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Wellspring Lutheran Services

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About Wellspring Lutheran Services

General Information

Legal Business NameLutheran Homes Of Michigan, Inc
Ownership TypeNon Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareMarch 1, 1976 (41 years)
Capacity112
Residents94
Percent Occupied84%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Wellspring Lutheran Services

Wellspring Lutheran Services
was reviewed by Medicare to have a rating of 2 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Michigan Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

June 30, 2016 - 9 months ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaintGive each resident enough fluids to keep them healthy and prevent dehydration.
GFewActual HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaintEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
DFewPotential for HarmComplaintGive residents a notice of rights, rules, services and charges.

June 15, 2016 - 9 months ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

May 18, 2016 - 10 months ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$26,078 fine

April 26, 2016 - 11 months ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

March 30, 2016 - 12 months ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$6,500 fine
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth InspectionMake sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.
DFewPotential for HarmHealth InspectionMake sure that nurse aides show they have the skills and techniques to be able to care for residents' needs.
DFewPotential for HarmHealth InspectionGive or get quality laboratory services/tests in a timely manner to meet the needs of residents.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionMake sure that special or therapeutic diets are ordered by the attending doctor.
DFewPotential for HarmHealth InspectionKeep each resident free from physical restraints, unless needed for medical treatment.
DFewPotential for HarmHealth InspectionGive proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.
DFewPotential for HarmHealth InspectionProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
DFewPotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

June 18, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$5,200 fine
JFewImmediate JeopardyComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

May 21, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintHave enough nurses to care for every resident in a way that maximizes the resident's well being.
DFewPotential for HarmComplaintAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmComplaint1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

March 27, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmComplaint+InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmComplaint+InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmComplaint+InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmComplaint+InspectionEnsure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.
DFewPotential for HarmComplaint+InspectionHelp and prepare each resident for a safe and easy discharge or transfer from the nursing home.
DFewPotential for HarmComplaint+InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmComplaint+InspectionKeep residents' personal and medical records private and confidential.

September 8, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Wellspring Lutheran Services require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

3hr 5min
2hr 40min
ReportedExpected
CNA
35min
40min
ReportedExpected
LPN
1hr
1hr 10min
ReportedExpected
RN
4hr 45min
4hr 30min
ReportedExpected
Total Nursing

This facility also provides approximately 25min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

95.1%
100.0%
100.0%
100.0%
92.2%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.5%
100.0%
98.6%
95.9%
93.1%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
75.9%
68.8%
65.7%
73.0%
49.7%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of low risk long-stay residents who lose control of their bowels or bladder
23.1%
20.6%
19.7%
12.7%
22.6%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents who received an antianxiety or hypnotic medication
31.0%
27.2%
10.4%
22.1%
17.5%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents whose ability to move independently worsened
6.2%
5.7%
5.6%
5.7%
13.1%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents who received an antipsychotic medication
27.0%
18.2%
3.0%
11.3%
14.1%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents whose need for help with daily activities has increased
10.7%
7.6%
3.5%
10.2%
7.7%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents who self-report moderate to severe pain
11.9%
10.6%
11.1%
6.9%
7.7%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents who lose too much weight
3.4%
3.3%
4.9%
1.7%
5.8%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of high risk long-stay residents with pressure ulcers
0.0%
1.4%
2.8%
0.0%
3.0%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents who have depressive symptoms
16.4%
14.5%
11.1%
4.2%
4.0%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents with a urinary tract infection
3.0%
4.2%
4.1%
1.4%
2.9%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents experiencing one or more falls with major injury
4.9%
7.6%
4.4%
2.0%
3.0%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents with a catheter inserted and left in their bladder
1.5%
1.4%
2.7%
0.0%
0.7%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

86.0%
82.5%
81.2%
83.3%
80.4%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
84.0%
86.0%
86.0%
86.0%
79.7%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
51.5%
54.1%
65.2%
65.4%
70.2%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of short-stay residents who made improvements in function
19.6%
21.3%
22.4%
17.6%
17.4%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of short-stay residents who self-report moderate to severe pain
2.0%
1.0%
1.0%
0.0%
1.7%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of short-stay residents who newly received an antipsychotic medication
0.6%
0.5%
1.0%
0.6%
1.0%
Q4 2015Q1 2016Q2 2016Q3 2016MI
Percentage of short-stay residents with pressure ulcers that are new or worsened