Spang Crest

Assisted Living in Lebanon County

CMS overall rating Info 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.
Spang Crest

Assisted Living in Lebanon County

CMS overall rating Info 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.

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.

(717) 274-1495

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
4/5 ▲ 0.2 Pennsylvania average: 3.9/5
Health Inspection Info 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.
4/5 ▲ 0.5 Pennsylvania average: 3.5/5
Staffing Info 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.
2/5 ▼ 2.1 Pennsylvania average: 4.1/5
Quality Measures Info 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.
2/5 ▼ 1.8 Pennsylvania average: 3.8/5

Staffing hours breakdown

Info 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.

Hours per resident per day — compared to Pennsylvania state averages

Total nursing care / resident Info This home is ranked 122nd out of 168 homes in Pennsylvania.

Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 46m per day
This facility Pennsylvania avg (4h 35m per day)
vs Pennsylvania avg
-18%

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.

Lower demand than the Pennsylvania average: 78.7%
Occupancy rate 80.4%
Avg. Length of Stay 137 days
Occupancy rate
80.4%
Avg. Length of Stay
137 days

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.

Breakdown by payment type

Medicare

42% of new residents, usually for short-term rehab.

Typical stay 21 days

Private pay

57% of new residents, often for short stays.

Typical stay 4 months

Medicaid

1% of new residents, often for long-term daily care.

Typical stay 19 - 20 years

Finances and operations

Voluntary non-profit community
Home revenue
$19.0M
Operating deficit
-$981.5K
Voluntary non-profit community
Home revenue
$19.0M
Operating deficit
-$981.5K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$5.3M
28% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$14.6M
Total costs $20.0M
Walk Score
Walk Score: 71 / 100
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
BBB Rating
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

What does this home offer?

Pets allowed icon
Pets allowed icon

Pets Allowed: Yes, Pets Allowed

Building type icon
Building type icon

Building Type: Single-story

Transportation services icon
Transportation services icon

Transportation Services

Fitness and recreation icon
Fitness and recreation icon

Fitness and Recreation

Types of Care at Spang Crest

Assisted Living Memory Care Nursing Home

Contact Spang Crest

Health Inspection History

Inspections
Total health inspections 4

Pennsylvania average 6.7


Last Health inspection on Sep 2024

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 More info 0
100% better than Pennsylvania average

Pennsylvania average: 0.3


Serious Health citations More info 0
100% better than Pennsylvania average

Pennsylvania average: 0.6

0 critical citations More info Pennsylvania average: 0.3

0 serious citations More info Pennsylvania average: 0.6

7 moderate citations More info Pennsylvania average: 29.5

2 minor citations More info Pennsylvania average: 0.8
Citations history (last 3 years)
Quality of Care moderate citation Info 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 Info 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 Info 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 Info Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care. Sep 20, 2024
Corrected

Compare Assisted Living around Lebanon County The information below is reported by the Pennsylvania Department of Human Services and Department of Health.

Filter by care type
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.

Lebanon123Yes 71 -000%0-- 80.4% -A
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 (Hebron)70Yes 4 Juniper Village At Lebanon Llc6283.3%33Profit63 77.1% --
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 (North Cornwall Township)65Yes 36 Ec Opco Lebanon Pa Llc6150%15Profit- 81.5% 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 (Tuck Court)64Yes 48 Manor Care Linden Village Of Lebanon Pa Llc8162.5%19Profit90 81.3% --
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 -000%0-----

Financial Assistance for
Assisted Living in Pennsylvania

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Community HealthChoices (CHC)

PA Medicaid CHC

Age 65+ or disabled
General Pennsylvania resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple) (excludes home, car).
PA

Managed care model; high urban demand (e.g., Philadelphia, Pittsburgh).

Benefits
Personal care (5-7 hours/day, e.g., bathing, dressing) Respite care (up to 240 hours/year) Adult day care ($70/day) Home modifications ($1,500 avg.)

Pennsylvania OPTIONS Program

PA OPTIONS

Age 60+
General Pennsylvania resident, at risk of nursing home placement.
Income Limits ~$2,000/month individual, varies by region
Asset Limits $8,000 individual
PA

Cost-sharing required above certain income; rural/urban balance.

Benefits
In-home care (3-5 hours/week) Respite (up to 10 days/year) Adult day care (~$70/day) Transportation (~5 trips/month)

Living Independence for the Elderly (LIFE)

Pennsylvania LIFE (PACE)

Age 55+
General PA resident (specific counties), NFLOC, safe with LIFE support.
Income Limits (2025) ~$2,829/month (Medicaid-eligible); private pay option available.
Asset Limits $2,000 (individual), $3,000 (couple) for Medicaid enrollees.
PA

16 providers in 25 counties (e.g., Allegheny, Luzerne); LIFE branding unique to PA.

Benefits
Personal care (5-7 hours/day) Medical care Meals Transportation Respite Therapies

Medicare Savings Program (MSP)

Pennsylvania Medicare Savings Program

Age 65+ or disabled
General PA resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
PA

Three tiers; includes Extra Help for Part D; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Low-Income Home Energy Assistance Program (LIHEAP)

Pennsylvania LIHEAP

Age 60+ prioritized
General PA resident, low-income household.
Income Limits (2025) ~$3,970/month individual, 185% FPL
Asset Limits Not assessed; income-focused.
PA

Cash grants and crisis aid; serves ~600,000 households annually.

