Inspection Reports for
The Willows at Howell
1500 Byron Road, Howell, MI, 48855
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Inspection Report — Apr 2, 2026
Complaint Investigation
Date: Apr 2, 2026
Visit Reason
Investigation of a complaint received on 2026-03-26 about medication administration.
Complaint Details
The home did not administer prescribed medications to Resident A: established. Additional findings: not established.
Findings
One rule violation was established for failure to administer prescribed medications to Resident A.
Deficiencies (1)
R 325.1932 Resident’s medications: the medication Cardizem (Diltiazem HCl) was not administered to Resident A on 01/29/2026, 01/30/2026, and 01/31/2026, and documentation on 01/28/2026 was conflicting, substantiating the allegation.
Report Facts
Corrective action plan due: 15
Inspection Report — Apr 22, 2024
Renewal
Date: Apr 22, 2024
Visit Reason
Renewal inspection of the adult foster care family home license.
Findings
The facility was found to be in non-compliance with 3 rules; a written corrective action plan was required before the license is renewed.
Deficiencies (3)
R 325.1921 Governing bodies, administrators, and supervisors: the home lacked an organized program detailing how Resident A’s and Resident C’s anxiety and medication administration are managed in their service plans.
R 325.1931 Employees; general provisions: Resident A and C’s hospice agency and role of hospice were not detailed in their service plans.
R 325.1932 Resident medications: Resident B’s service plan did not correctly identify that the facility was to administer medications while the resident also self-administered medications.
Report Facts
Corrective action plan due: 15
Inspection Report — Feb 17, 2021
Date: Feb 17, 2021
Visit Reason
Increase capacity from 38 to 39 residents by converting a former resident sitting area into a new private resident room.
Findings
The facility was inspected and found to have no issues with the addition of the new room. The license capacity is recommended to be increased to 39.
Report Facts
Inspection Report — Jun 10, 2015
Original Licensing
Date: Jun 10, 2015
Visit Reason
Original license application for a home for the aged facility.
Findings
The study determined substantial compliance with applicable licensing statutes and administrative rules.
Report Facts
License term length: 6
6 CMS Surveys
Inspection Report — Jan 22, 2025
Complaint Investigation
Date: Jan 22, 2025
Visit Reason
Investigation of a complaint received on 2025-01-22 about failure to provide timely beneficiary notification, untimely resident assessments, improper food storage and labeling, and inadequate infection prevention and control practices.
Complaint Details
Failure to provide timely Medicare non-coverage notices: established. Untimely Minimum Data Set assessments: established. Improper food storage and labeling: established. Inadequate infection prevention and control PPE use and signage: established.
Findings
Multiple deficiencies were found including failure to provide timely Medicare non-coverage notices, untimely completion of Minimum Data Set assessments, improper food storage and labeling, and failure to use proper personal protective equipment for COVID-19 precautions.
Deficiencies (5)
F 0582 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered: the facility failed to ensure timely Notice of Medicare Non-Coverage and Skilled Nursing Facility Advance Beneficiary Notice for one resident, resulting in lack of timely notification and inability to file an appeal.
F 0636 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months: the facility failed to complete comprehensive Minimum Data Set assessments timely for two residents due to delays and lack of policy.
F 0638 Assure that each resident’s assessment is updated at least once every 3 months: the facility failed to complete quarterly Minimum Data Set assessments timely for six residents due to staff turnover and training issues.
F 0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards: food items in the kitchen and refrigerators were uncovered, unlabeled, past use-by dates, and improperly stored, risking resident safety.
F 0880 Provide and implement an infection prevention and control program: the facility failed to utilize proper personal protective equipment for COVID-19 transmission-based precautions and signage did not reflect required PPE, exposing residents and staff to infection risk.
Inspection Report — Nov 12, 2024
Complaint Investigation
Date: Nov 12, 2024
Visit Reason
Investigation of a complaint received on 2024-10-30 about failure to provide timely notification of discharge to a resident.
Complaint Details
Failure to provide timely discharge notification to resident R801: established.
Findings
The facility failed to provide a legally blind resident with a written thirty-day notice of discharge, including the right to appeal, prior to transfer to the hospital.
Deficiencies (1)
F 0623 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights: the facility failed to provide resident R801, who is legally blind, with the required thirty-day written notice of discharge and right to appeal prior to transfer to the hospital.
Inspection Report — May 28, 2024
Complaint Investigation
Date: May 28, 2024
Visit Reason
Investigation of a complaint received on 2024-03-21 about failure to follow transmission-based precautions for a resident with MRSA pneumonia.
Complaint Details
Failure to implement contact isolation for MRSA pneumonia: established.
Findings
The facility failed to implement timely contact isolation precautions for resident R900 diagnosed with MRSA pneumonia, allowing the resident to participate in activities outside their room for six days before isolation was ordered.
Deficiencies (1)
F 0880 Provide and implement an infection prevention and control program: the facility failed to place resident R900 in contact isolation upon admission with MRSA pneumonia, resulting in exposure risks as the resident attended activities outside their room for six days before isolation was ordered.
