The Willows At Howell
Howell, Livingston County, Michigan · CCN 235707 · For-profit (Corporation) · part of Trilogy Health Services (123 facilities, chain average 4.2 stars)
CMS rates The Willows At Howell 5 of 5 overall as of August 2026. 56 certified beds, 55 residents a day on average. 14 citations on record from the current inspection cycles; no fines on record.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★★ 5 of 5 |
|---|---|
| Health inspections | ★★★★☆ 4 of 5 |
| Staffing | ★★★★☆ 4 of 5 |
| Quality measures | ★★★★★ 5 of 5 |
| Quality: long-stay / short-stay | 5 / 5 of 5 |
Staffing
| Total nurse staffing | 3.84745 hours per resident per day |
|---|---|
| Registered nurses | 1.27352 hours per resident per day |
| Weekend total | 3.62566 hours per resident per day |
| Nursing staff turnover | 34.4% (registered nurses 30%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-03-31 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2026-04-17 |
| 2025-01-22 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-02-12 |
| 2025-01-22 | Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · tag F0638 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-02-12 |
| 2025-01-22 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · tag F0582 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-02-12 |
| 2025-01-22 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · tag F0636 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-02-12 |
| 2025-01-22 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-02-12 |
| 2024-11-12 complaint survey |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · tag F0623 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-12-04 |
| 2024-05-28 complaint survey |
Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-06-14 |
| 2024-03-20 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-04-16 |
| 2024-03-20 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · tag F0554 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-16 |
| 2024-03-20 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-16 |
| 2024-03-20 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-16 |
| 2024-03-20 complaint survey |
Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · tag F0692 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-16 |
| 2024-03-20 complaint survey |
Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · tag F0791 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-16 |
Fines and payment denials
No fines or payment denials on record since 2023.
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Continental Merger Sub LLC Organization | 5% or greater indirect ownership interest | — | 2021-10-01 |
| Northstar Healthcare Income Inc. Organization | 5% or greater indirect ownership interest | — | 2018-10-01 |
| Northstar Healthcare Income Operating Partnership Lp Organization | 5% or greater indirect ownership interest | — | 2018-10-01 |
| Trilogy Holdings Nt-Hci, LLC Organization | 5% or greater indirect ownership interest | — | 2018-10-01 |
| Keybank National Association Organization | 5% or greater mortgage interest | — | 2018-07-13 |
| Trilogy Management Services LLC Organization | operational/managerial control | — | 2015-12-01 |
| Barney, Leigh Individual | corporate officer | — | 2001-01-01 |
| Bryant, William Individual | corporate officer | — | 2016-01-05 |
| Bufford, Randall Individual | corporate officer | — | 1997-12-10 |
| Conner, Gregory Individual | corporate officer | — | 2021-06-03 |
| Davis, David Individual | corporate officer | — | 2017-08-21 |
| Mehaffey, Todd Individual | corporate officer | — | 2022-01-31 |
| Pietrowski, Cristina Individual | corporate officer | — | 2022-01-31 |
| Prosky, Danny Individual | corporate officer | — | 2015-12-01 |
| Streiff, Mathieu Individual | corporate officer | — | 2015-12-01 |
| Scott, Jamie Individual | operational/managerial control | — | 2018-07-25 |
| Corbin, Kathy Individual | w-2 managing employee | — | 2015-03-10 |
| Fightmaster, Lisa Individual | w-2 managing employee | — | 2015-12-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for The Willows At Howell.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Livingston County.