Facility profile · CCN 365812
Wellspring Health Center
34 federal citations on record , including 1 at the Immediate Jeopardy level, and 5 federal enforcement actions totaling $122,030.
Record summary
Federal record · Q1 202634
Total citations
7
Last 3 years
1
Actual harm+
5
Federal penalties
$122,030
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
34 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Apr 28, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Apr 28, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Feb 18, 2025 | F761 | 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 | Complaint |
| Feb 18, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Feb 18, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Feb 21, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Feb 21, 2024 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| Aug 30, 2022 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Aug 30, 2022 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Aug 30, 2022 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Standard |
| Aug 30, 2022 | F567 | Honor the resident's right to manage his or her financial affairs. | E | Standard |
| Aug 30, 2022 | F565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | Standard |
| Aug 30, 2022 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| Apr 4, 2019 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard |
| Apr 4, 2019 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Apr 4, 2019 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Apr 4, 2019 | F807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | D | Standard |
| Apr 4, 2019 | F761 | 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. | F | Standard |
| Apr 4, 2019 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard |
| Apr 4, 2019 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Apr 4, 2019 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard |
| Apr 4, 2019 | F625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Standard |
| Apr 4, 2019 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard |
| Apr 4, 2019 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard |
| Apr 4, 2019 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Apr 4, 2019 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| Mar 8, 2018 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Mar 8, 2018 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard |
| Mar 8, 2018 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Mar 8, 2018 | F625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Standard |
| Mar 8, 2018 | F610 | Respond appropriately to all alleged violations. | D | Standard |
| Mar 8, 2018 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard |
| Mar 8, 2018 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard |
| Mar 8, 2018 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard |
Federal enforcement history
Federal regulators have imposed 5 enforcement actions against this facility, including 5 civil money penalties totaling $122,030 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| 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 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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