Villa at Borgess Place

Kalamazoo · MI · For profit - Corporation · VILLA HEALTHCARE chain · 101 certified beds · CCN 235289 · VILLA AT BORGESS PLACE LLC


Villa at Borgess Place operates 101 certified beds in Kalamazoo, Michigan. Its Medicare and Medicaid certification dates to 1976-04-16. It averages 92.6 residents a day.

What harm was found in the violations cited at Villa at Borgess Place?

CMS lists 70 health-inspection deficiencies for Villa at Borgess Place since 2023-07-12, 62 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-04-21.

Survey dateTagDeficiencySeverity
2026-04-21F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2026-04-21F0677, F0880Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide and implement an infection prevention and control program.D
2026-03-26F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2026-03-26F0627, F0655, F0658Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Ensure services provided by the nursing facility meet professional standards of quality.D
2025-12-10F0550, F0655, F0658, F0690, F0694, F0880Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide for the safe, appropriate administration of IV fluids for a resident when needed. / Provide and implement an infection prevention and control program.D
2025-08-13F0656, F0686Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2025-08-13F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2025-08-13F0550, F0689, F0842, F0847, F0921Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E
2025-08-13F0578, F0600, F0605, F0609, F0628, F0655, F0677, F0756, F0761, F0880Honor 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. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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. / Provide and implement an infection prevention and control program.D
2025-06-09F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2025-06-09F0803Ensure 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
2025-06-09F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.E
2025-06-09F0550, F0607, F0658, F0677Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable.D
2025-02-25F0880Provide and implement an infection prevention and control program.D
2025-02-11F0760, F0761, F0940Ensure that residents are free from significant medication errors. / 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. / Develop, implement, and/or maintain an effective training program for all new and existing staff members.D
2024-09-18F0686, F0689, F0880Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide and implement an infection prevention and control program.D
2024-08-29F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2024-08-29F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.E
2024-08-29F0550, F0558, F0584, F0607, F0609, F0656, F0684, F0695, F0758, F0813, F0880, F0883, F0887Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Reasonably accommodate the needs and preferences of each resident. / 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. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe and appropriate respiratory care for a resident when needed. / 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. / Have a policy regarding use and storage of foods brought to residents by family and other visitors. / Provide and implement an infection prevention and control program. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / 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
2024-01-03F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2023-09-06F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2023-07-12F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2023-07-12F0725, F0761, F0880Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / 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. / Provide and implement an infection prevention and control program.E
2023-07-12F0582, F0600, F0677, F0699Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide care or services that was trauma informed and/or culturally competent.D

Why was Villa at Borgess Place fined?

DateTypeAmount
2025-08-13Fine$45,130

Has Villa at Borgess Place had payment denied by Medicare?

Payment denial startLength in days
2025-09-1023

How is Villa at Borgess Place staffed?

MeasureThis facilityMI average
Total nurse staffing hours per resident per day4.395223.99072
Total nursing staff turnover (%)63.644.1
Average number of residents per day92.685.9

Who owns Villa at Borgess Place, and what chain is it in?

Villa at Borgess Place is registered with CMS as For profit - Corporation, operates under the legal business name VILLA AT BORGESS PLACE LLC and belongs to the VILLA HEALTHCARE chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTAARON FAMILY INVESTMENT TRUST, AB INVESTMENT TRUST U/A/D 01/03/23, BAUMOL, YEHOSHUAsince 09/03/2024
MANAGING CONTROL - GOVERNING BODYAARON, JONATHANsince 09/03/2024
W-2 MANAGING EMPLOYEECUDNEY, KIERSTEN, GRAF, MARCELLA, OPRESCU, NICOARAsince 09/03/2024
CORPORATE OFFICERAARON, JONATHANsince 09/03/2024
OPERATIONAL/MANAGERIAL CONTROLOMNIA HEALTHCARE GROUP LLC, AARON, JONATHAN, CUDNEY, KIERSTEN, GRAF, MARCELLAsince 09/03/2024
ADP OF THE SNF3057 GULL ROAD LLC, AARON FAMILY INVESTMENT TRUST, AB INVESTMENT TRUST U/A/D 01/03/23, ISRAEL FAMILY INVESTMENT TRUST, ISRAEL INVESTMENT TR, OMNIA HEALTHCARE GROUP LLC, TODD A STERN 2015 IRRV INS TR, AARON, JONATHAN, BAUMOL, YEHOSHUA, BERGER, MENACHEM, CUDNEY, KIERSTEN, GRAF, MARCELLA, ISRAEL, BENJAMIN, NAGEL, STEVEN, OPRESCU, NICOARA, STERN, TODDsince 12/02/2024

Were you or a family member harmed at Villa at Borgess Place?