Wellspring Lutheran Services
1390 Maple Drive, Fairview, MI 48621 · Oscoda County · 39 certified beds · avg 36 residents/day · certified since Apr 18, 1979
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · 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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Feb 6, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Mar 12, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (7)
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 |
|---|---|---|
| Aug 28, 2025 | F · Potential for harm, facility-wide | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Feb 6, 2025 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jul 10, 2024 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Jul 10, 2024 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Jul 10, 2024 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| May 30, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Aug 3, 2023 | C · Minimal risk, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (3 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 0 | C |
| 2024 | 4 | 0 | D |
| 2025 | 2 | 1 | G ▲ |
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)
0 fines totaling $0, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Feb 6, 2025 | Payment Denial | 7 days from Mar 5, 2025 |
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) | 4.67 | 4.32 | 3.95 | top 23% in Michigan; top 19% in the U.S. |
| Registered Nurse hours | 1.08 | 0.84 | 0.69 | top 20% in Michigan; top 13% in the U.S. |
| Weekend total nurse staffing | 3.97 | 3.79 | 3.50 | top 28% in Michigan; top 24% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.39 | 0.49 | 0.48 | bottom 44% in Michigan; bottom 50% in the U.S. |
| Total nursing staff turnover (%) | 38.1 | 44.1 | 45.8 | top 32% in Michigan; top 31% in the U.S. |
| RN turnover (%) | 33.3 | 39.2 | 42.9 | top 38% in Michigan; top 33% 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 4.03, RN 0.94, weekend 3.42. Staffing rating: 4/5.
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: 4/5 · short-stay residents: 4/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Lutheran Homes of Michigan, INC | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/01/2011 |
| Bender, Peter | Individual | Corporate Director | NOT APPLICABLE | 06/01/2012 |
| Benko, Amy | Individual | Corporate Director | NOT APPLICABLE | 04/04/2016 |
| Cushway, Ritch | Individual | Corporate Director | NOT APPLICABLE | 05/09/2013 |
| Dargis, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2020 |
| Dargis, David | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2020 |
| Gehm, David | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2011 |
| Gehm, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2011 |
| Gehm, David | Individual | ADP of the SNF | NOT APPLICABLE | 11/14/2011 |
| Kalbfleisch, Timothy | Individual | Corporate Officer | NOT APPLICABLE | 09/01/2019 |
| Kalbfleisch, Timothy | Individual | ADP of the SNF | NOT APPLICABLE | 09/01/2019 |
| Logan, Andrea | Individual | Corporate Director | NOT APPLICABLE | 06/18/2012 |
| Lutheran Homes of Michigan, INC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2011 |
| Naffien, Fawn | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2022 |
| Naffien, Fawn | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2022 |
| Nyquist, Paul | Individual | Corporate Director | NOT APPLICABLE | 01/27/2014 |
| Schoenow, Carl | Individual | Corporate Director | NOT APPLICABLE | 11/24/2014 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "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)
No other Medicare-certified nursing homes within 20 miles in the current records.
Facility data as of CMS processing date 2026-08-01. CCN 235400.