4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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.
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.
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.
This home is ranked 148th out of 207 homes in Pennsylvania for nurse hours. 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 31m per day | ▼ 34% State avg: 47m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 17m per day | ▲ 42% State avg: 54m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 2m per day | ▼ 8% State avg: 2h 12m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
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 25m per day | ▼ 3% State avg: 3h 32m per day · National avg: 3h 27m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 6m per day | ▲ 6% State avg: 6m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 16m per day | ▼ 50% State avg: 33m per day · National avg: 29m per day |
Pennsylvania average 6.7
Last Health inspection on Sep 2024
Pennsylvania average 31.3
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).
100% better than Pennsylvania averagePennsylvania average: 0.3
100% better than Pennsylvania averagePennsylvania average: 0.6
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
5% fewer staff per resident than Pennsylvania average
0% compared with Pennsylvania average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
12 total: 7 full-time employees and 5 contractors.
12
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursAssists with medical care and medications.
36 total: 35 full-time employees and 1 contractor.
36
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursHelps with daily care and mobility.
All 65 CNA Staff are full-time employees. No contractors work on this role.
65
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
4,186 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 65 | 0 | 65 | 18,855 | 92 | 100% | 7.2 |
| Licensed Practical Nurse | 35 | 1 | 36 | 11,990 | 92 | 100% | 7.9 |
| Clinical Nurse Specialist | 6 | 0 | 6 | 2,347 | 79 | 86% | 7.5 |
| Registered Nurse | 7 | 5 | 12 | 1,965 | 92 | 100% | 8.8 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,359 | 92 | 100% | 6.2 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 980 | 83 | 90% | 7.5 |
| Physical Therapy Assistant | 0 | 3 | 3 | 949 | 72 | 78% | 7.4 |
| Physical Therapy Aide | 0 | 4 | 4 | 833 | 69 | 75% | 6.7 |
| Speech Language Pathologist | 0 | 4 | 4 | 801 | 73 | 79% | 6.8 |
| Mental Health Service Worker | 2 | 0 | 2 | 699 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 485 | 60 | 65% | 8.1 |
| Qualified Social Worker | 0 | 2 | 2 | 453 | 63 | 68% | 7.2 |
| Administrator | 1 | 0 | 1 | 448 | 56 | 61% | 8 |
| Dietitian | 1 | 0 | 1 | 408 | 51 | 55% | 8 |
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
Percent of long-stay residents whose need for help with daily activities has increased
19.7%
In line with Pennsylvania averagePennsylvania average: 19.0%
Percent of long-stay residents whose ability to move independently worsened
20.2%
In line with Pennsylvania averagePennsylvania average: 21.1%
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%
Percent of long-stay residents experiencing one or more falls with major injury
4.3%
35% worse than Pennsylvania averagePennsylvania average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
5.4%
In line with Pennsylvania averagePennsylvania average: 5.5%
Percent of long-stay residents with a urinary tract infection
1.5%
16% better than Pennsylvania averagePennsylvania average: 1.8%
Percent of long-stay residents who lose too much weight
2.4%
64% better than Pennsylvania averagePennsylvania average: 6.6%
Percent of long-stay residents who have depressive symptoms
0.4%
93% better than Pennsylvania averagePennsylvania average: 5.5%
Percent of long-stay residents who received an antipsychotic medication
20.4%
19% worse than Pennsylvania averagePennsylvania average: 17.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
93.6%
8% better than Pennsylvania averagePennsylvania average: 86.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
90.8%
In line with Pennsylvania averagePennsylvania average: 93.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
82.1%
19% better than Pennsylvania averagePennsylvania average: 68.8%
Percent of short-stay residents who newly received an antipsychotic medication
2.4%
53% worse than Pennsylvania averagePennsylvania average: 1.5%
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.
42% of new residents, usually for short-term rehab.
57% of new residents, often for short stays.
1% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
83Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
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.
Historical financial and operational data for Spang Crest from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #115 / 209Payroll — State benchmarkedThis home is ranked 115th out of 209 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.Rankings are based only on facilities in Pennsylvania that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #91 / 209Payroll % — State benchmarkedThis home is ranked 91st out of 209 homes in Pennsylvania. Shows payroll as a percentage of revenue versus the Pennsylvania average. Well-run Pennsylvania facilities typically land around 53–61% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Pennsylvania that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Pets Allowed
Building Type: Single-story
Transportation Services
Fitness and Recreation
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Most new residents arrive under private pay (57% of admissions), and a typical private pay stay runs around 4 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
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)
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The information below is reported by the Pennsylvania Department of Human Services and Department of Health.
