Wellspring Lutheran Services
1390 Maple Drive, Fairview, MI 48621
Wellspring Lutheran Services is a nursing home in Fairview, Michigan. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
CMS star ratings
- 4 of 5CMS overall star rating
- 4 of 5CMS health inspection star rating
- 4 of 5CMS staffing star rating
- 4 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (989) 848-2241
- Last standard health inspection
- August 28, 2025 (1 year ago)
- Certified beds
- 39
- Residents per day, on average
- 36.6
- Ownership type
- For profit - Corporation
- Legal business name
- Ausable Valley Continuing Care Retirement Community INC
- Chain
- Not listed by CMS
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Michigan average (7 vs 32).
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of July 29, 2026
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
CMS update of November 20, 2025
Staffing
Total nurse staffing reported to CMS went from 4.7 to 4.1 hours per resident per day.
1 citation
Health inspection on August 28, 2025
CMS lists this as a standard inspection.
Citation F0921. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
CMS lists it as corrected on September 22, 2025.
1 citation
Fire safety inspection on August 28, 2025
CMS lists this as a standard inspection.
Citation K0271. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have exits that are accessible at all times.
CMS lists it as corrected on October 9, 2025.
CMS update of July 30, 2025
Star rating
The CMS health inspection star rating changed from 5 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
Payment stopped
March 5, 2025 (1 year ago)
CMS stopped payment for new admissions from March 5, 2025, for 7 days.
CMS update of February 26, 2025
Star rating
The CMS staffing star rating changed from 5 of 5 to 4 of 5.
Ownership
CMS no longer lists a chain for this home.
1 citation
Health inspection on February 6, 2025
CMS lists this as a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
148 of 422 Michigan homes (35%) got a citation at the actual harm level in 2025.
Citation F0689. Severity G: actual harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on March 12, 2025.
CMS has cited this home for F0689 2 times since 2024.
CMS update of October 30, 2024
Star rating
The CMS staffing star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
CMS update of July 31, 2024
Star rating
The CMS staffing star rating changed from 5 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
3 citations
Health inspection on July 10, 2024
CMS lists this as a standard inspection.
Citation F0686. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on August 9, 2024.
Citation F0755. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on August 9, 2024.
Citation F0759. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure medication error rates are not 5 percent or greater.
CMS lists it as corrected on August 9, 2024.
1 citation
Fire safety inspection on July 10, 2024
CMS lists this as a standard inspection.
Citation K0345. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on August 14, 2024.
1 citation
Health inspection on May 30, 2024
CMS lists this as a complaint inspection.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on July 1, 2024.
CMS update of April 25, 2024
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
1 citation
Health inspection on August 3, 2023
CMS lists this as a standard inspection.
Citation F0880. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on September 18, 2023.
5 citations
Fire safety inspection on August 3, 2023
CMS lists this as a standard inspection.
Citation K0324. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on September 14, 2023.
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on September 14, 2023.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on September 14, 2023.
Citation K0321. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on September 14, 2023.
Citation K0363. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on September 14, 2023.
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- LUTHERAN HOMES OF MICHIGAN, INC5% or greater direct ownership interest · 100% · since 01/01/2011
- DARGIS, DAVIDOperational/managerial control · not applicable · since 01/01/2020
- GEHM, DAVIDOperational/managerial control · not applicable · since 01/01/2011
- NAFFIEN, FAWNOperational/managerial control · not applicable · since 05/01/2022
Questions
When was Wellspring Lutheran Services last inspected?
CMS lists August 28, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does Wellspring Lutheran Services have?
CMS lists 7 health citations since August 3, 2023. CMS also calls these deficiencies.
Has Wellspring Lutheran Services been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Wellspring Lutheran Services?
Its CMS overall star rating is 4 of 5.
Is Wellspring Lutheran Services a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.