Nursing homeActive
Wellspring Lutheran Nursing and Rehab Services
1236 S Monroe St, Monroe, MI 481617342419533122 certified beds · 83 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
4
since 2023
Deficiencies
6
● 0● 6● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-03-19
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 5
Staffing 1
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Michigan LARA · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-03-19 | Standard | 020 | CMS-2567 (Care Compare) | — |
| 2025-11-21 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-01-14 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-12-20 | Standard | 020 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Michigan LARA publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-21Record 235274-20260319-F550
F887Educate 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.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-21Record 235274-20260319-F887
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-01Record 235274-20251121-F658
F583Keep residents' personal and medical records private and confidential.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-21Record 235274-20250114-F583
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-17Record 235274-20231220-F644
F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-17Record 235274-20231220-F947
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.32
Facility
Michigan
National
Michigan 0.78 · National 0.69
Total nurse hours per resident day2.10
Facility
Michigan
National
Michigan 3.99 · National 3.86
Weekend total nurse hours1.75
Facility
Michigan
National
Michigan 3.50 · National 3.42
Total nursing staff turnover53%
Facility
Michigan
National
Michigan 44% · National 46%
Registered nurse turnover93%
Facility
Michigan
National
Michigan 39% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Michigan | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 1.8% | 5.1% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 3.6% | 3.0% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 5.3% | 14.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.8% | 1.5% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 23.6% | 10.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 3.5% | 5.4% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 9.2% | 19.4% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Cassidy, Bruce Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Gehm, David Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Kalbfleisch, Timothy Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Piccininni, Judy Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Terry, Stephen Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Bender, Peter Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Bender, Peter Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Benko, Amy Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Benko, Amy Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Cassidy, Bruce Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Cushway, Ritch Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Cushway, Ritch Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Gehm, David Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gehm, David Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Gehm, David Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Gehm, David Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Kalbfleisch, Timothy Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Kalbfleisch, Timothy Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Logan, Andrea Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Logan, Andrea Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Nyquist, Paul Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Nyquist, Paul Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Piccininni, Judy Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Schoenow, Carl Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Schoenow, Carl Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Storck, Karen Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Storck, Karen Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Terry, Stephen Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Michigan.
No county cost figures on file for Monroe.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| IHM Senior Living Community Monroe | 1.0 mi | 2026-03-19 | 030 |
| Medilodge of Monroe Monroe | 1.6 mi | 2026-02-12 | 051 |
| Seacrest Rehabilitation and Nursing Center Monroe | 2.1 mi | 2026-02-12 | 0150 |
| Monroe Springs Skilled Nursing and Rehab Monroe | 2.2 mi | 2026-06-24 | 081 |
| Fountain View of Monroe Monroe | 2.7 mi | 2025-12-03 | 050 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |