Federal inspection record · CMS data as of October 1, 2026

Wellspring Lutheran Services

725 West Genesee, Frankenmuth, MI · (989) 652-9951

CMS overall rating

3 of 5

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Certified beds
83
Residents per day
47
Ownership
Non-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
March 1, 1976

1

How this home got 3 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Michigan.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    3 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Michigan homes

Wellspring Lutheran Services carries 59 inspection points. That is fewer than 54% of Michigan's 420 rated homes.

5★4★3★2★1★+13 homes above 286.7505102550100200inspection points → fewer is better on the leftThis home · 59 pts · 3★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Michigan: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–18 pts
  • 4★ 18–46 pts
  • 3★ 46–78 pts
  • 2★ 78–123 pts
  • 1★ over 123 pts

Bars show every rated home in Michigan by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

26 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 18 4 pts
E 6 8 pts
F 2 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Quality of Life and Care8D
  1. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    August 14, 2025 · Complaint · F684 · Corrected September 23, 2025

  2. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    August 14, 2025 · Standard · F689 · Corrected September 23, 2025

  3. D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    August 14, 2025 · Standard · F690 · Corrected September 23, 2025

  4. D

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    August 14, 2025 · Standard · F694 · Corrected September 23, 2025

  5. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    July 25, 2024 · Complaint · F689 · Corrected August 28, 2024

  6. D

    Provide enough food/fluids to maintain a resident's health.

    July 25, 2024 · Standard · F692 · Corrected August 28, 2024

  7. D

    Provide safe and appropriate respiratory care for a resident when needed.

    July 25, 2024 · Complaint · F695 · Corrected August 28, 2024

  8. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    August 4, 2023 · Standard · F689 · Corrected September 12, 2023

Pharmacy Service5E
  1. E

    Ensure medication error rates are not 5 percent or greater.

    August 14, 2025 · Standard · F759 · Corrected September 23, 2025

  2. E

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    August 14, 2025 · Standard · F761 · Corrected September 23, 2025

  3. D

    Ensure that residents are free from significant medication errors.

    August 14, 2025 · Standard · F760 · Corrected September 23, 2025

  4. D

    Ensure that residents are free from significant medication errors.

    July 25, 2024 · Standard · F760 · Corrected August 28, 2024

  5. D

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    July 25, 2024 · Complaint · F761 · Corrected August 28, 2024

Resident Rights4E
  1. E

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    August 14, 2025 · Standard · F578 · Corrected September 23, 2025

  2. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    August 14, 2025 · Complaint · F550 · Corrected September 23, 2025

  3. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    July 25, 2024 · Standard · F550 · Corrected August 28, 2024

  4. D

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    July 25, 2024 · Standard · F582 · Corrected August 28, 2024

Nutrition and Dietary3F
  1. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    July 25, 2024 · Standard · F812 · Corrected August 28, 2024

  2. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    August 4, 2023 · Standard · F812 · Corrected September 12, 2023

  3. E

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    August 4, 2023 · Standard · F804 · Corrected September 12, 2023

Environmental2F
  1. E

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    August 14, 2025 · Complaint · F921 · Corrected September 23, 2025

  2. F

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    July 25, 2024 · Complaint · F921 · Corrected August 28, 2024

Resident Assessment and Care Planning2D
  1. D

    Ensure services provided by the nursing facility meet professional standards of quality.

    August 14, 2025 · Standard · F658 · Corrected September 23, 2025

  2. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    July 25, 2024 · Standard · F657 · Corrected August 28, 2024

Nursing and Physician Services1D
  1. D

    Ensure that the resident and his/her doctor meet face-to-face at all required visits.

    August 4, 2023 · Standard · F712 · Corrected September 12, 2023

Infection Control1D
  1. D

    Provide and implement an infection prevention and control program.

    August 4, 2023 · Standard · F880 · Corrected September 12, 2023

Inspection history

  1. 2025-08-14

    11 health deficiencies · 3 fire-safety deficiencies

    Top issue: Quality of Life and Care (4 deficiencies)

  2. 2024-07-25

    10 health deficiencies · 6 fire-safety deficiencies

    Top issue: Quality of Life and Care (3 deficiencies)

  3. 2023-08-04

    5 health deficiencies · 6 fire-safety deficiencies

    Top issue: Nutrition and Dietary (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 57 min of nursing staff time a day, 39 min of it from a registered nurse.

