Federal inspection record · CMS data as of October 1, 2026

The Willows At East Lansing

3500 Coolidge Road, East Lansing, MI · (517) 203-4042

  • CMS high-performer trophy

CMS overall rating

5 of 5

Compare with a nearby home →
Certified beds
65
Residents per day
59
Ownership
For-Profit
Chain
Trilogy Health Services
Medicare / Medicaid
Medicare + Medicaid
Certified since
May 16, 2014

1

How this home got 5 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Michigan.

  2. Staffing

    +1 star

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    +1 star

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    5 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Michigan homes

The Willows At East Lansing carries 51 inspection points. That is fewer than 63% of Michigan's 420 rated homes.

5★4★3★2★1★+13 homes above 286.7505102550100200inspection points → fewer is better on the leftThis home · 51 pts · 3★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Michigan: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–18 pts
  • 4★ 18–46 pts
  • 3★ 46–78 pts
  • 2★ 78–123 pts
  • 1★ over 123 pts

Bars show every rated home in Michigan by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

30 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 26 4 pts
E 1 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 2 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Resident Assessment and Care Planning11D
  1. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    March 20, 2026 · Complaint · F842 · Corrected March 31, 2026

  2. D

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    January 8, 2026 · Standard · F644 · Corrected January 28, 2026

  3. D

    PASARR screening for Mental disorders or Intellectual Disabilities

    January 8, 2026 · Standard · F645 · Corrected January 28, 2026

  4. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    January 8, 2026 · Standard · F656 · Corrected January 28, 2026

  5. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    January 8, 2026 · Standard · F657 · Corrected January 28, 2026

  6. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    October 17, 2024 · Standard · F656 · Corrected December 13, 2024

  7. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    October 17, 2024 · Standard · F657 · Corrected November 11, 2024

  8. D

    Ensure each resident receives an accurate assessment.

    September 20, 2023 · Standard · F641 · Corrected October 31, 2023

  9. D

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    September 20, 2023 · Standard · F644 · Corrected October 31, 2023

  10. D

    PASARR screening for Mental disorders or Intellectual Disabilities

    September 20, 2023 · Standard · F645 · Corrected October 31, 2023

  11. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    September 20, 2023 · Standard · F657 · Corrected October 31, 2023

Quality of Life and Care7D
  1. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    March 20, 2026 · Complaint · F684 · Corrected March 31, 2026

  2. D

    Provide activities to meet all resident's needs.

    October 17, 2024 · Standard · F679 · Corrected December 13, 2024

  3. D

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    October 17, 2024 · Standard · F740 · Corrected November 11, 2024

  4. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    July 5, 2024 · Complaint · F684 · Corrected July 22, 2024

  5. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    July 5, 2024 · Complaint · F689 · Corrected July 22, 2024

  6. D

    Provide activities to meet all resident's needs.

    September 20, 2023 · Standard · F679 · Corrected October 31, 2023

  7. D

    Provide enough food/fluids to maintain a resident's health.

    September 20, 2023 · Standard · F692 · Corrected October 31, 2023

Resident Rights6E
  1. E

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    January 8, 2026 · Standard · F585 · Corrected January 28, 2026

  2. D

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    January 8, 2026 · Standard · F578 · Corrected January 28, 2026

  3. B

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    October 17, 2024 · Standard · F623 · Corrected November 11, 2024

  4. B

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    October 17, 2024 · Standard · F625 · Corrected November 11, 2024

  5. D

    Reasonably accommodate the needs and preferences of each resident.

    September 20, 2023 · Standard · F558 · Corrected October 31, 2023

  6. D

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    September 20, 2023 · Standard · F585 · Corrected October 31, 2023

Pharmacy Service3D
  1. D

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    October 17, 2024 · Standard · F758 · Corrected November 11, 2024

  2. D

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    September 20, 2023 · Standard · F758 · Corrected October 31, 2023

  3. D

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    September 20, 2023 · Standard · F761 · Corrected October 31, 2023

Nutrition and Dietary1F
  1. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    January 8, 2026 · Standard · F812 · Corrected January 28, 2026

Infection Control1D
  1. D

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

    October 17, 2024 · Standard · F887 · Corrected November 11, 2024

Administration1D
  1. D

    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

    September 20, 2023 · Standard · F847 · Corrected October 31, 2023

Inspection history

  1. 2026-01-08

    9 health deficiencies · 2 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (5 deficiencies)

  2. 2024-10-17

    8 health deficiencies · 4 fire-safety deficiencies

    Top issue: Quality of Life and Care (2 deficiencies)

  3. 2023-09-20

    13 health deficiencies · 2 fire-safety deficiencies

    Top issue: Quality of Life and Care (4 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 4 h 8 min of nursing staff time a day, 1 h 41 min of it from a registered nurse.

