Federal inspection record · CMS data as of October 1, 2026
The Willows at Howell
1500 Byron Road, Howell, MI · (517) 552-9323
- CMS high-performer trophy
- Certified beds
- 66
- Residents per day
- 54
- Ownership
- For-Profit
- Chain
- Trilogy Health Services
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 28, 2015
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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Michigan.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Michigan homes
The Willows at Howell carries 26 inspection points. That is fewer than 85% of Michigan's 420 rated homes.
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
14 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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
Nutrition and Dietary3F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning3E
- E
Assure that each resident’s assessment is updated at least once every 3 months.
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Rights3D
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
Quality of Life and Care3D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide or obtain dental services for each resident.
Infection Control2E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Inspection history
2026-03-31
1 health deficiencies · 1 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2025-01-22
6 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2024-03-20
7 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 57 min of nursing staff time a day, 1 h 19 min of it from a registered nurse.
This home
3 h 57 min
Michigan average
4 h 2 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 30% of nursing staff and 29% of registered nurses left in the past year.
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.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.9 pts worse | 2.6 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts better | 0.9 | 1.6 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.6 pts better | 100.0% | 95.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.9 pts better | 96.4% | 95.5% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2 pts better | 1.0% | 3.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.3 pts better | 4.2% | 4.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight4 pts better | 1.5% | 5.5% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication14.4 pts worse | 33.8% | 19.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication14.7 pts better | 0.0% | 14.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3 pts better | 8.1% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.9 pts better | 4.8% | 10.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.9 pts worse | 1.6% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.5 pts better | 0.0% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1 pts better | 18.4% | 19.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers5 pts better | 0.0% | 5.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine15.9 pts better | 99.3% | 83.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5.3 pts better | 6.4% | 11.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts better | 0.8% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine15.7 pts better | 97.2% | 81.5% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.2 pts better | 19.7% | 23.9% | 23.4% |
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Who owns and runs it
18 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Barney, Leigh | Corporate Officer · Individual | 0% | 127 facilities |
| Bryant, William | Corporate Officer · Individual | 0% | 45 facilities |
| Bufford, Randall | Corporate Officer · Individual | 0% | 32 facilities |
| Conner, Gregory | Corporate Officer · Individual | 0% | 52 facilities |
| Continental Merger Sub LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 100 facilities |
| Corbin, Kathy | W-2 Managing Employee · Individual | 0% | 79 facilities |
| Davis, David | Corporate Officer · Individual | 0% | 127 facilities |
| Fightmaster, Lisa | W-2 Managing Employee · Individual | 0% | 58 facilities |
| Keybank National Association | 5% Or Greater Mortgage Interest · Organization | 0% | 45 facilities |
| Mehaffey, Todd | Corporate Officer · Individual | 0% | 44 facilities |
| Northstar Healthcare Income Inc | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 45 facilities |
| Northstar Healthcare Income Operating Partnership LP | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 45 facilities |
| Pietrowski, Cristina | Corporate Officer · Individual | 0% | 42 facilities |
| Prosky, Danny | Corporate Officer · Individual | 0% | 65 facilities |
| Scott, Jamie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Streiff, Mathieu | Corporate Officer · Individual | 0% | 42 facilities |
| Trilogy Holdings Nt-Hci, LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 43 facilities |
| Trilogy Management Services LLC | Operational/Managerial Control · Organization | 0% | 124 facilities |
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Fire safety
1 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress1E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
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Other homes nearby
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Medilodge of Livingston
Howell, MI · Medilodge
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 21 min
- Fines
- $0
-
Medilodge of Howell
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★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 47 min
- Fines
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WellBridge of Brighton
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★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 59 min
- Fines
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