Wellspring Lutheran Services
1390 Maple Drive, Fairview, MI 48621 · Oscoda County · (989) 848-2241
39 certified beds, about 36 residents a day · For profit - Corporation · Medicare and Medicaid since 1979
CMS Care Compare ratings, data as of September 1, 2026 · CCN 235400 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 28, 2025, inspectors cited 1 health deficiency (the Michigan average is 9.9, the national average 9.2).
Of 7 health citations since August 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.03 hours per resident per day, against 3.99 across Michigan and 3.86 nationally. Registered nurses accounted for 0.94 of those hours.
38.1% 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.
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 7 health citations on file.
August 28, 2025Standard inspection · 1 citation
- F Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observation and interview, the facility failed to maintain plumbing and wastewater lines in good repair. This deficient practice increases the likelihood of contamination of the water supply with potential to affect any or all the residents in the facility.
February 6, 2025Complaint inspection · 1 citation
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on interview and record review, the facility failed to develop and implement interventions or revise the fall care plan for one Resident (#1) of three residents reviewed for falls. This deficient practice resulted in R1 falling who sustained a skull fracture with subdural hemorrhage.
July 10, 2024Standard inspection · 3 citations
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, interview, and record review the facility failed to 1) appropriately stage, 2) don personal protective equipment (PPE), 3) consult/involve physician for wound treatment, 4) provide aseptic wound care, 5) perform routine skin assessment, 6) provide accurate wound documentation and 7) implement interventions to prevent the development and worsening of a facility acquired pressure injury for two Residents (#2, #11) out of 2 residents reviewed for pressure ulcers.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that medication was administered appropriately, reconciled correctly, documented appropriately, and stored appropriately for one Resident (#20) out of 30 residents reviewed for pharmacy services.
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, interview, and record review the facility failed to administer 6 of 32 medications accurately to two residents (#11 and #14) during medication pass, resulting in a medication error rate of 18.75%.
May 30, 2024Complaint inspection · 1 citation
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on interview, and record review the facility failed to provide adequate supervision to prevent one Resident (R1) of four Residents reviewed for resident-to-resident incidents from initiating an altercation.
August 3, 2023Standard inspection · 1 citation
- C Provide and implement an infection prevention and control program.
Inspectors wroteBased on interview and record review, the facility failed to develop a comprehensive Water Management Plan (WMP) to address the control and spread of Legionella bacteria in the facility water system. The failure to develop and implement a comprehensive Water Management Plan has the potential for the proliferation and transmission of Legionella in the circulating water of the building and the spread of Legionella infections in all 35 residents.
Fire safety inspections
7 fire safety citations on file: 1 on August 28, 2025, 1 on July 10, 2024, 5 on August 3, 2023.
Every fire safety citation7 citations
- E Have exits that are accessible at all times.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Provide properly protected cooking facilities.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Install corridor and hallway doors that block smoke.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| February 6, 2025 | Payment Denial | 7 days from March 5, 2025 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 4.03 | 3.99 | 3.86 |
| Registered nurses | 0.94 | 0.78 | 0.69 |
| All nursing staff on weekends | 3.42 | 3.50 | 3.42 |
| Nurse aides | 2.60 | ||
| Licensed practical nurses | 0.50 | ||
| Nursing staff turnover (share who left in a year) | 38.1% | 44.1% | 45.8% |
| Registered nurse turnover | 33.3% | 39.2% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.31 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 4.28 on weekdays and 3.42 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.14 in April to June 2025 to 4.03 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 | 4.03 | 0.94 | 4.28 | 3.42 | 2.9% | 0 of 90 | 36 |
| Oct to Dec 2025 | 4.11 | 0.96 | 4.42 | 3.33 | 1.7% | 0 of 92 | 36 |
| Jul to Sep 2025 | 4.15 | 1.01 | 4.50 | 3.25 | 7.1% | 0 of 92 | 37 |
| Apr to Jun 2025 | 4.14 | 0.80 | 4.43 | 3.43 | 0.0% | 0 of 91 | 36 |
| 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 | 10.5 | 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 | 5.5 | 3.0 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.1 | 1.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 8.7 | 12.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.0 | 5.1 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 10.6 | 14.8 | 15.4 |
Owners and operators
Legal business name: AUSABLE VALLEY CONTINUING CARE RETIREMENT COMMUNITY INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Lutheran Homes of Michigan, Inc | 5% or greater direct ownership interest | Organization | 100% | 01/01/2011 |
| Bender, Peter | Corporate director | Individual | 06/01/2012 | |
| Benko, Amy | Corporate director | Individual | 04/04/2016 | |
| Cushway, Ritch | Corporate director | Individual | 05/09/2013 | |
| Logan, Andrea | Corporate director | Individual | 06/18/2012 | |
| Nyquist, Paul | Corporate director | Individual | 01/27/2014 | |
| Schoenow, Carl | Corporate director | Individual | 11/24/2014 | |
| Gehm, David | Corporate officer | Individual | 01/01/2011 | |
| Kalbfleisch, Timothy | Corporate officer | Individual | 09/01/2019 | |
| Dargis, David | Operational/managerial control | Individual | 01/01/2020 | |
| Gehm, David | Operational/managerial control | Individual | 01/01/2011 | |
| Naffien, Fawn | Operational/managerial control | Individual | 05/01/2022 | |
| Lutheran Homes of Michigan, Inc | Adp of the SNF | Organization | 01/01/2011 | |
| Dargis, David | Adp of the SNF | Individual | 01/01/2020 | |
| Gehm, David | Adp of the SNF | Individual | 11/14/2011 | |
| Kalbfleisch, Timothy | Adp of the SNF | Individual | 09/01/2019 | |
| Naffien, Fawn | Adp of the SNF | Individual | 05/01/2022 |
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 you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on February 6, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on July 10, 2024: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
- Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 1 problem in this area, most recently on August 28, 2025: "Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public."
- 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 August 3, 2023: "Provide and implement an infection prevention and control program."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.42 hours per resident per day, below the Michigan average of 3.50.
Other nursing homes nearby
- The Villa at Rose City Rose City, 21.1 mi · 3 of 5 stars · 40 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 Services's Medicare star rating?
- CMS rates Wellspring Lutheran Services 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Wellspring Lutheran Services get at its last inspection?
- 1 health deficiency at the standard inspection on August 28, 2025. The Michigan average is 9.9.
- Has Wellspring Lutheran Services been fined?
- CMS lists no fines in the last three years.
- Does Wellspring Lutheran 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 Services?
- CMS lists 17 owners and managers. Legal business name: AUSABLE VALLEY CONTINUING CARE RETIREMENT COMMUNITY 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.