All citations for Wellspring Health Center

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Wellspring Health Center

Last standard health inspection on record

December 4, 2025

Showing 1 to 25 of 29 citations

No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0291, Egress Deficiencies. Inspection of December 4, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (January 21, 2026).
No harm, with potential for more than minimal harm
Have an alternate power supply for its alarm system.
Widespread (many residents). CMS level F.
Fire safety citation K-0344, Smoke Deficiencies. Inspection of December 4, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (January 21, 2026).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of December 4, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (January 21, 2026).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of December 4, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (January 21, 2026).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Widespread (many residents). CMS level F.
Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of December 4, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (January 21, 2026).
No harm, with potential for more than minimal harm
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Widespread (many residents). CMS level F.
Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of December 4, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (January 21, 2026).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of December 4, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (January 21, 2026).
No harm, with potential for more than minimal harm
Conduct risk assessment and an All-Hazards approach.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of August 30, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (October 20, 2022).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0291, Egress Deficiencies. Inspection of August 30, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (October 20, 2022).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of August 30, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (October 20, 2022).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of August 30, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (October 20, 2022).
No harm, with potential for more than minimal harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Widespread (many residents). CMS level F.
Fire safety citation K-0521, Services Deficiencies. Inspection of August 30, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (October 20, 2022).
No harm, with potential for more than minimal harm
Provide a written emergency evacuation plan.
Widespread (many residents). CMS level F.
Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of August 30, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (October 20, 2022).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Widespread (many residents). CMS level F.
Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of August 30, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (October 20, 2022).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 30, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (October 20, 2022).
No harm, with potential for more than minimal harm
Develop and maintain an Emergency Preparedness Program (EP).
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of April 4, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (May 17, 2019).
No harm, with potential for more than minimal harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Widespread (many residents). CMS level F.
Fire safety citation K-0211, Egress Deficiencies. Inspection of April 4, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (May 17, 2019).
No harm, with potential for more than minimal harm
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.
Widespread (many residents). CMS level F.
Fire safety citation K-0222, Egress Deficiencies. Inspection of April 4, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (May 17, 2019).
No harm, with potential for more than minimal harm
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0346, Smoke Deficiencies. Inspection of April 4, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (May 17, 2019).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of April 4, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (May 17, 2019).
No harm, with potential for more than minimal harm
Install corridor and hallway doors that block smoke.
Widespread (many residents). CMS level F.
Fire safety citation K-0363, Smoke Deficiencies. Inspection of April 4, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (May 17, 2019).
No harm, with potential for more than minimal harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Widespread (many residents). CMS level F.
Fire safety citation K-0521, Services Deficiencies. Inspection of April 4, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (May 17, 2019).
No harm, with potential for more than minimal harm
Provide a written emergency evacuation plan.
Widespread (many residents). CMS level F.
Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of April 4, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (May 17, 2019).
No harm, with potential for more than minimal harm
Have power receptacles that are properly grounded.
Widespread (many residents). CMS level F.
Fire safety citation K-0912, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 4, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (May 17, 2019).
No harm, with potential for more than minimal harm
Ensure proper usage of power strips and extension cords.
Widespread (many residents). CMS level F.
Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 4, 2019. Found during a standard inspection.
The home gave a date the problem would be corrected (May 17, 2019).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.