Deficiency Index

The Willows at Howell

Howell, Michigan · CCN 235707

16 surveys since 2015, 1 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
81
Surveys
16
Harm or worse
1
Immediate jeopardy
0
The record, 2015–2026
’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse1

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file11/16

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
66
Ownership
For profit - Corporation
Chain
TRILOGY HEALTH SERVICES
County
Livingston
Medicare-certified since
2015

CMS ratings

Overall
5
Health inspection
4
Staffing
4
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded fewer weighted findings than most of its peer group.

Weighted by harm level, against 81 for-profit facilities of 66–99 beds in Michigan.

Last survey on record

Mar 31, 2026

223 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.853.70
Registered-nurse hours per resident day1.27—
Annual nurse turnover34.4%46.8%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD964.3%E214.3%F321.4%
No harm, potential for minimalA—B—C—
CMS’s current file: 14 of the 81 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8123×

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

  • F8802×

    Provide and implement an infection prevention and control program.

  • F5541×

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

  • F5821×

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

  • F6231×

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

In the surveyor’s words

From the most serious findings on record at The Willows at Howell, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Mar 31, 2026

    Based on observation, interview, and record review, the facility failed to maintain best practices in the food service area resulting in the potential to spread food borne illness to all residents that consume food from the kitchen. Findings Include:On 03/30/2026 at 8:47 AM observed raw pork stored in a pan on the top shelf of the rack, positioned above pre sliced packaged meats in the walk-in cooler. Director of Food (DOF) G indicated they were unaware why it was stored there.On 03/30/2026 at 8:49 AM observed a pan of raw chicken on the bottom shelf of a rack in the walk-in cooler. Stacked metal pans were beside the raw chicken with a facility label indicating raw chicken. When the lid was removed cooked chicken was observed inside the stacked pans. […]

  • No harm, potential for more than minimal, widespreadF812Jan 22, 2025

    Based on observation, interview and record review the facility failed to appropriately store and label food items in the kitchen and a reach-in refrigerator. This deficient practice had the potential to affect all residents that consume food in the facility out of a total census of 55. Findings include: On 01/21/25 at approximately 8:53 a.m., a tour of the facility kitchen was conducted with kitchen manager A (KM A) and the following was observed: 1. A tray of uncovered/unprotected apple cinnamon deserts was observed in the walk-in refrigerator with a preparation date of 1/16/25 and use by date of of 1/19/25. 2. A tray of uncovered/unprotected and dried out meat patties was observed in the walk-in refrigerator. 3. […]

  • No harm, potential for more than minimal, widespreadF812Mar 20, 2024

    Based on observation, interview, and record review, the facility failed to maintain sanitary equipment, maintain equipment and plumbing in good repair, and properly date mark potentially hazardous foods, resulting in the potential for increased risk of foodborne illness, affecting all residents in the facility. Findings include: On 3/18/24 at 9:12 AM, during an inspection of the kitchen, food debris was observed to be accumulating in the utensil drawer across from the cookline. At this time, Director of Food Service (DFS) N instructed a staff member to clean the utensil drawer. According to the 2017 FDA Food Code Section 4-601.11 Equipment, Food-Contact Surfaces, Nonfood Contact Surfaces, and Utensils. (A) EQUIPMENT FOOD-CONTACT SURFACES and UTENSILS shall be clean to sight and touch. […]

  • No harm, potential for more than minimal, widespreadF812Feb 28, 2023

    Based on observation, interview, and record review, the facility failed to discard expired potentially hazardous food, maintain equipment, and properly cool potentially hazardous foods, resulting in the potential for biological contamination of food product, affecting all residents who consume food from the kitchen. Findings include: An initial tour of the main kitchen, starting at 8:50 AM on [DATE], was completed with staff member A. During the tour, an observation of walk-in cooler revealed a tray with multiple containers labeled as salad bar items with an expiration date of [DATE], a cheese tray with an expiration date of [DATE], lettuce with an expiration of [DATE], fifteen small containers of salad with an expiration date of [DATE], and a tub of marinara sauce with expiration date of… […]

  • No harm, potential for more than minimal, widespreadF812Dec 2, 2021

    Based on observation, interview, and record review, the facility failed to properly date mark potentially hazardous foods and maintain sanitary food contact surfaces, resulting in the potential spread and harborage of foodborne pathogens, affecting all residents who consume food from the kitchen. Findings include: On 11/30/21 at 9:25 AM, during an inspection of the kitchen with Director of Food Services (DFS) P, thousand island dressing, located in the preparation cooler across from the cookline, was observed to be date marked 11/29 to 12/29. At this time, DFS P stated that the dressing was house-made in the kitchen and that, It is the wrong ticket, referring to the date sticker. […]

Read 21 findings in full →The most serious and the most recent: 21 of 81 on record.

Every survey on record

FindingsAt actual harm or above

  • Mar 31, 2026Standard1 finding
  • Jan 22, 2025Standard5 findings
  • Nov 12, 2024Complaint1 finding
  • May 28, 2024Complaint1 finding
  • Mar 20, 2024Standard and complaint6 findings
  • Feb 28, 2023Standard7 findings
  • Sep 28, 2022Complaint1 finding
  • Dec 2, 2021Standard4 findings
Show the 8 earlier surveys
  • Jan 9, 2020Standard7 findings
  • Feb 7, 2019Standard10 findings
  • Oct 3, 2018Complaint1 finding
  • Feb 22, 2018Standard and complaint22 findings · 1 harm
  • May 3, 2017Standard7 findings
  • Mar 15, 2017Complaint1 finding
  • Jun 2, 2016Standard5 findings
  • Aug 6, 2015Standard2 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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