HomeMichiganLivingston CountyMedilodge of Howell
B
Good

Medilodge of Howell

1333 W Grand River · Howell, MI 48843

5175481900 · For profit - Corporation

206 beds170.5 residents228 staff
CMS Five-Star Ratings
Overall
Staffing
Quality
Inspections
Staffing Grades
B
Good
Total Staff
B
Good
RN Staff
B
Good
Overall
CMS Benchmark(≥ 3.48 HPRD)
RN Recommendation(≥ 0.75 HPRD)
Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Medilodge of Howell receives an overall staffing grade of B (Good). With 3.9035 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.6867 HPRD, below the recommended 0.75. It is 0.01 HPRD above the national average.

Weekend staffing stays relatively consistent — dropping 13.04% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (1)

⚠️RN staffing (0.6867 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

Strengths (3)

Meets the CMS staffing benchmark (≥ 3.48 HPRD)
No days with zero registered nurse hours this quarter
Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.9035hrs/resident/day 0.01
CMS benchmark: 3.48
RN HPRD
0.6867hrs/resident/day 0.00
Recommended: 0.75
Weekend Drop-off
13.04%
4.0529 weekday → 3.5244 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.4103hrs/resident/day
Direct care aides
LPN HPRD
0.8065hrs/resident/day
Licensed practical nurses
Consistency
0.3198std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Livingston County Average-0.13 HPRD
4.03
03.90 HPRD
vs. Michigan State Average-0.12 HPRD
4.03
03.90 HPRD
vs. National Average+0.01 HPRD
3.90
03.90 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Medilodge of Howell
Howell · This facility
B
3.90350.6867★★☆☆☆
Medilodge of Livingston
Howell
3 mi
A
4.46841.1847★★★★
West Hickory Haven
Milford
12.9 mi
B
4.08210.6652☆☆☆☆
South Lyon Senior Care and Rehab Center
South Lyon
16.8 mi
B
3.62510.7032★★★★★
Chelsea Retirement Community
Chelsea
20.7 mi
B
4.37980.733★★★★★
Durand Senior Care and Rehab Center
Durand
22 mi
B
3.77230.72★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

11
Inspections
57
Total Deficiencies
$231,767
Fines Assessed
Dec 11, 2025Health
13 deficiencies cited· Includes actual harm
Sep 11, 2025Health
1 deficiency cited
May 28, 2025Health
1 deficiency cited· Includes actual harm
May 1, 2025Health
4 deficiencies cited
Feb 26, 2025Health
1 deficiency cited
Sep 19, 2024Health
14 deficiencies cited· Includes actual harm
Jul 16, 2024Health
1 deficiency cited
Apr 23, 2024Health
2 deficiencies cited
Aug 31, 2023Health
17 deficiencies cited· Includes actual harm
May 17, 2023Health
2 deficiencies cited
Mar 23, 2023Health
1 deficiency cited· Includes actual harm

Penalty History

Sep 19, 2024Fine
$28,746
Aug 31, 2023Fine
$43,173
Mar 23, 2023Fine
$159,848
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.