Michigan › Monroe County › Monroe
Wellspring Lutheran Nursing and Rehab Services
1236 S Monroe St, Monroe, MI 48161
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Wellspring Lutheran Nursing and Rehab Services is a Non-profit, corporation nursing home in Monroe, Michigan, certified for 122 beds and caring for about 83 residents a day.
CMS gives it 4 of 5 stars overall, above the Michigan median of 3; the health inspection rating is 5, staffing 1 and quality measures 4.
Inspectors recorded 6 health deficiencies across the three most recent survey cycles (3, 1, 2 by cycle, most recent first), none at the actual-harm level. That is 4.9 per 100 beds, fewer than the state median of 29.4.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 2.1 hours per resident per day (0.3 RN), below the Michigan median of 3.8; nursing staff turnover is 53.3%.
Compared with county, state and nation
| Measure | This facility | Monroe Co. median | Michigan median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 6 | 6 | 29 | 28.7 |
| Citations per 100 beds | 4.9 | 5.9 | 29.4 | 26.8 |
| Total nurse hours per resident day | 2.1 | 3.8 | 3.8 | 3.9 |
| RN hours per resident day | 0.3 | 0.6 | 0.7 | 0.7 |
| Nursing staff turnover | 53.3% | 28.4% | 44.6% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (7 in the county, 422 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Michigan average per facility for the same cycle, as published by CMS. Standard health survey dates: 19 Mar 2026, 14 Jan 2025.
Severity mix: D ×4 E ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 19 Mar 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 21 Apr 2026 |
| 19 Mar 2026 | F0887 | 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. | E | Standard survey | 21 Apr 2026 |
| 21 Nov 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 1 Dec 2025 |
| 14 Jan 2025 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 21 Feb 2025 |
| 20 Dec 2023 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 17 Jan 2024 |
| 20 Dec 2023 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Standard survey | 17 Jan 2024 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Michigan average. Turnover: nursing staff 53.3%, RNs 92.9%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Michigan median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 23.6% | 9.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.8% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.6% | 2.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.3% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 29.3% | 10.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.8% | 4.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 5.3% | 13.5% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Legal business name: Lutheran Homes Of Michigan, Inc.
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Monroe County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Fountain View of Monroe | Monroe | 119 | 5 | 5 | 4 | 7 | 5.9 | — | 3 Dec 2025 |
| Ihm Senior Living Community | Monroe | 58 | 5 | 5 | 5 | 3 | 5.2 | — | 28 Mar 2024 |
| Medilodge of Monroe | Monroe | 103 | 5 | 5 | 4 | 6 | 5.8 | — | 2 Apr 2025 |
| Hickory Ridge of Temperance | Temperance | 88 | 4 | 4 | 4 | 6 | 6.8 | — | 21 Apr 2026 |
| Monroe Springs Skilled Nursing and Rehab | Monroe | 89 | 4 | 4 | 3 | 9 | 10.1 | — | 24 Jun 2026 |
| Seacrest Rehabilitation and Nursing Center | Monroe | 131 | 4 | 4 | 3 | 15 | 11.5 | — | 12 Feb 2026 |
All 7 facilities in Monroe County
Questions and answers
How many deficiencies has Wellspring Lutheran Nursing and Rehab Services been cited for?
6 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Michigan median is 29 per facility.
Has Wellspring Lutheran Nursing and Rehab Services been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Wellspring Lutheran Nursing and Rehab Services compare?
Reported total nurse staffing is 2.1 hours per resident per day against a Michigan median of 3.8 and a national average of 3.9.
Who operates Wellspring Lutheran Nursing and Rehab Services?
Ownership type is non-profit, corporation. Individual owners and managers are not listed on this site.
When was Wellspring Lutheran Nursing and Rehab Services last inspected?
The most recent survey or investigation in the CMS record is dated 19 Mar 2026; the most recent standard health survey was 19 Mar 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.