Villa at Borgess Place

Certification

Medicare-certified.

Ratings

Inspection history (70)

Records from July 2023 to April 2026.

• February 11, 2025

  Tag F0940

  Develop, implement, and/or maintain an effective training program for all new and existing staff members.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 21, 2025.

• February 11, 2025

  Tag F0761

  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.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 21, 2025.

• September 18, 2024

  Tag F0880

  Provide and implement an infection prevention and control program.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 10, 2024.

• September 18, 2024

  Tag F0686

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 10, 2024.

• September 18, 2024

  Tag F0689

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 10, 2024.

• August 29, 2024

  Tag F0813

  Have a policy regarding use and storage of foods brought to residents by family and other visitors.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 4, 2024.

• August 29, 2024

  Tag F0656

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 4, 2024.

• August 29, 2024

  Tag F0887

  Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 4, 2024.

• August 29, 2024

  Tag F0695

  Provide safe and appropriate respiratory care for a resident when needed.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 4, 2024.

• August 29, 2024

  Tag F0880

  Provide and implement an infection prevention and control program.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 4, 2024.

• August 29, 2024

  Tag F0550

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 4, 2024.

• August 29, 2024

  Tag F0812

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

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected October 4, 2024.

• August 29, 2024

  Tag F0883

  Develop and implement policies and procedures for flu and pneumonia vaccinations.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 4, 2024.

• August 29, 2024

  Tag F0684

  Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 4, 2024.

• August 29, 2024

  Tag F0558

  Reasonably accommodate the needs and preferences of each resident.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 4, 2024.

• August 29, 2024

  Tag F0609

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 4, 2024.

• August 29, 2024

  Tag F0758

  Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is l….

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 4, 2024.

• August 29, 2024

  Tag F0623

  Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 4, 2024.

• August 29, 2024

  Tag F0607

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 4, 2024.

• August 29, 2024

  Tag F0584

  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 4, 2024.

Penalties (2)

Total fines: $45,130

• August 13, 2025 · Payment Denial

  CMS recorded a Medicare/Medicaid payment denial for new admissions starting September 10, 2025, lasting 23 days (triggered by inspection on August 13, 2025).

• August 13, 2025 · Fine

  CMS recorded a civil money penalty of $45,130 against this nursing home on August 13, 2025.

Staffing

4.78 nurse hours per resident per day in Q2 2026, up from 4.49 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

For profit - Corporation