Villa At Borgess Place

Federal health inspectors cited Villa at Borgess Place in Kalamazoo, MI for a deficiency under regulatory tag F-F0550 during a standard health inspection conducted on 2025-08-13.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 18 deficiencies cited during this inspection of Villa at Borgess Place.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-09.

Federal health inspectors cited Villa at Borgess Place in Kalamazoo, MI for a deficiency under regulatory tag F-F0578 during a standard health inspection conducted on 2025-08-13.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: 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.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 18 deficiencies cited during this inspection of Villa at Borgess Place.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-09.

Federal health inspectors cited Villa at Borgess Place in Kalamazoo, MI for a deficiency under regulatory tag F-F0600 during a complaint investigation conducted on 2025-08-13.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

The facility was found deficient in the following area: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 18 deficiencies cited during this inspection of Villa at Borgess Place.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-09.

Federal health inspectors cited Villa at Borgess Place in Kalamazoo, MI for a deficiency under regulatory tag F-F0605 during a standard health inspection conducted on 2025-08-13.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

The facility was found deficient in the following area: Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 18 deficiencies cited during this inspection of Villa at Borgess Place.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-09.

Federal health inspectors cited Villa at Borgess Place in Kalamazoo, MI for a deficiency under regulatory tag F-F0609 during a complaint investigation conducted on 2025-08-13.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

The facility was found deficient in the following area: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 18 deficiencies cited during this inspection of Villa at Borgess Place.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-09.

Federal health inspectors cited Villa at Borgess Place in Kalamazoo, MI for a deficiency under regulatory tag F-F0628 during a standard health inspection conducted on 2025-08-13.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 18 deficiencies cited during this inspection of Villa at Borgess Place.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-09.

Federal health inspectors cited Villa at Borgess Place in Kalamazoo, MI for a deficiency under regulatory tag F-F0655 during a standard health inspection conducted on 2025-08-13.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 18 deficiencies cited during this inspection of Villa at Borgess Place.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-09.

Federal health inspectors cited Villa at Borgess Place in Kalamazoo, MI for a deficiency under regulatory tag F-F0656 during a standard health inspection conducted on 2025-08-13.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Scope/Severity Level G: isolated, actual harm that is not immediate jeopardy.

Actual harm to residents was documented as a result of this deficiency.

This was one of 18 deficiencies cited during this inspection of Villa at Borgess Place.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-09.

Federal health inspectors cited Villa at Borgess Place in Kalamazoo, MI for a deficiency under regulatory tag F-F0677 during a standard health inspection conducted on 2025-08-13.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide care and assistance to perform activities of daily living for any resident who is unable.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 18 deficiencies cited during this inspection of Villa at Borgess Place.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-03.

Federal health inspectors cited Villa at Borgess Place in Kalamazoo, MI for a deficiency under regulatory tag F-F0686 during a standard health inspection conducted on 2025-08-13.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Scope/Severity Level G: isolated, actual harm that is not immediate jeopardy.

Actual harm to residents was documented as a result of this deficiency.

This was one of 18 deficiencies cited during this inspection of Villa at Borgess Place.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-03.

Federal health inspectors cited Villa at Borgess Place in Kalamazoo, MI for a deficiency under regulatory tag F-F0689 during a complaint investigation conducted on 2025-08-13.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 18 deficiencies cited during this inspection of Villa at Borgess Place.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-03.

Federal health inspectors cited Villa at Borgess Place in Kalamazoo, MI for a deficiency under regulatory tag F-F0756 during a standard health inspection conducted on 2025-08-13.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 18 deficiencies cited during this inspection of Villa at Borgess Place.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-09.

Federal health inspectors cited Villa at Borgess Place in Kalamazoo, MI for a deficiency under regulatory tag F-F0761 during a standard health inspection conducted on 2025-08-13.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: 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.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 18 deficiencies cited during this inspection of Villa at Borgess Place.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-09.

Federal health inspectors cited Villa at Borgess Place in Kalamazoo, MI for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-08-13.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 18 deficiencies cited during this inspection of Villa at Borgess Place.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-09.

Federal health inspectors cited Villa at Borgess Place in Kalamazoo, MI for a deficiency under regulatory tag F-F0842 during a complaint investigation conducted on 2025-08-13.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 18 deficiencies cited during this inspection of Villa at Borgess Place.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-09.

Federal health inspectors cited Villa at Borgess Place in Kalamazoo, MI for a deficiency under regulatory tag F-F0847 during a standard health inspection conducted on 2025-08-13.

Category: Administration Deficiencies

The facility was found deficient in the following area: Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 18 deficiencies cited during this inspection of Villa at Borgess Place.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-09.

Federal health inspectors cited Villa at Borgess Place in Kalamazoo, MI for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-08-13.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Provide and implement an infection prevention and control program.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 18 deficiencies cited during this inspection of Villa at Borgess Place.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-03.

Federal health inspectors cited Villa at Borgess Place in Kalamazoo, MI for a deficiency under regulatory tag F-F0921 during a standard health inspection conducted on 2025-08-13.

Category: Environmental Deficiencies

The facility was found deficient in the following area: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 18 deficiencies cited during this inspection of Villa at Borgess Place.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-09.