01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-08-13 | 31 | 2025-08-13 | 7 |
| Cycle 2 | 2024-08-29 | 29 | 2024-08-29 | 5 |
| Cycle 3 | 2023-07-12 | 10 | 2023-07-12 | 4 |
CMS CCN 2352892026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Villa At Borgess Place
3057 Gull Road · Kalamazoo, MI 49048 · Kalamazoo County
Certified beds101CMS provider file
Recent citation rows86current CMS citation release
Penalty rows2current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
86 rows in the current release
5 rows carry G–L scope/severity codes; 0 carry J–L. 17 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-04-21 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2026-04-22 · complaint2026-04-21 · HEALTHF0686Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2026-04-22 · complaint2026-04-21 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2026-05-13 · complaint2026-03-26 · HEALTHF0627Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Correction field: Deficient, Provider has date of correction · 2026-04-22 · complaint2026-03-26 · HEALTHF0655Severity D · isolated; potential for more than minimal harm
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
Correction field: Deficient, Provider has date of correction · 2026-04-22 · complaint2026-03-26 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2026-04-22 · complaint2026-03-26 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2026-04-22 · complaint2025-12-10 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2026-01-05 · complaint2025-12-10 · HEALTHF0655Severity D · isolated; potential for more than minimal harm
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
Correction field: Deficient, Provider has date of correction · 2026-01-05 · complaint2025-12-10 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2026-01-05 · complaint2025-12-10 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2026-01-05 · complaint2025-12-10 · HEALTHF0694Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2026-01-05 · complaint2025-12-10 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2026-01-05 · complaint2025-08-13 · HEALTHF0550Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2025-09-092025-08-13 · HEALTHF0578Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2025-09-092025-08-13 · HEALTHF0600Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2025-09-09 · complaint2025-08-13 · HEALTHF0605Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2025-09-092025-08-13 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2025-09-09 · complaint2025-08-13 · HEALTHF0628Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Correction field: Deficient, Provider has date of correction · 2025-09-092025-08-13 · HEALTHF0655Severity D · isolated; potential for more than minimal harm
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
Correction field: Deficient, Provider has date of correction · 2025-09-092025-08-13 · HEALTHF0656Severity G · isolated actual harm
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.
Correction field: Deficient, Provider has date of correction · 2025-09-092025-08-13 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2025-10-032025-08-13 · HEALTHF0686Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2025-10-032025-08-13 · HEALTHF0689Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-10-03 · complaint03 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-08-13 | Fine | $45,130 | 0 |
| 2025-08-13 | Payment Denial | $0 | 23 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- AARON FAMILY INVESTMENT TRUSTOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST31% · since 09/03/2024
- AB INVESTMENT TRUST U/A/D 01/03/23Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST13% · since 09/03/2024
- BAUMOL, YEHOSHUAIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST27% · since 09/03/2024
- AARON, JONATHANIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 09/03/2024
- CUDNEY, KIERSTENIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 09/03/2024
- GRAF, MARCELLAIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 09/03/2024
- OPRESCU, NICOARAIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 09/03/2024
- AARON, JONATHANIndividual · CORPORATE OFFICERNOT APPLICABLE · since 09/03/2024
- OMNIA HEALTHCARE GROUP LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/23/2024
- AARON, JONATHANIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/03/2024
- CUDNEY, KIERSTENIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/02/2024
- GRAF, MARCELLAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/02/2024
- 3057 GULL ROAD LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 12/12/2024
- AARON FAMILY INVESTMENT TRUSTOrganization · ADP OF THE SNFNOT APPLICABLE · since 12/02/2024
- AB INVESTMENT TRUST U/A/D 01/03/23Organization · ADP OF THE SNFNOT APPLICABLE · since 12/02/2024
- ISRAEL FAMILY INVESTMENT TRUSTOrganization · ADP OF THE SNFNOT APPLICABLE · since 12/02/2024
- ISRAEL INVESTMENT TROrganization · ADP OF THE SNFNOT APPLICABLE · since 12/02/2024
- OMNIA HEALTHCARE GROUP LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 12/23/2024
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.40per resident day
RN hours0.58per resident day
Weekend nurse hours3.90per resident day
Staff turnover63.6%CMS reported field
06 / LOCAL RECORDS
Open the Kalamazoo ledger →Other published facilities nearby
Alamo Cove Rehab And Nursing Center100 beds · CMS overall 1/5103 citation rowsFriendship Village57 beds · CMS overall 5/544 citation rowsHarold And Grace Upjohn Community Care Center87 beds · CMS overall 1/590 citation rowsMedilodge Of Kalamazoo39 beds · CMS overall 2/533 citation rowsMedilodge Of Westwood97 beds · CMS overall 1/5108 citation rows