Facility profile · CCN 235289
Villa At Borgess Place
63 federal citations on record , and 2 federal enforcement actions totaling $69,430.
Record summary
Federal record · Q1 202663
Total citations
63
Last 3 years
3
Actual harm+
2
Federal penalties
$69,430
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
63 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Dec 10, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Dec 10, 2025 | F694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Complaint |
| Dec 10, 2025 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint |
| Dec 10, 2025 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| Dec 10, 2025 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint |
| Dec 10, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Aug 13, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint |
| Aug 13, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint |
| Aug 13, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Aug 13, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Aug 13, 2025 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard |
| Aug 13, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Aug 13, 2025 | F847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | E | Standard |
| Aug 13, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Aug 13, 2025 | F761 | 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. | D | Standard |
| Aug 13, 2025 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| Aug 13, 2025 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard |
| Aug 13, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Aug 13, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | G | Standard |
| Aug 13, 2025 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| Aug 13, 2025 | F628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard |
| Aug 13, 2025 | F605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard |
| Aug 13, 2025 | F578 | 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. | D | Standard |
| Aug 13, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard |
| Jun 9, 2025 | F806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | Complaint |
| Jun 9, 2025 | F803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | F | Complaint |
| Jun 9, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Jun 9, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Jun 9, 2025 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| Jun 9, 2025 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint |
| Jun 9, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Feb 25, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Feb 11, 2025 | F940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | D | Complaint |
| Feb 11, 2025 | F761 | 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. | D | Complaint |
| Feb 11, 2025 | F760 | Ensure that residents are free from significant medication errors. | D | Complaint |
| Sep 18, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Sep 18, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Sep 18, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint |
| Aug 29, 2024 | F887 | 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. | D | Standard |
| Aug 29, 2024 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard |
| Aug 29, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Aug 29, 2024 | F813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Standard |
| Aug 29, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Aug 29, 2024 | F758 | 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 limited. | D | Standard |
| Aug 29, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Aug 29, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Aug 29, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Aug 29, 2024 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard |
| Aug 29, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard |
| Aug 29, 2024 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard |
| Aug 29, 2024 | F584 | 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. | D | Standard |
| Aug 29, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Aug 29, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| Jan 3, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Sep 6, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Jul 12, 2023 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint |
| Jul 12, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Jul 12, 2023 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Jul 12, 2023 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Jul 12, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Jul 12, 2023 | F761 | 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. | E | Standard |
| Jul 12, 2023 | F699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard |
| Jul 12, 2023 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 1 civil money penalties totaling $69,430 and 1 payment-denial actions spanning 23 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Aug 13, 2025 | Fine | $69,430 | — |
| Aug 13, 2025 | Payment Denial | — | Sep 10, 2025 · 23 days |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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