The Willows at Howell

Name: The Willows at Howell
Address: 1500 Byron Road, Howell, MI, 48855, US
Telephone: 5175529323

1500 Byron Road, Howell, MI 48855 · Livingston County · 56 certified beds · avg 55 residents/day · certified since Sep 28, 2015

Part of chain: TRILOGY HEALTH SERVICES (123 facilities, chain avg rating 4.2★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.49

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (14)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Mar 31, 2026	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jan 22, 2025	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jan 22, 2025	E · Potential for harm, repeated	The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition.
Jan 22, 2025	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Jan 22, 2025	D · Potential for harm, one-off	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that.
Jan 22, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Nov 12, 2024	D · Potential for harm, one-off	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · from a complaint
May 28, 2024	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Mar 20, 2024	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Mar 20, 2024	D · Potential for harm, one-off	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate.
Mar 20, 2024	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Mar 20, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Mar 20, 2024	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint
Mar 20, 2024	D · Potential for harm, one-off	The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. · from a complaint

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (5 → 1).

Year	Citations	Worst severity that year
2024	8	F
2025	5	F
2026	1	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Michigan avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.49	4.32	3.95	bottom 9% in Michigan; bottom 36% in the U.S.
Registered Nurse hours	1.16	0.84	0.69	top 17% in Michigan; top 11% in the U.S.
Weekend total nurse staffing	3.29	3.79	3.50	bottom 25% in Michigan; bottom 47% in the U.S.
Weekend RN hours (not acuity-adjusted)	1.09	0.49	0.48	top 5% in Michigan; top 5% in the U.S.
Total nursing staff turnover (%)	34.4	44.1	45.8	top 22% in Michigan; top 23% in the U.S.
RN turnover (%)	30.0	39.2	42.9	top 32% in Michigan; top 29% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.85, RN 1.27, weekend 3.63. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Continental Merger Sub LLC	Organization	5% or Greater Indirect Ownership Interest	—	10/01/2021
Northstar Healthcare Income INC	Organization	5% or Greater Indirect Ownership Interest	—	10/01/2018
Northstar Healthcare Income Operating Partnership LP	Organization	5% or Greater Indirect Ownership Interest	—	10/01/2018
Trilogy Holdings Nt-Hci, LLC	Organization	5% or Greater Indirect Ownership Interest	—	10/01/2018
Barney, Leigh	Individual	Corporate Officer	NOT APPLICABLE	01/01/2001
Bryant, William	Individual	Corporate Officer	NOT APPLICABLE	01/05/2016
Bufford, Randall	Individual	Corporate Officer	NOT APPLICABLE	12/10/1997
Conner, Gregory	Individual	Corporate Officer	NOT APPLICABLE	06/03/2021
Corbin, Kathy	Individual	W-2 Managing Employee	NOT APPLICABLE	03/10/2015
Davis, David	Individual	Corporate Officer	NOT APPLICABLE	08/21/2017
Fightmaster, Lisa	Individual	W-2 Managing Employee	NOT APPLICABLE	12/01/2015
Keybank National Association	Organization	5% or Greater Mortgage Interest	NOT APPLICABLE	07/13/2018
Mehaffey, Todd	Individual	Corporate Officer	NOT APPLICABLE	01/31/2022
Pietrowski, Cristina	Individual	Corporate Officer	NOT APPLICABLE	01/31/2022
Prosky, Danny	Individual	Corporate Officer	NOT APPLICABLE	12/01/2015
Scott, Jamie	Individual	Operational/Managerial Control	NOT APPLICABLE	07/25/2018
Streiff, Mathieu	Individual	Corporate Officer	NOT APPLICABLE	12/01/2015
Trilogy Management Services LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	12/01/2015

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do you track that every resident's quarterly assessment happens on time?"
"Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
"How soon after admission is a full assessment completed, and how are the findings shared with the family?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
"If my family member is able to manage their own medications, would you allow it, and how is that decided?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Medilodge of Livingston	1.5 mi	Howell, MI	★★★☆☆	3/5
Medilodge of Howell	1.9 mi	Howell, MI	★☆☆☆☆	1/5
Wellbridge of Brighton	6.6 mi	Howell, MI	★★★☆☆	3/5
Caretel Inns of Brighton	11.0 mi	Brighton, MI	★★☆☆☆	2/5
Wellbridge of Pinckney	11.9 mi	Pinckney, MI	★★★★★	4/5
Argentine Care Center	12.7 mi	Linden, MI	★★★★★	3/5
West Hickory Haven	14.3 mi	Milford, MI	★☆☆☆☆	1/5
Caretel Inns of Linden	15.5 mi	Linden, MI	★★☆☆☆	2/5	abuse
Regency at Whitmore Lake	16.1 mi	Whitmore Lake, MI	★☆☆☆☆	1/5
Fenton Healthcare	16.9 mi	Fenton, MI	★★★★★	4/5
Medilodge of Milford	17.2 mi	Milford, MI	★★★★☆	3/5
Wellbridge of Fenton	17.8 mi	Fenton, MI	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Howell →

Facility data as of CMS processing date 2026-08-01. CCN 235707.

The Care File

Visit checklist — The Willows at Howell

1500 Byron Road, Howell, MI 48855 · 5175529323

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you track that every resident's quarterly assessment happens on time?"
☐ "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
☐ "How soon after admission is a full assessment completed, and how are the findings shared with the family?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
☐ "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 235707 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)