Michigan › Kalamazoo County › Kalamazoo
Villa At Borgess Place
3057 Gull Road, Kalamazoo, MI 49048
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Villa At Borgess Place, in Kalamazoo, Michigan, is certified for 101 beds under for-profit, corporation ownership and belongs to the Villa Healthcare chain.
CMS gives it 2 of 5 stars overall, below the Michigan median of 3; the health inspection rating is 1, staffing 3 and quality measures 5.
Inspectors recorded 70 health deficiencies across the three most recent survey cycles (31, 29, 10 by cycle, most recent first), 5 of them at the actual-harm or immediate-jeopardy level. That is 69.3 per 100 beds, more than the state median of 29.4.
CMS lists 2 penalties in the period covered: fines totalling $45K and 1 payment denial.
Reported nurse staffing is 4.4 hours per resident per day (0.6 RN), close to the Michigan median of 3.8; nursing staff turnover is 63.6%.
Compared with county, state and nation
| Measure | This facility | Kalamazoo Co. median | Michigan median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 70 | 61 | 29 | 28.7 |
| Citations per 100 beds | 69.3 | 70.1 | 29.4 | 26.8 |
| Total nurse hours per resident day | 4.4 | 3.6 | 3.8 | 3.9 |
| RN hours per resident day | 0.6 | 0.8 | 0.7 | 0.7 |
| Nursing staff turnover | 63.6% | 44.8% | 44.6% | 45.8% |
| Fines listed | $45,130 | $35,317 | $0 | — |
County and state figures are medians across facilities (9 in the county, 422 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Michigan average per facility for the same cycle, as published by CMS. Standard health survey dates: 13 Aug 2025, 29 Aug 2024.
Severity mix: G ×5 D ×51 E ×10 F ×4
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 21 Apr 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 22 Apr 2026 |
| 21 Apr 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 22 Apr 2026 |
| 21 Apr 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 13 May 2026 |
| 26 Mar 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 22 Apr 2026 |
| 26 Mar 2026 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Complaint investigation | 22 Apr 2026 |
| 26 Mar 2026 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint investigation | 22 Apr 2026 |
| 26 Mar 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 22 Apr 2026 |
| 10 Dec 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 5 Jan 2026 |
| 10 Dec 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint investigation | 5 Jan 2026 |
| 10 Dec 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 5 Jan 2026 |
| 10 Dec 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 5 Jan 2026 |
| 10 Dec 2025 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Complaint investigation | 5 Jan 2026 |
| 10 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 5 Jan 2026 |
| 13 Aug 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | G | Standard survey | 9 Sep 2025 |
| 13 Aug 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 3 Oct 2025 |
| 13 Aug 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 9 Sep 2025 |
| 13 Aug 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 9 Sep 2025 |
| 13 Aug 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 3 Oct 2025 |
| 13 Aug 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 9 Sep 2025 |
| 13 Aug 2025 | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | E | Standard survey | 9 Sep 2025 |
| 13 Aug 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 9 Sep 2025 |
| 13 Aug 2025 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 9 Sep 2025 |
| 13 Aug 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 9 Sep 2025 |
| 13 Aug 2025 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 9 Sep 2025 |
| 13 Aug 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 9 Sep 2025 |
| 13 Aug 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 9 Sep 2025 |
| 13 Aug 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 9 Sep 2025 |
| 13 Aug 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 3 Oct 2025 |
| 13 Aug 2025 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 9 Sep 2025 |
| 13 Aug 2025 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 9 Sep 2025 |
| 13 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 3 Oct 2025 |
| 9 Jun 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 12 May 2025 |
| 9 Jun 2025 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | F | Complaint investigation | 14 Jul 2025 |
| 9 Jun 2025 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | Complaint investigation | 14 Jul 2025 |
| 9 Jun 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 14 Jul 2025 |
| 9 Jun 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 14 Jul 2025 |
| 9 Jun 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 14 Jul 2025 |
| 9 Jun 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 14 Jul 2025 |
| 25 Feb 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 21 Mar 2025 |
| 11 Feb 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 21 Mar 2025 |
| 11 Feb 2025 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Complaint investigation | 21 Mar 2025 |
| 11 Feb 2025 | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | D | Complaint investigation | 21 Mar 2025 |
| 18 Sep 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 10 Oct 2024 |
| 18 Sep 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 10 Oct 2024 |
| 18 Sep 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 10 Oct 2024 |
