Villa At Borgess Place - 1-Star Rehab Facility in Kalamazoo, MI | PlacetClinical Quality Indicators
Long-stay residents , lower is better
Antipsychotic medication use 6.2%Falls causing major injury 2.74%Pressure ulcers (high-risk) 9.71%Admissions Contacts
No admissions contacts on file yet.
CMS Star Ratings
Last inspected: Aug 2025 (293 days ago)🔍 Health Inspection
1/5
★☆☆☆☆
📊 Quality Measures
4/5
★★★★☆
Medicare
Source: CMS MDS Quality Measures. Updated quarterly.
State avg: 47 min · US avg: 41 min
Total Nurse / Resident / Day
4h 37m
State avg: 4h 2m · US avg: 3h 53m
4 min
State avg: 4 min · US avg: 4 min
68 per 100
State avg: 44 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
Weekend vs. Weekday RN
50%below avg
US avg: 64%
Total Nurse Weekend
4h 38m
Federal Penalties
9 penalties · $0 total
| Date | Type | Fine | Denial Days |
|---|
| 8/13/2025 | Payment Denial | - | 23 |
| 8/13/2025 | Payment Denial | - | 23 |
| 8/13/2025 | Payment Denial | - | 23 |
| 8/13/2025 | Payment Denial | - | 23 |
| 8/13/2025 | Payment Denial | - | 23 |
| 8/13/2025 | Payment Denial | - | 23 |
| 8/13/2025 | Payment Denial | - | 23 |
| 8/13/2025 | Payment Denial | - | 23 |
| 8/13/2025 | Payment Denial | - | 23 |
Inspection Citations
Survey: August 13, 2025(54 citations)
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟠 Actual HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for Harm
25.9 per 100
State avg: 24.2 · US avg: 23.9
12.6 per 100
State avg: 11.5 · US avg: 12.0
2.7 per 100
State avg: 3.1 · US avg: 3.3
9.7 per 100
State avg: 5.6 · US avg: 5.1
0.0 per 100
State avg: 1.3 · US avg: 1.6
94.1 per 100
State avg: 79.5 · US avg: 79.7
Rates shown per 100 patients · Green = better than average · Amber = average · Red = below average
VBP Performance Score
26/100
Incentive Payment
-1.60% penalty
Healthcare-Assoc. Infections
7.2 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
149
Avg Length of Stay
18.4 days
Avg Payment / Stay
$9,270.86
Patient Complexity
2.28 × avg
Avg LOS 15-30 days is typical for short-term rehab · Patient complexity = HCC risk score (1.0 = national average; higher = sicker patient mix)
Quality of Life and Care Deficiencies
🟠 Actual HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmEnvironmental Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟠 Actual HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟠 Actual HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmEnvironmental Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟠 Actual HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟠 Actual HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmAdministration Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmEnvironmental Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
Survey: June 9, 2025(21 citations)
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟠 Actual HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmNutrition and Dietary DeficienciesComplaint
🟡 Potential for HarmNutrition and Dietary DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟠 Actual HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmNutrition and Dietary DeficienciesComplaint
🟡 Potential for HarmNutrition and Dietary DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟠 Actual HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmNutrition and Dietary DeficienciesComplaint
🟡 Potential for HarmNutrition and Dietary DeficienciesComplaint
Survey: February 25, 2025(3 citations)
🟡 Potential for HarmInfection Control DeficienciesComplaint
🟡 Potential for HarmInfection Control DeficienciesComplaint
🟡 Potential for HarmInfection Control DeficienciesComplaint
Survey: February 11, 2025(9 citations)
🟡 Potential for HarmPharmacy Service DeficienciesComplaint
🟡 Potential for HarmPharmacy Service DeficienciesComplaint
🟡 Potential for HarmAdministration DeficienciesComplaint
🟡 Potential for HarmPharmacy Service DeficienciesComplaint
🟡 Potential for HarmPharmacy Service DeficienciesComplaint
🟡 Potential for HarmAdministration DeficienciesComplaint
🟡 Potential for HarmPharmacy Service DeficienciesComplaint
🟡 Potential for HarmPharmacy Service DeficienciesComplaint
🟡 Potential for HarmAdministration DeficienciesComplaint
Survey: September 18, 2024(9 citations)
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmInfection Control DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmInfection Control DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmInfection Control DeficienciesComplaint
+ 4 more survey(s) not shown in snapshot
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