Elder Care Record

Michigan › Oscoda County › Fairview

Wellspring Lutheran Services

1390 Maple Drive, Fairview, MI 48621

CCN 235400 · For-profit, corporation · 39 certified beds

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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 Services is a For-profit, corporation nursing home in Fairview, Michigan, certified for 39 beds and caring for about 36 residents a day.

CMS gives it 4 of 5 stars overall, above the Michigan median of 3; the health inspection rating is 4, staffing 4 and quality measures 4.

Inspectors recorded 7 health deficiencies across the three most recent survey cycles (1, 4, 2 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 17.9 per 100 beds, fewer than the state median of 29.4.

CMS lists 1 penalty in the period covered: no fines and 1 payment denial.

Reported nurse staffing is 4.0 hours per resident per day (0.9 RN), close to the Michigan median of 3.8; nursing staff turnover is 38.1%.

7health deficiencies, 3 survey cycles1 at actual harm or worse
$0fines listed by CMS1 penalty in period
4.0nurse hours per resident per daystate median 3.8
93%occupancy (residents ÷ beds)36 residents a day

Compared with county, state and nation

MeasureThis facilityOscoda Co. medianMichigan medianUS average
Overall star rating4433.0
Health citations, 3 cycles772928.7
Citations per 100 beds17.917.929.426.8
Total nurse hours per resident day4.04.03.83.9
RN hours per resident day0.90.90.70.7
Nursing staff turnover38.1%38.1%44.6%45.8%
Fines listed$0$0$0—

County and state figures are medians across facilities (1 in the county, 422 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)1
Cycle 24
Cycle 32

Dark bar: this facility. Grey bar: Michigan average per facility for the same cycle, as published by CMS. Standard health survey dates: 28 Aug 2025, 10 Jul 2024.

Severity mix: G ×1 D ×4 F ×1 C ×1

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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
28 Aug 2025F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.FStandard survey22 Sep 2025
6 Feb 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation12 Mar 2025
10 Jul 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey9 Aug 2024
10 Jul 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey9 Aug 2024
10 Jul 2024F0759Ensure medication error rates are not 5 percent or greater.DStandard survey9 Aug 2024
30 May 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation1 Jul 2024
3 Aug 2023F0880Provide and implement an infection prevention and control program.CStandard survey18 Sep 2023

Penalties

DateTypeAmountDetail
6 Feb 2025Payment denial—7 days

Staffing

Total nursing4.03 h
Nurse aides2.6 h
LPN0.5 h
RN0.94 h
Weekend total3.42 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Michigan average. Turnover: nursing staff 38.1%, RNs 33.3%; — administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityMichigan medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay10.5%9.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.8%1.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay5.5%2.6%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay2.1%0.8%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay8.7%10.8%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay2.0%4.7%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay10.6%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: for-profit, corporation. Legal business name: Ausable Valley Continuing Care Retirement Community Inc.

OrganisationRole in the CMS recordInterestSince
Lutheran Homes of Michigan, Inc5% or greater direct ownership interest100%01/01/2011
Lutheran Homes of Michigan, IncAdp of the snfNOT APPLICABLE01/01/2011

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Questions and answers

How many deficiencies has Wellspring Lutheran Services been cited for?

7 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Michigan median is 29 per facility.

Has Wellspring Lutheran Services been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Wellspring Lutheran Services compare?

Reported total nurse staffing is 4.0 hours per resident per day against a Michigan median of 3.8 and a national average of 3.9.

Who operates Wellspring Lutheran Services?

Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Lutheran Homes of Michigan, Inc. Individual owners and managers are not listed on this site.

When was Wellspring Lutheran Services last inspected?

The most recent survey or investigation in the CMS record is dated 28 Aug 2025; the most recent standard health survey was 28 Aug 2025.

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.