3057 Gull Road, Kalamazoo, MI 49048 · Kalamazoo County · (269) 552-6500
101 certified beds, about 93 residents a day · For profit - Corporation · Medicare and Medicaid since 1976
CMS Care Compare ratings, data as of September 1, 2026 · CCN 235289 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on August 13, 2025, inspectors cited 18 health deficiencies (the Michigan average is 9.9, the national average 9.2).
Of 70 health citations since July 2023, 5 were rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $46,409 in the last three years; the largest was $46,409, and the latest is dated August 13, 2025.
Nurses and nurse aides worked 4.40 hours per resident per day, against 3.99 across Michigan and 3.86 nationally. Registered nurses accounted for 0.58 of those hours.
63.6% of nursing staff left within the year CMS measured (Michigan average 44.1%).
CMS links it to Villa Healthcare, an affiliated group of 21 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 70 health citations on file.
Inspectors wroteThis citation pertains to intake 2988571Based on observation, interview, and record review the facility failed to promote the healing of an existing pressure ulcer and to prevent pressure ulcer development for one resident (#3) out of three residents reviewed resulting in a stage 2 pressure ulcer (partial-thickness skin injury) developing to an unstageable pressure ulcer(a full-thickness tissue loss where the depth is covered by eschar or slough tissue), the development of a new unstageable pressure ulcer, and the resident experience a pain level of 9 out of 10 (pain scale 1 - least pain and 10 being the most pain). [...]
Inspectors wroteThis citation pertains to intake 2972335Based on interview and record review the facility failed to provide Activities of Daily Living (ADL) care for one (#1) of three residents reviewed for ADL care. [...]
Inspectors wroteBased on observation, interview, and record review the facility failed to follow acceptable infection control procedures for one resident (#3) of three residents observed during clean dressing changes. [...]
Inspectors wroteThis citation pertains to Intake #2799926. Based on interview, and record review, the facility failed to ensure that interventions for increased supervision and assistance were implemented for residents at high risk for falls for 1 resident (Resident #101) of 3 residents reviewed for fall prevention, resulting in an unwitnessed fall with laceration to the head and subsequent hospitalization for SAH (subarachnoid hemorrhage) and SDH (subdural hematoma).
Inspectors wroteThis citation pertains to Intake #2795029. Based on interview and record review the facility failed to implement an effective discharge planning process to ensure a safe and orderly discharge for 1 resident (Resident #103) of 3 residents reviewed for discharge process, resulting in lack of a capable caregiver in place and the necessary durable medical equipment available prior to discharge to the community.
Inspectors wroteThis citation pertains to Intake #2799926. Based on interview and record review, the facility failed to develop a baseline care plan related to high risk for falls in 1 resident (Resident #101) of 3 residents reviewed for falls, resulting in an unwitnessed fall with major injury.
Inspectors wroteThis citation pertains to Intake #2791318. Based on interview and record review the facility failed to ensure residents received care in accordance with professional standards and per physician orders for 1 resident (Resident #104) of 3 residents reviewed for quality of care, when nursing staff failed to administer medications per physician order and resident request.
Inspectors wroteThis citation pertains to intake #2668784Based on observation, interview, and record review the facility failed to maintain resident dignity in 2 (Resident #1 and Resident #3) of 5 sampled residents, resulting in feelings of humiliation, embarrassment, and shame.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a baseline care plan was developed for 1 (Resident #3) of 5 sampled residents resulting in the potential for unmet care needs.
Inspectors wroteThis citation pertains to intake #2668784Based on observation, interview, and record review the facility failed to ensure that professional standards of nursing practice were maintained by following physician orders in 1 (Resident #1) of 4 residents reviewed for professional nursing standards and physician orders resulting in laboratory diagnostic testing not being completed as ordered.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure proper management of an indwelling urinary catheter in 1 (Resident #3) of 1 resident reviewed for an indwelling urinary catheter resulting in the potential for unmet care needs.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure proper management of a PICC (Peripherally Inserted Central Catheter - intravenous tube used for prolonged vascular access) in 1 (Resident #5) of 1 resident reviewed for a PICC resulting in the potential for unmet care needs.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure proper use of personal protective equipment (PPE) during cares while in enhanced barrier precautions for 1 (Resident #5) of 3 residents reviewed for PPE use during cares while in enhanced barrier precautions (EBP), resulting in the potential for the introduction of and/or the spread of infection.
