Public Record
Fraser Villa
Operated by Trinity Health
From CMS
Facility profile
- CMS overall rating
- 5 / 5
- Certified beds
- 111
- Avg. residents per day
- 106.1
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Health citations
- 5
- Fire safety findings
- 20
- Inspections on file
- 6
- Last inspection
- 2025-02-04
*CMS
*CMS
*CMS
*CMS
Citations
5 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0756Generalpotential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0645Generalpotential for harm
PASARR screening for Mental disorders or Intellectual Disabilities
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- View inspection reportInspection1 deficiency
- View inspection reportInspectionFire Safety8 deficiencies
- View inspection reportInspection2 deficiencies
- View inspection reportInspection2 deficiencies
- View inspection reportInspectionFire Safety1 deficiency
- View inspection reportInspectionFire Safety11 deficiencies
Ownership
Trinity Health
19nursing homes nationwide, in CMS records
FAQ
Questions and answers
- What is Fraser Villa?
- Fraser Villa is a Medicare- and Medicaid-certified nursing home in Fraser, MI, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 235453.
- What is the CMS rating for Fraser Villa?
- Fraser Villa has a CMS overall rating of 5 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Fraser Villa have?
- Fraser Villa is certified for 111 beds. It serves an average of 106.1 residents per day.
- How many citations does Fraser Villa have?
- Fraser Villa has 5 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Fraser Villa last inspected?
- Fraser Villa was last inspected on February 4, 2025. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
/nursing-home/235453-fraser-villa