Wellspring Lutheran Nursing And Rehab Services is one of the top-rated nursing facilities in Monroe, Michigan, earning an A grade based on CMS data. With a score of 89/100, it ranks in the top 19% of facilities statewide — a strong indicator of quality care.
Wellspring Lutheran Nursing And Rehab Services provides above-average staffing with 4.22 total nurse hours per resident per day. Higher staffing levels are generally associated with better care outcomes and more attentive staff.
Wellspring Lutheran Nursing And Rehab Services shows a strong inspection record, with just 4 deficiencies noted in recent CMS surveys, none of which were classified as serious.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.22 | 3.8 | Above Average |
| Registered Nurses (RN) | 0.35 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.46 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.42 | 2.4 | Average |
| Weekend Total Nursing | 3.86 | 3.8 | Average |
| Weekend RN Hours | 0.26 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (4 shown)
- Tag 0658 Severity DEnsure services provided by the nursing facility meet professional standards of quality.Nov 20, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0583 Severity DKeep residents' personal and medical records private and confidential.Jan 13, 2025 · Resident Rights Deficiencies
- Tag 0644 Severity DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Dec 19, 2023 · Resident Assessment and Care Planning Deficiencies
- Tag 0947 Severity DEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.Dec 19, 2023 · Nursing and Physician Services 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 | 4.0% | 4.5% | Better |
| Falls with major injury | 5.1% | 3.0% | Worse |
| On antipsychotic medication | 8.4% | 14.5% | Better |
| Urinary tract infections | 2.0% | 2.5% | Better |
| ADL decline (daily activities) | 23.0% | 14.0% | Worse |
| Excessive weight loss | 4.4% | 7.5% | Better |
| New/worsened incontinence | 28.8% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of A is based on a score of 89 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 5★ → 40 pts (max 40)
- Health Inspection Rating: 5★ → 25 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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