The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited March 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: E
Nursing home report
Wellspring Lutheran Nursing and Rehab Services
Monroe, MI · Medicare-certified · 122 beds
In good standing
Non-profit
Data as of July 1, 2026
4 of 5 overall
Wellspring Lutheran Nursing and Rehab Services in Monroe, MI has an overall 4-star rating, with strong health inspection (5 stars) and quality measures (4 stars), but a very low staffing rating (1 star) and reported nurse staffing of 2.10 hours per resident per day versus the 4.1-hour federal benchmark. There were no fines in the last 24 months; recent citations included resident rights, COVID-19 vaccination documentation, and professional standards of care.
Facility ratings
Health inspections
Staffing
2.0988 hrs/resident/day
Quality measures
Last inspection: March 19, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.0988.
Staffing detail
- Registered nurses
- 0.32
- Licensed practical nurses
- 0.73
- Nurse aides
- 1.05
- Weekend nursing
- 1.75
Hours per resident per day.
Total staff turnover: 53%
Registered nurse turnover: 93%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
5.3%6.1%Worsening
Residents with a fall causing major injury
5.1%4.6%No change
Residents with pressure ulcers (bedsores)
4.4%0%Improving
Residents with a urinary tract infection
0%1.5%Worsening
Residents who lost too much weight
5.7%5.2%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
21.3%31.4%Worsening
Residents whose ability to walk got worse
24.5%31.2%Worsening
Long-stay residents on antianxiety or sleep medication
7.5%12.1%Worsening
Short-stay residents newly given an antipsychotic
0%1.3%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
30.9%38.3%Worsening
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%98.5%Worsening
Short-stay residents given the seasonal flu vaccine
—94.4%—
Short-stay residents given the pneumonia vaccine
94.2%94.2%No change
What the inspectors found
The home failed to educate residents and staff about COVID-19 vaccination, offer the vaccine to eligible people, and properly record vaccination status. Cited March 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 887 — 42 CFR §483.80 — S/S: E
The nursing home failed to provide services that met professional standards of quality. Cited November 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: D
The home failed to keep residents’ personal and medical records private and confidential. Cited January 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 583 — 42 CFR §483.10 — S/S: D
The nursing home failed to coordinate resident assessments with required screening and make needed service referrals. Cited December 2023 — isolated incident, potential for harm.
View the original federal record
F-Tag 644 — 42 CFR §483.20 — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 82.9 residents on an average day (68% of 122 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 50 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.