Inspectors wroteBased on observation, interview and record review, the facility failed to develop a person-centered care plan for the prevention of pressure ulcers for 1 (Resident #47) of 18 residents reviewed for person centered care plans resulting in Resident #47 developing an open wound on his coccyx (tail bone area) and a pressure ulcer on his left heel.
Inspectors wroteBased on observation, interview, and record review the facility failed to provide adequate care to prevent the development of pressure ulcers in 1 (Resident #47) of 5 residents reviewed for pressure ulcers resulting in Resident #47 developing pressure ulcers in the coccyx (the tailbone area of the body) and the left heel.
Inspectors wroteBased on observation, interview and record review the facility failed to maintain best practices in accordance with professional standards of food service safety. The deficient practice has the potential to result in food borne illness among all residents that consume food from the kitchen.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide care and services to promote dignity and respect for 8 of 8 residents who attended a confidential group meeting, resulting in feelings of frustration, decreased self-worth and embarrassment.
Inspectors wroteThis citation pertains to intake #2586142Based on observation, interview, and record review the facility failed to: 1. provide an environment that was free from accident hazards for 2 residents (Resident #73 and Resident #40) of 5 residents reviewed for accidents. This deficient practice resulted in an elopement for Resident #73 and Resident #40 repeatedly walking unassisted thereby creating the potential for more than minimal harm. 2. To ensure wander alert equipment was working properly and effectively to ensure the safety of residents at risk for elopement. This deficient practice has the potential to impact 10 residents who currently require the use of personal wander alert devices and are at risk for elopement.
Inspectors wroteThis citation pertains to intake # 2586142Based on observation, interview, and record review, the facility failed to maintain complete and accurate medical records in 5 of 18 residents (Resident #10, #99, #100, #73 & #47) reviewed for accuracy of medical records, resulting in inaccurate treatment records and the potential for providers to not have an accurate picture of resident status and condition.
Inspectors wroteBased on interview and record review the facility failed to ensure the explanation of their binding arbitration agreement was explained in a clear and concise manner to residents to ensure understanding at admission for 3 (Resident #71, Resident #37, and Resident #27) and 8 more residents during a confidential group meeting, resulting in residents expressing confusion and concerns regarding entering into and agreeing to a binding arbitration agreement.
Inspectors wroteBased on observation and interviews, the facility failed to maintain a safe, functional, sanitary, and comfortable environment. This resulted in an increased potential for contamination and a possible decrease in satisfaction of living.
Inspectors wroteBased on interview and record review, the facility failed to ensure proper documentation and accurate advanced directive information was in place for 2 residents (Resident #102, Resident #98) of 3 residents reviewed for advanced directives (legal documents that allow a person to identify decisions about end-of-life care ahead of time), resulting in the potential for a resident's preferences for medical care to not be followed by the facility with accurate documentation to support it.
Inspectors wroteThis citation pertains to Intake: 2569824Based on interviews and record review, the facility failed to protect the resident's right to be free from sexual abuse by staff for 1 (Resident #81) of 3 residents reviewed for abuse, resulting Resident #81 experiencing mental anguish, intimidation, and fear.
Inspectors wroteBased on interview and record review the facility failed to ensure that PRN (as needed) psychotropic medications were limited to 14 days in 1 (Resident #12) of 5 residents reviewed for unnecessary medications.
Inspectors wroteThis citation pertains to intake #2586142Based on interview, and record review, the facility failed to report 2 elopements and an allegation of abuse to the State Agency in a timely manner for 2 (Resident #73, Resident #66) of 3 residents reviewed for abuse and reporting, resulting in the potential for ongoing mistreatment, as well as additional incidents of elopements and alleged abuse to go unreported.
