Nursing Care Index

Fraser Villa

Fraser, Macomb County, Michigan · CCN 235453 · Non-profit (Corporation) · part of Trinity Health (19 facilities, chain average 3.3 stars)

CMS rates Fraser Villa 5 of 5 overall as of August 2026. 111 certified beds, 102 residents a day on average. 8 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★★★★★ 5 of 5
Staffing★★★★★ 5 of 5
Quality measures★★★★★ 5 of 5
Quality: long-stay / short-stay5 / 5 of 5

Staffing

Total nurse staffing4.36025 hours per resident per day
Registered nurses0.62374 hours per resident per day
Weekend total3.78868 hours per resident per day
Nursing staff turnover28.4% (registered nurses 28.6%)
Administrators who left0

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.

SurveyFindingSeverityStatus
2026-05-28
complaint survey
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · tag F0697
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-06-15
2026-03-19 Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights Deficiencies · tag F0627
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-22
2026-03-19 Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · tag F0760
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-22
2025-02-04
complaint survey
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
2025-02-18
2025-01-15 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
2025-01-31
2025-01-15 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · tag F0756
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-01-31
2024-01-11 PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · tag F0645
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-02-07
2024-01-11 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-02-07

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.

NameRoleShareSince
Trinity Continuing Care Services
Organization
5% or greater direct ownership interest100%1990-06-01
Bowens, Marcus
Individual
corporate director2022-03-23
Defrain, David
Individual
corporate director2021-10-01
Handy, Joanne
Individual
corporate director2018-07-01
Henkel, Arthur
Individual
corporate director2018-07-01
Jones, Beverly
Individual
corporate director2018-07-01
Minnix, William
Individual
corporate director2019-01-01
Murray, Mandi
Individual
corporate director2022-01-01
Poole, Lejon
Individual
corporate director2018-07-01
Tag, Anna Marie
Individual
corporate director2019-01-01
Tapia, Marjorie
Individual
corporate director2022-01-01
Villarruel, Antonia
Individual
corporate director2018-07-01
Wells, Dewayne
Individual
corporate director2018-07-01
Bowens, Marcus
Individual
corporate officer2022-03-23
Murray, Mandi
Individual
corporate officer2022-01-01
Pachla, Jennifer
Individual
operational/managerial control2021-03-21
Latovick, Pamela
Individual
w-2 managing employee2014-08-01

What changed

Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.

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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 Macomb County.