What is Wellspring Lutheran Nursing and Rehab Services's Medicare star rating?

CMS rates Wellspring Lutheran Nursing and Rehab Services 4 out of 5 stars overall, with 5 for health inspections, 1 for staffing and 4 for quality measures (CMS data as of September 1, 2026).

Has Wellspring Lutheran Nursing and Rehab Services been fined?

CMS lists no fines in the last three years.

Does Wellspring Lutheran Nursing and Rehab Services accept Medicaid?

It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.

Who owns Wellspring Lutheran Nursing and Rehab Services?

CMS lists 28 owners and managers. Legal business name: LUTHERAN HOMES OF MICHIGAN, INC.

Wellspring Lutheran Nursing and Rehab Services: Inspections

The record in brief

At its most recent standard inspection, on March 19, 2026, inspectors cited 2 health deficiencies (the Michigan average is 9.9, the national average 9.2).

None of its 6 health citations since December 2023 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 2.10 hours per resident per day, against 3.99 across Michigan and 3.86 nationally. Registered nurses accounted for 0.32 of those hours.

53.3% of nursing staff left within the year CMS measured (Michigan average 44.1%).

Health inspections

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.

212/23

101/25

111/25

203/26

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

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 6 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

March 19, 2026Standard inspection · 2 citations

E

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

F550 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 21, 2026

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure the highest level of incontinence functioning was maintained for four (R4, R62, R64 and R81) of eight residents reviewed for quality of life, resulting in feelings of embarrassment, humiliation, and degradation.
E

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.

F887 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 21, 2026

Inspectors wroteBased on interview and record review the facility failed to educate and offer Covid-19 vaccination to four residents (R2, R16, R22, and R72) out of five residents reviewed for infection control. This deficient practice resulted in residents being at increased risk for exposure to Covid-19, which may lead to serious illness, complications and potential adverse outcomes.

November 21, 2025Complaint inspection · 1 citation

D

Ensure services provided by the nursing facility meet professional standards of quality.

F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 1, 2025

Inspectors wroteBased on interview and record review the facility failed to ensure nursing services were provided in accordance with professional standards for one resident (R401) of three residents reviewed for medication administration. This failure had the potential to place R401 at risk for adverse medication effects.

January 14, 2025Complaint inspection · 1 citation

D

Keep residents' personal and medical records private and confidential.

F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 21, 2025

Inspectors wroteThis citation pertains to intake MI00149175. Based on interview and record review the facility failed to ensure residents privacy was maintained for two residents (R16 and R22) out of 20 residents reviewed for residents' rights.

December 20, 2023Standard inspection · 2 citations

D

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 17, 2024

Inspectors wroteBased on interview and record review the facility failed to ensure an annual PASARR (Preadmission Screening (PAS) Annual Resident Review (AAS) screening, for one resident (R52) of one reviewed for PASARR, resulting in the potential for the lack of adequate mental health care and services.
D

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

F947 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 17, 2024

Inspectors wroteBased on interview and record review the facility failed to ensure Dementia Management training was performed for one Certified Nurse Assistant (CNA) B out of five CNAs reviewed for in-service training resulting in the potential for unmet resident care needs.

Fire safety inspections

36 fire safety citations on file: 15 on March 19, 2026, 11 on January 14, 2025, 10 on December 20, 2023.

Every fire safety citation36 citations

F
Develop and maintain an Emergency Preparedness Program (EP).

E 4 · March 19, 2026 · Corrected (the home has a date of correction)
F
Establish procedures for tracking staff and patients during an emergency.

E 18 · March 19, 2026 · Corrected (the home has a date of correction)
F
Establish policies and procedures for volunteers.

E 24 · March 19, 2026 · Corrected (the home has a date of correction)
F
Establish roles under a Waiver declared by secretary.

E 26 · March 19, 2026 · Corrected (the home has a date of correction)
F
Establish emergency prep training and testing.

E 36 · March 19, 2026 · Corrected (the home has a date of correction)
F
Conduct testing and exercise requirements.

E 39 · March 19, 2026 · Corrected (the home has a date of correction)
F
Provide properly protected cooking facilities.

K 324 · March 19, 2026 · Corrected (the home has a date of correction)
F
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · March 19, 2026 · Corrected (the home has a date of correction)
F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · March 19, 2026 · Corrected (the home has a date of correction)
F
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

K 362 · March 19, 2026 · Corrected (the home has a date of correction)
F
Install corridor and hallway doors that block smoke.

