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.
142
141 employees · 1 contractor · 43 on an average day Spring House Estates
Nursing Home, Assisted Living, Home Care, Hospice Care, Independent Living, Memory Care, Palliative Care & Skilled Nursing · Lower Gwynedd Township, 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.
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.
Spring House Estates
Nursing Home, Assisted Living, Home Care, Hospice Care, Independent Living, Memory Care, Palliative Care & Skilled Nursing · Lower Gwynedd Township, 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.
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.
Spring House Estates accepts Medicare and private pay.
Spring House Estates offers nursing home, assisted living, home care, hospice care, independent living, memory care, palliative care, and skilled nursing in Lower Gwynedd Township, Pennsylvania. Nursing home and skilled nursing provide licensed nursing care on site around the clock. Assisted living helps with daily tasks such as dressing, bathing, and medication, while memory care provides a secured setting with supervision.
Independent living provides private living with community services and no daily care. Home care, hospice care, and palliative care are also available. Having multiple care levels can suit a resident whose needs grow over time without requiring a move to another community.
With 16 beds, Spring House Estates is a smaller community where staff and residents get to know each other. One, two, and three bedroom housing options include layouts that can suit a couple moving together or someone who wants a companion.
Total nurse staffing is 4 hours and 27 minutes per resident per day, representing the daily nurse staffing time assigned to each resident. Medicare and private pay are accepted, giving families the option to use Medicare for eligible short term skilled care after a hospital stay or pay privately for care.
A Walk Score of 43 places the area in a car dependent setting, so most errands require a car or a ride. A resident who no longer drives would need transportation for those trips. Spring House Estates may be a good fit for someone who wants a smaller community, needs or may later need different levels of care, or is considering housing for a couple or companion.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing
Data 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).
Total nursing care per resident / day
This nursing home is ranked 73rd 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.
4h 27m
This nursing home is ranked 73rd 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.
4h 27mStandout metric: RN, weekends is +89% above Pennsylvania average
1 of 5 metrics below Pennsylvania average
Daily care time per resident, by role
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. All 27 are the facility's own employees; no agency contractors work in this role.
27 staff · 1-hour shifts
1h 27m
↑ 85% · PA 47mThis facility: 1h 27m per resident per day, 85% above the Pennsylvania average of 47m (among Pennsylvania facilities reporting a recent figure).
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. All 27 are the facility's own employees; no agency contractors work in this role.
27 staff · 1-hour shiftsUS 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. All 18 are the facility's own employees; no agency contractors work in this role.
18 staff · 1.3-hour shifts
40m
↓ 28% · PA 55mThis facility: 40m per resident per day, 28% below the Pennsylvania average of 55m (among Pennsylvania facilities reporting a recent figure).
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. All 18 are the facility's own employees; no agency contractors work in this role.
18 staff · 1.3-hour shiftsUS 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 · 1-hour shifts
2h 20m
↑ 4% · PA 2h 15mThis facility: 2h 20m per resident per day, 4% above the Pennsylvania average of 2h 15m (among Pennsylvania facilities reporting a recent figure).
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 · 1-hour shiftsUS 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.
58m
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.
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
4h 6m
↑ 15% · PA 3h 33mThis facility: 4h 6m per resident per day, 15% above the Pennsylvania average of 3h 33m (among Pennsylvania facilities reporting a recent figure).
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–SunUS 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
1h 2m
↑ 89% · PA 33mThis facility: 1h 2m per resident per day, 89% above the Pennsylvania average of 33m (among Pennsylvania facilities reporting a recent figure).
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–SunUS average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 29m
Headcount
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.
142
141 employees · 1 contractor · 43 on an average day
Average hours one staff member works on a day they are on shift, across every role.
1.6 h
↓ 79% · PA 7.8 hThis facility: 1.6 h, 79% 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.
6,152 staff hours this quarter
See full Pennsylvania ranking →99.7% of staff hours were worked by the facility's own employees
Pennsylvania average: 87.4% · Contractors this quarter: Occupational Therapy Assistant (1)
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.
By The Numbers
Community insights.
Bed count
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
16
Rank #200 / 200Bed count — State benchmarked This nursing home is ranked 200th 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.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
16
Rank #200 / 200Bed count — State benchmarked This nursing home is ranked 200th 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.Smaller home · May offer a more intimate, personalized care environment.
Years of operating
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. This is the number of years in operation under current management.
Rank #3 / 42Years in operation — State benchmarked This nursing home is ranked 3rd out of 42 nursing homes we track in Pennsylvania for years in operation. Shows how long this facility has been in operation compared to other Pennsylvania facilities. Longer operating histories may 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.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. This is the number of years in operation under current management.