This home

4 h 8 min

Michigan average

4 h 2 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 34% of nursing staff and 0% of registered nurses left in the past year, along with 1 administrator.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.9 pts worse2.61.71.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts better1.41.61.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.1 pts better98.5%95.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.5 pts better100.0%95.5%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury2.3 pts better0.7%3.0%3.2%
Percentage of long-stay residents who have depressive symptoms1.3 pts better3.2%4.5%13.5%
Percentage of long-stay residents who lose too much weight2.5 pts worse8.0%5.5%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication9.9 pts better9.5%19.4%19.5%
Percentage of long-stay residents who received an antipsychotic medication3.5 pts better11.2%14.7%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened4.4 pts better6.7%11.1%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased2.7 pts better8.0%10.7%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.9 pts worse1.6%0.7%0.7%
Percentage of long-stay residents with a urinary tract infection1.5 pts better0.0%1.5%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.7 pts better17.7%19.4%18.3%
Percentage of long-stay residents with pressure ulcers2.2 pts better2.8%5.0%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine12.2 pts better95.6%83.4%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit1.1 pts better10.6%11.7%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts worse1.3%1.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine14.4 pts better95.9%81.5%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission7.4 pts worse31.3%23.9%23.4%

·

Who owns and runs it

16 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Barney, LeighCorporate Officer · Individual0%127 facilities
Bryant, WilliamCorporate Officer · Individual0%45 facilities
Bufford, RandallCorporate Officer · Individual0%32 facilities
Conner, GregoryCorporate Officer · Individual0%52 facilities
Continental Merger Sub LLC5% Or Greater Indirect Ownership Interest · Organization0%100 facilities
Corbin, KathyW-2 Managing Employee · Individual0%79 facilities
Davis, DavidCorporate Officer · Individual0%127 facilities
Ermiger, JosephOperational/Managerial Control · Individual0%2 facilities
Fightmaster, LisaW-2 Managing Employee · Individual0%58 facilities
Keybank National Association5% Or Greater Mortgage Interest · Organization0%45 facilities
Northstar Healthcare Income Inc5% Or Greater Indirect Ownership Interest · Organization0%45 facilities
Northstar Healthcare Income Operating Partnership LP5% Or Greater Indirect Ownership Interest · Organization0%45 facilities
Prosky, DannyCorporate Officer · Individual0%65 facilities
Streiff, MathieuCorporate Officer · Individual0%42 facilities
Trilogy Holdings Nt-Hci, LLC5% Or Greater Indirect Ownership Interest · Organization0%43 facilities
Trilogy Management Services LLCOperational/Managerial Control · Organization0%124 facilities

·

Fire safety

8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke6E
  1. E

    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

    January 8, 2026 · K362 · Corrected February 5, 2026

  2. E

    Install corridor and hallway doors that block smoke.

    January 8, 2026 · K363 · Corrected February 5, 2026

  3. E

    Install corridor and hallway doors that block smoke.

    October 17, 2024 · K363 · Corrected November 11, 2024

  4. D

    Properly select, install, inspect, or maintain portable fire extinguishes.

    October 17, 2024 · K355 · Corrected November 11, 2024

  5. E

    Provide properly protected cooking facilities.

    September 20, 2023 · K324 · Corrected October 31, 2023

  6. E

    Inspect, test, and maintain automatic sprinkler systems.

    September 20, 2023 · K353 · Corrected October 31, 2023

Gas, Vacuum, and Electrical Systems2F
  1. F

    Have generator or other power source capable of supplying service within 10 seconds.

    November 14, 2024 · K918 · Corrected November 22, 2024

  2. E

    Ensure proper usage of power strips and extension cords.

    October 17, 2024 · K920 · Corrected November 11, 2024

·

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