A
IHM Senior Living Community
95/100 score
1.01 hrs RN staffing
0 deficiencies
Wellspring Lutheran Nursing and Rehab Services
1236 S Monroe St, Monroe, MI 48161
- Provider number (CCN)
- 235274
- Certification
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified beds
- 122
- Phone
- (734) 241-9533
- CMS data as of
- August 1, 2026
C
●
stable
Staffing 0% · Deficiencies 0% over tracking period
What the records show
CMS rates Wellspring Lutheran Nursing and Rehab Services 4 out of 5 stars overall, with 5 of 5 for health inspections, 1 of 5 for staffing, 4 of 5 for quality measures. Federal inspectors cited 6 health deficiencies across the last three survey cycles, most recently surveyed in 2026. CMS lists no fines or payment denials for this facility in the covered period.
Facility Assessment
This facility staffs below 0.55 RN hours per resident day — the level the 2024 federal rule, repealed in February 2026, would have required.
Reviews, Ratings and Official Records
This page reviews Wellspring Lutheran Nursing and Rehab Services using federal government records — CMS star ratings, health-inspection findings, staffing data and enforcement actions. NursingHomeGrade does not collect, host or publish resident or family testimonials, and no star rating below is a consumer review score.
Below the repealed 0.55 hr benchmark — review the inspection and enforcement records below for the safety history behind the grade.
Ratings and Grade Breakdown
|
RN Staffing
Registered nurse time each resident receives daily. 2024 federal benchmark: 0.55 hrs. Repealed February 2026.
|
0.32 — Below the repealed 0.55 hr benchmark |
The 0.55 hour RN standard was repealed effective February 2, 2026 and is not currently enforced. We still grade against it. Why |
|
|
Health Deficiencies (last 3 survey cycles)
Violations found during federal inspections, with how many remain open and how many involved actual harm.
|
Total
6
Outstanding
0
Actual harm or worse (G–L)
0
|
|
CMS Ratings
Federal five-star ratings published by CMS. These are regulatory ratings, not consumer review scores.
|
Overall: ★★★★☆ (4/5)
Health inspection: ★★★★★ (5/5)
Quality: ★★★★☆ (4/5)
Staffing: ★☆☆☆☆ (1/5)
|
|
NursingHomeGrade Score
|
54/100 |
Loaded into NursingHomeGrade on September 5, 2026. This is the load date, not the date CMS published the underlying survey data — see release dates.
CMS scores each facility from one to five stars — one is in the bottom fifth of facilities in its state on health inspections, five is in the top tenth. Our own A–F grade is a separate 0–100 score built from staffing hours, inspection citations, and the severity and correction status of those citations, weighted as described in our grading methodology.
Staffing Compared With State and National Levels
| This facility | 0.32 hrs |
|---|---|
| MI median | 0.71 hrs |
| National average | 0.69 hrs |
Registered nurse turnover: 92.9% · Total nursing staff turnover: 53.3%
Staffing figures are the values CMS published in its file processed August 1, 2026, drawn from payroll-based journal reporting.
Inspection Records Covered
- Most recent standard health survey: March 19, 2026.
- Citations shown below span 3 recorded inspection cycles.
- Survey dates on file range from December 20, 2023 to March 19, 2026.
Source records: CMS Care Compare profile for provider 235274 ↗ · the federal files we load and when.
Inspection Deficiencies
Health inspections identify violations of federal standards. Severity ranges from no actual harm (A–F) to immediate jeopardy (J–L).
6 deficiencies found. 6 corrected. None involved actual harm.
Most recent inspection (March 19, 2026)
E
Potential harm — pattern
F0887
Status: Corrected
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.
Infection Control Deficiencies — Deficient, Provider has date of correction, corrected April 21, 2026
D
Potential harm — isolated
F0658
Status: Corrected
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies — Deficient, Provider has date of correction, corrected December 1, 2025
E
Potential harm — pattern
F0550
Status: Corrected
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies — Deficient, Provider has date of correction, corrected April 21, 2026
Inspection cycle 2 (January 14, 2025)
D
Potential harm — isolated
F0583
Status: Corrected
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies — Deficient, Provider has date of correction, corrected February 21, 2025
Inspection cycle 3 (December 20, 2023)
D
Potential harm — isolated
F0947
Status: Corrected
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services Deficiencies — Deficient, Provider has date of correction, corrected January 17, 2024
D
Potential harm — isolated
F0644
Status: Corrected
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies — Deficient, Provider has date of correction, corrected January 17, 2024
Fines and Enforcement Actions
CMS lists no fines and no payment denials for Wellspring Lutheran Nursing and Rehab Services in the enforcement records covering the last three years, as published in the file processed August 1, 2026.
Ownership and Contact Information
- Facility name
- Wellspring Lutheran Nursing and Rehab Services
- Legal business name
- LUTHERAN HOMES OF MICHIGAN, INC
- Address
- 1236 S Monroe St, Monroe, MI 48161
- Phone
- (734) 241-9533
- Provider number (CCN)
- 235274
- Ownership type
- Non profit - Corporation
- Medicare/Medicaid certified since
- April 1, 1976
- Official record
- CMS Care Compare profile ↗
- Details verified against CMS data dated
- August 1, 2026
The federal nursing-home files publish no email address for certified facilities, so none is listed here. We do not guess or construct contact addresses. Contact details above are reproduced from CMS Provider Information; call the facility to confirm before relying on them.
How We Stay Independent
NursingHomeGrade is strictly independent. We do not accept payments from facilities. Our grades are calculated solely from federal CMS datasets.
Learn about our data methodology →Nearby facilities in Monroe
Compare local nursing homes using the same CMS-backed grading method.
A
Medilodge of Monroe
84/100 score
0.71 hrs RN staffing
0 deficiencies
C
Seacrest Rehabilitation and Nursing Center
51/100 score
0.24 hrs RN staffing
8 deficiencies
D
Monroe Springs Skilled Nursing and Rehab
36/100 score
0.36 hrs RN staffing
7 deficiencies
B
Fountain View of Monroe
78/100 score
0.71 hrs RN staffing
2 deficiencies
Sources and Methodology
- CMS Provider Information (file processed August 1, 2026) — ratings, staffing, ownership, certification and contact details. Dataset 4pq5-n9py ↗
- CMS Health Deficiencies — inspection citations, scope and severity, correction status. Dataset r5ix-sfxw ↗
- CMS Ownership — owning and managing organisations. Dataset y2hd-n93e ↗
The NursingHomeGrade score is our own calculation from these federal files — it is not a CMS rating and not a consumer review score. See exactly how the score is calculated · full methodology · source files and load dates.
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