Rank #3 / 42Years in operation — State benchmarked This nursing home is ranked 3rd out of 42 nursing homes we track in Pennsylvania for years in operation. Shows how long this facility has been in operation compared to other Pennsylvania facilities. Longer operating histories may 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.
54
years
Walk Score
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
Rank #127 / 208Walk Score — State benchmarked This nursing home is ranked 127th 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.
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
Rank #127 / 208Walk Score — State benchmarked This nursing home is ranked 127th 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.
43
/ 100
Occupancy rate
Occupancy lower than 85% suggests more openings may be available.
Rank #121 / 163Occupancy rate — State benchmarked This nursing home is ranked 121st 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.
Occupancy lower than 85% suggests more openings may be available.
Rank #121 / 163Occupancy rate — State benchmarked This nursing home is ranked 121st 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.
73.1%
This home usually has availability
Based on residents per day and 16 beds.
Similar to 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.
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.
12
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.
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.
44
days
BBB Rating
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
A+
Not Accredited
How BBB ratings workAbout This Community
Profit StatusNonprofit
Spanish
Signature Rehabilitation (Inpatient and Outpatient)
Nurse Practitioner Program
Palliative CareCare focused on relieving pain, symptoms, and stress while supporting quality of life. It can be provided alongside treatment for a serious illness.
TransportationListed as: Shuttle transportation to nearby campuses
MaintenanceListed as: Lawn care · General maintenance
Fitness Center
Garden
Clubhouse
Putting Green
Patio or Balcony per Apartment
58-Acre Campus
Building Type2-story
1 Bedroom Floor plans as listed by the community: The Freedom Contemporary (529 sq ft) · Contemporary II (529 sq ft) · The Independence I - Contemporary (806 sq ft) · The Independence I - Versatile (806 sq ft) · The Independence II - Contemporary (770 sq ft) · The Independence II - Versatile (770 sq ft)
Floor plans: Freedom Contemporary, Contemporary II
529–806 sq ft
2 Bedroom Floor plans as listed by the community: The Independence I - Traditional (806 sq ft) · The Independence II - Traditional (770 sq ft) · The Spirit - Contemporary (1,132 sq ft) · The Spirit - Versatile (1,132 sq ft)
770–1,132 sq ft
3+ Bedroom Floor plans as listed by the community: The Spirit - Traditional (1,132 sq ft)
1,132 sq ft
Suite
CMS Health Inspection History
Total health inspections
1
↓ 86% · PA 7.2This facility: 1, 86% below the Pennsylvania average of 7.2 (among Pennsylvania 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
1
Rank #1 / 179Health citations — State benchmarked This nursing home is ranked 1st 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.↓ 97% · PA 32This facility: 1, 97% below the Pennsylvania average of 32 (among Pennsylvania 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
1
Rank #1 / 179Citations per inspection — State benchmarked This nursing home is ranked 1st 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.↓ 76% · PA 4.16This facility: 1, 76% below the Pennsylvania average of 4.16 (among Pennsylvania 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
1 of 1 citation corrected
Critical
J–L
0
↓ 100% · PA 0.4This facility: 0, 100% below the Pennsylvania average of 0.4 (among Pennsylvania facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
0
↓ 100% · PA 0.8This facility: 0, 100% below the Pennsylvania average of 0.8 (among Pennsylvania facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
1
↓ 97% · PA 29.9This facility: 1, 97% below the Pennsylvania average of 29.9 (among Pennsylvania 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
Minor
A–C
0
↓ 100% · PA 0.9This facility: 0, 100% below the Pennsylvania average of 0.9 (among Pennsylvania 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 riskLatest inspection: May 28, 2024 · 1 citation (Pharmacy, moderate), corrected
Most cited category: Pharmacy Services, 1 of 1 citation · 1 category in total
Citations history
Most recent first
May 28, 2024
1 citation
Pharmacy moderate citation
Corrected
Corrected
Top deficiency categories
Share of 1 citation
Pharmacy Services
1 deficiency (100%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 1 citation resulted from standard inspections.
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.
Enforcement
Penalties and fines
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.
Total fines
$0
PA 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
0
PA 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.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
PA 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.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Pennsylvania average.
CMS 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.
5
/ 5
Significantly above average3 short-stay measures: 3 better
Short-stay residents
Rehab and recovery after a hospital stay · 3 measures
Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
1.2%
↓ 18% · PA 1.4This facility: 1.2, 18% below 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.
