SNF
Fraser Villa
CCN: 235453 · Fraser, MI 48026 · Macomb County
Overview
- Address
- 33300 Utica Road, Fraser, MI 48026
- Phone
- 5862933300
- Certified beds
- 111
- Avg daily residents
- 106 (95% of beds filled)
- Ownership
- Non-profit corporation
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1986-03-06
- Setting
- Urban
5 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 4.25 | 3.60 | 4.55 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.52 | 0.63 | 0.55 | ≥ 0.55 | Below floor |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 1.58 | 0.80 | 1.69 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.15 | 2.17 | 2.31 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 2.10 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.16 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
3.76
hrs / resident / day
RN (weekend)
0.18
hrs / resident / day
Total nurse (adjusted, weekend)
4.03
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
34.3%
annual
RN turnover
43.8%
annual
Administrators departed
1
last 12 months
Resident acuity
Nursing Case-Mix Index
1.28
higher acuity than avg
Case-Mix Index Ratio
0.93
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-01-15 | 2 | 2 | 0 | 20 | 1 | 20 |
| Cycle 2/3 (prior) | 2024-01-11 | 3 | 2 | 1 | 12 | 1 | 12 |
Total weighted health score
18.0
lower is better
Deficiencies (5)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
5 D/E/F Actual harm — potential for minor
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-02-04 | 2025-02-18 |
| 0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2025-01-15 | 2025-01-31 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-01-15 | 2025-01-31 |
| 0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2024-01-11 | 2024-02-07 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-01-11 | 2024-02-07 |
Financial Health (FY 2024)
Payer mix (share of resident days)
Medicare 28.2% Medicaid 38.4% Other 33.4%
Operating performance
Operating Margin
-2.5%
Total Margin
-2.4%
Occupancy Rate
62.5%
Cost per Resident Day
$67
Revenue & costs
Net Patient Revenue
$15.8M
Total Costs
$2.4M
Net Income
-$372K
Balance sheet
Total Assets
$27.8M
Total Liabilities
$8.0M
Fund Balance
$19.8M
Current Ratio
14.17
Source: CMS SNF Cost Report (FY 2024). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: TRINITY HEALTH
- Chain ID
525- Facilities in chain
- 20
- Legal business name
- TRINITY CONTINUING CARE SERVICES
Chain-average star ratings (for peer context)
Overall
3.4
Health
3.1
Staffing
4.1
QM
3.6
Owner / manager organizations (2)
| Organization | Role | Association |
|---|---|---|
| TRINITY CONTINUING CARE SERVICES | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 06/01/1990 |
| TRINITY HEALTH CORPORATION | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 07/01/2014 |
Owner / manager individuals (16)
| Name | Role | Association |
|---|---|---|
| PACHLA, JENNIFER | OPERATIONAL/MANAGERIAL CONTROL | since 03/21/2021 |
| BOWENS, MARCUS | CORPORATE DIRECTOR | since 03/23/2022 |
| DEFRAIN, DAVID | CORPORATE DIRECTOR | since 10/01/2021 |
| HANDY, JOANNE | CORPORATE DIRECTOR | since 07/01/2018 |
| HENKEL, ARTHUR | CORPORATE DIRECTOR | since 07/01/2018 |
| JONES, BEVERLY | CORPORATE DIRECTOR | since 07/01/2018 |
| MINNIX, WILLIAM | CORPORATE DIRECTOR | since 01/01/2019 |
| MURRAY, MANDI | CORPORATE DIRECTOR | since 01/01/2022 |
| POOLE, LEJON | CORPORATE DIRECTOR | since 07/01/2018 |
| TAG, ANNA MARIE | CORPORATE DIRECTOR | since 01/01/2019 |
| TAPIA, MARJORIE | CORPORATE DIRECTOR | since 01/01/2022 |
| VILLARRUEL, ANTONIA | CORPORATE DIRECTOR | since 07/01/2018 |
| WELLS, DEWAYNE | CORPORATE DIRECTOR | since 07/01/2018 |
| BOWENS, MARCUS | CORPORATE OFFICER | since 03/23/2022 |
| MURRAY, MANDI | CORPORATE OFFICER | since 01/01/2022 |
| LATOVICK, PAMELA | W-2 MANAGING EMPLOYEE | since 08/01/2014 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2024, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $67 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 14.17 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,024 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 38.4% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 28.2% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-372,131 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $15,786,231 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 62.5% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -2.5% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $27,823,214 | metrics.total_assets |
| Cost Report | Total Costs ($) | $2,373,364 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $19,777,313 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $8,045,901 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -2.4% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 1.69408 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.30561 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.55379 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 4.55348 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 4.02992 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 105.9 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.79998 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.17417 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.63056 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.60471 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.17717 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 3.1 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 3.4 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 3.6 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 4.1 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 525 | Chain ID |
| Provider Information | Chain Name | TRINITY HEALTH | Chain Name |
| Provider Information | City/Town | Fraser | City/Town |
| Provider Information | CMS Certification Number (CCN) | 235453 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Macomb | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1986-03-06 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 5 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 42.5413 | Latitude |
| Provider Information | Legal Business Name | TRINITY CONTINUING CARE SERVICES | Legal Business Name |
| Provider Information | Location | 33300 Utica Road,Fraser,MI,48026 | Location |
| Provider Information | Long-Stay QM Rating | 4 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -82.954 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 1 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 111 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 20 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.27699 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.92693 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 5 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | Non profit - Corporation | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 33300 Utica Road | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | Fraser Villa | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 490 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 4 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 20 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 0 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 2 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-01-15 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 20 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 2 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 2 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-01-11 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 12 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 1 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 12 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 3 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.18285 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 43.8 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 2.09870 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 1.58166 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.15261 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.15575 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.51704 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 4.25131 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 4 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 4 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | MI | State |
| Provider Information | Telephone Number | 5862933300 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.76249 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 34.3 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 18.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 48026 | ZIP Code |