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Nursing HomeMedicaid Investigative

Villa at Borgess Place

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

3057 Gull Road, Burke Acres · Kalamazoo, MI 49048101 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.0/5

based on 52 Google reviews

5
4
3
2
1
Villa at Borgess Place Nursing Home in Kalamazoo, MI — Street View
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5/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Above-median deficiencies (31 vs median 8.0)
  • High staff turnover (68%)
  • High RN turnover (71%)

Bottom 25% in MI · Meets national RN staffing standard · Above recommended total nurse staffing · Worst in VILLA HEALTHCARE chain · $69,430 in fines

Source: Medicare data

What this means for your family

The Villa at Borgess Place has a dedicated team of nurses and therapists who can provide excellent care, particularly for short-term rehab. However, families must be vigilant regarding communication and medication management; we strongly recommend establishing a clear, direct line of contact with a specific staff member and personally verifying that medication schedules are being followed.

Google Reviews

Google Reviews

52 reviews on Google
The Villa at Borgess Place presents a highly polarized experience for families, with praise for individual nursing staff and rehab outcomes contrasted by severe reports of administrative neglect and communication failures. While many reviewers highlight compassionate care from specific CNAs and successful physical therapy transitions, others report critical issues including medication errors, unresponsiveness to family inquiries, and poor discharge planning. Families should be aware that while the facility is often described as clean and modern, there are recurring concerns regarding staffing levels and the reliability of management.

Quality Themes

Tap a score for details
Food5.0Staff6.0Clean8.0ActivitiesN/AMeds2.0MemoryN/AComms2.0ValueN/A

Strengths

  • Compassionate and attentive individual nursing staff
  • Effective physical therapy and rehab outcomes
  • Clean and well-maintained facility environment
  • Helpful admissions and business office personnel

Concerns

  • Poor communication and unresponsiveness from administration and social work (mentioned by 5 reviewers)
  • Medication management errors and delays (mentioned by 4 reviewers)
  • Understaffing leading to neglect or slow response times (mentioned by 4 reviewers)
  • Inadequate discharge planning and lack of follow-up (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

2342.92025(10)4.22026(43)

Distribution · 53 analyzed

5
36
4
4
3
0
2
2
1
11
23 reviews posted between Feb 15, 2026Feb 18, 2026 · 22 were 5-star

How They Respond to Reviews

20%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1Given the recent focus on improving administrative responsiveness, what is the best way for family members to stay in the loop regarding their loved one's care plan?
  • 2Can you walk me through the specific protocols in place to ensure accuracy and timeliness when it comes to medication administration?
  • 3With the facility currently working to address recent health inspection findings, what specific steps are being taken to improve overall oversight and compliance?
  • 4Since many families appreciate your physical therapy team, how do you integrate those rehab goals into the resident's daily routine and social activities?
  • 5What is your process for discharge planning, and how do you ensure families feel supported and prepared when a resident transitions to a new level of care?
  • 6How does your nursing team balance the high-acuity needs of the 101 residents to ensure that everyone receives timely attention throughout the day and night?

Personalized based on this facility's data


Key Review Excerpts

Whenever I visited, Taylor was helping her to transfer, helping her to eat, braiding her hair, and just interacting with her. We are very appreciative of her exceptional care.

Memory care family member · 2026★★★★★

The social worker would ignore emails and phone calls and never return them. Family also had a negative experience. When the resident did discharge, the villas failed to provide an updated medication list at the time of discharge, leading to a delay in medication changes

Professional/Healthcare worker · 2026☆☆☆☆

My grandfather had a rehab stay at this facility for LTC. The staff was very kind and caring during his transition. I am very appreciative. Special thanks to Krystal in admissions who was always smiling and helpful.

Long-term resident's family · 2026★★★★
Source: 52 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.83hrs
OK
Registered nurses for medical care
Total Nursing
4.49hrs
OK
All nurses + aides combined
Staff Turnover
66%
Lower is better (< 30% = good)
RN Turnover
58%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

11

measures

Worse Than Avg

4

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility4.8%
Better than Avg
Here
4.8%
US
15.4%
MI
15.0%
Kalamazoo
17.0%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility29.2%
Worse than Avg
Here
29.2%
US
19.4%
MI
20.2%
Kalamazoo
22.7%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility13.0%
Better than Avg
Here
13.0%
US
19.5%
MI
19.5%
Kalamazoo
22.4%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
MI
95.2%
Kalamazoo
91.3%
😔

Residents with depression symptoms

↓ Lower is better
This Facility5.6%
Mixed vs Avgs
Here
5.6%
US
12.1%
MI
4.2%
Kalamazoo
1.6%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better
This Facility19.2%
Worse than Avg
Here
19.2%
US
15.3%
MI
13.1%
Kalamazoo
12.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility94.1%
Better than Avg
Here
94.1%
US
79.7%
MI
79.5%
Kalamazoo
86.6%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility88.4%
Better than Avg
Here
88.4%
US
81.8%
MI
83.0%
Kalamazoo
86.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.2%
Better than Avg
Here
0.2%
US
1.6%
MI
1.2%
Kalamazoo
0.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

35deficiencies
2penalties
Well above state avg (9.8)
33 complaint-triggered
$69,430 in fines

Villa at Borgess Place has a concerning pattern with 79 deficiencies across 10 surveys, including 29 triggered by family complaints. The most recurring issues involve infection control, accident prevention and safety, and medication management. Problems persist across multiple years with recent complaints about abuse prevention and care quality. Families have filed reports about safety hazards, medication errors, and infection control failures, indicating ongoing care concerns that warrant careful consideration during visits.

Mar 26, 2026Complaint
4
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0627Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

Dec 10, 2025Complaint
6
0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0694Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Aug 13, 2025Routine
21
0656Actual harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0211Potential for harm · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

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

0847Potential for harm · PatternCorrected

Administration Deficiencies

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

0921Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0605Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Aug 13, 2025Complaint
4
0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0842Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Jun 9, 2025Complaint
7
0689Actual harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

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

0803Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

0806Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0607Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Feb 25, 2025Complaint
1
0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Federal Penalties

Fine

Aug 13, 2025

$69,430

Payment Denial

Aug 13, 2025

23-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Villa at Borgess Place

Organization Type

for profit

Chain Affiliation

Chain Name

Villa Healthcare

Chain Size

18 facilities nationwide

Chain avg rating: 2.6/5 · Rank 18 of 18 (Worst)

Ownership & Management

Owners

Aaron Family Investment Trust

Owner · Organization

31%

Ab Investment Trust U/a/d 01/03/23

Owner · Organization

13%

Baumol, Yehoshua

Owner

27%

Key personnel

Aaron, JonathanManaging Control - Governing BodyCudney, KierstenW-2 Managing EmployeeGraf, MarcellaW-2 Managing EmployeeOprescu, NicoaraW-2 Managing EmployeeAaron, JonathanOfficer / Director
Source: Medicare provider data

Contact

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Contact this facility directly and verify the details that matter most to your family.

References & Resources

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Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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