The nursing home failed to provide services that met professional standards of quality. Cited November 2025 — isolated incident, potential for harm.
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F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: D
Nursing home report
Wellspring Lutheran Nursing and Rehab Services
Monroe, MI · Medicare-certified · 122 beds
In good standing
Non-profit
5 of 5 overall
Wellspring Lutheran Nursing and Rehab Services in Monroe, MI has a 5-star overall rating with 5 stars for health inspections and 4 stars for quality measures, but staffing is only 2 stars. Reported nurse staffing is 3.73 hours per resident per day, below the 4.1-hour federal benchmark, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.7344 hrs/resident/day
Quality measures
Last inspection: November 21, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7344.
Staffing detail
- Registered nurses
- 0.33
- Licensed practical nurses
- 1.27
- Nurse aides
- 2.14
- Weekend nursing
- 3.34
Hours per resident per day.
Total staff turnover: 58%
Registered nurse turnover: 94%
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
11.9%3.9%Improving
Residents with a fall causing major injury
4.8%1.6%Improving
Residents with pressure ulcers (bedsores)
5.3%1.3%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
3.6%1.7%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
24%23.1%Improving
Residents whose ability to walk got worse
27.1%35.1%Worsening
Long-stay residents on antianxiety or sleep medication
7.3%12.1%Worsening
Short-stay residents newly given an antipsychotic
1.7%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
27.1%28%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%98.4%Worsening
Short-stay residents given the seasonal flu vaccine
—94.4%—
Short-stay residents given the pneumonia vaccine
94.2%93.5%Worsening
What the inspectors found
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.
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F-Tag 644 — 42 CFR §483.20 — S/S: D
The home failed to ensure nurse aides had the skills and training needed to care for residents safely, including dementia care and abuse prevention. Cited December 2023 — isolated incident, potential for harm.
View the original federal record
F-Tag 947 — 42 CFR §483.95 — 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 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
- 74.7 residents on an average day (61% 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.