C

Wellspring Lutheran Services

725 West Genesee, Frankenmuth, MI 48734
Score: 64 / 100

Wellspring Lutheran Services is an average performer in CMS ratings, earning a C grade with a score of 64/100. Located in Frankenmuth, Michigan, the facility meets baseline standards across most quality metrics.

Wellspring Lutheran Services provides above-average staffing with 4.38 total nurse hours per resident per day. Higher staffing levels are generally associated with better care outcomes and more attentive staff.

Recent inspections identified 26 deficiencies at Wellspring Lutheran Services. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.38 3.8 Above Average
Registered Nurses (RN) 0.66 0.7 Average
Licensed Practical Nurses (LPN) 0.90 0.7 Above Average
Certified Nursing Assistants (CNA) 2.82 2.4 Above Average
Weekend Total Nursing 3.98 3.8 Average
Weekend RN Hours 0.44 0.7 Below Average

🔍 Inspection & Deficiency History

26
Total Deficiencies
Aug 13, 2025
Most Recent Inspection
🟠 26 Moderate
View recent deficiencies (5 shown)
  • Tag 0578 Severity E
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and
    Aug 13, 2025 · Resident Rights Deficiencies
  • Tag 0759 Severity E
    Ensure medication error rates are not 5 percent or greater.
    Aug 13, 2025 · Pharmacy Service Deficiencies
  • Tag 0761 Severity E
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologi
    Aug 13, 2025 · Pharmacy Service Deficiencies
  • Tag 0921 Severity E
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    Aug 13, 2025 · Environmental Deficiencies
  • Tag 0658 Severity D
    Ensure services provided by the nursing facility meet professional standards of quality.
    Aug 13, 2025 · Resident Assessment and Care Planning Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 11.6% 4.5% Worse
Falls with major injury 5.9% 3.0% Worse
On antipsychotic medication 6.0% 14.5% Better
Urinary tract infections 4.6% 2.5% Worse
ADL decline (daily activities) 18.3% 14.0% Worse
Excessive weight loss 6.3% 7.5% Better
New/worsened incontinence 33.8% 45.0% Better

How This Grade Was Calculated

This facility's grade of C is based on a score of 64 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 3★ → 24 pts (max 40)
  • Health Inspection Rating: 3★ → 15 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Non profit - Corporation
Certified Beds
83
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Aug 13, 2025
Deficiencies (Cycle 1)
11