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Spang Crest
Nursing Home, Hospice Care, Palliative Care, Respite Care & Skilled Nursing · Lebanon, PA
CMS overall rating
5/5
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.
Nursing Home, Hospice Care, Palliative Care, Respite Care & Skilled Nursing · Lebanon, PA
CMS overall rating
5/5
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.
Spang Crest accepts Medicare, Medicaid, and private pay.
Overview of 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.
Measured by Centers for Medicare & Medicaid Services (CMS)
Overall ratingThe 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.
Health InspectionBased 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.
StaffingMeasures 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.
Quality MeasuresBased 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.
StaffingData period: Q4 2025 (October 1 – December 31, 2025).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Jun 2026).
Total nursing care per resident / day
This nursing home is ranked 132nd out of 182 nursing homes we track 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.
This facility
PA avg 3h 56m
↓ 17% · PA 3h 56mThis facility: 3h 16m per resident per day, 17% below the Pennsylvania average of 3h 56m (among Pennsylvania facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Rank#132 / 182Nurse hours — State benchmarkedThis nursing home is ranked 132nd out of 182 nursing homes we track in Pennsylvania for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Pennsylvania average, with a ranking across 182 Pennsylvania facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Pennsylvania that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.Nurse hours — State benchmarkedThis nursing home is ranked 132nd out of 182 nursing homes we track in Pennsylvania for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Pennsylvania average, with a ranking across 182 Pennsylvania facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Pennsylvania that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
3h 16m
Standout metric: LPN / LVN is +8% above Pennsylvania average
4 of 6 metrics below Pennsylvania average
Daily care time per resident, by role
PA average · US = national average
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. 12 total: 7 of the facility's own employees and 5 agency contractors.12 staff · 8.8-hour shifts
28m↓ 40% · PA 47mThis facility: 28m per resident per day, 40% below the Pennsylvania average of 47m (among Pennsylvania facilities reporting a recent figure).
US average: 43m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US 43m
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. 36 total: 35 of the facility's own employees and 1 agency contractor.36 staff · 7.9-hour shifts
59m↑ 8% · PA 55mThis facility: 59m per resident per day, 8% above the Pennsylvania average of 55m (among Pennsylvania facilities reporting a recent figure).
US average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US 52m
Certified nursing assistant 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. All 65 are the facility's own employees; no agency contractors work in this role.65 staff · 7.2-hour shifts
1h 49m↓ 19% · PA 2h 15mThis facility: 1h 49m per resident per day, 19% below the Pennsylvania average of 2h 15m (among Pennsylvania facilities reporting a recent figure).
US average: 2h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US 2h 26m
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↑ 6% · PA 6mThis facility: 6m per resident per day, 6% above the Pennsylvania average of 6m (among Pennsylvania facilities reporting a recent figure).
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US 4m
Total nursing, weekends 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.RN + LPN + aide · Sat–Sun
2h 57m↓ 17% · PA 3h 33mThis facility: 2h 57m per resident per day, 17% below the Pennsylvania average of 3h 33m (among Pennsylvania facilities reporting a recent figure).
US average: 3h 32m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US 3h 32m
RN, weekends 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.Sat–Sun
22m↓ 34% · PA 33mThis facility: 22m per resident per day, 34% below the Pennsylvania average of 33m (among Pennsylvania facilities reporting a recent figure).
US average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US 29m
Headcount
Total staffEvery person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.144
122 employees · 22 contractors · 62 on an average day Staff per resident144 total staff / 83 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.1.73 : 1↓ 4% · PA 1.80This facility: 1.73 staff per resident, 4% below the Pennsylvania average of 1.80 (among Pennsylvania facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
144 staff ÷ 83 residents See full Pennsylvania ranking →Average shiftAverage hours one staff member works on a day they are on shift, across every role.7.5 h↓ 4% · PA 7.8 hThis facility: 7.5 h, 4% below the Pennsylvania average of 7.8 h (among Pennsylvania facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
42,571 staff hours this quarter See full Pennsylvania ranking →
90.2%
of staff hours were worked by the facility's own employees
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
Bed count
A mid-sized community that may balance personal attention with shared amenities and social activities.105Rank#84 / 200Bed count — State benchmarkedThis nursing home is ranked 84th out of 200 nursing homes we track in Pennsylvania for bed count. Shows this facility's certified or reported bed count compared to other Pennsylvania facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Pennsylvania that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.Bed count — State benchmarkedThis nursing home is ranked 84th out of 200 nursing homes we track in Pennsylvania for bed count. Shows this facility's certified or reported bed count compared to other Pennsylvania facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Pennsylvania that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Medium-capacity home
· Offers a balance of services and community atmosphere.
