Total health inspections
4
Pennsylvania average 6.7
Last Health inspection on Sep 2024
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Spang Crest
Nursing Home, Assisted Living & Memory Care · Pennsylvania, PA
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Spang Crest
Nursing Home, Assisted Living & Memory Care · Pennsylvania, PA
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Spang Crest accepts Medicare, Medicaid, and private pay.
If your family is seeking high quality care for your senior loved ones in Lebanon County, you can be sure to find it at Spang Crest. Offering resident-centered care, seniors are sure to find that the care and assistance offered here at this facility to fully meet all the needs of the seniors. Additionally, the space in this facility is built to be spacious to make sure the residents are relaxed but are designed to create a home-like environment ensuring comfort.
Various activities are also available to all residents to keep them engaged and to allow for socialization among the residents. Aside from fostering connections, these events and activities are also in place for stimulation as they help keep the residents active. For families seeking comprehensive care in Lebanon County, Spang Crest is an excellent choice.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 125th out of 171 homes in Pennsylvania.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 125th out of 171 homes in Pennsylvania.Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 46m per day
Rank #125 / 171Nurse hours — State benchmarkedThis home is ranked 125th out of 171 homes in Pennsylvania.Shows adjusted nurse hours per resident per day benchmarked to the Pennsylvania average, with a ranking across 171 Pennsylvania SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Pennsylvania avg
-18%
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 23m per day |
Capacity and availability
This home usually has availability
Occupancy lower than 85% suggests more openings may be available.
Occupancy rate
80.4%
Rank #58 / 174Occupancy rate — State benchmarkedThis home is ranked 58th out of 174 homes in Pennsylvania.Shows this facility's occupancy rate versus the Pennsylvania average, with its Statewide rank out of 174. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
137 days
Occupancy rate
80.4%
Rank #58 / 174Occupancy rate — State benchmarkedThis home is ranked 58th out of 174 homes in Pennsylvania.Shows this facility's occupancy rate versus the Pennsylvania average, with its Statewide rank out of 174. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
137 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Breakdown by payment type
Medicare
42% of new residents, usually for short-term rehab.
Typical stay
21 days
Private pay
57% of new residents, often for short stays.
Typical stay
4 months
Medicaid
1% of new residents, often for long-term daily care.
Typical stay
19 - 20 years
Finances and operations
Voluntary non-profit community
Home revenue
$19.0M
Operating deficit
-$981.5K
Voluntary non-profit community
Home revenue
$19.0M Rank #111 / 174Revenue — State benchmarkedThis home is ranked 111th out of 174 homes in Pennsylvania.Shows this facility's annual revenue compared to the Pennsylvania SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Operating deficit
-$981.5K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #98 / 174Payroll — State benchmarkedThis home is ranked 98th out of 174 homes in Pennsylvania.Shows total annual staff payroll benchmarked to the Pennsylvania average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$9.6M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #98 / 174Payroll — State benchmarkedThis home is ranked 98th out of 174 homes in Pennsylvania.Shows total annual staff payroll benchmarked to the Pennsylvania average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$10.4M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$20.0M
Walk Score: 71 / 100 Rank #50 / 175Walk Score — State benchmarkedThis home is ranked 50th out of 175 homes in Pennsylvania.Shows how walkable this facility's neighborhood is compared to the average Walk Score across Pennsylvania SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
BBB Rating: A (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
How BBB ratings work
What does this home offer?
Pets Allowed
Building Type: Single-story
Transportation Services
Fitness and Recreation
Types of Care at Spang Crest
Assisted Living
Memory Care
Nursing Home
Health Inspection History
Inspections
Total health citations
9
Rank #53 / 171Health citations — State benchmarkedThis home is ranked 53rd out of 171 homes in Pennsylvania.Shows this facility's total health deficiency citations benchmarked to the Pennsylvania State average, with a ranking across all 171 PA SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Pennsylvania average 31.3
Citations per inspection
2.25
Rank #39 / 171Citations per inspection — State benchmarkedThis home is ranked 39th out of 171 homes in Pennsylvania.Shows average deficiency citations per CMS inspection for this facility versus the Pennsylvania mean across 171 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Pennsylvania average 4.4
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
3 of 9 citations resulted from standard inspections; 2 of 9 resulted from complaint investigations; and 4 of 9 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
100% better than Pennsylvania averagePennsylvania average: 0.3
Serious Health citations
0
100% better than Pennsylvania averagePennsylvania average: 0.6
Citations history (last 3 years)
Quality of Care moderate citation
Sep 20, 2024
Corrected
Quality of Care moderate citation
Sep 20, 2024
Corrected
Care Planning moderate citation
Sep 20, 2024
Corrected
Resident Rights minor citation
Sep 20, 2024
Corrected
Financial Assistance for
Nursing Home in Pennsylvania
Spang Crest is located in Lebanon, Pennsylvania.
Here are the financial assistance programs available to residents in Pennsylvania.
Places of interest near Spang Crest
7.9 miles from city center
Estimated distance in miles from Lebanon's city center to Spang Crest's address, calculated via Google Maps.
— 0.93 miles to nearest hospital (WellSpan Good Samaritan Hospital)
Calculate Travel Distance to Spang Crest
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Staffing Data
Reporting period: April 1 – June 30, 2025 (Q2 2025). Source: CMS Payroll-Based Journal report.
Total staff
137
Employees
118
Contractors
19
Staff to resident ratio
1.65:1
15% worse than Pennsylvania average
Avg staff/day
61
Average shift
7.5 hours
0% compared with Pennsylvania average
Total staff hours (quarter)
41,529
Nursing staff breakdown
Q2 2025 · Apr 1 – Jun 30
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Registered Nurse
Manages medical care and health needs.
