Health Inspection

Wellspring Lutheran Services

Inspection Date: August 28, 2025

Total Violations 1

Facility ID 235400

Location Fairview, MI

Inspection Findings

F-Tag F0921

Environmental Deficiencies

Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited Wellspring Lutheran Services in Fairview, MI for a deficiency under regulatory tag F-F0921 during a standard health inspection conducted on 2025-08-28.

Category: Environmental Deficiencies

The facility was found deficient in the following area: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-22.

📋 Inspection Summary

Wellspring Lutheran Services in Fairview, MI inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?

F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.

Were these violations corrected?

Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.

How often do nursing home inspections happen?

CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.

What should families do about these violations?

Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Fairview, MI, (5) Report new concerns to state authorities.

Where can I see the full inspection report?

Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Wellspring Lutheran Services or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.

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Wellspring Lutheran Services

Inspection Findings

F-Tag F0921

Frequently Asked Questions

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