Walk Score
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.Rank#58 / 208Walk Score — State benchmarkedThis nursing home is ranked 58th out of 208 nursing homes we track in Pennsylvania for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Pennsylvania facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Pennsylvania that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.Walk Score — State benchmarkedThis nursing home is ranked 58th out of 208 nursing homes we track in Pennsylvania for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Pennsylvania facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Pennsylvania that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
71/ 100
Occupancy rate
Occupancy higher than 95% suggests steady demand, but availability may be limited.Rank#10 / 163Occupancy rate — State benchmarkedThis nursing home is ranked 10th out of 163 nursing homes we track in Pennsylvania for occupancy. Shows this facility's occupancy rate versus the Pennsylvania average, with its Statewide rank out of 163. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Pennsylvania that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.Occupancy rate — State benchmarkedThis nursing home is ranked 10th out of 163 nursing homes we track in Pennsylvania for occupancy. Shows this facility's occupancy rate versus the Pennsylvania average, with its Statewide rank out of 163. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Pennsylvania that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
95.8%This home is often near full
Based on residents per day and 105 beds.
Higher than the Pennsylvania average: 75.3%
Residents per day (avg) The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
101
Source: CMS Provider Information, average daily residents
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
98days
BBB Rating
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
BBB ratings provide context about a business’s trust and complaint history. They are not a measure of care quality or regulatory compliance.
Ratings range from A+ (highest) to F (lowest).
What the rating reflects
Complaint history and resolution
Business practices and transparency
Time in operation
About This Community
Certifications & Programs
OrthoWin Orthopedic RehabA physiatrist-led orthopedic rehabilitation program combining physical and occupational therapy, customized recovery plans, and discharge support to help people regain strength, mobility, and independence after injury or surgery.
UrgentSNFA Marquis Health Consulting program enabling 24/7 direct admissions for skilled nursing care and stabilization, offering an alternative when hospital-level care is not needed.
Additional Services
10 services
Respite CareRespite care provides families and unpaid caregivers with short-term relief from caregiving duties. Care can range from a few hours to a few weeks.
Uber/Lyft Coordination for Families
Banking Services
Device Setup and Troubleshooting Help
24/7 Guest Services for Non-Medical Needs
Family Communication and Updates
Errands & ShoppingListed as: Courier, grocery, and gift pick-up
TransportationListed as: Shuttle or bus services to medical appointments
Laundry & Linen
HousekeepingListed as: Dry cleaning
Additional Policies & Features
Pets Allowed
Amenities & Lifestyle
Café
Walking Paths
Courtyard
Wi-Fi
Library
Beauty Salon
Activities
Nature Indoors Program (Evergreen)A nature-based activity program that brings plants and gardening indoors, giving residents year-round sensory, cognitive, creative, and social engagement.
Scripted Improv
Samba FitnessA music-driven cardio exercise program using upbeat songs and dance-inspired movement to help older adults stay active, energized, and socially engaged.
Personal Documentary Program (Life Stories)
Timeless Diaries Program (Timeslips)
Virtual Reality (Rendever)A headset-based program lets residents explore places, revisit memories, and share immersive experiences together. Families may value it for meaningful recreation and social connection.
Resident Featured Podcasts (One Voice)A resident-led podcast program where older adults interview guests and share stories, creating opportunities to connect, learn, and have their voices heard.
Story Recording Program (Story Corps)StoryCorps helps people record meaningful conversations about their lives, preserving family memories and personal history in its archive, including at the Library of Congress.
Fitness Wellness Program (Restore Wellness)
Spin FitA guided fitness activity that combines movement with themed virtual travel. It gives residents a fun way to stay active, build strength, and explore places together.
Music Memory Program (Alive Inside)A personalized music program uses songs tied to a person’s preferences and memories to support connection, engagement, and quality of life, especially for people with dementia or cognitive impairment.
