The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Nursing home report
The Willows at Howell
Howell, MI · Medicare-certified · 56 beds
In good standing
For-profitChain member
Data as of July 1, 2026
5 of 5 overall
The Willows at Howell has a 5 out of 5 overall rating, with strong quality measures and good inspection and staffing ratings. It has had no fines in the last 24 months, but reported nurse staffing is slightly below the federal benchmark (3.85 vs. 4.1 hours per resident per day), and recent inspection issues included food safety, care plan updates, and infection control.
Facility ratings
Health inspections
Staffing
3.8475 hrs/resident/day
Quality measures
Last inspection: March 31, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8475.
Staffing detail
- Registered nurses
- 1.27
- Licensed practical nurses
- 0.71
- Nurse aides
- 1.86
- Weekend nursing
- 3.63
Hours per resident per day.
Total staff turnover: 34%
Registered nurse turnover: 30%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
—0%—
Residents with a fall causing major injury
3.7%0%Improving
Residents with pressure ulcers (bedsores)
0%0%No change
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
—3.1%—
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
—9.7%—
Residents whose ability to walk got worse
—8.1%—
Long-stay residents on antianxiety or sleep medication
—33.3%—
Short-stay residents newly given an antipsychotic
0%1.4%Worsening
Residents with a long-term catheter
0%3%Worsening
Residents with new or worsening incontinence
14.7%29.4%Worsening
Residents with depressive symptoms
4%8.7%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—98.9%—
Short-stay residents given the pneumonia vaccine
99.5%98.6%Worsening
What the inspectors found
The nursing home failed to update each resident’s assessment at least every three months. Cited January 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 638 — 42 CFR §483.20 — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited May 2024 — limited pattern, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to give residents clear notice about what Medicare or Medicaid would cover and what costs they might have to pay themselves. Cited January 2025 — isolated incident, potential for harm.
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F-Tag 582 — 42 CFR §483.10 — S/S: D
The nursing home failed to fully assess a resident promptly on admission and then keep that assessment updated regularly. Cited January 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 636 — 42 CFR §483.20 — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of TRILOGY HEALTH SERVICES · 124 homes · 4.2 stars avg
- Occupancy
- 54.5 residents on an average day (97% of 56 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 10 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.