Inspection Report — Mar 20, 2024
Complaint Investigation
Date: Mar 20, 2024
Visit Reason
Investigation of a complaint received about failure to provide adequate food/fluids and dental services.
Complaint Details
Failure to monitor weights and follow physician orders for resident R32: established. Delay in oral surgery referral for resident R44: established.
Findings
Two deficiencies were found: failure to monitor weights and follow physician orders for one resident resulting in weight loss and decreased intake; and failure to ensure timely follow through of an oral surgery referral for another resident resulting in delay.
Deficiencies (2)
F 0692 Provide enough food/fluids to maintain a resident's health: the facility failed to monitor weights and follow physician orders for resident R32, resulting in significant weight loss and decreased intake.
F 0791 Provide or obtain dental services for each resident: the facility failed to ensure timely follow through of an oral surgery referral for resident R44, causing a delay in needed oral surgery.
Inspection Report — Mar 20, 2024
Complaint Investigation
Date: Mar 20, 2024
Visit Reason
Investigation of a complaint received on 2024-03-20 about medication self-administration, medication availability, accident hazards, nutrition monitoring, dental services, and food safety.
Complaint Details
Medication self-administration assessment: not established. Pain medication availability: established. Accident hazards from sharps storage: established. Nutrition monitoring and weight loss follow-up: established. Dental services delay: established.
Findings
Five deficiencies were found: failure to assess a resident for safe self-administration of medications; delay in administration of physician-ordered pain medication due to unavailability; unsafe storage of sharps posing accident hazards; failure to monitor weights and follow physician orders for a resident with weight loss; and failure to ensure timely follow-up for oral surgery referral. Additionally, the facility failed to maintain sanitary kitchen equipment and proper food safety practices.
Deficiencies (6)
F 0554 Allow residents to self-administer drugs if determined clinically appropriate: the facility failed to ensure one resident (R3) was assessed for safe self-administration of medication, resulting in medications being kept at bedside without assessment or physician orders for self-administration.
F 0658 Ensure services provided by the nursing facility meet professional standards of quality: the facility failed to ensure physician ordered pain medication was available and administered timely for one resident (R217), resulting in missed doses due to medication unavailability.
F 0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents: the facility failed to ensure safe storage of sharps for two residents (R6 and R10), with lancets stored unsecured in residents' rooms, posing a risk of injury.
F 0692 Provide enough food/fluids to maintain a resident's health: the facility failed to monitor weights and follow physician orders for one resident (R32) with significant weight loss and decreased intake, resulting in undetected decline and delayed interventions.
F 0791 Provide or obtain dental services for each resident: the facility failed to ensure timely follow through of an oral surgery referral for one resident (R44), resulting in a delay of over eight months for scheduling the appointment.
F 0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards: the facility failed to maintain sanitary equipment, maintain equipment and plumbing in good repair, and properly date mark potentially hazardous foods, increasing risk of foodborne illness.
Inspection Report — Feb 28, 2023
Complaint Investigation
Date: Feb 28, 2023
Visit Reason
Investigation of complaints received about resident privacy, wheelchair provision, pressure ulcer care, medication regimen reviews, medication errors, food safety, and binding arbitration agreements.
Complaint Details
Privacy violation due to unauthorized video recording: established. Delayed wheelchair procurement: established. Pressure ulcer care inconsistencies: established. Missing medication regimen reviews and physician responses: established. Incomplete IV antibiotic infusion: established. Food safety violations including expired food and improper cooling: established. Binding arbitration agreement understanding: established.
Findings
Multiple deficiencies were found including failure to safeguard resident privacy with unauthorized video recording, delayed procurement of appropriate wheelchair, inconsistent pressure ulcer care, incomplete medication regimen reviews, incomplete intravenous antibiotic infusions, improper food storage and cooling, and inadequate resident understanding of binding arbitration agreements.
Deficiencies (7)
F 0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights: the facility allowed a resident to use a video camera angled such that other residents and visitors could be recorded without their consent.
F 0684 Provide appropriate treatment and care according to orders, resident's preferences and goals: the facility failed to procure an appropriate wheelchair in a timely manner for one resident, resulting in use of a wheelchair that did not meet their needs.
F 0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing: the facility failed to consistently implement and follow up on pressure reducing interventions for one resident, resulting in potential for new or worsening pressure ulcers.
F 0756 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines: the facility failed to ensure monthly medication regimen reviews and physician responses for four residents.
F 0760 Ensure that residents are free from significant medication errors: the facility failed to ensure entire doses of intravenous antibiotic medication were infused for one resident, leaving medication remaining in the vial.
F 0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards: the facility failed to discard expired food, maintain equipment, properly cool potentially hazardous foods, and maintain clean food-contact and non-food-contact surfaces.
F 0847 Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse: the facility failed to ensure six residents received a clear understanding of the binding arbitration agreement prior to signing the document.
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