Public Record
Wellspring Lutheran Services
From CMS
Facility profile
- CMS overall rating
- 5 / 5
- Certified beds
- 39
- Avg. residents per day
- 36
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Citations on record
- 14
- Inspections on file
- 8
- Last inspection
- 2025-08-28
*CMS
*CMS
*CMS
Citations
14 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0921Generalpotential for harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- 0271Generalpotential for harm
Have exits that are accessible at all times.
- 0689Seriousactual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0686Generalpotential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- 0755Generalpotential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 0759Generalpotential for harm
Ensure medication error rates are not 5 percent or greater.
- 0345Generalpotential for harm
Have approved installation, maintenance and testing program for fire alarm systems.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0321Generalpotential for harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- 0918Generalpotential for harm
Have generator or other power source capable of supplying service within 10 seconds.
- 0353Generalpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0363Generalpotential for harm
Install corridor and hallway doors that block smoke.
- 0880Generalno actual harm
Provide and implement an infection prevention and control program.
- 0324Generalpotential for harm
Provide properly protected cooking facilities.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- View inspection reportInspection2 deficiencies
- View inspection reportInspection2 deficiencies
- View inspection reportInspection1 deficiency
- View inspection reportInspection4 deficiencies
- View inspection reportInspection4 deficiencies
- View inspection reportInspection1 deficiency
- View inspection reportInspection6 deficiencies
- View inspection reportInspection6 deficiencies
FAQ
Questions and answers
- What is Wellspring Lutheran Services?
- Wellspring Lutheran Services is a Medicare- and Medicaid-certified nursing home in Fairview, MI, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 235400.
- What is the CMS rating for Wellspring Lutheran Services?
- Wellspring Lutheran Services has a CMS overall rating of 5 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Wellspring Lutheran Services have?
- Wellspring Lutheran Services is certified for 39 beds. It serves an average of 36 residents per day.
- How many citations does Wellspring Lutheran Services have?
- Wellspring Lutheran Services has 14 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Wellspring Lutheran Services last inspected?
- Wellspring Lutheran Services was last inspected on August 28, 2025. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
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