Assisted living
Villa at Borgess Place
0.00 reviews · 0 verifiedKalamazoo, MILic. 235289
DENYCMS payment denial (23 days)Source: CMS Penalties
SFFSpecial Focus: SFF CandidateSource: CMS Provider Information
FINECMS fine: $45,130Source: CMS Penalties
VBP-THigh nursing staff turnover in VBP period (72%)Source: CMS SNF VBP (PDC)
Provided by facility
Villa at Borgess Place offers post-acute and long-term care with a focus on comfort and wellness. Their clinical programs are developed by board-certified physicians and supported by trained medical personnel. Amenities include a chapel, in-room dining, and pet visitation, all designed to promote tranquility. Dining options emphasize healthy, fresh food as a key aspect of care. The facility adheres to CDC and local guidelines regarding COVID-19.
Inside AmenitiesChapel/Meditation Room
CMS Care CompareView on Medicare.gov →
Medicare overall
1/5Medicare.gov Care Compare stars are shown for context only. They are never part of the Unbeatable composite score.
Staffing (PBJ)
4.49 total HPRDRN 0.83 · weekend 86%Oct 2025 – Dec 2025
Survey history
15 inspections86 deficiencies on record
Federal IDs
CCN 235289
Overall: 1/5 · Health: 1/5 · Staffing: 4/5 · QM: 4/5
Unbeatable ratings come only from verified family, staff, and professional reviews on this site. CMS stars, staffing, and citations are public regulatory signals — useful for context, not blended into our score.
Recent inspectionsShowing 12 of 15 inspections.
Health surveyApr 2026 · CMS3 deficiencies
- F-677SS D — Provide care and assistance to perform activities of daily living for any resident who is unable.
- F-686SS G — Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- F-880SS D — Provide and implement an infection prevention and control program.
Health surveyMar 2026 · CMS4 deficiencies
- F-627SS D — Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- F-655SS D — Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- F-658SS D — Ensure services provided by the nursing facility meet professional standards of quality.
- F-689SS G — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Health surveyDec 2025 · CMS6 deficiencies
- F-550SS D — Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F-655SS D — Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- F-658SS D — Ensure services provided by the nursing facility meet professional standards of quality.
- F-690SS D — Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- F-694SS D — Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- F-880SS D — Provide and implement an infection prevention and control program.
Fire safetyAug 2025 · STATE FIRE MARSHAL7 deficiencies
- K-211SS E — Keep aisles, corridors, and exits free of obstruction in case of emergency.
- K-321SS E — Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- K-324SS E — Provide properly protected cooking facilities.
- K-345SS F — Have approved installation, maintenance and testing program for fire alarm systems.
- K-353SS F — Inspect, test, and maintain automatic sprinkler systems.
- K-920SS E — Ensure proper usage of power strips and extension cords.
- K-923SS E — Have proper medical gas storage and administration areas.
Health surveyAug 2025 · CMS18 deficiencies
- F-550SS E — Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F-578SS D — 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.
- F-600SS D — Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- F-605SS D — Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- F-609SS D — Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F-628SS D — Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- F-655SS D — Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- F-656SS G — Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F-677SS D — Provide care and assistance to perform activities of daily living for any resident who is unable.
- F-686SS G — Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- F-689SS E — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F-756SS D — Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- F-761SS D — 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.
- F-812SS F — Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F-842SS E — Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- F-847SS E — Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
- F-880SS D — Provide and implement an infection prevention and control program.
- F-921SS E — Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Health surveyJun 2025 · CMS7 deficiencies
- F-550SS D — Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F-607SS D — Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- F-658SS D — Ensure services provided by the nursing facility meet professional standards of quality.
- F-677SS D — Provide care and assistance to perform activities of daily living for any resident who is unable.
- F-689SS G — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F-803SS F — 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-806SS E — Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Health surveyFeb 2025 · CMS1 deficiencies
- F-880SS D — Provide and implement an infection prevention and control program.
Health surveyFeb 2025 · CMS3 deficiencies
- F-760SS D — Ensure that residents are free from significant medication errors.
- F-761SS D — 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.
- F-940SS D — Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Health surveySep 2024 · CMS3 deficiencies
- F-686SS D — Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- F-689SS D — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F-880SS D — Provide and implement an infection prevention and control program.
Fire safetyAug 2024 · STATE FIRE MARSHAL5 deficiencies
- E-15SS F — Address subsistence needs for staff and patients.
- K-232SS E — Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- K-353SS F — Inspect, test, and maintain automatic sprinkler systems.
- K-363SS E — Install corridor and hallway doors that block smoke.
- K-923SS E — Have proper medical gas storage and administration areas.
Health surveyAug 2024 · CMS15 deficiencies
- F-550SS D — Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F-558SS D — Reasonably accommodate the needs and preferences of each resident.
- F-584SS D — 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.
- F-607SS D — Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- F-609SS D — Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F-623SS E — Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- F-656SS D — Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F-684SS D — Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F-695SS D — Provide safe and appropriate respiratory care for a resident when needed.
- F-758SS D — 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.
- F-812SS F — Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F-813SS D — Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- F-880SS D — Provide and implement an infection prevention and control program.
- F-883SS D — Develop and implement policies and procedures for flu and pneumonia vaccinations.
- F-887SS D — 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.
Health surveyJan 2024 · CMS1 deficiencies
- F-689SS D — Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Write a reviewOperated by VILLA HEALTHCARE (privately held) since 1976.
- Sep 2024
operator transition — BAUMOL, YEHOSHUA
5% OR GREATER DIRECT OWNERSHIP INTEREST (27%) — BAUMOL, YEHOSHUA - Sep 2024
operator transition — AARON FAMILY INVESTMENT TRUST
5% OR GREATER DIRECT OWNERSHIP INTEREST (31%) — AARON FAMILY INVESTMENT TRUST - Sep 2024
operator transition — AB INVESTMENT TRUST U/A/D 01/03/23
5% OR GREATER DIRECT OWNERSHIP INTEREST (13%) — AB INVESTMENT TRUST U/A/D 01/03/23