Federal inspection record · CMS data as of October 1, 2026
Fraser Villa
33300 Utica Road, Fraser, MI · (586) 293-3300
- CMS high-performer trophy
- Certified beds
- 111
- Residents per day
- 105
- Ownership
- Non-Profit
- Chain
- Trinity Health
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 6, 1986
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Michigan.
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Staffing
★★★★★no change (already 5)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change (already 5)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Michigan homes
Fraser Villa carries 15 inspection points. That is fewer than 92% of Michigan's 420 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Michigan: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–18 pts
- 4★ 18–46 pts
- 3★ 46–78 pts
- 2★ 78–123 pts
- 1★ over 123 pts
Bars show every rated home in Michigan by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
8 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care2D
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service2D
- D
Ensure that residents are free from significant medication errors.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Resident Assessment and Care Planning2D
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Rights1D
- D
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2026-03-19
3 health deficiencies · 4 fire-safety deficiencies
Top issue: Pharmacy Service (1 deficiency)
2025-01-15
3 health deficiencies · 8 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2024-01-11
2 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 13 min of nursing staff time a day, 36 min of it from a registered nurse.
This home
4 h 13 min
Michigan average
4 h 2 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 30% of nursing staff and 14% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days2.5 pts worse | 4.2 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts better | 1.1 | 1.6 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3 pts better | 98.4% | 95.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.4 pts better | 97.9% | 95.5% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.4 pts better | 2.6% | 3.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.9 pts better | 0.6% | 4.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight2 pts better | 3.5% | 5.5% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication8.8 pts better | 10.6% | 19.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7.8 pts better | 6.9% | 14.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened0.5 pts better | 10.6% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.7 pts better | 9.0% | 10.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better | 0.0% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1 pts better | 0.5% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.3 pts worse | 24.7% | 19.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.2 pts better | 4.8% | 5.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine13.4 pts better | 96.8% | 83.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.7 pts better | 8.0% | 11.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.6 pts better | 0.5% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine11.3 pts better | 92.8% | 81.5% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.1 pts better | 22.8% | 23.9% | 23.4% |
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Who owns and runs it
17 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Trinity Continuing Care Services | 5% Or Greater Direct Ownership Interest · Organization | 100% | 12 facilities |
| Bowens, Marcus | Corporate Director · Individual | 0% | 8 facilities |
| Bowens, Marcus | Corporate Officer · Individual | 0% | 8 facilities |
| Defrain, David | Corporate Director · Individual | 0% | 4 facilities |
| Handy, Joanne | Corporate Director · Individual | 0% | 14 facilities |
| Henkel, Arthur | Corporate Director · Individual | 0% | 5 facilities |
| Jones, Beverly | Corporate Director · Individual | 0% | 5 facilities |
| Latovick, Pamela | W-2 Managing Employee · Individual | 0% | 9 facilities |
| Minnix, William | Corporate Director · Individual | 0% | 5 facilities |
| Murray, Mandi | Corporate Director · Individual | 0% | 4 facilities |
| Murray, Mandi | Corporate Officer · Individual | 0% | 4 facilities |
| Pachla, Jennifer | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Poole, Lejon | Corporate Director · Individual | 0% | 5 facilities |
| Tag, Anna Marie | Corporate Director · Individual | 0% | 5 facilities |
| Tapia, Marjorie | Corporate Director · Individual | 0% | 4 facilities |
| Villarruel, Antonia | Corporate Director · Individual | 0% | 5 facilities |
| Wells, Dewayne | Corporate Director · Individual | 0% | 5 facilities |
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Fire safety
13 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4F
- E
Inspect, test, and maintain automatic sprinkler systems.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
Egress3E
- 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.
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Services3E
- E
Have properly installed electrical wiring and gas equipment.
- E
Have properly installed electrical wiring and gas equipment.
- E
Have elevators that firefighters can control in the event of a fire.
Miscellaneous2F
- F
Provide a written emergency evacuation plan.
- F
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems1F
- F
Have generator or other power source capable of supplying service within 10 seconds.
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★★★★★- Worst citation, 3 yrs
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Optalis Health and Rehabilitation of Sterling Heig
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Harmony Village of Clinton
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