nursing home in Monroe, MI
Wellspring Lutheran Nursing and Rehab Services
1236 S Monroe St, Monroe, MI 48161 · (734) 241-9533
★★★★★4
Above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★5
- Staffing★★★★★1
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Wellspring Lutheran Nursing and Rehab Services at a glance
Wellspring Lutheran Nursing and Rehab Services is a 122-bed non-profit nursing home in Monroe, Michigan (Monroe County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the Michigan average of 3.1.
Residents receive about 2.1 hours of nursing care per day (0.3 of them from registered nurses), worse than the state average of 4 hours.
Its most recent standard health inspection (March 19, 2026) found 3 health citations. The Michigan average is 9.9.
It has not received a federal fine in the past three years.
Nursing staff turnover is 53.3% per year (state average 44.1%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Corporation
- Beds
- 122
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- April 1, 1976
- Resident/family council
- Resident
- County
- Monroe County
- CMS Certification Number
- 235274
Ratings
| Measure | This facility | Michigan avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 3.1 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 5 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 3.6 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.9 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 3 / 5 | 4 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3.5 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Michigan avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 2.10 hrs | 3.99 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.32 hrs | 0.78 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.05 hrs | 2.33 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 1.75 hrs | 3.50 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 53.3% | 44.1% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 92.9% | 39.2% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 0 | 1 | Worse |
Inspections
| Measure | This facility | Michigan avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 3 | 10 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 16 | 89.4 | 80.6 | Better |
Penalties
| Measure | This facility | Michigan avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $29,376 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Michigan avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 122 | 104 | 107 | |
| Average residents per day | 83 | 86 | 86 | |
| Occupancy | 68% | 83.4% | 80.9% |
Long-stay residents
| Measure | This facility | Michigan avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 3.6% | 3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 1.8% | 5.1% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 5.3% | 14.8% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.8% | 1.5% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.8% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 23.6% | 10.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 29.3% | 12% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 3.5% | 5.4% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 4.3% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 9.2% | 19.4% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 29.6% | 20% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 95% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99.2% | 95.3% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Michigan avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.3% | 1.1% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 94.4% | 79.5% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 94.4% | 83.3% | 82% | Better |
Inspection citations
State inspectors cited this home for 6 health deficiencies and 36 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| March 19, 2026 Fire safety | Establish procedures for tracking staff and patients during an emergency. Emergency Preparedness Deficiencies · Tag E0018 | F Potential harm, widespread | Corrected April 21, 2026 |
| March 19, 2026 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected April 21, 2026 |
| March 19, 2026 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | F Potential harm, widespread | Corrected April 21, 2026 |
| March 19, 2026 Fire safety | Establish policies and procedures for volunteers. Emergency Preparedness Deficiencies · Tag E0024 | F Potential harm, widespread | Corrected April 21, 2026 |
| March 19, 2026 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | F Potential harm, widespread | Corrected April 21, 2026 |
| March 19, 2026 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected April 21, 2026 |
| March 19, 2026 Fire safety | Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Smoke Deficiencies · Tag K0362 | F Potential harm, widespread | Corrected April 21, 2026 |
| March 19, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected April 21, 2026 |
| March 19, 2026 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected April 21, 2026 |
| March 19, 2026 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected April 21, 2026 |
| March 19, 2026 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected April 21, 2026 |
| March 19, 2026 Fire safety | Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Tag E0036 | F Potential harm, widespread | Corrected April 21, 2026 |
| March 19, 2026 Fire safety | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Tag E0026 | F Potential harm, widespread | Corrected April 21, 2026 |
| March 19, 2026 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected April 21, 2026 |
| March 19, 2026 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | D Potential harm, isolated | Corrected April 21, 2026 |
| March 19, 2026 Standard | 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 · Tag F0887 | E Potential harm, pattern | Corrected April 21, 2026 |
| March 19, 2026 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected April 21, 2026 |
| November 21, 2025 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected December 1, 2025 |
| January 14, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected February 28, 2025 |
| January 14, 2025 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | F Potential harm, widespread | Corrected April 30, 2025 |
| January 14, 2025 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | F Potential harm, widespread | Corrected February 28, 2025 |
| January 14, 2025 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected February 28, 2025 |
| January 14, 2025 Fire safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Tag K0223 | E Potential harm, pattern | Corrected February 28, 2025 |
| January 14, 2025 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | E Potential harm, pattern | Corrected February 28, 2025 |