Performing Arts (Creative Lens)
Interactive Games
Holiday and Family Gatherings
Outings to local attractions and shopping centers
Room Accommodations
Building TypeSingle-story
Room Types
Private RoomSemi-Private / Shared Room
In-Room Features
In-Room Phone And Tv
CMS Health Inspection History
Since 2023 · 3 years of data · Last health inspection Sep 2024
Total health inspections
3↓ 58% · PA 7.2This facility: 3, 58% below the PA average of 7.2 (among PA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
8Rank#47 / 179Health citations — State benchmarkedThis nursing home is ranked 47th out of 179 nursing homes we track in Pennsylvania for health citations. Shows this facility's total health deficiency citations benchmarked to the Pennsylvania State average, with a ranking across all 179 PA facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Pennsylvania that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.Health citations — State benchmarkedThis nursing home is ranked 47th out of 179 nursing homes we track in Pennsylvania for health citations. Shows this facility's total health deficiency citations benchmarked to the Pennsylvania State average, with a ranking across all 179 PA facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Pennsylvania that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 75% · PA 32This facility: 8, 75% below the PA average of 32 (among PA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
2.67Rank#65 / 179Citations per inspection — State benchmarkedThis nursing home is ranked 65th out of 179 nursing homes we track in Pennsylvania for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Pennsylvania mean across 179 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Pennsylvania that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.Citations per inspection — State benchmarkedThis nursing home is ranked 65th out of 179 nursing homes we track in Pennsylvania for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Pennsylvania mean across 179 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Pennsylvania that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 36% · PA 4.16This facility: 2.67, 36% below the PA average of 4.16 (among PA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
8 of 8 citations corrected
Bar = mix of this home's 8 citations, not a state comparison
Moderate (D–F, no harm, more than minimal risk): 6 citations, correctedMinor (A–C, no harm, minimal risk): 2 citations, corrected
Lighter shade = corrected
CriticalJ–L
0↓ 100% · PA 0.4This facility: 0, 100% below the PA average of 0.4 (among PA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
SeriousG–I
0↓ 100% · PA 0.8This facility: 0, 100% below the PA average of 0.8 (among PA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
ModerateD–F
6↓ 80% · PA 29.9This facility: 6, 80% below the PA average of 29.9 (among PA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
MinorA–C
2↑ 122% · PA 0.9This facility: 2, 122% above the PA average of 0.9 (among PA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal risk
Latest inspection: Sep 20, 2024 · 4 citations, all corrected
Most cited category: Resident Rights, 3 of 8 citations · 4 categories in total
Citations history
Most recent first
Sep 20, 20244 citations
Quality of Care moderate citation
Corrected
Quality of Care moderate citation
Corrected
Care Planning moderate citation
Corrected
Resident Rights minor citation
Corrected
Mar 14, 20241 citation
Quality of Care moderate citation
Corrected
Oct 20, 20233 citations
Pharmacy moderate citation
Corrected
Resident Rights moderate citation
Corrected
Resident Rights minor citation
Corrected
Top deficiency categories
Share of 8 citations
Resident Rights3 deficiencies (38%)
Quality of Life & Care3 deficiencies (38%)
Resident Assessment & Care Planning1 deficiency (13%)
Pharmacy Services1 deficiency (13%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
3 of 8 citations resulted from standard inspections; 1 of 8 resulted from complaint investigations; and 4 of 8 came from combined inspections (standard and complaint).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
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.
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 · Data as of Aug 2026
No penalties in the past 3 years
No civil money penalties or payment denials on record since Aug 2023.
Clean record
Aug 2023202420252026Aug 2026
Total fines
$0PA avg $58KPennsylvania average: $58,140. Average among the 287 Pennsylvania facilities with a penalty on record.US avg $67KUS average: $67,417, among the 6,775 US facilities with a penalty on record.
Number of fines
0PA avg 1.78Pennsylvania average: 1.78. Average among the 287 Pennsylvania facilities with a penalty on record.US avg 1.96US average: 1.96, among the 6,775 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0PA avg 0.17Pennsylvania average: 0.17. Average among the 287 Pennsylvania facilities with a penalty on record.US avg 0.36US average: 0.36, among the 6,775 US facilities with a penalty on record.
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Pennsylvania average.