Inspectors wroteBased on interview and record review, the facility failed to ensure a proper bedhold notification was completed for 1 resident (Resident #66) of 1 resident reviewed for hospitalization, resulting in Resident #66's not receiving a written notice of bedhold.
Inspectors wroteBased on interview and record review, the facility failed to develop and implement a baseline care plan related to sexual behaviors for 1 resident (Resident #99) of 18 reviewed for care plans resulting in some staff being unaware of Resident #99's behaviors and sexual history.
Inspectors wroteBased on interviews and record review, the facility failed to provide timely ADL (activities of daily living) care for 1 resident (Resident #109) of 2 residents reviewed for ADL Care, resulting in Resident #109 not receiving timely incontinence care on 8/10/25 when a Certified Nursing Assistant (CNA) mistakenly thought the resident was independent with personal care. This deficient practice resulted in the potential for skin breakdown, feelings of embarrassment, and unmet care needs.
Inspectors wroteBased on interview and record review, the facility failed to ensure that follow up with pharmacy recommendations occurred for 1 resident (Resident #57) and monitoring of side effects of psychotropic medications (any medication that affects the mind and alters mental processes such as antidepressants, antipsychotics, anxiolytics, sedatives and stimulants) occurred for 2 residents (Resident #57, Resident # 64) of 5 residents reviewed for medications resulting in the potential for unnecessary medications and no monitoring and follow-up of potential side effects of medications.
Inspectors wroteBased on observation, interview, and record review the facility failed to 1). properly store medications in a secure manner in 2 of 6 medications carts: 2). ensure the interior of medication carts were clean: 3). ensure that medication refrigerators were secured with a lock: and 4). ensure consistent monitoring and documentation of refrigerator temperatures occurred.
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow physician ordered enhanced barrier precautions for 2 of 3 residents (R2 and R41) reviewed for infection control, resulting in the potential for the spread of infection to a vulnerable population.
Inspectors wroteThis citation pertains to intake MI00153113. Based on observation, interview, and record review, the facility failed to provide adequate supervision to prevent falls for 1 (Resident #105) of 3 residents reviewed for falls, resulting in a fall with major injury requiring hospitalization and surgical intervention for Resident #105 and potential for additional falls with injury.
Inspectors wroteBased on interview and record review, the facility failed to ensure residents received the correct foods as outlined on the planned, posted menu, resulting in dissatisfaction with meal service and feelings of frustration. This deficient practice has the potential to affect all residents who consume food from the kitchen, out of a total census of 77.
Inspectors wroteThis citation pertains to intake MI00152495 and MI00153405. Based on observation, interview, and record review, the facility failed to ensure resident food preferences and portion sizes at meals were consistently honored, for 7 (Residents #104, #110, #111, #112, #113, #114, and #116 ) of 18 residents reviewed for food concerns, resulting in resident/representative complaints of food choices not being honored and the potential for decreased meal enjoyment, feelings of frustration, and the potential for weight loss and nutritional decline. Resident #104 Review of a Minimum Data Set (MDS) assessment for Resident #104, with a reference date of 5/1/25 revealed a Brief Interview for Mental Status (BIMS) score of 15/15 which indicated Resident #104 was cognitively intact. Review of Resident #104's Meal Ticket revealed, Diet order: Regular texture. Regular diet. Allergies: Cinnamon. Dislikes: [...]
Inspectors wroteThis citation pertains to intake MI00153405. Based on observation, interview, and record review, the facility failed to ensure residents were cared for with dignity and respect for 3 (Resident #107, #110, and #117) of 8 residents reviewed for dignity, resulting in the potential for feelings of embarrassment, frustration, depression, loss of self-worth and an overall deterioration of psychological well-being.
