14 resulted from complaint investigations; and 2 of 14 came from combined inspections (standard and complaint).

Includes all CMS health inspection records for this property, which could include management/ownership changes.

Source

Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. 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.

Penalties and fines

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

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

How residents at this home fare on health outcomes and preventive care, compared with the Michigan average.

Data as of Aug 2026 · CMS Care Compare

Long-stay quality rating Info CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best. 5 / 5 Significantly above average ↑ 23% · MI 4.1This facility: 5.0, 23% above the MI average of 4.1 (among MI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Short-stay quality rating Info CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best. 5 / 5 Significantly above average ↑ 53% · MI 3.3This facility: 5.0, 53% above the MI average of 3.3 (among MI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
High-risk clinical events Info Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better. 4.4 Score · lower is better ↓ 39% · MI 7.2This facility: 4.4, 39% below the MI average of 7.2 (among MI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Functional decline Info Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better. 12.4 Score · lower is better ↓ 13% · MI 14.3This facility: 12.4, 13% below the MI average of 14.3 (among MI facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.

13 long-stay measures: 9 better, 3 worse, 1 near MI average

8 short-stay measures: 5 better, 3 compared with US only

Breakdown by payment type

Medicare

41% of new residents, usually for short-term rehab.

Typical stay 22 days

Private pay

52% of new residents, often for short stays.

Typical stay 3 - 4 months

Medicaid

7% of new residents, often for long-term daily care.

Typical stay 8 - 9 months

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jun 2026)

Total residents 53
Medicare
26
49.1% of residents
Medicaid
20
37.7% of residents
Private pay or other
7
13.2% of residents
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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2024.

For-profit
Operated by a business corporation.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$14.0MFiscal year ending 12/2024
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$2.3MFiscal year ending 12/2024
For-profit Operated by a business corporation.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$14.0MFiscal year ending 12/2024 Rank #46 / 119Net patient revenue — State benchmarked This nursing home is ranked 46th out of 119 nursing homes we track in Michigan. Shows this facility's net patient revenue compared to the Michigan average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Michigan that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$2.3MFiscal year ending 12/2024
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$64.3KFiscal year ending 12/2024
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #53 / 119Payroll costs — State benchmarked This nursing home is ranked 53rd out of 119 nursing homes we track in Michigan. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Michigan average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Michigan that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
$6.7MFiscal year ending 12/2024 47.7% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #71 / 119Payroll % of net patient revenue — State benchmarked This nursing home is ranked 71st out of 119 nursing homes we track in Michigan. Shows payroll as a percentage of net patient revenue versus the Michigan average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Michigan that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$5.1MFiscal year ending 12/2024
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$11.7MFiscal year ending 12/2024
How we calculate these figures

This home is owned by Trilogy Healthcare of Livingston, LLC

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 235707

Show certification details

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Most new residents arrive under private pay (52% of admissions), and a typical private pay stay runs around 3 - 4 months.

Admissions
462 total

Coverage residents most often arrive under.

Medicare 41%
Private pay 52%
Medicaid 7%
Discharges
740 total

Coverage residents most often leave under.

Medicare 30%
Private pay 60%
Medicaid 10%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

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Address 0.0 miles from city center Info Estimated distance in miles from Howell's city center to The Willows at Howell's address, calculated via Google Maps.