Data as of Aug 2026 · CMS Care Compare
Long-stay quality ratingCMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.5/ 5★★★★★Significantly above averageShort-stay quality ratingCMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.4/ 5★★★★★Above averageHigh-risk clinical eventsAverage of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.8.5Score · lower is better↓ 11% · PA 9.5This facility: 8.5, 11% below the PA average of 9.5 (among PA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Functional declineAverage of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.20.5Score · lower is better↑ 4% · PA 19.8This facility: 20.5, 4% above the PA average of 19.8 (among PA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
11 long-stay measures:5 better, 3 worse, 3 near PA average
3 short-stay measures:1 better, 2 worse
Long-stay residents
People who live at the home · 11 measures
PA average
Daily care & independence
Needed more help with daily activitiesPercent of long-stay residents whose need for help with daily activities has increased14.9%↓ 11% · PA 16.8This facility: 14.9, 11% below the PA average of 16.8 (among PA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsenedPercent of long-stay residents whose ability to move independently worsened16.1%↓ 6% · PA 17.0This facility: 16.1, 6% below the PA average of 17.0 (among PA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)Percent of low risk long-stay residents who lose control of their bowels or bladder30.6%↑ 20% · PA 25.5This facility: 30.6, 20% above the PA average of 25.5 (among PA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Safety & clinical stability
Urinary tract infectionPercent of long-stay residents with a urinary tract infection0.7%↓ 50% · PA 1.5This facility: 0.7, 50% below the PA average of 1.5 (among PA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injuryPercent of long-stay residents experiencing one or more falls with major injury1.8%↓ 44% · PA 3.1This facility: 1.8, 44% below the PA average of 3.1 (among PA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)Percent of long-stay high risk residents with pressure ulcers2.2%↓ 55% · PA 4.8This facility: 2.2, 55% below the PA average of 4.8 (among PA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Physical & mental health
Lost too much weightPercent of long-stay residents who lose too much weight7.3%↑ 19% · PA 6.2This facility: 7.3, 19% above the PA average of 6.2 (among PA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptomsPercent of long-stay residents who have depressive symptoms25.3%↑ 134% · PA 10.8This facility: 25.3, 134% above the PA average of 10.8 (among PA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic usePercent of long-stay residents who received an antipsychotic medication17.3%↓ 3% · PA 17.7This facility: 17.3, 3% below the PA average of 17.7 (among PA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Preventive care
Pneumococcal vaccinePercent of long-stay residents assessed and appropriately given the pneumococcal vaccine89.8%↑ 3% · PA 87.5This facility: 89.8, 3% above the PA average of 87.5 (among PA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccinePercent of long-stay residents assessed and appropriately given the seasonal influenza vaccine90.8%↓ 3% · PA 93.5This facility: 90.8, 3% below the PA average of 93.5 (among PA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Short-stay residents
Rehab and recovery after a hospital stay · 3 measures
PA average
Physical & mental health
New antipsychotic medicationPercent of short-stay residents who newly received an antipsychotic medication2.1%↑ 49% · PA 1.4This facility: 2.1, 49% above the PA average of 1.4 (among PA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Preventive care
Pneumococcal vaccinePercent of short-stay residents assessed and appropriately given the pneumococcal vaccine77.1%↑ 10% · PA 70.0This facility: 77.1, 10% above the PA average of 70.0 (among PA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccinePercent of short-stay residents assessed and appropriately given the seasonal influenza vaccine55.9%↓ 19% · PA 68.7This facility: 55.9, 19% below the PA average of 68.7 (among PA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Breakdown by payment type
Medicare
43% of new residents, usually for short-term rehab.
Typical stay22 days
Private pay
55% of new residents, often for short stays.
Typical stay2 - 3 months
Medicaid
2% of new residents, often for long-term daily care.
Typical stay6 - 7 years
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics
(Data as of Jun 2026)
Total residents83
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.
Financial Trends
Historical financial and operational data for Spang Crest from 2011–2024, based on CMS SNF Cost Reports.
Includes all financial data for this property, which could include management/ownership changes.
Key figures below are for fiscal year ending in 12/2024.
Net Patient Income-$1.8M↓ ~$44.7K vs 2023
Payroll Costs$6.7M↓ ~$69.2K vs 2023
Operating Margin-13.4%↓ 1.3pp vs 2023
Financial Performance
Net patient revenueOperating expensesNet patient income
Payroll & Labor Costs
SalariesStaff salaries from the home's own payroll records.Wage CostsWage-related costs — benefits such as payroll taxes, health insurance and retirement. Together with salaries, these make up payroll.Contract LaborPay for temporary or agency staff. Counted under other operating costs, not payroll.