Inspectors wroteBased on interview and record review, the facility failed to ensure staff fully implemented the abuse policy and identiry and report allegations of neglect to the abuse coordinator in a timely manner for 1 (Resident #118) of 1 residents reviewed for abuse and neglect, resulting in the potential for continued violations involving neglect go unreported.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents received care in accordance with professional standards in 3 (Resident #104, #105 and #107) of 18 residents reviewed for quality of care, resulting in 1.) Resident #104 missing medication for multiple days in a row 2.) Nursing staff omitting neurological (neuro) assessments and inaccurately documenting assessments as completed after a fall for Resident #105 and 3.) Resident #107 missing a re-weight check ordered by a physician.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide assistance with toileting and eating for 2 (Resident #107 and Resident #118) of 9 residents reviewed for activities of daily living (ADL) care resulting in the potential for avoidable negative physical outcomes for resident's who are dependent on staff for assistance.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure an effective infection control program that included 1) implementation of Enhanced Barrier Precautions (EBP) per standards of practices for 2 of 3 residents (R101, and R103), and 2) ensure hand sanitizer was available outside a EBP room for 1 of 3 residents (R102) reviewed for infection control, resulting in the potential for cross-contamination, harborage of bacteria, and increased infections in a vulnerable population.
Inspectors wroteThis citation pertains to intake #MI00147450. Based on interview and record review the facility failed to ensure that residents were free from significant medication errors in 1 of 3 residents (R101) reviewed for medication errors resulting in R101 receiving insulin that was not ordered causing dizziness and general malaise.
Inspectors wroteThis citation pertains to intake #MI00147450. Based on observation, interview, and record review, the facility failed to follow standards of practice for medication labeling, with the potential to cause side effects and infection control issues.
Inspectors wroteThis citation pertains to intake # MI00147450. Based on interview, and record review, the facility failed to maintain an effective training program for agency staff consistent with their role in the facility to ensure the safety of resident in 1 of 3 residents (R101) reviewed for medication administration, resulting in R101 receiving an unordered medication and sustaining dizziness and overall malaise.
Inspectors wroteBased on observation, interview, and record review, the facility failed to consistently monitor and assess one resident (R100) of two residents reviewed for pressure ulcer care, resulting in the potential of slow healing wounds, and/or new pressure ulcers developing and the mismanagement of treatment and not receiving adequate care required to maintain or achieve their highest practicable physical well-being.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a gait belt was used during transfers for two of two residents (R100 and R102) reviewed for safe transfers, resulting in the potential for a fall or fall with injury.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure adequate infection control practices were put in place to ensure proper PPE (Personal Protection Equipment) provided for two of two residents (R100 and R102) reviewed for infection control, resulting in an increased potential of cross-contamination of disease in a vulnerable population.
Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety. This deficient practice has the potential to result in food borne illness among all residents.
Inspectors wroteBased on interview and record review, the facility failed to provide written notification to the State Long-Term Care (LTC) Ombudsman of facility-initiated transfers/discharges since November 2019, resulting in the potential for all residents to be discharged without an advocate who can inform them of their options and rights.
Inspectors wroteBased on interview and record review, the facility failed to ensure timely care and services to promote dignity in 1 (Resident #37) of 3 residents reviewed for dignity/respect, resulting in long call light wait times, delay in incontinence care, and the potential for feelings of diminished self-worth and frustration.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure call lights were in reach for 1 of 24 residents (Resident #10) reviewed for accommodation of needs, resulting in the inability to call for staff assistance and the potential for unmet care needs.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a clean and sanitary environment in 2 of 2 residents (Resident #53 & #54) reviewed for a clean, comfortable, homelike environment, resulting in soiled fans and the potential for respiratory complications.
Inspectors wroteBased on interview and record review, the facility failed to ensure staff fully implemented the abuse policy and report allegations of neglect to the abuse coordinator in a timely manner for 1 (Resident #6) of 1 residents reviewed for abuse and neglect, resulting in the potential for continued violations involving neglect go unreported.
Inspectors wroteBased on interview and record review, the facility failed to report allegations of neglect to the State Agency in a timely manner for 1 (Resident #6) of 1 residents reviewed for abuse and neglect, resulting in the potential for continued violations involving neglect going undetected, unreported, or without thorough investigation.
