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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 Exterior view of The Willows at Howell with flag Exterior view of The Willows at Howell against a sunset Vibrant blue flowers in a garden Residents happily participating in a community activity Staff assisting a smiling resident in a cozy common area. Two residents enjoying each other's company outdoors.

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 Calculator: See prices in your area
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
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.
▲ 59.4% Above MI avg. ▲ 59.4% 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.
▲ 41.5% Above MI avg. ▲ 41.5% 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.
▲ 14.4% Above MI avg. ▲ 14.4% Above MI avg.MI average: 3.5Click 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.
▲ 33.0% Above MI avg. ▲ 33.0% Above MI avg.MI average: 3.8Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info 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.

Hours per resident per day vs Michigan averages

Rank #112 / 129Nurse hours — State benchmarkedThis home is ranked 112th out of 129 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 129 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 cover every community we track in Michigan that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 112th out of 129 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.

3h 30m

19% below state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info 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 9m
+51% State avg: 46m per day · National avg: 41m per day
LPN / LVN Info 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
−27% State avg: 53m per day · National avg: 52m per day
Nurse Aide Info 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.
1h 41m
−29% State avg: 2h 23m per day · National avg: 2h 20m per day
Weekend Total Nursing Info 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 17m
−6% State avg: 3h 31m per day · National avg: 3h 26m per day
Physical Therapist Info 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.
6m
+56% State avg: 4m per day · National avg: 4m per day
Weekend RN Info 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 5m
+126% State avg: 29m per day · National avg: 28m per day

3 of 6 metrics below state avg

Standout metric: Weekend RN is +126% above Michigan average

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 #113 / 132Bed count — State benchmarkedThis home is ranked 113th out of 132 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 cover every community we track in Michigan that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

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 #18 / 40Years in operation — State benchmarkedThis home is ranked 18th out of 40 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 cover every community we track in Michigan that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
1 year
Walk Score Info Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk. Rank #9 / 159Walk Score — State benchmarkedThis home is ranked 9th out of 159 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 cover every community we track in Michigan that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
78 / 100
Occupancy rate Info Occupancy higher than 95% suggests steady demand, but availability may be limited.
100% This home is often near full
Higher than the Michigan average: 76.7%
Occupied beds
39 / 39
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.
46 days

About this community

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

2 services
Rehabilitation Services
Short-Term Rehab

Staffing & Medical

1 service
24-Hour Staffing

Additional Services

1 service
Skilled Services

Amenities & Lifestyle

Salon
Dining
Laundry
Garden
Library
Courtyard
Activities

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. 25 deficiencies 9 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 2 Worse Metrics worse than Michigan average:
• Total deficiencies (150% above)
• Deficiencies per inspection (71% above) 0 Better No metrics in this bucket.

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. 2510 This facility has 150% more total deficiencies than a typical Michigan nursing home (25 vs. MI avg 10).↑ 150% worse
Deficiencies per inspection Info Average deficiencies per inspection. 2.81.64 This facility has 71% more deficiencies per inspection than a typical Michigan nursing home (2.8 vs. MI avg 1.64).↑ 71% worse

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. 95 This facility has had 80% more total inspections than the Michigan average (9 vs. MI avg 5). More inspections can mean more regulatory scrutiny rather than worse care.↑ 80% more
Show Inspection Reports

CMS Health Inspection History

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

Inspections Since 2024 · 2 years of data

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

Total health inspections 5

State average 6.7

Last Health inspection on Mar 2026

Total health citations
14 Rank #37 / 128Health citations — State benchmarkedThis home is ranked 37th out of 128 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 128 MI facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Michigan that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 32.6

Citations per inspection
2.8 Rank #40 / 128Citations per inspection — State benchmarkedThis home is ranked 40th out of 128 homes we track in Michigan for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Michigan mean across 128 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Michigan that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 4.86

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).

Breakdown of citation severity (last 2 years)
Critical health citations
0
100% better than State average

State average: 0.3

Serious health citations
0
100% better than State average

State average: 1.8

0 critical citations State average: 0.3
0 serious citations State average: 1.8
14 moderate citations State average: 30.1
0 minor citations State average: 0.4
Citations history (last 2 years)
Nutrition moderate citation Mar 31, 2026
Corrected
Infection Control moderate citation Jan 22, 2025
Corrected
Nutrition moderate citation Jan 22, 2025
Corrected
Care Planning moderate citation Jan 22, 2025
Corrected

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.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 94
Employees 81
Contractors 13
Staff to resident ratio 1.71 : 1
0% compared with Michigan average
Michigan average ratio: 1.70 : 1 Michigan average ratio: 1.70 : 1See full Michigan ranking
Avg staff/day 37
Average shift 7.6 hours
0% compared with Michigan average
Michigan average: 7.9 hours Michigan average shift: 7.9 hoursSee full Michigan ranking
Total staff hours (quarter) 25,732