| Lima Estates | NH AL IL MC | Media | 60
Facility
60
PA AVG
94
Rank
#399 / 555 |
62.3%
Facility
62.3%
PA AVG
78.7%
Rank
#336 / 518 | -21% | 4.54
Facility
4.54
PA AVG
4.15
Rank
#78 / 207 | +122% | +10% | $0
Facility
$0
PA AVG
$61.2k
Rank
#1 / 210 | - | - | - | - | 5 | A+ |
24
Facility
24
PA AVG
46
Rank
#511 / 668 | - | $16.5M
Facility
$16.5M
PA AVG
$32.8M
Rank
#113 / 209 | $8.3M
Facility
$8.3M
PA AVG
$6.7M
Rank
#134 / 209 | 50.7%
Facility
50.7%
PA AVG
40%
Rank
#165 / 209 | 395492 | ||||
| Kirkland Village | NH AL HC IL MC RC | Bethlehem | 64
Facility
64
PA AVG
94
Rank
#383 / 555 |
46.9%
Facility
46.9%
PA AVG
78.7%
Rank
#454 / 518 | -40% | 4.30
Facility
4.30
PA AVG
4.15
Rank
#90 / 207 | +46% | +4% | $21.6k
Facility
$21.6k
PA AVG
$61.2k
Rank
#176 / 210 | 84
Facility
84
PA AVG
83
Rank
#220 / 460 | 8
Facility
8
PA AVG
31.3
Rank
#53 / 207 | 4.0
Facility
4.0
PA AVG
4.4
Rank
#115 / 207 | - | 30 | A+ |
12
Facility
12
PA AVG
46
Rank
#591 / 668 | Presbyterian Homes, Inc | $26.2M
Facility
$26.2M
PA AVG
$32.8M
Rank
#68 / 209 | $8.9M
Facility
$8.9M
PA AVG
$6.7M
Rank
#123 / 209 | 34.1%
Facility
34.1%
PA AVG
40%
Rank
#194 / 209 | 395916 | ||||
| Freedom Village at Brandywine | NH AL IL MC RC | Coatesville | 60
Facility
60
PA AVG
94
Rank
#399 / 555 |
90.9%
Facility
90.9%
PA AVG
78.7%
Rank
#48 / 518 | +15% | 4.23
Facility
4.23
PA AVG
4.15
Rank
#99 / 207 | +31% | +2% | $0
Facility
$0
PA AVG
$61.2k
Rank
#1 / 210 | - | 5
Facility
5
PA AVG
31.3
Rank
#31 / 207 | 1.7
Facility
1.7
PA AVG
4.4
Rank
#27 / 207 | - | 46 | A+ |
9
Facility
9
PA AVG
46
Rank
#603 / 668 | Danielle Geyer | $12.5M
Facility
$12.5M
PA AVG
$32.8M
Rank
#42 / 209 | $14.5M
Facility
$14.5M
PA AVG
$6.7M
Rank
#55 / 209 | 116%
Facility
116%
PA AVG
40%
Rank
#170 / 209 | 396062 | ||||
| Barclay Friends | NH AL MC RC | West Chester (North Franklin Street) | 103
Facility
103
PA AVG
94
Rank
#196 / 555 |
49.5%
Facility
49.5%
PA AVG
78.7%
Rank
#438 / 518 | -37% | 4.70
Facility
4.70
PA AVG
4.15
Rank
#62 / 207 | +12% | +13% | $9.4k
Facility
$9.4k
PA AVG
$61.2k
Rank
#154 / 210 | 74
Facility
74
PA AVG
83
Rank
#348 / 460 | 1
Facility
1
PA AVG
31.3
Rank
#1 / 207 | 1.0
Facility
1.0
PA AVG
4.4
Rank
#1 / 207 | - | 61 | A+ |
35
Facility
35
PA AVG
46
Rank
#421 / 668 | Barclay Friends | $19.0M
Facility
$19.0M
PA AVG
$32.8M
Rank
#98 / 209 | $11.7M
Facility
$11.7M
PA AVG
$6.7M
Rank
#70 / 209 | 61.7%
Facility
61.7%
PA AVG
40%
Rank
#56 / 209 | 395848 | ||||
| Spang Crest | NH AL | Lebanon | 105
Facility
105
PA AVG
94
Rank
#186 / 555 |
80.4%
Facility
80.4%
PA AVG
78.7%
Rank
#146 / 518 | +2% | 3.77
Facility
3.77
PA AVG
4.15
Rank
#148 / 207 | -31% | -9% | $0
Facility
$0
PA AVG
$61.2k
Rank
#1 / 210 | - | 9
Facility
9
PA AVG
31.3
Rank
#60 / 207 | 2.3
Facility
2.3
PA AVG
4.4
Rank
#48 / 207 | - | 101 | A |
71
Facility
71
PA AVG
46
Rank
#135 / 668 | Daniel Deitzel | $14.5M
Facility
$14.5M
PA AVG
$32.8M
Rank
#132 / 209 | $6.7M
Facility
$6.7M
PA AVG
$6.7M
Rank
#115 / 209 | 46.4%
Facility
46.4%
PA AVG
40%
Rank
#91 / 209 | 395365 |
Spang Crest is located in Lebanon, Pennsylvania.
Here are the financial assistance programs available to residents in Pennsylvania.
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.
Spang Crest's occupancy is 80.4%.
Yes — there are 4 photos of Spang Crest in the photo gallery on this page.
Spang Crest is located at 945 Duke St, Lebanon, PA 17042.
(717) 274-1495 will put you in contact with the team at Spang Crest.
Yes — Spang Crest is a CMS-certified provider of Medicare and Medicaid.
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