Inspectors wroteBased on observation, interview, and record review, the facility failed to implement care plan interventions and orders for 2 (Resident # 50 and #43) of 18 Residents reviewed for care planning, resulting in a potential for unmet care needs.
Inspectors wroteBased on observation, interview, and record review, the facility failed to assess a change of skin condition in 1 of 5 residents (R43) reviewed for quality of care, resulting in a delay in assessment, treatment, pain, and the potential for worsening of condition and infection.
Inspectors wroteBased on observation, interview, and record review the facility failed to follow physician orders for use of oxygen for 1 (Resident #10) of 2 residents reviewed for respiratory care, resulting in inaccurate settings, irregular cleaning, and the potential for respiratory infection.
Inspectors wroteBased on interview and record review, the facility failed to 1. provide documentation of an adequate indication for medication use, 2. educate the resident/guardian on the intended or actual benefit versus potential risk(s) or adverse consequences associated with the selected medication, and 3. identify, care plan, and implement non-pharmacological interventions for 1 (Resident #57) of 5 residents reviewed for unnecessary medications, resulting in the potential for unmet psychosocial needs and the resident to have received an unnecessary medication.
Inspectors wroteBased on observation, interview and record review, the facility failed to fully implement a policy regarding use and storage of resident foods brought in from outside sources in one resident personal refirgerator (Resident #53) and one of four shared resident refrigerators. This deficient practice resulted in unknown discard dates and potentially hazardous foods being held passed their discard date, increasing the risk of contamination and food borne illness among residents who store personal food in the facility. Findings Include: An interview with Director of Dining Services (DDS) N at 10:18 AM on 8/27/24, regarding the four bistro areas of the facility, found that kitchen staff stock the bistro kitchen refrigeration units once a day and that housekeeping staff should clean the bistro once a day. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure infection control practices were followed to ensure proper hand hygiene was performed during brief change and wound dressing change, resulting in the potential for bacterial harborage, cross contamination, and the spread of disease to a vulnerable population.
Inspectors wroteBased on interview and record review, the facility failed to ensure residents were screened for eligibility to receive pneumococcal vaccinations and receive vaccination if eligible for 1 (Resident #2 ) of 5 residents reviewed for vaccinations, resulting in the potential of acquiring, transmitting, or experiencing complications from pneumococcal pneumonia.
Inspectors wroteBased on interview and record review, the facility failed to ensure COVID-19 immunizations were offered to 3 of 5 residents (Resident #2, #50 and #53) reviewed for COVID-19 immunizations, resulting in an increased risk for infection, and the potential spread of COVID-19 infection to other residents, staff, and visitors.
Inspectors wroteBased on interview and record review, the facility failed to investigate a fall and review and revise the care plan for 1 (Resident #103) of 4 residents reviewed for accidents/hazards, resulting in the potential for additional falls and injury.
Inspectors wroteThis citation pertains to intake MI00138567 and MI00139004. Based on interview and record review, the facility failed to: 1.) ensure residents received consistent and comprehensive skin/wound assessments, 2.) ensure physician orders for skin treatments were implemented, and 3.) perform STAT (immediate) blood work as ordered for 1 of 3 residents (Resident #101), reviewed for quality of care, resulting in the lack of assessment, monitoring, and documentation and the potential for the worsening of a medical condition and the delay in treatment.
Inspectors wroteBased on observation, interview, and record review the facility failed to: 1. Clean food and non-food contact surfaces to sight and touch; 2. Datemark and discard potentially hazardous foods; 3. Have an irreversible measuring indicator to ensure proper working order of the dish machine; 4. Maintain plumbing in good repair; 5. Properly store CO2 containers; and 6. Ensure proper cooling of potentially hazardous foods. These conditions resulted in an increased risk of contaminated foods and an increased risk of food borne illness that affected 73 residents who consume food from the kitchen. Findings Include: 1. During the initial tour of the kitchen, at 9:48 AM on 7/10/23, with Food and Nutritional Services Director (FNSD) I, it was observed that black debris was evident on gaskets of the four door traulson cooler. [...]
