B
The Villa at Rose City
68/100 score
0.90 hrs RN staffing
14 deficiencies
Wellspring Lutheran Services
1390 Maple Drive, Fairview, MI 48621
Operator
LUTHERAN HOMES OF MICHIGAN · 2 facilities
- Provider number (CCN)
- 235400
- Certification
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified beds
- 39
- Phone
- (989) 848-2241
- CMS data as of
- July 1, 2026
A
What the records show
CMS rates Wellspring Lutheran Services 4 out of 5 stars overall, with 4 of 5 for health inspections, 4 of 5 for staffing, 4 of 5 for quality measures. Federal inspectors cited 7 health deficiencies across the last three survey cycles, most recently surveyed in 2025, 1 at actual-harm level or higher, 1 still recorded as uncorrected. CMS enforcement records list 1 payment denial.
Facility Assessment
1 federal violation at this facility remains unresolved. Inspectors recorded 1 citation at the actual-harm level or worse in the last three survey cycles. This facility is operated by LUTHERAN HOMES OF MICHIGAN, which scores 29 points above the national average.
Reviews, Ratings and Official Records
This page reviews Wellspring Lutheran 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.
At or above the 2024 benchmark — top tier inspection record.
Ratings and Grade Breakdown
|
RN Staffing
Registered nurse time each resident receives daily. 2024 federal benchmark: 0.55 hrs. Repealed February 2026.
|
0.94 — At or above the repealed 0.55 hr benchmark |
The 0.55 hour RN standard was repealed effective February 2, 2026 and is not currently enforced.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
7
Outstanding
1
Actual harm or worse (G–L)
1
|
|
CMS Ratings
Federal five-star ratings published by CMS. These are regulatory ratings, not consumer review scores.
|
Overall: ★★★★☆ (4/5)
Health inspection: ★★★★☆ (4/5)
Quality: ★★★★☆ (4/5)
Staffing: ★★★★☆ (4/5)
|
|
NursingHomeGrade Score
|
87/100 |
Loaded into NursingHomeGrade on August 7, 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 | 0.94 hrs |
|---|---|
| MI median | 0.71 hrs |
| National average | 0.69 hrs |
Registered nurse turnover: 33.3% · Total nursing staff turnover: 38.1%
Staffing figures are the values CMS published in its file processed July 1, 2026, drawn from payroll-based journal reporting.
Inspection Records Covered
- Most recent standard health survey: August 28, 2025.
- Citations shown below span 3 recorded inspection cycles.
- Survey dates on file range from August 3, 2023 to August 28, 2025.
Source records: CMS Care Compare profile for provider 235400 ↗ · 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).
1 actual harm issue found among 7 total deficiencies. 6 corrected. — 1 still outstanding
Most recent inspection (August 28, 2025)
F
Potential harm — widespread
F0921
Status: Corrected
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies — Deficient, Provider has date of correction, corrected September 22, 2025
Inspection cycle 2 (July 10, 2024)
D
Potential harm — isolated
F0755
Status: Corrected
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies — Deficient, Provider has date of correction, corrected August 9, 2024
D
Potential harm — isolated
F0759
Status: Corrected
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies — Deficient, Provider has date of correction, corrected August 9, 2024
G
Actual harm — isolated
F0689
Status: Corrected
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected March 12, 2025
D
Potential harm — isolated
F0686
Status: Corrected
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected August 9, 2024
Inspection cycle 3 (August 3, 2023)
C
No harm — widespread
F0880
Status: Outstanding — Plan Filed
Provide and implement an infection prevention and control program.
Infection Control Deficiencies — Deficient, Provider has plan of correction, corrected September 18, 2023
D
Potential harm — isolated
F0689
Status: Corrected
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected July 1, 2024
Fines and Enforcement Actions
Penalties CMS has imposed on this facility. A fine is a civil money penalty; a payment denial suspends Medicare or Medicaid payment for new admissions.
| Date | Action | Amount or length |
|---|---|---|
| March 5, 2025 | Payment Denial | 7 days |
Source: CMS Penalties file (dataset g6vv-u9sr).
Ownership and Contact Information
- Facility name
- Wellspring Lutheran Services
- Legal business name
- AUSABLE VALLEY CONTINUING CARE RETIREMENT COMMUNITY INC
- Address
- 1390 Maple Drive, Fairview, MI 48621
- Phone
- (989) 848-2241
- Provider number (CCN)
- 235400
- Ownership type
- For profit - Corporation
- Operator
- LUTHERAN HOMES OF MICHIGAN · 2 facilities
- Medicare/Medicaid certified since
- April 18, 1979
- Official record
- CMS Care Compare profile ↗
- Details verified against CMS data dated
- July 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 Fairview
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Lincoln Haven Nursing & Rehabilitation Community
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C
The Villa at West Branch
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Sources and Methodology
- CMS Provider Information (file processed July 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 Penalties — fines and payment denials with the dates CMS recorded them. Dataset g6vv-u9sr ↗
- 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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