The Willows at Howell: Staffing, Turnover, and Inspection Record
The Willows at Howell is a 56-bed for-profit nursing home in Howell, Michigan, part of Trilogy Health Services. In the CMS August 2026 release it reported 1.86 nurse aide hours per resident per day, 20% below the Michigan average of 2.33, and 34.4% nursing staff turnover (Michigan average 44.1%).
The Willows at Howell
1500 Byron RoadHowell, MI 48855
Livingston County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At The Willows at Howell, nurse aides logged 1.86 hours per resident per day, 20% below the Michigan average. With about 55 residents a day, that works out to roughly 102 aide hours a day, or about 13 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 6% below the all-days figure.
| Hours per resident per day | This home | Michigan avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.86 | 2.33 | 2.32 |
| Licensed practical nurses | 0.71 | 0.88 | 0.86 |
| Registered nurses | 1.27 | 0.78 | 0.69 |
| All nursing staff | 3.85 | 3.99 | 3.86 |
| All nursing staff, weekends | 3.63 | 3.50 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
34.4% of nursing staff at The Willows at Howell left over the year CMS measured, against a Michigan average of 44.1% and a US average of 45.8%. Registered nurse turnover was 30.0%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Mar 31, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 1 health deficiency (Michigan average 10.1). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. The Willows at Howell holds 5 of 5 overall; the Michigan average is 3.1.
About The Willows at Howell
- Ownership: For profit - Corporation
- Chain: Trilogy Health Services, 123 homes
- Legal name: Trilogy Healthcare of Livingston, LLC
- Medicare and Medicaid certified since: Sep 28, 2015
- Councils: resident and family councils
- Area: urban
Nursing homes near The Willows at Howell
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Medilodge of Livingston Howell | 1.5 | 125 | 2.21 | 4.40 | 23.7% | 3 | None |
| Medilodge of Howell Howell | 1.9 | 206 | 2.18 | 3.69 | 34.4% | 1 | $71,919 |
| WellBridge of Brighton Howell | 6.6 | 88 | 2.11 | 3.92 | 52.4% | 3 | $26,686 |
| Caretel Inns of Brighton Brighton | 11.0 | 60 | 1.89 | 3.97 | 68.1% | 2 | None |
| WellBridge of Pinckney Pinckney | 11.9 | 100 | 2.23 | 3.76 | 55.0% | 5 | None |
| Argentine Care Center Linden | 12.7 | 60 | 3.54 | 5.01 | 46.8% | 5 | None |
| West Hickory Haven Milford | 14.3 | 101 | 2.60 | 3.97 | 67.9% | 1 | $135,784 |
| Caretel Inns of Linden Linden · abuse citation | 15.5 | 60 | 1.81 | 3.45 | 57.5% | 2 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.