Inspectors wroteThis citation pertains to Intakes # MI00128996, # MI00135026, & # MI00136953. Based on observation, interview, and record review, the facility failed to ensure sufficient staff to meet resident needs for 5 (Resident #10, Resident #282, Resident #8, Resident #88, and Resident #182) of 18 residents reviewed for staffing, resulting in long call light wait times, residents being left wet and soiled, and the potential for unmet needs for all residents of the facility.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that resident medications were labeled and stored securely in 4 of 10 residents (Residents #33, #38, #59, & #51) reviewed for medication administration, and 1 of 5 medication carts reviewed for labeling and secure medication storage, resulting in the potential for decreased efficacy of and/or adverse reactions to medications, and the potential for residents, visitors, and/or staff to have unauthorized access to medications.
Inspectors wroteThis citation has two Deficiency Practice Statements, A and B. Deficiency Practice Statement A Based on observation, interview, and record review, the facility failed to practice effective infection control techniques for 1 of 10 residents (Resident #333) reviewed for infection control during medication administration, resulting in the potential spread of infection when improper hand hygiene techniques were not performed during a Peripherally Inserted Central Catheter (PICC) line flush.
Inspectors wroteBased on interview and record review, the facility failed to provide a Skilled Nursing Facility Advanced Beneficiary Notice (SNF ABN) detailing estimated charges for continued services in 2 of 3 residents (Resident #4 & #28) reviewed for timely provision of notifications, resulting in the potential for residents/resident representatives to be unaware of changes in regard to financial liability.
Inspectors wroteThis citation pertains to Intake # MI00130678. Based on interview, and record review, the facility failed to protect the residents right to be free fom staff to resident verbal and mental abuse and mistreatment for 3 (Resident #82, #10, and #333) of 18 sampled residents reviewed for abuse and dignity, resulting in residents feeling uncomfortable and anxious around the staff and the likelihood of feelings of embarrassment, humiliation and dehumanization.
Inspectors wroteThis citation pertains to Intake # MI00136953. Based on observation, interview, and record review, the facility failed to provide bathing/showers per identified resident needs and preferences for 2 residents (R8 and R88) of 17 residents reviewed for ADL (Activities of Daily Living) care, resulting in psychosocial sadness, and the potential of poor hygiene, skin irritation and breakdown.
Inspectors wroteBased on interview, and record review the facility failed to identify PTSD (Post Traumatic Stress Disorder) triggers and implement interventions to mitigate triggers for 1 of 18 residents (Resident # 283) reviewed for trauma informed care, resulting in the potential risk of re-traumatization.
16 fire safety citations on file: 7 on August 13, 2025, 5 on August 29, 2024, 4 on July 12, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| August 13, 2025 | Fine | $46,409 |
| August 13, 2025 | Payment Denial | 23 days from September 10, 2025 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Michigan | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.40 | 3.99 | 3.86 |
| Registered nurses | 0.58 | 0.78 | 0.69 |
| All nursing staff on weekends | 3.90 | 3.50 | 3.42 |
| Nurse aides | 2.72 | ||
| Licensed practical nurses | 1.09 | ||
| Nursing staff turnover (share who left in a year) | 63.6% | 44.1% | 45.8% |
| Registered nurse turnover | 61.9% | 39.2% | 42.9% |
| Administrators who left | 2 |
CMS expects 3.58 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.60 on weekdays and 3.90 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.23 in April to June 2025 to 4.40 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.40 | 0.58 | 4.60 | 3.90 | 0.0% | 0 of 90 | 93 |
| Oct to Dec 2025 | 4.49 | 0.83 | 4.74 | 3.86 | 0.0% | 0 of 92 | 79 |
| Jul to Sep 2025 | 4.62 | 0.89 | 4.82 | 4.11 | 1.4% | 0 of 92 | 79 |
| Apr to Jun 2025 | 4.23 | 0.73 | 4.39 | 3.84 | 0.0% | 0 of 91 | 78 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Michigan, Jan to Mar 2026 | 3.95 | 0.70 | 4.14 | 3.45 | 3.3% | 0.4% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Michigan, all employers | |||
| CNAs (nursing assistants) | $19.03 | $18.35 to $21.59 | 43,290 |
| LPNs and LVNs | $31.47 | $29.83 to $35.52 | 10,880 |
| Registered nurses | $45.34 | $39.46 to $49.74 | 104,950 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Michigan | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 10.7 | 10.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.7 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.5 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.7 | 3.0 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.3 | 1.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 14.1 | 12.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.9 | 5.1 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 4.9 | 14.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 20.0 | 24.0 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 9.2 | 11.7 | 12.0 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Villa at Borgess Place's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (53.2% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
53.2% this home
No different from the national rate
US median of homes 51.5% · Michigan: 89 better, 22 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 237 eligible stays.
