NURSING HOME PUBLIC RECORD
CMS lists this provider in Monroe, MI, with 122 certified beds, an overall rating of 4/5, and 42 citation rows in the current August 2026 release.
1236 S Monroe St · Monroe, MI 48161 · Monroe County
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
CMS supplies 3 survey-cycle rows for Wellspring Lutheran Nursing And Rehab Services in this release; health and fire inspection dates remain separate.
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-03-19 | 3 | 2026-03-19 | 15 |
| Cycle 2 | 2025-01-14 | 1 | 2025-01-14 | 11 |
| Cycle 3 | 2023-12-20 | 2 | 2023-12-20 | 10 |
CMS reports 42 citation rows, including 0 with G–L codes and 0 with J–L codes.
0 rows carry G–L scope/severity codes; 0 carry J–L. 5 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
Develop and maintain an Emergency Preparedness Program (EP).
Correction field: Deficient, Provider has date of correction · 2026-04-21Establish procedures for tracking staff and patients during an emergency.
Correction field: Deficient, Provider has date of correction · 2026-04-21Establish policies and procedures for volunteers.
Correction field: Deficient, Provider has date of correction · 2026-04-21Establish roles under a Waiver declared by secretary.
Correction field: Deficient, Provider has date of correction · 2026-04-21Establish emergency prep training and testing.
Correction field: Deficient, Provider has date of correction · 2026-04-21Conduct testing and exercise requirements.
Correction field: Deficient, Provider has date of correction · 2026-04-21Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2026-04-21Educate 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.
Correction field: Deficient, Provider has date of correction · 2026-04-21Add 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.
Correction field: Deficient, Provider has date of correction · 2026-04-21Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2026-04-21Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2026-04-21Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2026-04-21Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Correction field: Deficient, Provider has date of correction · 2026-04-21Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2026-04-21Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2026-04-21Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Deficient, Provider has date of correction · 2026-04-21Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2026-04-21Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2025-12-01 · complaintKeep residents' personal and medical records private and confidential.
Correction field: Deficient, Provider has date of correction · 2025-02-21 · complaintAdd 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.
Correction field: Deficient, Provider has date of correction · 2025-02-28Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Correction field: Deficient, Provider has date of correction · 2025-02-28Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2025-02-28Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Correction field: Deficient, Provider has date of correction · 2025-02-28Install an approved automatic sprinkler system.
Correction field: Waiver has been granted · 2025-04-30The August 2026 file contains 0 penalty rows and $0 in listed fines for this provider record.
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
CMS matched 28 ownership disclosure rows to Wellspring Lutheran Nursing And Rehab Services; names and roles are reported fields, not independently verified identities.
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
CMS reports 2.10 total nurse hours and 0.32 RN hours per resident day for this provider.
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
The local peer set contains 5 other published facility records near Monroe, MI, with separate bed, rating, and citation-row fields.
Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.
