Wellspring Lutheran Nursing and Rehab Services
1236 S Monroe St, Monroe, MI 48161 · Monroe County · 122 certified beds · avg 83 residents/day · certified since Apr 1, 1976
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (6)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 19, 2026 | E · Potential for harm, repeated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Mar 19, 2026 | E · Potential for harm, repeated | The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. |
| Nov 21, 2025 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Jan 14, 2025 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. · from a complaint |
| Dec 20, 2023 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Dec 20, 2023 | D · Potential for harm, one-off | The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 0 | D |
| 2025 | 2 | 0 | D |
| 2026 | 2 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Michigan avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 2.24 | 4.32 | 3.95 | bottom 1% in Michigan; bottom 2% in the U.S. |
| Registered Nurse hours | 0.35 | 0.84 | 0.69 | bottom 7% in Michigan; bottom 15% in the U.S. |
| Weekend total nurse staffing | 1.86 | 3.79 | 3.50 | bottom 1% in Michigan; bottom 1% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.22 | 0.49 | 0.48 | bottom 13% in Michigan; bottom 15% in the U.S. |
| Total nursing staff turnover (%) | 53.3 | 44.1 | 45.8 | bottom 23% in Michigan; bottom 29% in the U.S. |
| RN turnover (%) | 92.9 | 39.2 | 42.9 | bottom 1% in Michigan; bottom 1% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 2.10, RN 0.32, weekend 1.75. Staffing rating: 1/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 3/5 · short-stay residents: 4/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bender, Peter | Individual | Managing Control - Governing Body | NOT APPLICABLE | 06/18/2012 |
| Bender, Peter | Individual | Corporate Director | NOT APPLICABLE | 06/18/2012 |
| Benko, Amy | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/04/2016 |
| Benko, Amy | Individual | Corporate Director | NOT APPLICABLE | 04/04/2016 |
| Cassidy, Bruce | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2023 |
| Cassidy, Bruce | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2023 |
| Cushway, Ritch | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/09/2013 |
| Cushway, Ritch | Individual | Corporate Director | NOT APPLICABLE | 05/09/2013 |
| Gehm, David | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/15/1994 |
| Gehm, David | Individual | Corporate Director | NOT APPLICABLE | 01/15/1994 |
| Gehm, David | Individual | Corporate Officer | NOT APPLICABLE | 01/15/1994 |
| Gehm, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/15/1994 |
| Gehm, David | Individual | ADP of the SNF | NOT APPLICABLE | 01/15/1994 |
| Kalbfleisch, Timothy | Individual | Corporate Officer | NOT APPLICABLE | 08/01/2019 |
| Kalbfleisch, Timothy | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2019 |
| Kalbfleisch, Timothy | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2019 |
| Logan, Andrea | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2025 |
| Logan, Andrea | Individual | Corporate Director | NOT APPLICABLE | 01/01/2025 |
| Nyquist, Paul | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/27/2014 |
| Nyquist, Paul | Individual | Corporate Director | NOT APPLICABLE | 01/27/2014 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "How do you handle COVID-19 vaccination for residents and staff, and what happens during an outbreak?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "What specific training do your nurse aides complete in dementia care and abuse prevention, and how often is it refreshed?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Ihm Senior Living Community | 1.0 mi | Monroe, MI | ★★★★★ | 5/5 | |
| Medilodge of Monroe | 1.6 mi | Monroe, MI | ★★★★★ | 5/5 | |
| Seacrest Rehabilitation and Nursing Center | 2.1 mi | Monroe, MI | ★★★★☆ | 4/5 | |
| Monroe Springs Skilled Nursing and Rehab | 2.2 mi | Monroe, MI | ★★★★☆ | 4/5 | |
| Fountain View of Monroe | 2.7 mi | Monroe, MI | ★★★★★ | 5/5 | |
| Majestic Care of Point Place | 12.8 mi | Toledo, OH | ★☆☆☆☆ | 1/5 | |
| Hickory Ridge of Temperance | 14.0 mi | Temperance, MI | ★★★★☆ | 4/5 | |
| Merit House LLC | 16.3 mi | Toledo, OH | ★★☆☆☆ | 1/5 | |
| Aberdeen Rehabilitation and Skilled Nursing Center | 17.6 mi | Trenton, MI | ★★☆☆☆ | 3/5 | |
| Majestic Care of Toledo SNF | 18.0 mi | Toledo, OH | ★★★★★ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 235274.