Villa at Borgess Place

Nursing Home · Kalamazoo, MI

CMS overall rating 2/5 For profit - Corporation

CMS certification number235289

Contact & location

3057 Gull Road
Kalamazoo, MI 49048
Kalamazoo County
Phone
(269) 552-6500
ZIP code
49048 – all care providers

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Facility details

Certified beds
101
Residents per day
92.6 (92% occupied)
Ownership
For profit - Corporation
Legal name
Villa at Borgess Place LLC
Chain
Villa Healthcare (18 facilities, avg 2.8★)
Medicare certified since
April 16, 1976
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 2/5
State avg 3.1
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 3/5
State avg 3.6
Quality measures★★★★★ 5/5
State avg 3.9
Long-stay quality★★★★★ 5/5
Short-stay quality★★★★★ 4/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
4.40 (state 3.99 · U.S. 3.86)
Registered nurses (RN)
0.58 (state 0.78 · U.S. 0.69)
Licensed practical nurses
1.09 (state 0.88 · U.S. 0.86)
Nurse aides
2.72 (state 2.33 · U.S. 2.32)
Weekend total
3.90 (state 3.50 · U.S. 3.42)
Nursing staff turnover
63.6 (state 44.1 · U.S. 45.8)%
RN turnover
61.9 (state 39.2 · U.S. 42.9)%
Administrators who left
2 in the last year

Inspections

Last standard inspection
August 13, 2025
Health deficiencies (last cycle)
31.0 (state 10.1 · U.S. 9.3)
From complaints
17
Citations on record (3 years)
68 health · 12 fire safety · includes actual harm
DateCitationSeverityStatus
2026-04-21 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2026-04-22
2026-04-21 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-04-22
2026-04-21 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-13
2026-03-26 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2026-04-22
2026-03-26 Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
F0627 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-04-22
2026-03-26 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F0655 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-04-22
2026-03-26 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-04-22
2025-12-10 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-05
2025-12-10 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F0655 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-05
2025-12-10 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-05
2025-12-10 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-05
2025-12-10 Provide for the safe, appropriate administration of IV fluids for a resident when needed.
F0694 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-05
2025-12-10 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-05
2025-08-13 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
G
Actual harm
Corrected 2025-09-09
2025-08-13 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies
G
Actual harm
Corrected 2025-10-03
2025-08-13 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2025-09-09
2025-08-13 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-09-09
2025-08-13 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-10-03
2025-08-13 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-09-09
2025-08-13 Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
F0847 · Administration Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-09-09
2025-08-13 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-09-09
2025-08-13 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.
F0578 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-09-09
2025-08-13 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-09-09
2025-08-13 Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-09-09
2025-08-13 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-09-09
2025-08-13 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F0628 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-09-09
2025-08-13 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F0655 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-09-09
2025-08-13 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-10-03
2025-08-13 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-09-09
2025-08-13 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.
F0761 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-09-09
2025-08-13 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-10-03
2025-06-09 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2025-05-12
2025-06-09 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.
F0803 · Nutrition and Dietary Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2025-07-14
2025-06-09 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
F0806 · Nutrition and Dietary Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-07-14
2025-06-09 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-14
2025-06-09 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-14
2025-06-09 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-14
2025-06-09 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-14
2025-02-25 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-03-21
2025-02-11 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-03-21
2025-02-11 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.
F0761 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-03-21
2025-02-11 Develop, implement, and/or maintain an effective training program for all new and existing staff members.
F0940 · Administration Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-03-21
2024-09-18 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-10-10
2024-09-18 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-10-10
2024-09-18 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-10-10
2024-08-29 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2024-10-04
2024-08-29 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-10-04
2024-08-29 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-10-04
2024-08-29 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-10-04
2024-08-29 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.
F0584 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-10-04

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

2 penalties in the last three years, including $45,130 in fines.

DateTypeAmount
2025-08-13Payment Denial23 days payment denial
2025-08-13Fine$45,130

Ownership & management

NameRoleSince
Aaron Family Investment Trust (organization)5%+ Direct Ownership Interest · 31%
Ab Investment Trust U/A/D 01/03/23 (organization)5%+ Direct Ownership Interest · 13%
Baumol, Yehoshua (individual)5%+ Direct Ownership Interest · 27%
3057 Gull Road LLC (organization)Administrator · NOT APPLICABLE
Aaron Family Investment Trust (organization)Administrator · NOT APPLICABLE
Aaron, Jonathan (individual)Administrator · NOT APPLICABLE
Ab Investment Trust U/A/D 01/03/23 (organization)Administrator · NOT APPLICABLE
Baumol, Yehoshua (individual)Administrator · NOT APPLICABLE
Berger, Menachem (individual)Administrator · NOT APPLICABLE
Cudney, Kiersten (individual)Administrator · NOT APPLICABLE
Graf, Marcella (individual)Administrator · NOT APPLICABLE
Israel Family Investment Trust (organization)Administrator · NOT APPLICABLE
Israel Investment TR (organization)Administrator · NOT APPLICABLE
Israel, Benjamin (individual)Administrator · NOT APPLICABLE
Nagel, Steven (individual)Administrator · NOT APPLICABLE
Omnia Healthcare Group LLC (organization)Administrator · NOT APPLICABLE
Oprescu, Nicoara (individual)Administrator · NOT APPLICABLE
Stern, Todd (individual)Administrator · NOT APPLICABLE
Todd a Stern 2015 Irrv Ins TR (organization)Administrator · NOT APPLICABLE
Aaron, Jonathan (individual)Corporate Officer · NOT APPLICABLE
Aaron, Jonathan (individual)Managing Control - Governing Body · NOT APPLICABLE
Aaron, Jonathan (individual)Operational/managerial Control · NOT APPLICABLE
Cudney, Kiersten (individual)Operational/managerial Control · NOT APPLICABLE
Graf, Marcella (individual)Operational/managerial Control · NOT APPLICABLE
Omnia Healthcare Group LLC (organization)Operational/managerial Control · NOT APPLICABLE
Cudney, Kiersten (individual)W-2 Managing Employee · NOT APPLICABLE
Graf, Marcella (individual)W-2 Managing Employee · NOT APPLICABLE
Oprescu, Nicoara (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Villa at Borgess Place?

Villa at Borgess Place has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Michigan.

How many beds does Villa at Borgess Place have?

It has 101 certified beds and cares for about 93 residents per day.

Has Villa at Borgess Place been fined?

Yes. CMS lists 2 penalties totaling $45,130 in the last three years.

Who owns Villa at Borgess Place?

It is part of Villa Healthcare and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Villa at Borgess Place?

(269) 552-6500. The facility is located at 3057 Gull Road, Kalamazoo, MI 49048.

Other nursing homes in Kalamazoo

Compare all nursing homes in Kalamazoo, MI →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.