Percent of short-stay residents who newly received an antipsychotic medication
1.2%
↓ 18% · PA 1.4This facility: 1.2, 18% below 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 vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.5%
↑ 42% · PA 70.0This facility: 99.5, 42% 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.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.5%
↑ 42% · PA 70.0This facility: 99.5, 42% 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 vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 45% · PA 68.7This facility: 100.0, 45% above 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.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 45% · PA 68.7This facility: 100.0, 45% above 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.
Money and staffing.
Spring House Estates’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 177 Pennsylvania nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Dec 2024
Is it financially stable?
Profitable on care
11.9% operating margin
−2.4 pts vs prior year
Positive margin in 8 of the last 8 reported years. Net income $4.2M after other income.
Does it invest in staff?
Spends less on payroll than most Pennsylvania homes
51.5% payroll share of revenue
PA average 70.1%Rank #109 / 177Payroll % of net patient revenue — State benchmarked This nursing home is ranked 109th out of 177 nursing homes we track in Pennsylvania for payroll % of net patient revenue. 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 rose $0.8M while revenue rose $0.4M. A low share can mean leaner staffing; check hours per resident in the staffing section.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with Pennsylvania homes.
Revenue & profit
Profitable on care
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | PA median | Compared with PA homesRank in PA | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $24.5M | +$0.4M | Trend 20172024 | PA median $17.4M | Rank in PA Rank #42 / 177Net patient revenue — State benchmarked This nursing home is ranked 42nd out of 177 nursing homes we track in Pennsylvania for net patient revenue. 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. Higher than 77% of homes | Above PA median Higher net patient revenue than 77% of PA homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $21.6M | +$0.9M | Trend 20172024 | PA median — | Rank in PA Not ranked | Within revenue Operating expenses are lower than net patient revenue, so resident care covers its costs. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | $2.9M | −$0.5M | Trend 20172024 | PA median — | Rank in PA Not ranked | Profit, shrinking Resident care made money this year, less than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | 11.9% | −2.4 pts | Trend 20172024 | PA median — | Rank in PA Not ranked | Healthy margin More than 5% of revenue is left after operating expenses. |
| Other income Money not from resident care: investments, grants, services. | $1.3M | — | Trend — | PA median — | Rank in PA Not ranked | Adds to profit Income from outside resident care, on top of the profit from care. |
| Net income The bottom line after other income. | $4.2M | −$0.4M | Trend — | PA median — | Rank in PA Not ranked | Profit The bottom line is above zero after other income. |
Staffing spend
Spends less of revenue on staff than most Pennsylvania homes
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | PA median | Compared with PA homesRank in PA | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $12.6M | +$0.8M | Trend 20172024 | PA median $9.9M | Rank in PA Rank #60 / 177Payroll costs — State benchmarked This nursing home is ranked 60th out of 177 nursing homes we track in Pennsylvania for payroll costs. 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. Higher than 66% of homes | Above PA median Higher payroll than 66% of PA homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 51.5% | +2.7 pts | Trend 20172024 | PA median 54.6% | Rank in PA Rank #109 / 177Payroll % of net patient revenue — State benchmarked This nursing home is ranked 109th out of 177 nursing homes we track in Pennsylvania for payroll % of net patient revenue. 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. Higher than 39% of homes | 18.6 pts under PA average The PA average is 70.1% of revenue. Within 3 points of it reads as near the average. |
Charts, 2017–2024 2 charts · PA benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Pennsylvania payroll average.
