BORGESS GARDENS - KALAMAZOO, MI

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BORGESS GARDENS
3057 GULL ROAD
KALAMAZOO, MI, 49048

Phone (make sure to verify first before calling): (269) 382-2392

Number of Certified Beds: 121
Total Number of Residents: 96
Percent of Occupied Beds: 79%
Sprinkler Status: Fully sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Non profit - Corporation
Located Within a Hospital?: No
Multi Nursing Home Ownership?: No
Resident and Family Councils: Both
Continuing Care Retirement Community?: No
Quality Indicator Survey?: No
Special Focus Facility?: No
Type: Skilled Nursing Facilities

Overall Star Rating: 2 Stars
Health Inspections Star Rating: 1 Star
Nurse Staffing Star Rating: 4 Stars
Quality Measures Star Rating: 4 Stars
RN Only Star Rating: 2 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 4.03
Certified Nurse Aides - Full Time: 66.26
Certified Nurse Aides - Part Time: 1.64
Food Service Personnel - Full Time: 9.26
Food Service Personnel - Part Time: 1.21
Housekeeping Personnel - Full Time: 10.31
Licensed Practical/ Vocational Nurses - Full Time: 10.63
Medical Directors - Under Contract: 0.11
Nurses With Administrative Duties - Full Time: 5.74
Persons Not Included In Any Other Categories - Full Time: 6.63
Physical Therapists - Under Contract: 0.74
Registered Nurses - Full Time: 7.24
Rn Director Of Nursing - Full Time: 1.03
Social Workers - Full Time: 1.03
Activities Professionals - Full Time: 1.03
Occupational Therapists - Under Contract: 0.19
Pharmacists - Under Contract: 0.14
Speech Pathologists - Under Contract: 0.07
Physician Extenders - Under Contract: 0.50
Registered Nurses - Under Contract: 0.11
Dietitians - Full Time: 0.80
Registered Nurses - Part Time: 0.17
Occupational Therapy Assistants - Under Contract: 2.07
Social Workers - Part Time: 0.43
Certified Nurse Aides - Under Contract: 0.11

Provided Services

Activities Services Are Provided Onsite To Residents
Clinical Laboratory Services Are Provided Onsite To Residents
Dental Services Are Provided Offsite To Residents
Dental Services Are Provided Onsite To Residents
Diagnostic Xray Services Are Provided Offsite To Residents
Diagnostic Xray Services Are Provided Onsite To Residents
Dietary Services Are Provided Onsite To Residents
Housekeeping Services Are Provided Onsite To Residents
Mental Health Services Are Provided Offsite To Residents
Mental Health Services Are Provided Onsite To Residents
Nursing Services Are Provided Onsite To Residents
Occupational Therapy Services Are Provided Onsite To Residents
Pharmacy Services Are Provided Onsite To Residents
Physical Therapy Services Are Provided Onsite To Residents
Physician Extender Services Are Provided Onsite To Residents
Physician Services Are Provided Offsite To Residents
Physician Services Are Provided Onsite To Residents
Podiatry Services Are Provided Offsite To Residents
Podiatry Services Are Provided Onsite To Residents
Social Work Services Are Provided Onsite To Residents
Speech/Language Pathology Services Are Provided Onsite To Residents

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.430
Michigan:	0.690

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

This Nursing Home:	1.010
Michigan:	0.771

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.440
Michigan:	1.462

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	3.200
Michigan:	2.476

Quality Measures

Percent of long-stay residents given influenza vaccination during the flu season

This Nursing Home:	99.0%
Michigan:	90.3%

Percent of long-stay residents who were assessed and given pneumococcal vaccination

Here:	96.0%
State:	89.3%

Percent of long-stay residents whose need for help with daily activities has increased

Here:	11.0%
Michigan:	11.9%

Percent of long-stay residents who have moderate to severe pain

Here:	1.0%
Michigan:	3.1%

Percent of high-risk long-stay residents who have pressure sores

Here:	3.0%
State:	9.7%

Percent of low-risk long-stay residents who have pressure sores

Here:	6.0%
State:	1.6%

Percent of long-stay residents who are more depressed or anxious

This Nursing Home:	4.0%
State:	13.1%

Percent of low-risk long-stay residents who lose control of their bowels or bladder

Here:	40.0%
State:	53.3%

Percent of long-stay residents who have/had a catheter inserted and left in their bladder

Here:	4.0%
State:	4.8%

Percent of long-stay residents who spend most of their time in bed or in a chair

This Nursing Home:	7.0%
State:	3.1%

Percent of long-stay residents whose ability to move about in and around their room got worse

This Nursing Home:	10.0%
Michigan:	9.3%

Percent of long-stay residents who had a urinary tract infection

Here:	13.0%
Michigan:	8.6%

Percent of long-stay residents who lose too much weight

Here:	6.0%
State:	7.8%

Percent of short-stay residents given influenza vaccination during the flu season

Here:	91.0%
State:	85.3%

Percent of short-stay residents who were assessed and given pneumococcal vaccination

Here:	90.0%
Michigan:	82.7%

Percent of short-stay residents who have delirium

This Nursing Home:	2.0%
Michigan:	1.2%

Percent of short-stay residents who had moderate to severe pain

This Nursing Home:	22.0%
State:	20.6%

Percent of short-stay residents who have pressure sores

Here:	2.0%
Michigan:	10.0%

Complaint Deficiency

Protect each resident from all abuse, physical punishment, and being separated from others: Isolated (Actual harm)

1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents: Isolated (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free of dangers that cause accidents: Pattern (Minimal harm or potential for actual harm)

Provide care in a way that keeps or builds each resident's dignity and self respect: Isolated (Minimal harm or potential for actual harm)

Provide services to meet the needs and preferences of each resident: Isolated (Minimal harm or potential for actual harm)

Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them: Isolated (Minimal harm or potential for actual harm)

Give professional services that meet a professional standard of quality: Isolated (Immediate jeopardy to resident health or safety)

Give each resident care and services to get or keep the highest quality of life possible: Isolated (Immediate jeopardy to resident health or safety)

Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses: Isolated (Immediate jeopardy to resident health or safety)

Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%: Pattern (Minimal harm or potential for actual harm)

Make sure that residents are safe from serious medication errors: Isolated (Immediate jeopardy to resident health or safety)

Be administered in a way that leads to the highest possible level of well being for each resident: Pattern (Immediate jeopardy to resident health or safety)

Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged: Isolated (Immediate jeopardy to resident health or safety)

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