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Address

Compare Nursing Homes around the area

Info below is compiled from CMS reports & the MI Licensing & Regulatory Affairs (LARA), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest-ranked to lowest-ranked based on our methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. ADC (Adult Day Care): Daytime supervision, health monitoring, and social activities for seniors who live at home.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Michigan average is: 58.7% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
The Willows at Howell ★ ★ ★ ★ ★
NH
ADC
AL
IL
MC
SNF
Howell
39
Facility 39
MI AVG 102
Rank #112 / 131
--
3.49
Facility 3.49
MI AVG 4.33
Rank #111 / 128
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ +87%-19%
$0
Facility $0
MI AVG $78.1k
Rank #1 / 128
14
Facility 14
MI AVG 32.4
Rank #21 / 127
2.8
Facility 2.8
MI AVG 4.8
Rank #14 / 127
-55-
78
Facility 78
MI AVG 41
Rank #9 / 157
Trilogy Healthcare Of Livingston, LLC
$14.0MFiscal year ending 12/2024
Facility $14.0MFiscal year ending 12/2024
MI AVG $13.3M
Rank #46 / 119
$6.7MFiscal year ending 12/2024
Facility $6.7MFiscal year ending 12/2024
MI AVG $7.7M
Rank #53 / 119
47.7%Fiscal year ending 12/2024
Facility 47.7%Fiscal year ending 12/2024
MI AVG 58.7%
Rank #71 / 119
235707
The Oaks at Belmont ★ ★ ★ ★ ★
NH
AL
IL
MC
SNF
Belmont
41
Facility 41
MI AVG 102
Rank #109 / 131
--
4.10
Facility 4.10
MI AVG 4.33
Rank #52 / 128
 ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ +65%-5%
$0
Facility $0
MI AVG $78.1k
Rank #1 / 128
7
Facility 7
MI AVG 32.4
Rank #5 / 127
1.8
Facility 1.8
MI AVG 4.8
Rank #3 / 127
154-
26
Facility 26
MI AVG 41
Rank #109 / 157
Trilogy Healthcare Of Belmont, LLC
$13.8MFiscal year ending 12/2024
Facility $13.8MFiscal year ending 12/2024
MI AVG $13.3M
Rank #64 / 119
$7.0MFiscal year ending 12/2024
Facility $7.0MFiscal year ending 12/2024
MI AVG $7.7M
Rank #65 / 119
50.9%Fiscal year ending 12/2024
Facility 50.9%Fiscal year ending 12/2024
MI AVG 58.7%
Rank #53 / 119
235727
The Oaks at Woodfield ★ ★ ★ ★ ☆
NH
ADC
AL
MC
SNF
Grand Blanc
38
Facility 38
MI AVG 102
Rank #116 / 131
--
4.03
Facility 4.03
MI AVG 4.33
Rank #62 / 128
 ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ +5%-7%
$0
Facility $0
MI AVG $78.1k
Rank #1 / 128
23
Facility 23
MI AVG 32.4
Rank #53 / 127
4.6
Facility 4.6
MI AVG 4.8
Rank #63 / 127
-59-
70
Facility 70
MI AVG 41
Rank #21 / 157
Trilogy Healthcare Of Genesee LLC
$13.7MFiscal year ending 12/2024
Facility $13.7MFiscal year ending 12/2024
MI AVG $13.3M
Rank #47 / 119
$6.5MFiscal year ending 12/2024
Facility $6.5MFiscal year ending 12/2024
MI AVG $7.7M
Rank #59 / 119
47.4%Fiscal year ending 12/2024
Facility 47.4%Fiscal year ending 12/2024
MI AVG 58.7%
Rank #87 / 119
235660
The Rivers Assisted Living ★ ★ ★ ★ ☆
NH
AL
IL
MC
SNF
Grosse Pointe Woods
100
Facility 100
MI AVG 102
Rank #66 / 131
--
4.61
Facility 4.61
MI AVG 4.33
Rank #28 / 128
 ★ ★ ★ ★ ☆ ★ ★ ★ ☆ ☆ ★ ★ ★ ☆ ☆ -56%+7%
$0
Facility $0
MI AVG $78.1k
Rank #1 / 128
20
Facility 20
MI AVG 32.4
Rank #37 / 127
4.0
Facility 4.0
MI AVG 4.8
Rank #45 / 127
-80-
84
Facility 84
MI AVG 41
Rank #4 / 157
The Rivers Assisted Living LLC
$11.0MFiscal year ending 12/2024
Facility $11.0MFiscal year ending 12/2024
MI AVG $13.3M
Rank #85 / 119
$5.4MFiscal year ending 12/2024
Facility $5.4MFiscal year ending 12/2024
MI AVG $7.7M
Rank #93 / 119
49.6%Fiscal year ending 12/2024
Facility 49.6%Fiscal year ending 12/2024
MI AVG 58.7%
Rank #78 / 119
235709
Symphony Linden ★ ★ ☆ ☆ ☆
NH
AL
MC
RC
SNF
Linden
20
Facility 20
MI AVG 102
Rank #123 / 131
--
3.46
Facility 3.46
MI AVG 4.33
Rank #111 / 128
 ★ ★ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ☆ -28%-20%
$0
Facility $0
MI AVG $78.1k
Rank #1 / 128
58
Facility 58
MI AVG 32.4
Rank #113 / 127
8.3
Facility 8.3
MI AVG 4.8
Rank #120 / 127
158-
52
Facility 52
MI AVG 41
Rank #52 / 157
Symphony Of Linden Health Care Center, LLC
$11.2MFiscal year ending 12/2024
Facility $11.2MFiscal year ending 12/2024
MI AVG $13.3M
Rank #81 / 119
$5.7MFiscal year ending 12/2024
Facility $5.7MFiscal year ending 12/2024
MI AVG $7.7M
Rank #87 / 119
51.1%Fiscal year ending 12/2024
Facility 51.1%Fiscal year ending 12/2024
MI AVG 58.7%
Rank #74 / 119
235646

Rank badges are statewide and care-type specific: each nursing home is ranked against every other MI nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities

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Frequently Asked Questions about The Willows at Howell

Who is the owner of The Willows at Howell?

The Willows at Howell is legally operated by Trilogy Healthcare of Livingston, LLC.

Is The Willows at Howell in a walkable area?

The Willows at Howell has a walk score of 78. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

What is the license number of The Willows at Howell?

According to MI state health department records, The Willows at Howell's license number is AH470342721.

What is the occupancy rate at The Willows at Howell?

The Willows at Howell's occupancy is 80.2%.

How long has The Willows at Howell been in business?

The Willows at Howell has been operating for approximately 1 year, based on available licensing and registration records.

Are pets allowed at The Willows at Howell?

Yes, The Willows at Howell allows residents to bring their pets.

Does The Willows at Howell operate as a for-profit or non-profit?

The Willows at Howell is registered as a for-profit in MI.

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