Payer Mix (percentage)
MedicareMedicaidPrivate Pay/Other
Metric
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
Occupancy %
91.5%
89.7%
91.2%
92.9%
93.5%
93.3%
92.5%
91.0%
92.8%
86.8%
79.6%
79.5%
80.4%
82.7%
Beds
123
123
123
123
123
123
123
123
123
123
123
123
123
105
Net Income
$17,745
-$669,475
-$744,274
-$701,332
-$200,899
-$601,975
-$664,677
-$874,225
-$2,199,604
-$2,568,035
-$1,785,773
-$1,771,997
-$981,545
$3,885,522
Gross Revenue
$13,155,329
$13,374,010
$14,634,624
$15,784,421
$16,919,523
$17,385,417
$17,918,296
$17,913,655
$18,434,693
$17,049,094
$16,051,257
$17,054,749
$18,200,997
$18,378,155
Operating Expenses
$11,146,800
$11,686,274
$12,185,180
$12,640,847
$13,125,827
$13,365,106
$13,677,261
$14,142,249
$15,472,660
$14,047,603
$13,634,613
$14,322,277
$16,245,149
$15,197,565
Net Patient Income
-$500,090
-$1,193,720
-$1,329,601
-$1,308,885
-$818,531
-$1,233,824
-$1,282,742
-$1,445,369
-$2,761,900
-$3,047,651
-$2,318,504
-$2,395,748
-$1,750,909
-$1,795,584
Net Patient Revenue
$10,646,710
$10,492,554
$10,855,579
$11,331,962
$12,307,296
$12,131,282
$12,394,519
$12,696,880
$12,710,760
$10,999,952
$11,316,109
$11,926,529
$14,494,240
$13,401,981
Payroll Costs
$6,130,207
$6,518,055
$6,706,419
$6,715,532
$6,782,694
$7,245,700
$6,951,525
$6,791,606
$7,256,394
$7,565,824
$7,314,904
$7,349,373
$6,721,683
$6,652,486
Operating Margin %
-4.7%
-11.4%
-12.3%
-11.6%
-6.7%
-10.2%
-10.4%
-11.4%
-21.7%
-27.7%
-20.5%
-20.1%
-12.1%
-13.4%
Medicare %
8.3%
10.9%
11.2%
11.0%
11.6%
10.2%
12.3%
10.3%
10.2%
6.3%
7.4%
6.5%
5.9%
10.0%
Medicaid %
0.0%
42.9%
46.1%
46.6%
48.2%
46.2%
43.9%
46.1%
53.7%
5.2%
51.2%
48.5%
47.8%
49.4%
Private %
91.7%
46.3%
42.7%
42.4%
40.2%
43.6%
43.8%
43.6%
36.1%
88.4%
41.4%
45.0%
46.3%
40.6%
Net Patient Revenue/Day
$259
$260
$265
$271
$293
$289
$298
$311
$305
$282
$317
$334
$401
$428
Cost/Day
$271
$290
$298
$303
$313
$318
$329
$346
$372
$360
$381
$401
$450
$485
Avg Length of Stay
373.5 days
215.0 days
180.8 days
174.9 days
176.3 days
162.5 days
126.4 days
92.5 days
109.9 days
183.8 days
117.1 days
139.8 days
137.1 days
97.6 days
Finances and operations
Based on CMS SNF Cost Report for fiscal year ending in 12/2024.
Nonprofit
Operated by a church.
Net patient revenueNet 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."
$13.4MFiscal year ending 12/2024
Net patient incomeNet 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."
-$1.8MFiscal year ending 12/2024
Nonprofit Operated by a church.
Net patient revenueNet 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."
$13.4MFiscal year ending 12/2024Rank#117 / 177Net patient revenue — State benchmarkedThis nursing home is ranked 117th out of 177 nursing homes we track in Pennsylvania. Shows this facility's net patient revenue compared to the Pennsylvania average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Pennsylvania that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Net patient revenue — State benchmarkedThis nursing home is ranked 117th out of 177 nursing homes we track in Pennsylvania. Shows this facility's net patient revenue compared to the Pennsylvania average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Pennsylvania that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Net patient incomeNet 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."
