Skilled Nursing

Villa at Borgess Place

3057 Gull Road, Kalamazoo, MI 49048

101beds
Skilled Nursingcare types
1/5CMS rating
Updated2026

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Inspection & Compliance

Data from CMS (Centers for Medicare & Medicaid Services), updated weekly. Medicare.gov Care Compare

Special Focus Candidate — This facility has been identified as a candidate for the Special Focus Facility program, indicating below-average inspection performance.

3.9h

Hrs/resident · weekday

Expected: 4.6h

3.9h

Hrs/resident · weekend

vs 3.9h on weekdays

Not reported

30-day hospital readmission rate

Annual Staff Turnover Rates

High turnover is one of the strongest predictors of care quality. National average CNA turnover is ~75%.

RNs
58%
LPNs
CNAs
66%

Administrator turnover: 1 in the past year

Health Inspection Deficiencies · Last 3 Years

70 standard deficiencies in the last 3 years

View all
0880Severity DApr 21, 2026

Provide and implement an infection prevention and control program.

0686Severity GApr 21, 2026

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0677Severity DApr 21, 2026

Provide care and assistance to perform activities of daily living for any resident who is unable.

0689Severity GMar 26, 2026

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0658Severity DMar 26, 2026

Ensure services provided by the nursing facility meet professional standards of quality.

0655Severity DMar 26, 2026

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0627Severity DMar 26, 2026

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

0880Severity DDec 10, 2025

Provide and implement an infection prevention and control program.

0694Severity DDec 10, 2025

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

0690Severity DDec 10, 2025

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0658Severity DDec 10, 2025

Ensure services provided by the nursing facility meet professional standards of quality.

0655Severity DDec 10, 2025

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0550Severity DDec 10, 2025

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0921Severity EAug 13, 2025

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0880Severity DAug 13, 2025

Provide and implement an infection prevention and control program.

0847Severity EAug 13, 2025

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

0842Severity EAug 13, 2025

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0812Severity FAug 13, 2025

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0761Severity DAug 13, 2025

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.

0756Severity DAug 13, 2025

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0689Severity EAug 13, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0686Severity GAug 13, 2025

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0677Severity DAug 13, 2025

Provide care and assistance to perform activities of daily living for any resident who is unable.

0656Severity GAug 13, 2025

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0655Severity DAug 13, 2025

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0628Severity DAug 13, 2025

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0609Severity DAug 13, 2025

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0605Severity DAug 13, 2025

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

0600Severity DAug 13, 2025

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0578Severity DAug 13, 2025

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.

0550Severity EAug 13, 2025

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0806Severity EJun 9, 2025

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

0803Severity FJun 9, 2025

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.

0689Severity GJun 9, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0677Severity DJun 9, 2025

Provide care and assistance to perform activities of daily living for any resident who is unable.

0658Severity DJun 9, 2025

Ensure services provided by the nursing facility meet professional standards of quality.

0607Severity DJun 9, 2025

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0550Severity DJun 9, 2025

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0880Severity DFeb 25, 2025

Provide and implement an infection prevention and control program.

0940Severity DFeb 11, 2025

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

0761Severity DFeb 11, 2025

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.

0760Severity DFeb 11, 2025

Ensure that residents are free from significant medication errors.

0880Severity DSep 18, 2024

Provide and implement an infection prevention and control program.

0689Severity DSep 18, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0686Severity DSep 18, 2024

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0887Severity DAug 29, 2024

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.

0883Severity DAug 29, 2024

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0880Severity DAug 29, 2024

Provide and implement an infection prevention and control program.

0813Severity DAug 29, 2024

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

0812Severity FAug 29, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0758Severity DAug 29, 2024

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.

0695Severity DAug 29, 2024

Provide safe and appropriate respiratory care for a resident when needed.

0684Severity DAug 29, 2024

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0656Severity DAug 29, 2024

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0623Severity EAug 29, 2024

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0609Severity DAug 29, 2024

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0607Severity DAug 29, 2024

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0584Severity DAug 29, 2024

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.

0558Severity DAug 29, 2024

Reasonably accommodate the needs and preferences of each resident.

0550Severity DAug 29, 2024

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0689Severity DJan 3, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0684Severity DSep 6, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0880Severity EJul 12, 2023

Provide and implement an infection prevention and control program.

0812Severity FJul 12, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0761Severity EJul 12, 2023

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.

0725Severity EJul 12, 2023

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0699Severity DJul 12, 2023

Provide care or services that was trauma informed and/or culturally competent.

0677Severity DJul 12, 2023

Provide care and assistance to perform activities of daily living for any resident who is unable.

0600Severity DJul 12, 2023

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0582Severity DJul 12, 2023

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

View full inspection history on Medicare.gov

Civil Monetary Penalties

No civil monetary penalties on record.

Nearby Hospitals

No hospitals found within 10 miles.

Proximity to emergency care is especially important for medically complex residents.

Ownership

VILLA AT BORGESS PLACE LLC· For profit - Corporation

Data updated weekly from CMS. Last sync: Jun 26, 2026. Medicare.gov Care Compare →

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Data sourced from the Centers for Medicare & Medicaid Services and state licensing agencies. ← Back to search

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