See every facility — official ratings, family reviews, no referral fees.
Nursing HomeMedicaid Top Rated

Wellspring Lutheran Nursing and Rehab Services

Strong Medicare quality ratings; families often praise highly effective physical therapy team. Still worth an in-person visit.

1236 S Monroe St, Monroe, MI 48161122 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
3.8/5

based on 33 Google reviews

5
4
3
2
1
Wellspring Lutheran Nursing and Rehab Services Nursing Home in Monroe, MI — Street View
Street View

Watch Wellspring Lutheran Nursing and Rehab Services

Get an email when new inspections, ratings, or penalties are published for this facility.

We’ll only email you about this — no spam, unsubscribe anytime.

What this means for your family

The facility's rehabilitation department is highly regarded and consistently praised for helping patients regain mobility. However, families should exercise caution and conduct thorough due diligence regarding safety protocols, as multiple reports cite concerns about fall prevention and administrative accountability.

Google Reviews

Google Reviews

33 reviews on Google
Wellspring Lutheran Nursing and Rehab Services receives polarized feedback, with many families praising the rehabilitation therapy team and nursing staff for their dedication and care. However, there are serious, recurring reports of administrative negligence, poor communication, and safety concerns regarding resident falls and unprofessional conduct. Families should be aware that while many have positive experiences, there are significant allegations of mismanagement and lack of responsiveness to critical safety issues.

Quality Themes

Tap a score for details
Food5.0Staff7.0Clean6.0Activities9.0MedsN/AMemory2.0Comms3.0ValueN/A

Strengths

  • Highly effective physical therapy team
  • Compassionate and attentive nursing staff
  • Clean and well-maintained facility
  • Strong focus on resident engagement and activities

Concerns

  • Poor communication and lack of responsiveness to family concerns (mentioned by 3 reviewers)
  • Unprofessional or rude staff behavior (mentioned by 3 reviewers)
  • Safety issues regarding resident falls and lack of preventative measures (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'17(1)'20(4)'22(5)'24(12)'26(1)

Distribution · 35 analyzed

5
24
4
0
3
1
2
0
1
10

How They Respond to Reviews

3%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1Given the facility's strong reputation for physical therapy, how do you integrate those rehabilitation services into a resident's daily routine?
  • 2With the current staffing rating, what specific protocols are in place to ensure consistent supervision and fall prevention for residents who may be at risk?
  • 3How do you ensure that families stay well-informed about their loved one's care, and what is the best way to escalate a concern if we feel our communication needs are not being met?
  • 4I noticed some feedback regarding staff interactions; how do you foster a culture of professionalism and ensure that all team members remain patient and attentive during high-stress moments?
  • 5Since memory care is a specialized area, what specific programs or environmental features do you have in place to support residents with cognitive needs?
  • 6How does the activity team tailor engagement opportunities to ensure that residents feel connected and active throughout the week?

Personalized based on this facility's data


Key Review Excerpts

The Physical Therapy Ladies are amazing!!! Jenn, Julie, Gabby, Christin, and many others, they are the best of the very best! The hardest working women I have ever seen in this field.

Rehab patient's family member · 2024★★★★★

My dad has been there almost 2 months and he fell seven times and tipped his wheelchair over backwards once. We've asked for bed rails since the very first fall and we're told the patients have 'A right to fall'.

Resident's family member · 2025☆☆☆☆

My uncle has been here about 2 years. He's had excellent care and everyone makes it a point for him to feel welcome. I have access to info about him, opportunity for care conferences, and he is happy!

Resident's family member · 2024★★★★★
Source: 33 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.33hrs
44%
Registered nurses for medical care
Total Nursing
3.73hrs
91%
All nurses + aides combined
Staff Turnover
58%
Lower is better (< 30% = good)
RN Turnover
94%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

13

measures

Worse Than Avg

4

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility28.2%
Worse than Avg
Here
28.2%
US
15.3%
MI
13.1%
Monroe
16.0%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.6%
Better than Avg
Here
99.6%
US
93.4%
MI
95.2%
Monroe
86.3%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
MI
4.2%
Monroe
9.8%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility8.0%
Better than Avg
Here
8.0%
US
19.5%
MI
19.5%
Monroe
15.2%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility21.8%
Worse than Avg
Here
21.8%
US
14.4%
MI
11.2%
Monroe
16.4%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility6.6%
Better than Avg
Here
6.6%
US
15.4%
MI
15.0%
Monroe
16.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility94.4%
Better than Avg
Here
94.4%
US
81.8%
MI
83.0%
Monroe
72.7%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility94.4%
Better than Avg
Here
94.4%
US
79.7%
MI
79.5%
Monroe
72.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.4%
Better than Avg
Here
0.4%
US
1.6%
MI
1.2%
Monroe
1.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

1deficiencies
Well below state avg (9.8)
2 complaint-triggered

Families have filed complaints that led to inspections, with recent deficiencies in care quality standards and resident privacy protection. This facility has persistent issues with fire safety systems, emergency preparedness, and electrical safety that recur across multiple surveys from 2023 through 2025. While the facility commits to correcting violations, the repeated nature of safety deficiencies suggests ongoing compliance challenges.

Nov 21, 2025Complaint
1
0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Jan 14, 2025Routine
11
0351Potential for harm · Widespread

Smoke Deficiencies

Install an approved automatic sprinkler system.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0920Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0222Potential for harm · PatternCorrected

Egress Deficiencies

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.

0223Potential for harm · PatternCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

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

0342Potential for harm · PatternCorrected

Smoke Deficiencies

Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

0355Potential for harm · PatternCorrected

Smoke Deficiencies

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

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0914Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Jan 14, 2025Complaint
1
0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

Dec 20, 2023Routine
12
0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0029Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop a communication plan.

0291Potential for harm · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0711Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

0753Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have restrictions on the use of highly flammable decorations.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0211Potential for harm · PatternResolved (past non-compliance)

Egress Deficiencies

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

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0511Potential for harm · PatternCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0947Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Mar 15, 2023Routine
10
0211Potential for harm · WidespreadCorrected

Egress Deficiencies

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

0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0351Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0711Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0271Potential for harm · PatternCorrected

Egress Deficiencies

Have exits that are accessible at all times.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

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

0912Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have power receptacles that are properly grounded.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Wellspring Lutheran Nursing and Rehab Services

Organization Type

nonprofit

Ownership & Management

Key personnel

Bender, PeterManaging Control - Governing BodyBenko, AmyManaging Control - Governing BodyCushway, RitchManaging Control - Governing BodyGehm, DavidManaging Control - Governing BodyLogan, AndreaManaging Control - Governing Body
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Nearby Alternatives

Call