BORGESS GARDENS

πŸ“ 3057 GULL ROAD, kalamazoo, MI 49048 πŸ“ž 2695526500 πŸ›οΈ 101 beds

Overall Rating

⭐⭐⭐⭐⭐
5/5

Health Inspection

⭐⭐⭐
3/5

Staffing

⭐⭐⭐⭐⭐
5/5

Quality Measures

⭐⭐⭐⭐⭐
5/5

Inspection History Overview

72
Total Violations
8 years of data
$30,000
Total Fines
2 penalties
6
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2025 4 violations

Tag 0880 D Feb 25, 2025

Provide and implement an infection prevention and control program.

βœ“ Corrected: Mar 21, 2025
Tag 0760 D Feb 11, 2025

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Mar 21, 2025
Tag 0761 D Feb 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.

βœ“ Corrected: Mar 21, 2025
Tag 0940 D Feb 11, 2025

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

βœ“ Corrected: Mar 21, 2025

2024 16 violations

Tag 0550 D Aug 29, 2024

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

βœ“ Corrected: Oct 4, 2024
Tag 0558 D Aug 29, 2024

Reasonably accommodate the needs and preferences of each resident.

βœ“ Corrected: Oct 4, 2024
Tag 0584 D Aug 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.

βœ“ Corrected: Oct 4, 2024
Tag 0607 D Aug 29, 2024

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

βœ“ Corrected: Oct 4, 2024
Tag 0609 D Aug 29, 2024

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

βœ“ Corrected: Oct 4, 2024
Tag 0623 E Aug 29, 2024

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

βœ“ Corrected: Oct 4, 2024
Tag 0656 D Aug 29, 2024

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

βœ“ Corrected: Oct 4, 2024
Tag 0684 D Aug 29, 2024

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

βœ“ Corrected: Oct 4, 2024
Tag 0695 D Aug 29, 2024

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

βœ“ Corrected: Oct 4, 2024
Tag 0758 D Aug 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.

βœ“ Corrected: Oct 4, 2024
Tag 0812 F Aug 29, 2024

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

βœ“ Corrected: Oct 4, 2024
Tag 0813 D Aug 29, 2024

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

βœ“ Corrected: Oct 4, 2024
Tag 0880 D Aug 29, 2024

Provide and implement an infection prevention and control program.

βœ“ Corrected: Oct 4, 2024
Tag 0883 D Aug 29, 2024

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

βœ“ Corrected: Oct 4, 2024
Tag 0887 D Aug 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.

βœ“ Corrected: Oct 4, 2024
Tag 0689 D Jan 3, 2024

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

βœ“ Corrected: Feb 2, 2024

2023 9 violations

Tag 0684 D Sep 6, 2023

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

βœ“ Corrected: Oct 13, 2023
Tag 0582 D Jul 12, 2023

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

βœ“ Corrected: Aug 9, 2023
Tag 0600 D Jul 12, 2023

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

βœ“ Corrected: Aug 9, 2023
Tag 0677 D Jul 12, 2023

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

βœ“ Corrected: Aug 9, 2023
Tag 0699 D Jul 12, 2023

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

βœ“ Corrected: Aug 9, 2023
Tag 0725 E Jul 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.

βœ“ Corrected: Aug 9, 2023
Tag 0761 E Jul 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.

βœ“ Corrected: Aug 9, 2023
Tag 0812 F Jul 12, 2023

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

βœ“ Corrected: Aug 9, 2023
Tag 0880 E Jul 12, 2023

Provide and implement an infection prevention and control program.

βœ“ Corrected: Aug 9, 2023

2022 6 violations

Tag 0656 D Mar 24, 2022

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

βœ“ Corrected: Apr 29, 2022
Tag 0690 D Mar 24, 2022

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

βœ“ Corrected: Apr 29, 2022
Tag 0695 E Mar 24, 2022

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

βœ“ Corrected: Apr 29, 2022
Tag 0812 F Mar 24, 2022

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

βœ“ Corrected: Apr 29, 2022
Tag 0813 C Mar 24, 2022

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

βœ“ Corrected: Apr 29, 2022
Tag 0880 E Mar 24, 2022

Provide and implement an infection prevention and control program.

βœ“ Corrected: Apr 29, 2022

2020 7 violations

Tag 0726 E Dec 18, 2020

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

βœ“ Corrected: Jan 20, 2021
Tag 0726 F Dec 18, 2020

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Tag 0880 E Dec 18, 2020

Provide and implement an infection prevention and control program.

