All citations for Wellspring Lutheran Nursing and Rehab Services

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 Lutheran Nursing and Rehab Services

Last standard health inspection on record

March 19, 2026

Showing 26 to 42 of 42 citations

  1. 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.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0222, Egress Deficiencies. Inspection of January 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 28, 2025).

  2. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0223, Egress Deficiencies. Inspection of January 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 28, 2025).

  3. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of January 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 28, 2025).

  4. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0342, Smoke Deficiencies. Inspection of January 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 28, 2025).

  5. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of January 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 28, 2025).

  6. No harm, with potential for more than minimal harm

    Install corridor and hallway doors that block smoke.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of January 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 28, 2025).

  7. 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.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 28, 2025).

  8. No harm, with potential for more than minimal harm

    Have proper medical gas storage and administration areas.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 14, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 28, 2025).

  9. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0211, Egress Deficiencies. Inspection of December 20, 2023. Found during a standard inspection.

    Past non-compliance: already corrected by the time of the inspection (December 15, 2023).

  10. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of December 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 17, 2024).

  11. No harm, with potential for more than minimal harm

    Have properly installed electrical wiring and gas equipment.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0511, Services Deficiencies. Inspection of December 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 17, 2024).

  12. 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.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0222, Egress Deficiencies. Inspection of March 19, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 21, 2026).

  13. No harm, with potential for more than minimal harm

    Have properly installed electrical wiring and gas equipment.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0511, Services Deficiencies. Inspection of March 19, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 21, 2026).

  14. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of November 21, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 1, 2025).

  15. No harm, with potential for more than minimal harm

    Keep residents' personal and medical records private and confidential.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0583, Resident Rights Deficiencies. Inspection of January 14, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 21, 2025).

  16. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0644, Resident Assessment and Care Planning Deficiencies. Inspection of December 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 17, 2024).

  17. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0947, Nursing and Physician Services Deficiencies. Inspection of December 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 17, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.