% of net patient revenue
Payroll share Operating margin PA payroll average
Year-by-year data, 2017–2024 every reported year · latest first, scroll sideways
| Metric | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $19.9M | $20.6M | $21.5M | $20.6M | $20.8M | $21.0M | $24.1M | $24.5M |
| Operating expenses | $16.8M | $17.5M | $17.9M | $19.1M | $18.8M | $19.9M | $20.7M | $21.6M |
| Net patient income | $3.1M | $3.1M | $3.5M | $1.5M | $2.0M | $1.1M | $3.4M | $2.9M |
| Operating margin | 15.5% | 14.8% | 16.5% | 7.3% | 9.6% | 5.2% | 14.3% | 11.9% |
| Net income | $3.8M | $3.8M | $4.5M | $2.4M | $3.0M | $2.1M | $4.6M | $4.2M |
| Payroll costs | $9.7M | $10.1M | $10.4M | $11.1M | $10.8M | $11.2M | $11.8M | $12.6M |
| Payroll share of revenue | 48.6% | 49.2% | 48.3% | 53.7% | 51.8% | 53.5% | 48.8% | 51.5% |
| Beds | 96 | 96 | 96 | 96 | 96 | 96 | 96 | 96 |
| Gross revenue | $28.5M | $30.4M | $31.6M | $29.4M | $29.1M | $29.6M | $32.9M | $33.9M |
| Salaries | $8.1M | $8.5M | $8.6M | $9.2M | $8.9M | $9.3M | $9.9M | $10.7M |
| Wage-related costs | $1.6M | $1.7M | $1.7M | $1.9M | $1.9M | $1.9M | $1.9M | $1.9M |
| Contract labor | — | $0.0M | — | $0.2M | $0.2M | $0.4M | $0.3M | $0.3M |
| Other operating costs | $7.2M | $7.4M | $7.6M | $8.0M | $8.1M | $8.7M | $8.9M | $9.0M |
| Net patient revenue per day | $649 | $625 | $655 | $780 | $875 | $859 | $1,040 | $1,042 |
| Cost per day | $548 | $532 | $547 | $723 | $791 | $814 | $891 | $918 |
| Average length of stay | 186.2 days | 233.6 days | 221.3 days | 65.0 days | 51.4 days | 57.2 days | 56.0 days | 44.4 days |
Showing 2024–2022 · scroll sideways for 5 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024
Arriving
107 admissions · FY2024
Residents admitted during the year.
Medicare
51 · 48%
Medicaid
0 · 0%
Private pay & other
56 · 52%
Leaving
107 discharges · FY2024
Residents discharged during the year.
Medicare
55 · 51%
Medicaid
0 · 0%
Private pay & other
52 · 49%
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.
Places of interest near Spring House Estates
0.8 miles from city center
Estimated distance in miles from Lower Gwynedd Township's city center to Spring House Estates's address, calculated via Google Maps.
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Compare Nursing Homes around Montgomery County
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.
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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.
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Care Types in This Table
AL (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.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Gwynedd Healthcare & Rehabilitation Center | NH HOS MC RC SNF | Lansdale | 181
Facility
181
PA AVG
109
Rank
#21 / 200 |
94.5%
Facility
94.5%
PA AVG
75.3%
Rank
#25 / 163 | +25% | 3.50
Facility
3.50
PA AVG
3.94
Rank
#122 / 182 | -41% | -11% | $24.1k
Facility
$24.1k
PA AVG
$61.4k
Rank
#157 / 183 | 15
Facility
15
PA AVG
32.0
Rank
#79 / 179 | 3.8
Facility
3.8
PA AVG
4.2
Rank
#107 / 179 | 2 | 171 | - |
8
Facility
8
PA AVG
50
Rank
#191 / 208 | Michelle Taylor | $22.2MFiscal year ending 12/2024
Facility
$22.2MFiscal year ending 12/2024
PA AVG
$19.6M
Rank
#53 / 177 | $11.6MFiscal year ending 12/2024
Facility
$11.6MFiscal year ending 12/2024
PA AVG
$11.9M
Rank
#72 / 177 | 52.2%Fiscal year ending 12/2024
Facility
52.2%Fiscal year ending 12/2024
PA AVG
70.1%
Rank
#105 / 177 | 395479 | ||||
| Ambler Extended Care Center | NH HOS MC RC SNF | Ambler (Rose Valley) | 100
Facility
100
PA AVG
109
Rank
#90 / 200 |
93.0%
Facility
93.0%
PA AVG
75.3%
Rank
#32 / 163 | +23% | 2.95
Facility
2.95
PA AVG
3.94
Rank
#173 / 182 | -17% | -25% | $0
Facility
$0
PA AVG
$61.4k
Rank
#1 / 183 | 9
Facility
9
PA AVG
32.0
Rank
#54 / 179 | 3.0
Facility
3.0
PA AVG
4.2
Rank
#75 / 179 | - | 93 | - |
84
Facility
84
PA AVG
50
Rank
#26 / 208 | Cody Meenan | $12.2MFiscal year ending 12/2024
