87/100
Excellent
The Willows At Howell
1500 Byron Road, Howell, MI 48855
- Certified beds
- 66
- Occupancy
- 83%
- Ownership
- For-profit
- Accepts
- Medicare + Medicaid
Our read on The Willows At Howell
The Willows At Howell runs a tight ship on nurse staffing, 3.85 hours per resident day, essentially matching the national average and strong enough for a four-star staffing rating. More telling is the turnover: 34.4% annually against a national average of 45.8%, which suggests people stick around here more than they do at most homes. The fourteen deficiencies on record carry no harm or jeopardy findings and nothing abuse-related, and the most recent inspection closed out in March 2026. Weekend coverage dips about 6% below weekday levels, worth asking about if your family member needs more help on Saturdays and Sundays.
Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.
How this grade was calculated
Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.
Inspection safety
30/30Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
17/30Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →3.49 total nurse hours per resident per day (national median 3.77)
- →1.27 RN hours per resident per day
- →Weekend staffing drops 6% against weekdays
Staff stability
15/15How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →34% of nursing staff left in the last year
Resident outcomes
15/15The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
- →5 of 5 stars on the CMS quality-measure rating
Enforcement history
10/10Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →No federal fines on record
Staffing, against the national average
Full detailHours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Recent inspection findings
Last standard health inspection: March 31, 2026 (7 months ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
Who owns this home
Full recordPart of TRILOGY HEALTH SERVICES, which operates 127 homes. Staffing budgets are usually set at chain level, not in the building.
What families say
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Common questions about The Willows At Howell
What is the ElderGrade for The Willows At Howell? +
The Willows At Howell holds an ElderGrade of A (87 out of 100), which we describe as "excellent". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
How many nursing hours does each resident get at The Willows At Howell? +
Residents receive an average of 3.85 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Has The Willows At Howell been cited for harming residents? +
No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Does The Willows At Howell accept Medicaid? +
Yes, The Willows At Howell is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.
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