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Nursing HomeMedicaid Top Rated

The Willows at Howell

Strong Medicare quality ratings; families often praise clean, well-maintained facility. Still worth an in-person visit.

1500 Byron Road, Howell, MI 4885556 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.1/5

based on 43 Google reviews

5
4
3
2
1
The Willows at Howell Nursing Home in Howell, MI — Street View
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What this means for your family

The Willows at Howell is often praised for its clean environment and effective therapy programs, making it a strong candidate for short-term rehab. However, you must be prepared to be highly proactive; families frequently report difficulty reaching staff by phone and inconsistent communication regarding care plans. We recommend establishing a clear point of contact and a regular schedule for updates immediately upon admission.

Google Reviews

Google Reviews

43 reviews on Google
The Willows at Howell receives polarized feedback, with many families praising the facility's clean, aesthetic environment and the compassion of the nursing and therapy staff. However, a recurring pattern of critical concerns exists regarding poor communication, difficulty reaching staff by phone, and inconsistent follow-through on care plans and rehabilitation schedules. While many residents and families report a positive experience, potential residents should be aware of these significant administrative and responsiveness challenges.

Quality Themes

Tap a score for details
Food9.0Staff7.0Clean10.0Activities8.0Meds3.0MemoryN/AComms2.0ValueN/A

Strengths

  • Clean, well-maintained facility
  • Compassionate and friendly nursing staff
  • Effective physical and occupational therapy
  • Engaging activities and family-inclusive events

Concerns

  • Difficulty reaching staff by phone and unresponsiveness to messages (mentioned by 6 reviewers)
  • Inconsistent follow-through on rehabilitation and care plans (mentioned by 3 reviewers)
  • Poor communication regarding patient progress and discharge planning (mentioned by 3 reviewers)
  • Allegations of neglect or unprofessional conduct by staff (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'16(15)'18(9)'21(13)'23(18)'25(9)'26(4)

Distribution · 116 analyzed

5
78
4
3
3
10
2
0
1
25
13 reviews posted between Jul 28, 2024Aug 1, 2024 · 10 were 5-star

How They Respond to Reviews

70%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1We've heard great things about how clean and well-maintained the facility is; could you show us around the common areas and the resident rooms?
  • 2What kind of family-inclusive events or group activities do you have planned for the residents this month?
  • 3How does the nursing team ensure that medication is administered accurately and on schedule every day?
  • 4If we have a question about our loved one's care or need an update on their progress, what is the best way to reach the care team to ensure we get a timely response?
  • 5Can you walk us through the process for how care plans are updated and how you communicate those changes to the family?
  • 6In the event of a medical emergency during the night, what is the protocol for notifying the family and managing the situation?

Personalized based on this facility's data


Key Review Excerpts

The PT/OT team also did a nice job, and I believe he benefited from being challenged. However, I cannot give more than three stars due to the facility’s lack of communication—it was essentially non-existent.

Rehab patient's family · 2026★★★☆☆

My dad was sick with a fever and diarrhea. They completely ignored him for hours. Finally somebody gave him a Tylenol and turned his heat up. Did nothing to actually help.

Long-term resident's family · 2016☆☆☆☆

I’m not happy that when I visited & asked nurse if he was helped to do his exercises today, I was lied to. He was supposed to have help doing them 2-3x per day, and some days they only did them once.

Rehab patient's family · 2023★★★☆☆
Source: 43 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.36hrs
OK
Registered nurses for medical care
Total Nursing
3.91hrs
95%
All nurses + aides combined
Staff Turnover
28%
Lower is better (< 30% = good)
RN Turnover
18%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

15

measures

Worse Than Avg

1

measures

Mixed Results

1

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility3.6%
Better than Avg
Here
3.6%
US
15.4%
MI
15.0%
Livingston
19.0%
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.9%
Better than Avg
Here
2.9%
US
12.1%
MI
4.2%
Livingston
17.0%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility31.9%
Worse than Avg
Here
31.9%
US
19.5%
MI
19.5%
Livingston
21.0%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
MI
95.2%
Livingston
90.0%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility7.4%
Better than Avg
Here
7.4%
US
15.3%
MI
13.1%
Livingston
16.5%
🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
4.9%
MI
5.4%
Livingston
4.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility98.9%
Better than Avg
Here
98.9%
US
79.7%
MI
79.5%
Livingston
79.2%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.4%
Better than Avg
Here
99.4%
US
81.8%
MI
83.0%
Livingston
81.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.5%
Better than Avg
Here
0.5%
US
1.6%
MI
1.2%
Livingston
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

5deficiencies
Near state avg (9.8)
4 complaint-triggered

The Willows at Howell shows recurring problems with food safety appearing in three consecutive surveys (2023, 2024, and 2025), indicating persistent operational challenges. Other repeated issues include resident assessment practices and infection control, with families filing complaints about inadequate nutrition, dental care, and notification procedures. While all deficiencies have correction dates, the pattern of recurring food safety violations suggests ongoing management difficulties that families should investigate further.

Jan 22, 2025Routine
5
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0638Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Assure that each resident’s assessment is updated at least once every 3 months.

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0636Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Nov 12, 2024Complaint
1
0623Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

May 28, 2024Complaint
1
0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Mar 20, 2024Routine
4
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Mar 20, 2024Complaint
2
0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0791Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or obtain dental services for each resident.

Feb 28, 2023Routine
8
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0781Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0756Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0847Potential for harm · PatternCorrected

Administration Deficiencies

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

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Ownership & Operations

Who Operates This Facility

Owner / Operator

The Willows at Howell

Organization Type

for profit

Chain Affiliation

Chain Name

Trilogy Health Services

Chain Size

124 facilities nationwide

Chain avg rating: 4.0/5 · Rank 11 of 120 (Best)

Ownership & Management

Owners

Continental Merger Sub LLC

Owner (parent company) · Organization

Northstar Healthcare Income INC

Owner (parent company) · Organization

Northstar Healthcare Income Operating Partnership Lp

Owner (parent company) · Organization

Trilogy Holdings Nt-Hci, LLC

Owner (parent company) · Organization

Key personnel

Keybank National Association5% or Greater Mortgage InterestCorbin, KathyW-2 Managing EmployeeFightmaster, LisaW-2 Managing EmployeeBarney, LeighOfficer / DirectorBryant, WilliamOfficer / Director
Source: Medicare provider data

Contact

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References & Resources

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