This home

3 h 57 min

Michigan average

4 h 2 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 47% of nursing staff and 25% of registered nurses left in the past year, along with 2 administrators.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.1 pts better1.61.71.8
Number of outpatient emergency department visits per 1000 long-stay resident days1.6 pts better01.61.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.6 pts better100.0%95.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.6 pts better97.1%95.5%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury2.3 pts better0.7%3.0%3.2%
Percentage of long-stay residents who have depressive symptoms4.5 pts better0.0%4.5%13.5%
Percentage of long-stay residents who lose too much weight1.2 pts better4.3%5.5%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication2.4 pts better17.0%19.4%19.5%
Percentage of long-stay residents who received an antipsychotic medication9.3 pts better5.4%14.7%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened6.7 pts worse17.8%11.1%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased7.1 pts worse17.8%10.7%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better0.0%0.7%0.7%
Percentage of long-stay residents with a urinary tract infection1.4 pts worse2.9%1.5%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence5 pts worse24.4%19.4%18.3%
Percentage of long-stay residents with pressure ulcers4.2 pts worse9.2%5.0%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine14.9 pts better98.3%83.4%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit0.6 pts worse12.3%11.7%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts worse1.3%1.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine16.4 pts better97.9%81.5%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission2.3 pts worse26.2%23.9%23.4%

·

Who owns and runs it

8 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Bender, PeterCorporate Director · Individual0%3 facilities
Benko, AmyCorporate Director · Individual0%3 facilities
Cushway, RitchCorporate Director · Individual0%3 facilities
Gehm, DavidW-2 Managing Employee · Individual0%4 facilities
Gehm, DavidCorporate Officer · Individual0%4 facilities
Nyquist, PaulCorporate Director · Individual0%3 facilities
Schoenow, CarlCorporate Director · Individual0%3 facilities
Zolton, DarrellCorporate Director · Individual0%1 facilities

·

Fire safety

15 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke7F
  1. F

    Inspect, test, and maintain automatic sprinkler systems.

    August 14, 2025 · K353 · Corrected September 23, 2025

  2. F

    Install corridor and hallway doors that block smoke.

    August 14, 2025 · K363 · Corrected September 23, 2025

  3. F

    Provide properly protected cooking facilities.

    July 25, 2024 · K324 · Corrected August 28, 2024

  4. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    July 25, 2024 · K345 · Corrected August 28, 2024

  5. F

    Properly select, install, inspect, or maintain portable fire extinguishes.

    July 25, 2024 · K355 · Corrected August 28, 2024

  6. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    August 4, 2023 · K321 · Corrected September 12, 2023

  7. E

    Inspect, test, and maintain automatic sprinkler systems.

    August 4, 2023 · K353 · Corrected September 12, 2023

Egress3E
  1. E

    Have corridors or aisles that are unobstructed and are at least 8 feet in width.

    July 25, 2024 · K232 · Corrected August 28, 2024

  2. E

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    August 4, 2023 · K211 · Corrected September 12, 2023

  3. E

    Add 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.

    August 4, 2023 · K222 · Corrected November 27, 2023

Gas, Vacuum, and Electrical Systems2F
  1. D

    Ensure proper usage of power strips and extension cords.

    August 14, 2025 · K920 · Corrected September 23, 2025

  2. F

    Have generator or other power source capable of supplying service within 10 seconds.

    August 4, 2023 · K918 · Corrected September 12, 2023

Emergency Preparedness2F
  1. F

    Address subsistence needs for staff and patients.

    July 25, 2024 · E15 · Corrected August 28, 2024

  2. F

    Develop and maintain an Emergency Preparedness Program (EP).

    July 25, 2024 · E4 · Corrected August 28, 2024

Miscellaneous1E
  1. E

    Have restrictions on the use of portable space heaters.

    August 4, 2023 · K781 · Corrected September 12, 2023

·

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