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 18 RN Staff are full-time employees. No contractors work on this role. 18
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.7 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 7 LPN Staff are full-time employees. No contractors work on this role. 7
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.8 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 34 CNA Staff are full-time employees. No contractors work on this role. 34
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.4 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

11.9%

3,059 contractor hours this quarter

Speech Language Pathologist: 3 Respiratory Therapy Technician: 3 Physical Therapy Assistant: 3 Physical Therapy Aide: 2 Qualified Social Worker: 2

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
% of Days 100%
18 Registered Nurse
% of Days 100%
7 Licensed Practical Nurse
% of Days 100%
9 Other Dietary Services Staff
% of Days 100%
View All Staffing Data

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

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info 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 average

Michigan average: 8.4

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 17.2
6% worse than Michigan average

Michigan average: 16.3

Long-stay resident measures
Significantly above average Michigan avg: 4.1 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 12.0%
In line with Michigan average

Michigan average: 12.5%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 12.6%
18% better than Michigan average

Michigan average: 15.3%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 27.1%
29% worse than Michigan average

Michigan average: 21.0%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 2.6%
19% better than Michigan average

Michigan average: 3.2%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 0.0%
100% better than Michigan average

Michigan average: 5.7%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.9%
48% better than Michigan average

Michigan average: 1.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 6.9%
21% worse than Michigan average

Michigan average: 5.7%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 2.9%
24% better than Michigan average

Michigan average: 3.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 10.6%
29% better than Michigan average

Michigan average: 15.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
5% better than Michigan average

Michigan average: 94.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
5% better than Michigan average

Michigan average: 95.0%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.54
46% worse than Michigan average

Michigan average: 1.74

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 2.99
94% worse than Michigan average

Michigan average: 1.54

Short-stay resident measures
Significantly above average Michigan avg: 3.3 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.6%
19% better than Michigan average

Michigan average: 82.5%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Michigan average

Michigan average: 1.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 99.0%
24% better than Michigan average

Michigan average: 79.5%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 17.7%
27% better than Michigan average

Michigan average: 24.2%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 7.4%
36% better than Michigan average

Michigan average: 11.5%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than Michigan average

Michigan average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 62.8%
17% better than Michigan average

Michigan average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 68.6%
36% better than Michigan average

Michigan average: 50.6%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

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

Facility Characteristics

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

Total residents 55
Medicare
13
23.6% of residents
Medicaid
27
49.1% of residents
Private pay or other
15
27.3% 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 12/2023.

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."
$13.1M
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."
$1.3M
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."
$13.1M Rank #46 / 120Net patient revenue — State benchmarkedThis home is ranked 46th out of 120 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 cover every community we track in Michigan that reports data for that category. Communities 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."
$1.3M
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.
$83.0K
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 #54 / 120Payroll costs — State benchmarkedThis home is ranked 54th out of 120 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 cover every community we track in Michigan that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$7.0M 53.3% 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 #72 / 120Payroll % of net patient revenue — State benchmarkedThis home is ranked 72nd out of 120 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 cover every community we track in Michigan that reports data for that category. Communities 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).
$4.8M
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).
$11.8M
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

What does this home offer?

Pets allowed icon
Pets allowed icon

Pets Allowed

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

New residents most often arrive under Medicare (46% of admissions), and a typical Medicare stay runs around 20 days.

Admissions
380 total

Coverage residents most often arrive under.

Medicare 46%
Private pay 43%
Medicaid 12%
Discharges
695 total

Coverage residents most often leave under.

