Villa At Borgess Place has received an F grade based on CMS data, with a score of 30/100 — placing it among the lowest-rated nursing facilities in Michigan. Families considering this Kalamazoo facility should carefully review its inspection history and quality metrics.
Villa At Borgess Place provides above-average staffing with 4.62 total nurse hours per resident per day. Higher staffing levels are generally associated with better care outcomes and more attentive staff.
Recent inspections identified 63 deficiencies at Villa At Borgess Place. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.62 | 3.8 | Above Average |
| Registered Nurses (RN) | 0.89 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 1.09 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.63 | 2.4 | Average |
| Weekend Total Nursing | 4.11 | 3.8 | Average |
| Weekend RN Hours | 0.59 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0550 Severity DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Dec 9, 2025 · Resident Rights Deficiencies
- Tag 0655 Severity DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDec 9, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0658 Severity DEnsure services provided by the nursing facility meet professional standards of quality.Dec 9, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0690 Severity DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to preventDec 9, 2025 · Quality of Life and Care Deficiencies
- Tag 0694 Severity DProvide for the safe, appropriate administration of IV fluids for a resident when needed.Dec 9, 2025 · Quality of Life and Care Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 9.7% | 4.5% | Worse |
| Falls with major injury | 2.7% | 3.0% | Average |
| On antipsychotic medication | 6.2% | 14.5% | Better |
| Urinary tract infections | 1.4% | 2.5% | Better |
| ADL decline (daily activities) | 12.1% | 14.0% | Better |
| Excessive weight loss | 1.9% | 7.5% | Better |
| New/worsened incontinence | 31.6% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $69,430
How This Grade Was Calculated
This facility's grade of F is based on a score of 30 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -6 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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