Nursing HomeInspections

Villa at Borgess Place

Nursing home in Kalamazoo, MI

Medicare & Medicaid certified2★ overall (CMS)

Call (269) 552-6500Send a messageMap ↗

Public-record details

Address
3057 Gull Road, Kalamazoo, MI 49048
Phone
(269) 552-6500
Listed under
For-profit
Medicare CCN
235289
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
1 of 5
Staffing rating
3 of 5
Quality measures rating
5 of 5
Certified beds
101
Average residents per day
93
Ownership
For-profit, corporation
Legal business name
Villa at Borgess Place LLC
Chain
Villa Healthcare (18 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Apr 16, 1976
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 235289. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Aug 13, 2025. CMS lists 70 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jul 12, 2023 to Apr 21, 2026): 33 from complaint inspections, 5 at the “actual harm” level or higher.

InspectionCitationSeverity
Apr 21, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Apr 21, 2026Provide and implement an infection prevention and control program.
Infection Control · complaint inspection
D
Potential for more than minimal harm, isolated
Apr 21, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · complaint inspection
G
Actual harm, isolated
Mar 26, 2026Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Mar 26, 2026Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
Mar 26, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
Mar 26, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection
G
Actual harm, isolated
Dec 10, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Dec 10, 2025Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
Dec 10, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
Dec 10, 2025Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Dec 10, 2025Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 70. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $45,130 and 1 denial of Medicare payment for new admissions in the last three years.

Aug 13, 2025Fine: $45,130
Aug 13, 2025Payment denial for 23 days from Sep 10, 2025

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.40 hours
Registered nurse (RN) time per resident per day
0.58 hours
Nurse aide time per resident per day
2.72 hours
Total nurse staffing on weekends
3.90 hours
Nursing staff turnover (yearly)
64%
RN turnover (yearly)
62%
Administrators who left in the past year
2

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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