-$1.8MFiscal year ending 12/2024
Other incomeMoney 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.
$5.7MFiscal year ending 12/2024
Payroll costsStaff 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#139 / 177Payroll costs — State benchmarkedThis nursing home is ranked 139th out of 177 nursing homes we track in Pennsylvania. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Pennsylvania average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Pennsylvania that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Payroll costs — State benchmarkedThis nursing home is ranked 139th out of 177 nursing homes we track in Pennsylvania. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Pennsylvania average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Pennsylvania that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
$6.7MFiscal year ending 12/2024
49.6% of net patient revenue
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#117 / 177Payroll % of net patient revenue — State benchmarkedThis nursing home is ranked 117th out of 177 nursing homes we track in Pennsylvania. Shows payroll as a percentage of net patient revenue versus the Pennsylvania average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Pennsylvania that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Payroll % of net patient revenue — State benchmarkedThis nursing home is ranked 117th out of 177 nursing homes we track in Pennsylvania. Shows payroll as a percentage of net patient revenue versus the Pennsylvania average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Pennsylvania that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Other operating costsEverything 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).
$8.5MFiscal year ending 12/2024
Total costsThe home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$15.2MFiscal year ending 12/2024
Certification details
CMS Certification Number:395365
Owner Name:Daniel Deitzel
Rural vs. Urban:Urban
County:Lebanon
Type of Control:Nonprofit — Operated by a church.
Source: Centers for Medicare & Medicaid Services (CMS) and State data
How we calculate these figures
We use the home's most recent CMS SNF Cost Report — the annual financial statement every Medicare- and Medicaid-certified nursing home is required to file — to show how it earns and spends on resident care.
This includes
Net patient revenue — what the home collects for resident care after contractual allowances, bad debt and discounts.
Payroll — staff salaries plus wage-related benefits. Contract and agency labor is counted separately, under other operating costs.
Net patient income — what's left after the home's total operating expenses.
How we calculate net patient income and payroll %
Net patient income is net patient revenue minus the home's total operating expenses. Payroll % is payroll divided by net patient revenue — the share of each revenue dollar that goes to staff pay.
Net patient revenue vs. other income
Net patient revenue is money earned from resident care only. Anything the home earns outside of care — investments, grants, rentals and other non-operating sources — is reported separately as other income. Other income is not part of net patient revenue, and it is not included in net patient income.
Who this home usually serves
TYPE OF STAY
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.
Most new residents arrive under private pay (55% of admissions), and a typical private pay stay runs around 2 - 3 months.
Admissions
325 total
Coverage residents most often arrive under.
Medicare43%
Private pay55%
Medicaid2%
Discharges
321 total
Coverage residents most often leave under.
Medicare38%
Private pay54%
Medicaid7%
How we assess these insights
We analyze official CMS data on admissions and discharges to understand the types of residents a nursing home most often serves.
This includes
Medicare, Medicaid, and private-pay admissions and discharges
Number of nights covered by each payment type
Typical length of stay
How length of stay is calculated
Average length of stay comes from the facility's Medicare cost report: total resident days in the year divided by total discharges, across all residents and payment types. Homes that mostly provide long-term care show long averages, because few residents leave in a given year.
Places of interest near Spang Crest
1.1 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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Info below is compiled from CMS reports & the PA Depts. of Human Services & Health, senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This TableAL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HC (Home Care):
Professional care delivered in the person's own home, from companionship to skilled nursing.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
ADC (Adult Day Care):
Daytime supervision, health monitoring, and social activities for seniors who live at home.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
CCRC (Continuing Care Retirement Community):
A campus with multiple care levels so residents can age in place without moving.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Pennsylvania average is: 70.1% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Rank badges are statewide and care-type specific: each nursing home is ranked against every other PA nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
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 95.8%.
Are pets allowed at Spang Crest?
Yes, Spang Crest allows residents to bring their pets.
What is the best email address for Spang Crest?
The team at Spang Crest can be reached at admissions@alpinevalleyrehab.com.
Does Spang Crest operate as a for-profit or non-profit?
Spang Crest is registered as a non-profit in PA.
What is the overall rating for Spang Crest?
Spang Crest received a 5-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
144
122 employees · 22 contractors · 62 on an average day 