Total count
11
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
33
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
63
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hoursNo contractors work on this role.
Contractor staffing
Q2 2025 · Apr 1 – Jun 30
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Total hours from contractors
10.6%
4,418 contractor hours this quarter
Physical Therapy Aide: 5
Registered Nurse: 4
Physical Therapy Assistant: 3
Respiratory Therapy Technician: 3
Speech Language Pathologist: 3
Qualified Social Worker: 1
Staff by category
Q2 2025 · Apr 1 – Jun 30
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
| Certified Nursing Assistant | 63 | 0 | 63 | 18,732 | 91 | 100% | 7.2 |
| Licensed Practical Nurse | 33 | 0 | 33 | 11,066 | 91 | 100% | 8.2 |
| Registered Nurse | 7 | 4 | 11 | 1,976 | 91 | 100% | 9 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 1,831 | 86 | 95% | 7.3 |
| Other Dietary Services Staff | 5 | 0 | 5 | 1,532 | 91 | 100% | 6.4 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 1,053 | 81 | 89% | 7.3 |
| Physical Therapy Assistant | 0 | 3 | 3 | 1,029 | 71 | 78% | 7.8 |
| Physical Therapy Aide | 0 | 5 | 5 | 969 | 74 | 81% | 7 |
| Speech Language Pathologist | 0 | 3 | 3 | 797 | 72 | 79% | 6.9 |
| Nurse Practitioner | 1 | 0 | 1 | 515 | 63 | 69% | 8.2 |
| Administrator | 1 | 0 | 1 | 496 | 62 | 68% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 488 | 61 | 67% | 8 |
| Dietitian | 1 | 0 | 1 | 460 | 58 | 64% | 7.9 |
| Qualified Social Worker | 0 | 1 | 1 | 458 | 61 | 67% | 7.5 |
| Dental Services Staff | 1 | 0 | 1 | 128 | 16 | 18% | 8 |
63 Certified Nursing Assistant
% of Days
100%
33 Licensed Practical Nurse
% of Days
100%
11 Registered Nurse
% of Days
100%
5 Clinical Nurse Specialist
% of Days
95%
5 Other Dietary Services Staff
% of Days
100%
3 Respiratory Therapy Technician
% of Days
89%
3 Physical Therapy Assistant
% of Days
78%
5 Physical Therapy Aide
% of Days
81%
3 Speech Language Pathologist
% of Days
79%
1 Nurse Practitioner
% of Days
69%
1 Administrator
% of Days
68%
1 Mental Health Service Worker
% of Days
67%
1 Dietitian
% of Days
64%
1 Qualified Social Worker
% of Days
67%
1 Dental Services Staff
% of Days
18%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
83
Medicare
4
4.8% of residents
Medicaid
35
42.2% of residents
Private pay or other
44
53% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
CCRC
Part of a Continuing Care Retirement Community offering multiple care levels
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.4
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.4
5% better than Pennsylvania averagePennsylvania average: 11.0
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.6
6% worse than Pennsylvania averagePennsylvania average: 22.2
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
19.7%
Percent of long-stay residents whose need for help with daily activities has increased
19.7%
In line with Pennsylvania averagePennsylvania average: 19.0%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
20.2%
Percent of long-stay residents whose ability to move independently worsened
20.2%
In line with Pennsylvania averagePennsylvania average: 21.1%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
30.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
30.9%
16% worse than Pennsylvania averagePennsylvania average: 26.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.3%
Percent of long-stay residents experiencing one or more falls with major injury
4.3%
35% worse than Pennsylvania averagePennsylvania average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.4%
Percent of long-stay high risk residents with pressure ulcers
5.4%
In line with Pennsylvania averagePennsylvania average: 5.5%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.5%
Percent of long-stay residents with a urinary tract infection
1.5%
16% better than Pennsylvania averagePennsylvania average: 1.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
2.4%
Percent of long-stay residents who lose too much weight
2.4%
64% better than Pennsylvania averagePennsylvania average: 6.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.4%
Percent of long-stay residents who have depressive symptoms
0.4%
93% better than Pennsylvania averagePennsylvania average: 5.5%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
20.4%
Percent of long-stay residents who received an antipsychotic medication
20.4%
19% worse than Pennsylvania averagePennsylvania average: 17.1%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
93.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
93.6%
8% better than Pennsylvania averagePennsylvania average: 86.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
90.8%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
90.8%
In line with Pennsylvania averagePennsylvania average: 93.5%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
82.1%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
82.1%
19% better than Pennsylvania averagePennsylvania average: 68.8%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.4%
Percent of short-stay residents who newly received an antipsychotic medication
2.4%
53% worse than Pennsylvania averagePennsylvania average: 1.5%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
55.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
55.9%
19% worse than Pennsylvania averagePennsylvania average: 68.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
Financial Trends
Historical financial and operational data for Spang Crest based on CMS SNF Cost Reports.
Occupancy Rate
80.4%
↑ 1.0pp vs 2022
Net Income
-$981.5K
↑ ~$790.5K vs 2022
Total Payroll
$9.6M
↑ ~$769.3K vs 2022
Profit Margin
-5.4%
↑ 5.0pp vs 2022
Guides for Better Senior Living
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Frequently Asked Questions about Spang Crest
Is Spang Crest in a walkable area?
Spang Crest has a walk score of 71. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
What is the occupancy rate at Spang Crest?
Spang Crest's occupancy is 80.4%.
What is the phone number of Spang Crest?
(717) 274-1495 will put you in contact with the team at Spang Crest.
Is Spang Crest Medicare or Medicaid certified?
Yes — Spang Crest is a CMS-certified provider of Medicare and Medicaid.
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