Benefits
Heating/cooling aid ($300-$1,000/season) Crisis aid ($500 max)

Family Caregiver Support Program (FCSP)

Pennsylvania Family Caregiver Support Program

Age
General Caregivers of 60+ needing care or 55+ caregivers of others; PA resident; functional needs (2+ ADLs).
Income Limits (2025) No strict cap; reimbursements up to $600/month if care recipient income < ~$2,322/month 185% FPL
Asset Limits Not assessed; need-based.
PA

High demand; includes grandparent caregivers.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Supplies (~$2,000/year) Caregiver training

Senior Community Service Employment Program (SCSEP)

Pennsylvania SCSEP

Age 55+
General unemployed, low-income, PA resident.
Income Limits (2025) ~$1,983/month 125% FPL
Asset Limits Not specified; income-focused.
PA

Priority for veterans, rural residents; AARP partnership.

Benefits
Paid training (~20 hours/week at ~$7.25/hour) Job placement

VA Aid and Attendance (A&A) and Housebound Benefits

Pennsylvania VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General PA resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
PA

High veteran population; supports rural/urban care needs.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Property Tax/Rent Rebate Program (PTRR)

Pennsylvania Property Tax/Rent Rebate Program

Age 65+
General PA resident, homeowner/renter (or widow/er 50+, disabled 18+).
Income Limits (2025) ~$45,000/year individual or couple, excludes half of Social Security
Asset Limits Not assessed; income-focused.
PA

Rebates up to $1,000; ~600,000 eligible annually.

Benefits
Rebates ($250-$1,000 based on income; e.g., $1,000 if income < $8,000)

Senior Farmers’ Market Nutrition Program (SFMNP)

Pennsylvania SFMNP

Age 60+
General PA resident, low-income.
Income Limits (2025) ~$2,322/month individual, 185% FPL
Asset Limits Not assessed.
PA

Vouchers (~$50/season) via 52 AAAs; serves ~200,000 annually.

Benefits
Vouchers (~$50/season) for fresh produce at approved markets

Places of interest near Spang Crest

Address 7.9 miles from city center Info 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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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 average

Pennsylvania average ratio: 1.94:1

Avg staff/day 61
Average shift 7.5 hours
0% compared with Pennsylvania average

Pennsylvania 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 Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 33
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.2 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 63
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.2 hours

No 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 Assistant6306318,73291100%7.2
Licensed Practical Nurse3303311,06691100%8.2
Registered Nurse74111,97691100%9
Clinical Nurse Specialist5051,8318695%7.3
Other Dietary Services Staff5051,53291100%6.4
Respiratory Therapy Technician0331,0538189%7.3
Physical Therapy Assistant0331,0297178%7.8
Physical Therapy Aide0559697481%7
Speech Language Pathologist0337977279%6.9
Nurse Practitioner1015156369%8.2
Administrator1014966268%8
Mental Health Service Worker1014886167%8
Dietitian1014605864%7.9
Qualified Social Worker0114586167%7.5
Dental Services Staff1011281618%8
63 Certified Nursing Assistant
% of Days 100%
33 Licensed Practical Nurse
% of Days 100%
11 Registered Nurse
% of Days 100%
5 Clinical Nurse Specialist
% of Days 95%
5 Other Dietary Services Staff
% of Days 100%
3 Respiratory Therapy Technician
% of Days 89%
3 Physical Therapy Assistant
% of Days 78%
5 Physical Therapy Aide
% of Days 81%
3 Speech Language Pathologist
% of Days 79%
1 Nurse Practitioner
% of Days 69%
1 Administrator
% of Days 68%
1 Mental Health Service Worker
% of Days 67%
1 Dietitian
% of Days 64%
1 Qualified Social Worker
% of Days 67%
1 Dental Services Staff
% of Days 18%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 83
Medicare
4
4.8% of residents
Medicaid
35
42.2% of residents
Private pay or other
44
53% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

CCRC

Part of a Continuing Care Retirement Community offering multiple care levels

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

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 Info 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 average

Pennsylvania average: 11.0

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 23.6
6% worse than Pennsylvania average

Pennsylvania average: 22.2

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 19.7%
In line with Pennsylvania average

Pennsylvania average: 19.0%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 20.2%
In line with Pennsylvania average

Pennsylvania average: 21.1%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 30.9%
16% worse than Pennsylvania average

Pennsylvania average: 26.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 4.3%
35% worse than Pennsylvania average

Pennsylvania average: 3.2%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.4%
In line with Pennsylvania average

Pennsylvania average: 5.5%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.5%
16% better than Pennsylvania average

Pennsylvania average: 1.8%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 2.4%
64% better than Pennsylvania average

Pennsylvania average: 6.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.4%
93% better than Pennsylvania average

Pennsylvania average: 5.5%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 20.4%
19% worse than Pennsylvania average

Pennsylvania average: 17.1%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 93.6%
8% better than Pennsylvania average

Pennsylvania average: 86.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 90.8%
In line with Pennsylvania average

Pennsylvania average: 93.5%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 82.1%
19% better than Pennsylvania average

Pennsylvania average: 68.8%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 2.4%
53% worse than Pennsylvania average

Pennsylvania average: 1.5%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 55.9%
19% worse than Pennsylvania average

Pennsylvania average: 68.7%

Guides for Better Senior Living

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