Facility
$12.2MFiscal year ending 12/2024
PA AVG
$19.6M
Rank
#127 / 177 | $6.9MFiscal year ending 12/2024
Facility
$6.9MFiscal year ending 12/2024
PA AVG
$11.9M
Rank
#137 / 177 | 57%Fiscal year ending 12/2024
Facility
57%Fiscal year ending 12/2024
PA AVG
70.1%
Rank
#81 / 177 | 395176 | ||||
| Elm Terrace Gardens | NH AL IL MC SNF | Lansdale | 322
Facility
322
PA AVG
109
Rank
#9 / 200 |
28.0%
Facility
28.0%
PA AVG
75.3%
Rank
#163 / 163 | -63% | 4.70
Facility
4.70
PA AVG
3.94
Rank
#43 / 182 | +25% | +19% | $0
Facility
$0
PA AVG
$61.4k
Rank
#1 / 183 | 4
Facility
4
PA AVG
32.0
Rank
#20 / 179 | 2.0
Facility
2.0
PA AVG
4.2
Rank
#28 / 179 | - | 70 | - |
68
Facility
68
PA AVG
50
Rank
#67 / 208 | Elm Terrace Gardens | $23.0MFiscal year ending 06/2025
Facility
$23.0MFiscal year ending 06/2025
PA AVG
$19.6M
Rank
#50 / 177 | $10.6MFiscal year ending 06/2025
Facility
$10.6MFiscal year ending 06/2025
PA AVG
$11.9M
Rank
#81 / 177 | 46.1%Fiscal year ending 06/2025
Facility
46.1%Fiscal year ending 06/2025
PA AVG
70.1%
Rank
#140 / 177 | 395507 | ||||
| Spring House Estates | NH AL HC HOS IL MC PC SNF | Lower Gwynedd Township (Spring House) | 16
Facility
16
PA AVG
109
Rank
#200 / 200 |
73.1%
Facility
73.1%
PA AVG
75.3%
Rank
#121 / 163 | -3% | 4.45
Facility
4.45
PA AVG
3.94
Rank
#73 / 182 | +59% | +13% | $0
Facility
$0
PA AVG
$61.4k
Rank
#1 / 183 | 1
Facility
1
PA AVG
32.0
Rank
#1 / 179 | 1.0
Facility
1.0
PA AVG
4.2
Rank
#1 / 179 | - | 12 | A+ |
43
Facility
43
PA AVG
50
Rank
#127 / 208 | - | $24.5MFiscal year ending 12/2024
Facility
$24.5MFiscal year ending 12/2024
PA AVG
$19.6M
Rank
#42 / 177 | $12.6MFiscal year ending 12/2024
Facility
$12.6MFiscal year ending 12/2024
PA AVG
$11.9M
Rank
#60 / 177 | 51.5%Fiscal year ending 12/2024
Facility
51.5%Fiscal year ending 12/2024
PA AVG
70.1%
Rank
#109 / 177 | 395495 | ||||
| Markley Rehabilitation & Healthcare Center | NH HOS MC PC RC SNF | Norristown | 121
Facility
121
PA AVG
109
Rank
#59 / 200 |
93.8%
Facility
93.8%
PA AVG
75.3%
Rank
#31 / 163 | +25% | 2.79
Facility
2.79
PA AVG
3.94
Rank
#163 / 182 | +12% | -29% | $0
Facility
$0
PA AVG
$61.4k
Rank
#1 / 183 | 33
Facility
33
PA AVG
32.0
Rank
#127 / 179 | 3.3
Facility
3.3
PA AVG
4.2
Rank
#90 / 179 | 2 | 114 | - |
54
Facility
54
PA AVG
50
Rank
#95 / 208 | - | $14.9MFiscal year ending 12/2024
Facility
$14.9MFiscal year ending 12/2024
PA AVG
$19.6M
Rank
#107 / 177 | $7.8MFiscal year ending 12/2024
Facility
$7.8MFiscal year ending 12/2024
PA AVG
$11.9M
Rank
#128 / 177 | 52.4%Fiscal year ending 12/2024
Facility
52.4%Fiscal year ending 12/2024
PA AVG
70.1%
Rank
#103 / 177 | 395483 |
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
Financial Assistance for
Nursing Home in Pennsylvania
Spring House Estates is located in Lower Gwynedd Township, Pennsylvania.
Here are the financial assistance programs available to residents in Pennsylvania.
Know before you visit
Frequently Asked Questions about Spring House Estates
Quick answers from public records and the community's own listing.01 What neighborhood is Spring House Estates in?
Spring House Estates is in the Spring House neighborhood of Lower Gwynedd Township.
02 What languages are spoken at Spring House Estates?
The team at Spring House Estates speaks Spanish.
03 Is Spring House Estates in a walkable area?
Spring House Estates has a walk score of 43. Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
04 What is the occupancy rate at Spring House Estates?
Spring House Estates's occupancy is 73.1%.
05 How long has Spring House Estates been in business?
Spring House Estates has been operating for approximately 54 years, based on available licensing and registration records.
06 Are pets allowed at Spring House Estates?
No, Spring House Estates has a no-pet policy.
07 What is the best email address for Spring House Estates?
The team at Spring House Estates can be reached at actsinfo@actslife.org.
Updated on