| January 14, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected February 28, 2025 |
| January 14, 2025 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | E Potential harm, pattern | Corrected February 28, 2025 |
| January 14, 2025 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | E Potential harm, pattern | Corrected February 28, 2025 |
| January 14, 2025 Fire safety | Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Smoke Deficiencies · Tag K0342 | E Potential harm, pattern | Corrected February 28, 2025 |
| January 14, 2025 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | E Potential harm, pattern | Corrected February 28, 2025 |
| January 14, 2025 Complaint | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected February 21, 2025 |
| December 20, 2023 Fire safety | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Tag K0753 | F Potential harm, widespread | Corrected January 17, 2024 |
| December 20, 2023 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected January 17, 2024 |
| December 20, 2023 Fire safety | Develop a communication plan. Emergency Preparedness Deficiencies · Tag E0029 | F Potential harm, widespread | Corrected January 17, 2024 |
| December 20, 2023 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected January 17, 2024 |
| December 20, 2023 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | F Potential harm, widespread | Corrected January 17, 2024 |
| December 20, 2023 Fire safety | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Tag K0711 | F Potential harm, widespread | Corrected January 17, 2024 |
| December 20, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected January 17, 2024 |
| December 20, 2023 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected January 17, 2024 |
| December 20, 2023 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | E Potential harm, pattern | Corrected December 15, 2023 |
| December 20, 2023 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected January 17, 2024 |
| December 20, 2023 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected January 17, 2024 |
| December 20, 2023 Standard | 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 · Tag F0947 | D Potential harm, isolated | Corrected January 17, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| CASSIDY, BRUCE Individual | adp of the snf | NOT APPLICABLE | 01/01/2023 |
| GEHM, DAVID Individual | adp of the snf | NOT APPLICABLE | 01/15/1994 |
| KALBFLEISCH, TIMOTHY Individual | adp of the snf | NOT APPLICABLE | 08/01/2019 |
| PICCININNI, JUDY Individual | adp of the snf | NOT APPLICABLE | 02/01/2024 |
| TERRY, STEPHEN Individual | adp of the snf | NOT APPLICABLE | 09/22/2025 |
| BENDER, PETER Individual | corporate director | NOT APPLICABLE | 06/18/2012 |
| BENKO, AMY Individual | corporate director | NOT APPLICABLE | 04/04/2016 |
| CUSHWAY, RITCH Individual | corporate director | NOT APPLICABLE | 05/09/2013 |
| GEHM, DAVID Individual | corporate director | NOT APPLICABLE | 01/15/1994 |
| LOGAN, ANDREA Individual | corporate director | NOT APPLICABLE | 01/01/2025 |
| NYQUIST, PAUL Individual | corporate director | NOT APPLICABLE | 01/27/2014 |
| SCHOENOW, CARL Individual | corporate director | NOT APPLICABLE | 11/24/2014 |
| STORCK, KAREN Individual | corporate director | NOT APPLICABLE | 07/10/2018 |
| GEHM, DAVID Individual | corporate officer | NOT APPLICABLE | 01/15/1994 |
| KALBFLEISCH, TIMOTHY Individual | corporate officer | NOT APPLICABLE | 08/01/2019 |
| BENDER, PETER Individual | managing control - governing body | NOT APPLICABLE | 06/18/2012 |
| BENKO, AMY Individual | managing control - governing body | NOT APPLICABLE | 04/04/2016 |
| CUSHWAY, RITCH Individual | managing control - governing body | NOT APPLICABLE | 05/09/2013 |
| GEHM, DAVID Individual | managing control - governing body | NOT APPLICABLE | 01/15/1994 |
| LOGAN, ANDREA Individual | managing control - governing body | NOT APPLICABLE | 01/01/2025 |
| NYQUIST, PAUL Individual | managing control - governing body | NOT APPLICABLE | 01/27/2014 |
| SCHOENOW, CARL Individual | managing control - governing body | NOT APPLICABLE | 11/24/2014 |
| STORCK, KAREN Individual | managing control - governing body | NOT APPLICABLE | 07/10/2018 |
| CASSIDY, BRUCE Individual | operational/managerial control | NOT APPLICABLE | 01/01/2023 |
| GEHM, DAVID Individual | operational/managerial control | NOT APPLICABLE | 01/15/1994 |
| KALBFLEISCH, TIMOTHY Individual | operational/managerial control | NOT APPLICABLE | 08/01/2019 |
| PICCININNI, JUDY Individual | operational/managerial control | NOT APPLICABLE | 02/01/2024 |
| TERRY, STEPHEN Individual | operational/managerial control | NOT APPLICABLE | 09/22/2025 |
Other nursing homes near Wellspring Lutheran Nursing and Rehab Services
Ihm Senior Living Community
610 West Elm Avenue, Monroe, MI 48162 · under 1 mi
Non-profit · 58 beds · Part of Saint Therese Senior Communities
- CMS high performer
★★★★★5Much above averageMedilodge of Monroe
481 Village Green Lane, Monroe, MI 48162 · 1.6 mi
For-profit · 103 beds · Part of Medilodge
★★★★★5Much above averageSeacrest Rehabilitation and Nursing Center
1215 N Telegraph Rd, Monroe, MI 48162 · 2.1 mi
For-profit · 131 beds · Part of Avon Healthcare
★★★★★4Above averageMonroe Springs Skilled Nursing and Rehab
700 Stewart Rd, Monroe, MI 48161 · 2.2 mi
For-profit · 89 beds · Part of Avon Healthcare
★★★★★4Above averageFountain View of Monroe
1971 N Monroe Street, Monroe, MI 48162 · 2.7 mi
For-profit · 119 beds · Part of Ciena Healthcare/Laurel Health Care
- CMS high performer
★★★★★5Much above averageMajestic Care of Point Place
6101 N Summit St, Toledo, OH 43611 · 12.8 mi
For-profit · 82 beds · Part of Majestic Care
★★★★★1Much below average
Frequently asked questions
What is Wellspring Lutheran Nursing and Rehab Services's rating?
Wellspring Lutheran Nursing and Rehab Services has 4 out of 5 stars on the CMS overall star rating. The average for Michigan nursing homes is 3.1 stars.
How many inspection citations did Wellspring Lutheran Nursing and Rehab Services receive?
Its most recent standard health inspection found 3 citations, compared with a Michigan average of 9.9. Every citation is listed on this page with its severity.
Does Wellspring Lutheran Nursing and Rehab Services accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Wellspring Lutheran Nursing and Rehab Services?
It is non profit - corporation. The ownership section on this page lists the owners and managers reported to CMS.
Where is Wellspring Lutheran Nursing and Rehab Services and how do I contact it?
Wellspring Lutheran Nursing and Rehab Services is at 1236 S Monroe St, Monroe, MI 48161. Phone: (734) 241-9533.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.