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Fraser Villa

33300 Utica Road, Fraser, MI 48026 · Macomb County · (586) 293-3300

111 certified beds, about 102 residents a day · Non profit - Corporation · Medicare and Medicaid since 1986

CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 235453 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on March 19, 2026, inspectors cited 2 health deficiencies (the Michigan average is 9.9, the national average 9.2).

None of its 8 health citations since January 2024 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 4.36 hours per resident per day, against 3.99 across Michigan and 3.86 nationally. Registered nurses accounted for 0.62 of those hours.

28.4% of nursing staff left within the year CMS measured (Michigan average 44.1%).

CMS links it to Trinity Health, an affiliated group of 19 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 8 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
7D
0E
1F
Potential for minimal harm
0A
0B
0C
May 28, 2026Complaint inspection · 1 citation
  1. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 15, 2026
    Inspectors wroteBased on interview and record review, the facility failed to ensure one resident (R700) received the treatment and care in accordance with professional standards of practice, the comprehensive care plan, and the resident's choices, related to pain management, out of five reviewed for pain medication management.
March 19, 2026Standard inspection · 2 citations
  1. D
    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
    F627 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 22, 2026
    Inspectors wroteBased on interview and record review, the facility failed to document discharge information in the medical record for one resident (R136) out of one reviewed for discharge.
  2. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 22, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure proper insulin administration for one (R150) of three residents reviewed for insulin administration.
February 4, 2025Complaint inspection · 1 citation
  1. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 18, 2025
    Inspectors wroteThis intake pertains to Intake: MI00149945. Based on interview and record review, the facility failed to supervise, prevent an elopement, and operationalize the policies and procedures for a missing resident for one resident, (R901) of three residents reviewed for elopement.
January 15, 2025Standard inspection · 2 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) January 31, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure resident food items brought in from outside the facility were dated, and failed to maintain the resident refrigerators in a sanitary manner. This deficient practice had the potential to affect all residents that consume food in the facility.
  2. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 31, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure the pharmacy medication regimen review was completed monthly for three (R45, R52, R60) out of seven residents reviewed for unnecessary medications.
January 11, 2024Standard inspection · 2 citations
  1. D
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 7, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure a Level I Preadmission Screening (PAS)/Annual Resident Review (ARR) Mental Illness/Intellectual Disability/Related Conditions Identification was completed timely, accurately completed, and sent to the local community mental health (CMH) for a level II OBRA (Omnibus Budget Reconciliation Act of 1993) evaluation for two residents (R47 and R56) of three residents reviewed for PASARR's.
  2. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 7, 2024
    Inspectors wroteBased on interview and record review, the facility failed to develop hospice care plan for one resident (R97) of two residents reviewed for care plans.

Fire safety inspections

13 fire safety citations on file: 4 on March 19, 2026, 8 on January 15, 2025, 1 on January 11, 2024.

Every fire safety citation13 citations
  1. E
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · March 19, 2026 · Corrected (the home has a date of correction)
  2. E
    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
    K 223 · March 19, 2026 · Corrected (the home has a date of correction)
  3. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · March 19, 2026 · Corrected (the home has a date of correction)
  4. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · March 19, 2026 · Corrected (the home has a date of correction)
  5. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · January 15, 2025 · Corrected (the home has a date of correction)
  6. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · January 15, 2025 · Corrected (the home has a date of correction)
  7. F
    Provide a written emergency evacuation plan.
    K 711 · January 15, 2025 · Corrected (the home has a date of correction)
  8. F
    Have simulated fire drills held at unexpected times.
    K 712 · January 15, 2025 · Corrected (the home has a date of correction)
  9. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · January 15, 2025 · Corrected (the home has a date of correction)
  10. E
    Install corridor and hallway doors that block smoke.
    K 363 · January 15, 2025 · Corrected (the home has a date of correction)
  11. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · January 15, 2025 · Corrected (the home has a date of correction)
  12. E
    Have elevators that firefighters can control in the event of a fire.
    K 531 · January 15, 2025 · Corrected (the home has a date of correction)
  13. E
    Have stairways and smokeproof enclosures used as exits that meet safety requirements.
    K 225 · January 11, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeMichiganUnited States
All nursing staff (RN, LPN and aides)4.363.993.86
Registered nurses0.620.780.69
All nursing staff on weekends3.793.503.42
Nurse aides2.19
Licensed practical nurses1.55
Nursing staff turnover (share who left in a year)28.4%44.1%45.8%
Registered nurse turnover28.6%39.2%42.9%
Administrators who left0

CMS expects 3.55 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.59 on weekdays and 3.79 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.18 in April to June 2025 to 4.36 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.360.624.593.79 0.0%0 of 90102
Oct to Dec 20254.290.614.493.77 0.0%0 of 92106
Jul to Sep 20254.250.524.443.76 0.0%1 of 92106
Apr to Jun 20254.180.484.373.69 0.0%1 of 91105
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Michigan, Jan to Mar 20263.950.704.143.453.3%0.4% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeMichiganUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
9.310.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.80.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.11.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.13.03.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.71.11.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
6.812.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
6.15.14.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
7.914.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
22.824.023.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
7.411.712.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
3.21.81.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.71.61.8

Owners and operators

Legal business name: TRINITY CONTINUING CARE SERVICES. CMS links this home to Trinity Health, a group of 19 nursing homes averaging 3.4 stars overall.

NameRoleTypeShareSince
Trinity Continuing Care Services5% or greater direct ownership interestOrganization100%06/01/1990
Latovick, PamelaW-2 managing employeeIndividual08/01/2014
Bowens, MarcusCorporate directorIndividual03/23/2022
Defrain, DavidCorporate directorIndividual10/01/2021
Handy, JoanneCorporate directorIndividual07/01/2018
Henkel, ArthurCorporate directorIndividual07/01/2018
Jones, BeverlyCorporate directorIndividual07/01/2018
Minnix, WilliamCorporate directorIndividual01/01/2019
Murray, MandiCorporate directorIndividual01/01/2022
Poole, LejonCorporate directorIndividual07/01/2018
Tag, Anna MarieCorporate directorIndividual01/01/2019
Tapia, MarjorieCorporate directorIndividual01/01/2022
Villarruel, AntoniaCorporate directorIndividual07/01/2018
Wells, DewayneCorporate directorIndividual07/01/2018
Bowens, MarcusCorporate officerIndividual03/23/2022
Murray, MandiCorporate officerIndividual01/01/2022
Pachla, JenniferOperational/managerial controlIndividual03/21/2021

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on May 28, 2026: "Provide safe, appropriate pain management for a resident who requires such services."
  2. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on March 19, 2026: "Ensure that residents are free from significant medication errors."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on January 11, 2024: "PASARR screening for Mental disorders or Intellectual Disabilities"
  4. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on March 19, 2026: "Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge."

Other nursing homes nearby

Michigan contacts for a concern about a nursing home

These are the official offices in Michigan. NursingHomeClear cannot take or act on complaints.

Common questions

What is Fraser Villa's Medicare star rating?
CMS rates Fraser Villa 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Fraser Villa get at its last inspection?
2 health deficiencies at the standard inspection on March 19, 2026. The Michigan average is 9.9.
Has Fraser Villa been fined?
CMS lists no fines in the last three years.
Does Fraser Villa accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Fraser Villa?
CMS lists 17 owners and managers, and links the home to Trinity Health. Legal business name: TRINITY CONTINUING CARE SERVICES.

Sources

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