A licensed vocational nurse hired in June 2021 had no background check on file either.
Nursing Home News — Page 679
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That delay is at the center of a complaint inspection completed August 13 at Villa at Borgess Place, a nursing home at 3057 Gull Road in Kalamazoo.
The resident, identified in inspection records as R50, was admitted July 22, 2025.
The physical therapist wrote it down.
The resident, identified in inspection records as Resident #43, had a documented chronic urinary tract infection history and had been seeing a urologist.
The resident, identified in inspection records only as Resident #53, had been admitted to Edgewood Manor on August 9, 2025.
The signs listed exactly what staff were required to do before entering: wash hands, put on gloves, put on a gown.
Federal inspectors assigned an Immediate Jeopardy finding to the facility following a complaint investigation completed August 13, 2025.
Because of that feeding tube, her physician placed her on Enhanced Barrier Precautions in early April 2025.
The employee entered the security code, disarmed the door alarm, and opened the door.
Every one of them confirmed what had happened.
The elopement occurred at 2:45 p.m.