The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Villa at Borgess Place
Kalamazoo, MI · Medicare-certified · 101 beds
Needs attention
For-profitChain member
1 of 5 overall
Villa at Borgess Place has a 1-star overall rating, with a 1-star health inspection rating despite 4-star staffing and quality measures; reported staffing is above the federal benchmark (4.49 vs. 4.1 hours per resident per day). It also has a recent federal penalty and $69,430 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.4946 hrs/resident/day
Quality measures
Last inspection: March 26, 2026Penalties, last 24 months: $69,430recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.4946.
Staffing detail
- Registered nurses
- 0.83
- Licensed practical nurses
- 1.10
- Nurse aides
- 2.56
- Weekend nursing
- 3.86
Hours per resident per day.
Total staff turnover: 66%
Registered nurse turnover: 58%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
4.8%Improving
Residents with a fall causing major injury
2.3%Steady
Residents with pressure ulcers (bedsores)
8.5%Improving
Residents with a urinary tract infection
1.4%Improving
Residents who lost too much weight
1.3%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
10.9%Worsening
Residents whose ability to walk got worse
19.2%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
13%Improving
Short-stay residents newly given an antipsychotic
0.2%Worsening
Residents with a long-term catheter
1%Improving
Residents with new or worsening incontinence
29.2%Improving
Residents with depressive symptoms
5.6%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
94.1%Steady
Short-stay residents given the pneumonia vaccine
88.4%Worsening
What the inspectors found
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited August 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: G
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited August 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited June 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 803 — 42 CFR §483.60 — S/S: F
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $69,430 was recorded.
- INSPECTION
Health inspection found 18 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $69,430 in total fines · 1 payment denial.
- 23 days
Medicare/Medicaid payment denial
Aug 13, 2025
- $69,430
Federal fine
Aug 13, 2025
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of VILLA HEALTHCARE · 18 homes · 2.7 stars avg
- Occupancy
- 79.3 residents on an average day (79% of 101 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 50 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.