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Wellspring Health Center
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Ratings Deep Dive
5 Deficiencies found in last inspections
5 Penalties in last 3 years
5 Fines issued
| Citation | Date | Description | Severity |
|---|---|---|---|
| — | Apr 28, 2025 | Provide and implement an infection prevention and control program. | D |
| — | Apr 28, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| — | Feb 18, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| — | Feb 18, 2025 | 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. | E |
| — | Feb 18, 2025 | Provide appropriate treatment and care according to orders, residentâs preferences and goals. | D |
0.8 RN Hours / Resident / Day
4.3 Total Nurse Hours / Resident / Day
70.0% RN Turnover Rate
4.0 Long-Stay QM Rating
2.0 Short-Stay QM Rating
41.9 Avg Residents Per Day
| Measure | Score | Type |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | — | Long Stay |
| Percentage of long-stay residents who lose too much weight | — | Long Stay |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | — | Long Stay |
| Percentage of long-stay residents with a urinary tract infection | — | Long Stay |
| Percentage of long-stay residents who have depressive symptoms | — | Long Stay |
| Percentage of long-stay residents who were physically restrained | — | Long Stay |
| Percentage of long-stay residents experiencing one or more falls with major injury | — | Long Stay |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | — | Long Stay |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | — | Short Stay |
| Percentage of short-stay residents who newly received an antipsychotic medication | — | Short Stay |
Ownership & Compliance
Ownership Info
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Ownership Info CMS
5% OR GREATER DIRECT OWNERSHIP INTEREST CCRC OPS MB1-T LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST AURORA VITALITY LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST AURORA VITALITY PARTNERS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST CCRC OPS MB2-T LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST CCRC OPS MB3-T LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST CCRC OPS MB4-T LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST CCRC OPS MB5-T LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST CCRC OPS MB6-T LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST CWP BIDCO LP
5% OR GREATER INDIRECT OWNERSHIP INTEREST CWP JV LP
Recent Penalties
| Date | Type | Fine |
|---|---|---|
| Apr 28, 2025 | Fine | $110,468 |
| May 23, 2023 | Fine | $2,823 |
| May 15, 2023 | Fine | $2,447 |
| May 8, 2023 | Fine | $2,098 |
| Apr 17, 2023 | Fine | $4,194 |
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Frequently Asked Questions
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