| 29 Aug 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 4 Oct 2024 |
| 29 Aug 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard survey | 4 Oct 2024 |
| 29 Aug 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 4 Oct 2024 |
| 29 Aug 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 4 Oct 2024 |
| 29 Aug 2024 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Standard survey | 4 Oct 2024 |
| 29 Aug 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 4 Oct 2024 |
| 29 Aug 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 4 Oct 2024 |
| 29 Aug 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 4 Oct 2024 |
| 29 Aug 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 4 Oct 2024 |
| 29 Aug 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 4 Oct 2024 |
| 29 Aug 2024 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 4 Oct 2024 |
| 29 Aug 2024 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Standard survey | 4 Oct 2024 |
| 29 Aug 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 4 Oct 2024 |
| 29 Aug 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 4 Oct 2024 |
| 29 Aug 2024 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Standard survey | 4 Oct 2024 |
| 3 Jan 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 2 Feb 2024 |
| 6 Sep 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 13 Oct 2023 |
| 12 Jul 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 9 Aug 2023 |
| 12 Jul 2023 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 9 Aug 2023 |
| 12 Jul 2023 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard survey | 9 Aug 2023 |
| 12 Jul 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 9 Aug 2023 |
| 12 Jul 2023 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 9 Aug 2023 |
| 12 Jul 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 9 Aug 2023 |
| 12 Jul 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 9 Aug 2023 |
| 12 Jul 2023 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 9 Aug 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 13 Aug 2025 | Payment denial | — | 23 days |
| 13 Aug 2025 | Fine | $45,130 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Michigan average. Turnover: nursing staff 63.6%, RNs 61.9%; 2 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Michigan median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 10.7% | 9.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.7% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.5% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.7% | 2.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.3% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 14.1% | 10.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.9% | 4.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 4.9% | 13.5% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Villa At Borgess Place Llc. Chain: Villa Healthcare (18 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Ab Investment Trust U/A/D 01/03/23 | 5% or greater direct ownership interest | 13% | 09/03/2024 |
| Omnia Healthcare Group LLC | Operational/managerial control | NOT APPLICABLE | 12/23/2024 |
| 3057 Gull Road LLC | Adp of the snf | NOT APPLICABLE | 12/12/2024 |
| Ab Investment Trust U/A/D 01/03/23 | Adp of the snf | NOT APPLICABLE | 12/02/2024 |
| Israel Investment Tr | Adp of the snf | NOT APPLICABLE | 12/02/2024 |
| Omnia Healthcare Group LLC | Adp of the snf | NOT APPLICABLE | 12/23/2024 |
| Todd A Stern 2015 Irrv Ins Tr | Adp of the snf | NOT APPLICABLE | 12/02/2024 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Kalamazoo County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Friendship Village | Kalamazoo | 57 | 5 | 5 | 5 | 16 | 28.1 | — | 2 Apr 2026 |
| Medilodge of Portage | Portage | 117 | 3 | 2 | 4 | 36 | 30.8 | $35K | 14 May 2026 |
| Medilodge of Kalamazoo | Kalamazoo | 39 | 2 | 2 | 4 | 24 | 61.5 | — | 11 Jun 2026 |
| Plainwell Pines Nursing and Rehabilitation Communiabuse icon | Plainwell | 39 | 2 | 1 | 3 | 54 | 138.5 | $195K | 29 May 2026 |
| Alamo Cove Rehab and Nursing CenterSFF Candidate | Kalamazoo | 100 | 1 | 1 | 3 | 80 | 80.0 | $18K | 30 Apr 2026 |
| Harold and Grace Upjohn Community Care Center | Kalamazoo | 87 | 1 | 1 | 4 | 61 | 70.1 | $31K | 17 Apr 2026 |
| Medilodge of Westwood | Kalamazoo | 97 | 1 | 1 | 3 | 86 | 88.7 | $66K | 12 Mar 2026 |
| The Laurels of Galesburg | Galesburg | 93 | 1 | 1 | 4 | 67 | 72.0 | $145K | 1 Jul 2026 |
All 9 facilities in Kalamazoo County
Questions and answers
How many deficiencies has Villa At Borgess Place been cited for?
70 health deficiencies across the three most recent survey cycles, 5 at the actual-harm or immediate-jeopardy level. The Michigan median is 29 per facility.
Has Villa At Borgess Place been fined?
Yes. CMS lists fines totalling $45K in the period covered, plus 1 payment denial.
How does staffing at Villa At Borgess Place compare?
Reported total nurse staffing is 4.4 hours per resident per day against a Michigan median of 3.8 and a national average of 3.9.
Who operates Villa At Borgess Place?
It is part of the Villa Healthcare chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Ab Investment Trust U/A/D 01/03/23 and Omnia Healthcare Group LLC. Individual owners and managers are not listed on this site.
When was Villa At Borgess Place last inspected?
The most recent survey or investigation in the CMS record is dated 21 Apr 2026; the most recent standard health survey was 13 Aug 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.