Medicare 36%
Private pay 51%
Medicaid 13%

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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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. CCRC (Continuing Care Retirement Community): A campus with multiple care levels so residents can age in place without moving.
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: 59.2% 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.
Iron County Medical Care Facility ★ ★ ★ ★ ★
NH
AL
MC
SNF
Crystal Falls
200
Facility 200
MI AVG 105
Rank #6 / 132
56.8%
Facility 56.8%
MI AVG 76.7%
Rank #84 / 106
-26%
5.16
Facility 5.16
MI AVG 4.30
Rank #15 / 129
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ ★ ★ ☆ ☆ ☆ -8%+20%
$0
Facility $0
MI AVG $87.6k
Rank #1 / 129
15
Facility 15
MI AVG 33.5
Rank #29 / 128
5.0
Facility 5.0
MI AVG 5.2
Rank #48 / 128
-114A+
11
Facility 11
MI AVG 41
Rank #143 / 159
County Of Iron
$16.4MFiscal year ending 12/2023
Facility $16.4MFiscal year ending 12/2023
MI AVG $13.2M
Rank #31 / 120
$14.7MFiscal year ending 12/2023
Facility $14.7MFiscal year ending 12/2023
MI AVG $7.7M
Rank #9 / 120
89.3%Fiscal year ending 12/2023
Facility 89.3%Fiscal year ending 12/2023
MI AVG 59.2%
Rank #6 / 120
235257
Chelsea Retirement Community ★ ★ ★ ★ ★
NH
AL
CCRC
IL
MC
SNF
Chelsea
172
Facility 172
MI AVG 105
Rank #12 / 132
48.3%
Facility 48.3%
MI AVG 76.7%
Rank #95 / 106
-37%
4.38
Facility 4.38
MI AVG 4.30
Rank #38 / 129
 ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ☆ -12%+2%
$0
Facility $0
MI AVG $87.6k
Rank #1 / 129
13
Facility 13
MI AVG 33.5
Rank #20 / 128
4.3
Facility 4.3
MI AVG 5.2
Rank #33 / 128
-83-
13
Facility 13
MI AVG 41
Rank #137 / 159
United Methodist Retirement Communities Inc
$36.6MFiscal year ending 06/2024
Facility $36.6MFiscal year ending 06/2024
MI AVG $13.2M
Rank #1 / 120
$19.8MFiscal year ending 06/2024
Facility $19.8MFiscal year ending 06/2024
MI AVG $7.7M
Rank #2 / 120
54.3%Fiscal year ending 06/2024
Facility 54.3%Fiscal year ending 06/2024
MI AVG 59.2%
Rank #68 / 120
235021
The Willows at Howell ★ ★ ★ ★ ★
NH
ADC
AL
IL
MC
SNF
Howell
39
Facility 39
MI AVG 105
Rank #113 / 132
--
3.49
Facility 3.49
MI AVG 4.30
Rank #112 / 129
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ +87%-19%
$0
Facility $0
MI AVG $87.6k
Rank #1 / 129
14
Facility 14
MI AVG 33.5
Rank #37 / 128
2.8
Facility 2.8
MI AVG 5.2
Rank #40 / 128
-55-
78
Facility 78
MI AVG 41
Rank #9 / 159
Trilogy Healthcare Of Livingston, LLC
$13.1MFiscal year ending 12/2023
Facility $13.1MFiscal year ending 12/2023
MI AVG $13.2M
Rank #46 / 120
$7.0MFiscal year ending 12/2023
Facility $7.0MFiscal year ending 12/2023
MI AVG $7.7M
Rank #54 / 120
53.3%Fiscal year ending 12/2023
Facility 53.3%Fiscal year ending 12/2023
MI AVG 59.2%
Rank #72 / 120
235707
The Rivers Assisted Living ★ ★ ★ ★ ☆
NH
AL
IL
MC
SNF
Grosse Pointe Woods
100
Facility 100
MI AVG 105
Rank #67 / 132
23.0%
Facility 23.0%
MI AVG 76.7%
Rank #105 / 106
-70%
4.61
Facility 4.61
MI AVG 4.30
Rank #29 / 129
 ★ ★ ★ ★ ☆ ★ ★ ★ ☆ ☆ ★ ★ ★ ☆ ☆ -56%+7%
$0
Facility $0
MI AVG $87.6k
Rank #1 / 129
20
Facility 20
MI AVG 33.5
Rank #43 / 128
4.0
Facility 4.0
MI AVG 5.2
Rank #46 / 128
-23-
84
Facility 84
MI AVG 41
Rank #4 / 159
The Rivers Assisted Living LLC
$9.4MFiscal year ending 12/2023
Facility $9.4MFiscal year ending 12/2023
MI AVG $13.2M
Rank #86 / 120
$5.0MFiscal year ending 12/2023
Facility $5.0MFiscal year ending 12/2023
MI AVG $7.7M
Rank #94 / 120
52.5%Fiscal year ending 12/2023
Facility 52.5%Fiscal year ending 12/2023
MI AVG 59.2%
Rank #79 / 120
235709
Symphony Linden ★ ★ ☆ ☆ ☆
NH
AL
MC
RC
SNF
Linden
20
Facility 20
MI AVG 105
Rank #124 / 132
--
3.46
Facility 3.46
MI AVG 4.30
Rank #112 / 129
 ★ ★ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ☆ -28%-19%
$0
Facility $0
MI AVG $87.6k
Rank #1 / 129
58
Facility 58
MI AVG 33.5
Rank #118 / 128
8.3
Facility 8.3
MI AVG 5.2
Rank #127 / 128
158-
52
Facility 52
MI AVG 41
Rank #54 / 159
Symphony Of Linden Health Care Center, LLC
$10.0MFiscal year ending 12/2023
Facility $10.0MFiscal year ending 12/2023
MI AVG $13.2M
Rank #82 / 120
$5.3MFiscal year ending 12/2023
Facility $5.3MFiscal year ending 12/2023
MI AVG $7.7M
Rank #88 / 120
52.9%Fiscal year ending 12/2023
Facility 52.9%Fiscal year ending 12/2023
MI AVG 59.2%
Rank #75 / 120
235646

Rank badges are statewide: each nursing home is ranked against every 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 100%.

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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