K 363 · March 19, 2026 · Corrected (the home has a date of correction)
F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

K 521 · March 19, 2026 · Corrected (the home has a date of correction)
F
Have simulated fire drills held at unexpected times.

K 712 · March 19, 2026 · Corrected (the home has a date of correction)
D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

K 222 · March 19, 2026 · Corrected (the home has a date of correction)
D
Have properly installed electrical wiring and gas equipment.

K 511 · March 19, 2026 · Corrected (the home has a date of correction)
F
Install an approved automatic sprinkler system.

K 351 · January 14, 2025 · Waiver
F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · January 14, 2025 · Corrected (the home has a date of correction)
F
Ensure proper usage of power strips and extension cords.

K 920 · January 14, 2025 · Corrected (the home has a date of correction)
E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

K 222 · January 14, 2025 · Corrected (the home has a date of correction)
E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

K 223 · January 14, 2025 · Corrected (the home has a date of correction)
E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K 321 · January 14, 2025 · Corrected (the home has a date of correction)
E
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

K 342 · January 14, 2025 · Corrected (the home has a date of correction)
E
Properly select, install, inspect, or maintain portable fire extinguishes.

K 355 · January 14, 2025 · Corrected (the home has a date of correction)
E
Install corridor and hallway doors that block smoke.

K 363 · January 14, 2025 · Corrected (the home has a date of correction)
E
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

K 914 · January 14, 2025 · Corrected (the home has a date of correction)
E
Have proper medical gas storage and administration areas.

K 923 · January 14, 2025 · Corrected (the home has a date of correction)
F
Develop and maintain an Emergency Preparedness Program (EP).

E 4 · December 20, 2023 · Corrected (the home has a date of correction)
F
Develop a communication plan.

E 29 · December 20, 2023 · Corrected (the home has a date of correction)
F
Install emergency lighting that can last at least 1 1/2 hours.

K 291 · December 20, 2023 · Corrected (the home has a date of correction)
F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · December 20, 2023 · Corrected (the home has a date of correction)
F
Provide a written emergency evacuation plan.

K 711 · December 20, 2023 · Corrected (the home has a date of correction)
F
Have restrictions on the use of highly flammable decorations.

K 753 · December 20, 2023 · Corrected (the home has a date of correction)
F
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · December 20, 2023 · Corrected (the home has a date of correction)
E
Keep aisles, corridors, and exits free of obstruction in case of emergency.

K 211 · December 20, 2023 · Past noncompliance: already fixed when inspectors found it
E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

K 372 · December 20, 2023 · Corrected (the home has a date of correction)
E
Have properly installed electrical wiring and gas equipment.

K 511 · December 20, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

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)	2.10	3.99	3.86
Registered nurses	0.32	0.78	0.69
All nursing staff on weekends	1.75	3.50	3.42
Nurse aides	1.05
Licensed practical nurses	0.73
Nursing staff turnover (share who left in a year)	53.3%	44.1%	45.8%
Registered nurse turnover	92.9%	39.2%	42.9%
Administrators who left	1

CMS expects 3.60 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

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 2.24 on weekdays and 1.75 on weekends, 22% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.11 in April to June 2025 to 2.10 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	2.10	0.32	2.24	1.75	2.6%	0 of 90	83
Oct to Dec 2025	3.73	0.33	3.89	3.34	4.4%	1 of 92	75
Jul to Sep 2025	4.22	0.35	4.37	3.86	11.2%	2 of 92	81
Apr to Jun 2025	4.11	0.38	4.27	3.68	19.6%	1 of 91	80
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.

Quality measures

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	23.6	10.8	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.0	0.8	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	0.8	1.5	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	3.6	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	29.3	12.0	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	1.8	5.1	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	5.3	14.8	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	33.2	24.0	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	15.7	11.7	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.9	1.8	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.3	1.6	1.8

Owners and operators

Legal business name: LUTHERAN HOMES OF MICHIGAN, INC.

