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Borgess Gardens

πŸ“ 3057 Gull Road, Kalamazoo, MI 49048 πŸ“ž (269) 552-6500 πŸ›οΈ 101 beds

Inspection History Overview

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
Mar 24, 2022

Fine

2020 1 penalties totaling $15,000

$15,000
Dec 18, 2020

Fine

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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
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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
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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
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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
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