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Complaint Investigation

Wellspring Lutheran Services

Inspection Date: August 14, 2025
Total Violations 11
Facility ID 235269
Location Frankenmuth, MI
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Inspection Findings

F-Tag F0550

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited Wellspring Lutheran Services in Frankenmuth, MI for a deficiency under regulatory tag F-F0550 during a complaint investigation conducted on 2025-08-14.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Scope/Severity Level D: isolated, 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.

This was one of 11 deficiencies cited during this inspection of Wellspring Lutheran Services.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-23.

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F-Tag F0578

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited Wellspring Lutheran Services in Frankenmuth, MI for a deficiency under regulatory tag F-F0578 during a standard health inspection conducted on 2025-08-14.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: 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.

Scope/Severity Level E: pattern, 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.

This was one of 11 deficiencies cited during this inspection of Wellspring Lutheran Services.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-23.

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F-Tag F0658

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited Wellspring Lutheran Services in Frankenmuth, MI for a deficiency under regulatory tag F-F0658 during a standard health inspection conducted on 2025-08-14.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Ensure services provided by the nursing facility meet professional standards of quality.

Scope/Severity Level D: isolated, 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.

This was one of 11 deficiencies cited during this inspection of Wellspring Lutheran Services.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-23.

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F-Tag F0684

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited Wellspring Lutheran Services in Frankenmuth, MI for a deficiency under regulatory tag F-F0684 during a complaint investigation conducted on 2025-08-14.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Scope/Severity Level D: isolated, 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.

This was one of 11 deficiencies cited during this inspection of Wellspring Lutheran Services.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-23.

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F-Tag F0689

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited Wellspring Lutheran Services in Frankenmuth, MI for a deficiency under regulatory tag F-F0689 during a standard health inspection conducted on 2025-08-14.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Scope/Severity Level D: isolated, 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.

This was one of 11 deficiencies cited during this inspection of Wellspring Lutheran Services.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-23.

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F-Tag F0690

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited Wellspring Lutheran Services in Frankenmuth, MI for a deficiency under regulatory tag F-F0690 during a standard health inspection conducted on 2025-08-14.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Scope/Severity Level D: isolated, 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.

This was one of 11 deficiencies cited during this inspection of Wellspring Lutheran Services.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-23.

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F-Tag F0694

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited Wellspring Lutheran Services in Frankenmuth, MI for a deficiency under regulatory tag F-F0694 during a standard health inspection conducted on 2025-08-14.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Scope/Severity Level D: isolated, 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.

This was one of 11 deficiencies cited during this inspection of Wellspring Lutheran Services.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-23.

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F-Tag F0759

Pharmacy Service Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited Wellspring Lutheran Services in Frankenmuth, MI for a deficiency under regulatory tag F-F0759 during a standard health inspection conducted on 2025-08-14.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Ensure medication error rates are not 5 percent or greater.

Scope/Severity Level E: pattern, 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.

This was one of 11 deficiencies cited during this inspection of Wellspring Lutheran Services.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-23.

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F-Tag F0760

Pharmacy Service Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited Wellspring Lutheran Services in Frankenmuth, MI for a deficiency under regulatory tag F-F0760 during a standard health inspection conducted on 2025-08-14.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Ensure that residents are free from significant medication errors.

Scope/Severity Level D: isolated, 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.

This was one of 11 deficiencies cited during this inspection of Wellspring Lutheran Services.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-23.

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F-Tag F0761

Pharmacy Service Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited Wellspring Lutheran Services in Frankenmuth, MI for a deficiency under regulatory tag F-F0761 during a standard health inspection conducted on 2025-08-14.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: 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.

Scope/Severity Level E: pattern, 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.

This was one of 11 deficiencies cited during this inspection of Wellspring Lutheran Services.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-23.

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F-Tag F0921

Environmental Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited Wellspring Lutheran Services in Frankenmuth, MI for a deficiency under regulatory tag F-F0921 during a complaint investigation conducted on 2025-08-14.

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 E: pattern, 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.

This was one of 11 deficiencies cited during this inspection of Wellspring Lutheran Services.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-09-23.

πŸ“‹ Inspection Summary

Wellspring Lutheran Services in Frankenmuth, 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 Frankenmuth, 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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