Name	Role	Type	Since
Bender, Peter	Managing control - governing body	Individual	06/18/2012
Benko, Amy	Managing control - governing body	Individual	04/04/2016
Cushway, Ritch	Managing control - governing body	Individual	05/09/2013
Gehm, David	Managing control - governing body	Individual	01/15/1994
Logan, Andrea	Managing control - governing body	Individual	01/01/2025
Nyquist, Paul	Managing control - governing body	Individual	01/27/2014
Schoenow, Carl	Managing control - governing body	Individual	11/24/2014
Storck, Karen	Managing control - governing body	Individual	07/10/2018
Bender, Peter	Corporate director	Individual	06/18/2012
Benko, Amy	Corporate director	Individual	04/04/2016
Cushway, Ritch	Corporate director	Individual	05/09/2013
Gehm, David	Corporate director	Individual	01/15/1994
Logan, Andrea	Corporate director	Individual	01/01/2025
Nyquist, Paul	Corporate director	Individual	01/27/2014
Schoenow, Carl	Corporate director	Individual	11/24/2014
Storck, Karen	Corporate director	Individual	07/10/2018
Gehm, David	Corporate officer	Individual	01/15/1994
Kalbfleisch, Timothy	Corporate officer	Individual	08/01/2019
Cassidy, Bruce	Operational/managerial control	Individual	01/01/2023
Gehm, David	Operational/managerial control	Individual	01/15/1994
Kalbfleisch, Timothy	Operational/managerial control	Individual	08/01/2019
Piccininni, Judy	Operational/managerial control	Individual	02/01/2024
Terry, Stephen	Operational/managerial control	Individual	09/22/2025
Cassidy, Bruce	Adp of the SNF	Individual	01/01/2023
Gehm, David	Adp of the SNF	Individual	01/15/1994
Kalbfleisch, Timothy	Adp of the SNF	Individual	08/01/2019
Piccininni, Judy	Adp of the SNF	Individual	02/01/2024
Terry, Stephen	Adp of the SNF	Individual	09/22/2025

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.

Questions to ask on a visit

Chosen from this home's own inspection record.

How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on March 19, 2026: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on November 21, 2025: "Ensure services provided by the nursing facility meet professional standards of quality."
What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on March 19, 2026: "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."
How many nurses and aides work each shift, nights and weekends included?Inspectors cited 1 problem in this area, most recently on December 20, 2023: "Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 1.75 hours per resident per day, below the Michigan average of 3.50.
How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Ihm Senior Living Community
Monroe, 1 mi · 5 of 5 stars · 3 citations
Medilodge of Monroe
Monroe, 1.6 mi · 5 of 5 stars · 6 citations
Seacrest Rehabilitation and Nursing Center
Monroe, 2.1 mi · 4 of 5 stars · 15 citations
Monroe Springs Skilled Nursing and Rehab
Monroe, 2.2 mi · 4 of 5 stars · 9 citations
Fountain View of Monroe
Monroe, 2.7 mi · 5 of 5 stars · 7 citations
Majestic Care of Point Place
Toledo, 12.8 mi · 1 of 5 stars · 46 citations
Hickory Ridge of Temperance
Temperance, 14 mi · 4 of 5 stars · 6 citations
Merit House LLC
Toledo, 16.3 mi · 2 of 5 stars · 43 citations

Michigan contacts for a concern about a nursing home

These are the official offices in Michigan. NursingHomeClear cannot take or act on complaints.

Inspections and complaints: Michigan Department of Licensing and Regulatory Affairs, Bureau of Survey and Certification, Long Term Care Division, the state agency that inspects nursing homes for CMS and takes complaints about care.
Resident advocate: Michigan Long Term Care Ombudsman Program, 1-866-485-9393. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
State inspection reports: LARA State Licensing Search, where Michigan publishes its own records on licensed homes.

Common questions

What is Wellspring Lutheran Nursing and Rehab Services's Medicare star rating?: CMS rates Wellspring Lutheran Nursing and Rehab Services 4 out of 5 stars overall, with 5 for health inspections, 1 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Wellspring Lutheran Nursing and Rehab Services get at its last inspection?: 2 health deficiencies at the standard inspection on March 19, 2026. The Michigan average is 9.9.
Has Wellspring Lutheran Nursing and Rehab Services been fined?: CMS lists no fines in the last three years.
Does Wellspring Lutheran Nursing and Rehab Services accept Medicaid?: It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Wellspring Lutheran Nursing and Rehab Services?: CMS lists 28 owners and managers. Legal business name: LUTHERAN HOMES OF MICHIGAN, INC.

Sources

Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
Owners: CMS Ownership. Penalties: CMS Penalties.
Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.