Tag 0550 D Feb 27, 2020

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

βœ“ Corrected: Mar 30, 2020
Tag 0695 D Feb 27, 2020

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

βœ“ Corrected: Mar 30, 2020
Tag 0812 F Feb 27, 2020

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

βœ“ Corrected: Mar 30, 2020
Tag 0880 E Feb 27, 2020

Provide and implement an infection prevention and control program.

βœ“ Corrected: Mar 30, 2020

2019 21 violations

Tag 0557 D Dec 5, 2019

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

βœ“ Corrected: Jan 14, 2020
Tag 0804 E Dec 5, 2019

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

βœ“ Corrected: Jan 14, 2020
Tag 0880 D Dec 5, 2019

Provide and implement an infection prevention and control program.

βœ“ Corrected: Jan 14, 2020
Tag 0607 E Aug 1, 2019

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

βœ“ Corrected: Sep 10, 2019
Tag 0608 D Aug 1, 2019

Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting.

βœ“ Corrected: Sep 10, 2019
Tag 0609 D Aug 1, 2019

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

βœ“ Corrected: Sep 10, 2019
Tag 0610 D Aug 1, 2019

Respond appropriately to all alleged violations.

βœ“ Corrected: Sep 10, 2019
Tag 0677 D Aug 1, 2019

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

βœ“ Corrected: Sep 10, 2019
Tag 0554 D Feb 5, 2019

Allow residents to self-administer drugs if determined clinically appropriate.

βœ“ Corrected: Mar 15, 2019
Tag 0578 D Feb 5, 2019

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.

βœ“ Corrected: Mar 15, 2019
Tag 0585 D Feb 5, 2019

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

βœ“ Corrected: Mar 15, 2019
Tag 0655 D Feb 5, 2019

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

βœ“ Corrected: Mar 15, 2019
Tag 0656 E Feb 5, 2019

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

βœ“ Corrected: Mar 15, 2019
Tag 0679 D Feb 5, 2019

Provide activities to meet all resident's needs.

βœ“ Corrected: Mar 15, 2019
Tag 0684 D Feb 5, 2019

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

βœ“ Corrected: Mar 15, 2019
Tag 0725 E Feb 5, 2019

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

βœ“ Corrected: Mar 15, 2019
Tag 0761 E Feb 5, 2019

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.

βœ“ Corrected: Mar 27, 2019
Tag 0812 F Feb 5, 2019

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

βœ“ Corrected: Mar 15, 2019
Tag 0842 D Feb 5, 2019

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

βœ“ Corrected: Mar 15, 2019
Tag 0880 D Feb 5, 2019

Provide and implement an infection prevention and control program.

βœ“ Corrected: Mar 15, 2019

2018 6 violations

Tag 0558 D Sep 13, 2018

Reasonably accommodate the needs and preferences of each resident.

βœ“ Corrected: Oct 16, 2018
Tag 0583 D Mar 23, 2018

Keep residents' personal and medical records private and confidential.

βœ“ Corrected: Apr 24, 2018
Tag 0656 D Mar 23, 2018

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

βœ“ Corrected: Apr 24, 2018
Tag 0692 D Mar 23, 2018

Provide enough food/fluids to maintain a resident's health.

βœ“ Corrected: Apr 24, 2018
Tag 0695 D Mar 23, 2018

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

βœ“ Corrected: Apr 24, 2018
Tag 0880 E Mar 23, 2018

Provide and implement an infection prevention and control program.

βœ“ Corrected: Apr 24, 2018

2017 3 violations

Tag 0329 D Nov 1, 2017

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

βœ“ Corrected: Dec 6, 2017
Tag 0425 D Nov 1, 2017

Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.

βœ“ Corrected: Dec 6, 2017
Tag 0323 D May 2, 2017

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

βœ“ Corrected: May 26, 2017

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2022 1 penalties totaling $15,000

$15,000
Fine
March 24, 2022
Average: $15,000 | Range: $15,000 - $15,000

2020 1 penalties totaling $15,000

$15,000
Fine
December 18, 2020
Average: $15,000 | Range: $15,000 - $15,000

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

August 29, 2024
0.00

Health

January 3, 2024
0.00

Health

September 6, 2023
0.00

Health

July 12, 2023
0.00

Health

March 24, 2022
0.00

Health

February 27, 2020
0.00

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Ownership Information

Non profit - Corporation
Independent (Not part of a chain)
235289
235289
2695526500
Kalamazoo

Historical Ownership Records

August 25, 2025
Organization
August 25, 2025
Organization
August 25, 2025
Organization