10.4% this home
No different from the national rate
US median of homes 10.7% · Michigan: 0 better, 9 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 238 eligible stays.
7.2% this home
No different from the national rate
US median of homes 7.1% · Michigan: 1 better, 1 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 127 eligible stays.
50.6% this home
Median of homes: Michigan57.6% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 85 residents counted.
0.0% this home
Median of homes: Michigan0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 148 residents counted.
3.9% this home
Median of homes: Michigan1.3% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 148 residents counted.
96.3% this home
Median of homes: Michigan99.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 107 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: VILLA AT BORGESS PLACE LLC. CMS links this home to Villa Healthcare, a group of 21 nursing homes averaging 2.7 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Aaron Family Investment Trust | 5% or greater direct ownership interest | Organization | 31% | 09/03/2024 |
| Ab Investment Trust U/a/D 01/03/23 | 5% or greater direct ownership interest | Organization | 13% | 09/03/2024 |
| Baumol, Yehoshua | 5% or greater direct ownership interest | Individual | 27% | 09/03/2024 |
| Aaron, Jonathan | Managing control - governing body | Individual | 09/03/2024 | |
| Cudney, Kiersten | W-2 managing employee | Individual | 09/03/2024 | |
| Graf, Marcella | W-2 managing employee | Individual | 09/03/2024 | |
| Oprescu, Nicoara | W-2 managing employee | Individual | 09/03/2024 | |
| Aaron, Jonathan | Corporate officer | Individual | 09/03/2024 | |
| Omnia Healthcare Group LLC | Operational/managerial control | Organization | 12/23/2024 | |
| Aaron, Jonathan | Operational/managerial control | Individual | 09/03/2024 | |
| Cudney, Kiersten | Operational/managerial control | Individual | 12/02/2024 | |
| Graf, Marcella | Operational/managerial control | Individual | 12/02/2024 | |
| 3057 Gull Road LLC | Adp of the SNF | Organization | 12/12/2024 | |
| Aaron Family Investment Trust | Adp of the SNF | Organization | 12/02/2024 | |
| Ab Investment Trust U/a/D 01/03/23 | Adp of the SNF | Organization | 12/02/2024 | |
| Israel Family Investment Trust | Adp of the SNF | Organization | 12/02/2024 | |
| Israel Investment Tr | Adp of the SNF | Organization | 12/02/2024 | |
| Omnia Healthcare Group LLC | Adp of the SNF | Organization | 12/23/2024 | |
| Todd a Stern 2015 Irrv Ins Tr | Adp of the SNF | Organization | 12/02/2024 | |
| Aaron, Jonathan | Adp of the SNF | Individual | 12/23/2024 | |
| Baumol, Yehoshua | Adp of the SNF | Individual | 12/02/2024 | |
| Berger, Menachem | Adp of the SNF | Individual | 12/23/2024 | |
| Cudney, Kiersten | Adp of the SNF | Individual | 12/02/2024 | |
| Graf, Marcella | Adp of the SNF | Individual | 12/23/2024 | |
| Israel, Benjamin | Adp of the SNF | Individual | 12/05/2024 | |
| Nagel, Steven | Adp of the SNF | Individual | 12/02/2024 | |
| Oprescu, Nicoara | Adp of the SNF | Individual | 12/12/2024 | |
| Stern, Todd | Adp of the SNF | Individual | 12/05/2024 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
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