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.
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Assisted Living Home
Spang Crest
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
123
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
80.4%
Residents per day (avg)
101
Occupancy rate
80.4%
Residents per day (avg)
101
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
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
$18,970,361.00
Operating deficit
$-981,545.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$5.3M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$14.6M
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
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: Yes, 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
Pennsylvania average 31.3
Citations per inspection
2.25
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
0
100% better than Pennsylvania averagePennsylvania average: 0.3
Serious Health citations
0
0
100% better than Pennsylvania averagePennsylvania average: 0.6
0 critical citations
0 serious citations
7 moderate citations
2 minor citations
Citations history (last 3 years)
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Sep 20, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Sep 20, 2024
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Sep 20, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Sep 20, 2024
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Sep 20, 2024
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Sep 20, 2024
Corrected
Resident Rights minor citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Sep 20, 2024
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Sep 20, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Assisted Living around Lebanon County The information below is reported by the Pennsylvania Department of Human Services and Department of Health.
Spang Crest
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Lebanon
123
Yes
A
71
-
Juniper Village at Lebanon
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Lebanon
70
Yes
-
4
-
Celebration Villa of Lebanon PA
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Lebanon
65
Yes
-
36
Studio
Linden Village
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Lebanon
64
Yes
-
48
-
Palmyra Senior Living
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.
Palmyra
-
Yes
-
67
-
Places of interest near Spang Crest
7.9 miles from city center — 0.93 miles to nearest hospital (WellSpan Good Samaritan Hospital)
945 Duke St, Lebanon, PA 17042
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
137
Employees
118
Contractors
19
Staff to resident ratio
1.65:1
15% worse than Pennsylvania averagePennsylvania average ratio: 1.94:1
Avg staff/day
61
Average shift
7.5 hours
0% compared with Pennsylvania averagePennsylvania average: 7.8 hours
Total staff hours (quarter)
41,529
Nursing staff breakdown
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
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
| 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 census
83 residents
Residents by payment source
Medicare
4 residents (4.8%)
Medicaid
35 residents (42.2%)
Private pay or other
44 residents (53%)
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.
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
-$981,545
↑ ~$790K vs 2022
Total Payroll
$9,565,443
↑ ~$769K vs 2022
Profit Margin
-5.4%
↑ 5.0pp vs 2022
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Guides for Better Senior Living
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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
Financial Aid for Pennsylvania Seniors
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