Nursing HomeInspections

Wellspring Lutheran Nursing and Rehab Services

Nursing home in Monroe, MI

Medicare & Medicaid certified4★ overall (CMS)

Call (734) 241-9533Send a messageMap ↗

Public-record details

Address
1236 S Monroe St, Monroe, MI 48161
Phone
(734) 241-9533
Listed under
Nonprofit, 4–5 star overall rating, No fines in 3 years
Medicare CCN
235274
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
5 of 5
Staffing rating
1 of 5
Quality measures rating
4 of 5
Certified beds
122
Average residents per day
83
Ownership
Nonprofit, corporation
Legal business name
Lutheran Homes of Michigan, INC
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Apr 1, 1976
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 235274. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Mar 19, 2026. CMS lists 6 health citations for this facility across its last three standard inspection cycles and complaint inspections (Dec 20, 2023 to Mar 19, 2026): 2 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Mar 19, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights
E
Potential for more than minimal harm, pattern
Mar 19, 2026Educate 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…
Infection Control
E
Potential for more than minimal harm, pattern
Nov 21, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
Jan 14, 2025Keep residents' personal and medical records private and confidential.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Dec 20, 2023Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Dec 20, 2023Ensure 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
D
Potential for more than minimal harm, isolated

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
2.10 hours
Registered nurse (RN) time per resident per day
0.32 hours
Nurse aide time per resident per day
1.05 hours
Total nurse staffing on weekends
1.75 hours
Nursing staff turnover (yearly)
53%
RN turnover (yearly)
93%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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