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A
Very Good

Villa at Borgess Place

3057 Gull Road · Kalamazoo, MI 49048

2695526500 · For profit - Corporation

101 beds78.9 residents164 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A
Very Good
Total Staff
A
Very Good
RN Staff
A
Very Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Villa at Borgess Place receives an overall staffing grade of A (Very Good). With 4.6257 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 0.73 HPRD above the national average.

Weekend staffing stays relatively consistent — dropping 14.68% compared to weekdays. The facility has low agency staff usage (1.36% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (0)

No significant concerns identified for this quarter.

✨ Strengths (4)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (1.36%) — mostly permanent, familiar staff
Total Nurse HPRD
4.6257hrs/resident/day▲ 0.73
CMS benchmark: 3.48
RN HPRD
0.8936hrs/resident/day▲ 0.21
Recommended: 0.75
Weekend Drop-off
14.68%
4.8259 weekday → 4.1173 weekend
Agency Staff
1.36%
0.36% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.6415hrs/resident/day
Direct care aides
LPN HPRD
1.0906hrs/resident/day
Licensed practical nurses
Consistency
0.4875std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Kalamazoo County Average+0.70 HPRD
3.93
04.63 HPRD
vs. Michigan State Average+0.60 HPRD
4.03
04.63 HPRD
vs. National Average+0.73 HPRD
3.90
04.63 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Villa at Borgess Place ★
Kalamazoo · This facility
—
A
4.62570.8936★☆☆☆☆
Harold and Grace Upjohn Community Care Center
Kalamazoo
3.6 mi
B
3.55630.9771★★☆☆☆
Friendship Village
Kalamazoo
5.5 mi
A+
5.01541.3296★★★★★
Medilodge of Kalamazoo
Kalamazoo
6.6 mi
B
3.77320.9005★★★★☆
Medilodge of Portage
Portage
8 mi
B
3.87030.9534★★☆☆☆
Alamo Nursing Home Inc
Kalamazoo
10.2 mi
C
3.61350.4724★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

10
Inspections
63
Total Deficiencies
$0
Fines Assessed
Dec 10, 2025Health
6 deficiencies cited
▼
Aug 13, 2025Health
18 deficiencies cited· Includes actual harm
▼
Jun 9, 2025Health
7 deficiencies cited· Includes actual harm
▼
Feb 25, 2025Health
1 deficiency cited
▼
Feb 11, 2025Health
3 deficiencies cited
▼
Sep 18, 2024Health
3 deficiencies cited
▼
Aug 29, 2024Health
15 deficiencies cited
▼
Jan 3, 2024Health
1 deficiency cited
▼
Sep 6, 2023Health
1 deficiency cited
▼
Jul 12, 2023Health
8 deficiencies cited
▼

Penalty History

Aug 13, 2025Payment Denial
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.