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Complaint Investigation

Villa At Borgess Place

March 26, 2026 · Kalamazoo, MI · 3057 Gull Road
Citations 4
CMS Rating 1/5
Beds 101
Provider ID 235289
Healthcare Facility
Villa At Borgess Place
Kalamazoo, MI  ·  View full profile →
Inspection Summary

Villa at Borgess Place in Kalamazoo, MI — inspection on March 26, 2026.

Found 4 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0627
Resident Rights Deficiencies
Potential for More Than Minimal Harm

Federal health inspectors cited Villa at Borgess Place in Kalamazoo, MI for a deficiency under regulatory tag F-F0627 during a complaint investigation conducted on 2026-03-26.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

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 4 deficiencies cited during this inspection of Villa at Borgess Place.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-04-22.

Federal health inspectors cited Villa at Borgess Place in Kalamazoo, MI for a deficiency under regulatory tag F-F0655 during a complaint investigation conducted on 2026-03-26.

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 4 deficiencies cited during this inspection of Villa at Borgess Place.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-04-22.

Federal health inspectors cited Villa at Borgess Place in Kalamazoo, MI for a deficiency under regulatory tag F-F0658 during a complaint investigation conducted on 2026-03-26.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Ensure services provided by the nursing facility meet professional standards of quality.

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 4 deficiencies cited during this inspection of Villa at Borgess Place.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-04-22.

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 2026-03-26.

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 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 4 deficiencies cited during this inspection of Villa at Borgess Place.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-04-22.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Kalamazoo, MI, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Villa at Borgess Place or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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