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 Info 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 Info 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.
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Spring House Estates accepts Medicare and private pay.

Overview of Spring House Estates

Nestled in the quiet area of Lower Gwynedd, PA, Spring House Estates provides a relaxing setting for those seeking independent living. Their 58-acre verdant campus provides a relaxing setting for dynamic residents seeking to enjoy a safe and fun-filled golden years with no chores to worry about. Should residents’ needs evolve, their campus provides access to on-site healthcare services like assisted living and skilled care.

With plenty of time to focus on living their best lives, residents can enjoy the community’s wide selection of fun activities and social events. Their talented team of chefs also curates delectable dining experiences with fresh, tasty meals and excellent dining services. From well-designed accommodations to vibrant experiences and quality care, Spring House Estates provides all the comforts and conveniences residents need to thrive and enjoy their golden years.

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.
▲ 66.8% Above PA avg. ▲ 66.8% Above PA avg.PA average: 3.0Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▲ 78.7% Above PA avg. ▲ 78.7% Above PA avg.PA average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▲ 47.4% Above PA avg. ▲ 47.4% Above PA avg.PA average: 3.4Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▲ 47.3% Above PA avg. ▲ 47.3% Above PA avg.PA average: 3.4Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours 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 vs Pennsylvania averages

Rank #73 / 181Nurse hours — State benchmarkedThis home is ranked 73rd out of 181 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 181 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 cover every community we track in Pennsylvania that reports data for that category. Communities 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.

Total nursing care Info This home is ranked 73rd out of 181 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

7% above state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info 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.
1h 22m
+71% State avg: 48m per day · National avg: 42m per day
LPN / LVN Info 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.
40m
−28% State avg: 55m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
2h 24m
+8% State avg: 2h 14m per day · National avg: 2h 24m per day
Weekend Total Nursing Info 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.
4h 11m
+17% State avg: 3h 35m per day · National avg: 3h 30m per day
Physical Therapist Info 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.
56m
+861% State avg: 6m per day · National avg: 4m per day
Weekend RN Info 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.
53m
+59% State avg: 33m per day · National avg: 29m per day

1 of 6 metrics below state avg

Capacity and availability

This home usually has availability

Lower occupancy than the Pennsylvania average: 69.7%
Occupancy rate
62.5% Rank #322 / 494Occupancy rate — State benchmarkedThis home is ranked 322nd out of 494 homes we track in Pennsylvania for occupancy. Shows this facility's occupancy rate versus the Pennsylvania average, with its Statewide rank out of 494. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Pennsylvania that reports data for that category. Communities 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.
Residents per day (avg)
10
Avg. Length of Stay Info 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.
56 days
Bed community size
16-bed community Rank #551 / 552Bed count — State benchmarkedThis home is ranked 551st out of 552 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 cover every community we track in Pennsylvania that reports data for that category. Communities 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.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
Years in operation
53 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 43 / 100 Rank #362 / 657Walk Score — State benchmarkedThis home is ranked 362nd out of 657 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 cover every community we track in Pennsylvania that reports data for that category. Communities 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.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
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

Contact Spring House Estates

CMS Health Inspection History

Inspections Since 2024 · 2 years of data
Total health inspections 1

Pennsylvania average 6.7


Last Health inspection on May 2024

Total health citations
1 Rank #1 / 178Health citations — State benchmarkedThis home is ranked 1st out of 178 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 178 PA facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Pennsylvania that reports data for that category. Communities 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.

Pennsylvania average 31.3

Citations per inspection
1 Rank #1 / 178Citations per inspection — State benchmarkedThis home is ranked 1st out of 178 homes we track in Pennsylvania for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Pennsylvania mean across 178 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Pennsylvania that reports data for that category. Communities 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.

Pennsylvania average 4.4


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

All 1 citation resulted from standard inspections.

Breakdown of citation severity (last 2 years)
Critical health citations
0
100% better than Pennsylvania average

Pennsylvania average: 0.3


Serious health citations
0
100% better than Pennsylvania average

Pennsylvania average: 0.6

0 critical citations Pennsylvania average: 0.3

0 serious citations Pennsylvania average: 0.6

1 moderate citation Pennsylvania average: 29.5

0 minor citations Pennsylvania average: 0.8
Citations history (last 2 years)
Pharmacy moderate citation May 28, 2024
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 142
Employees 141
Contractors 1
Staff to resident ratio 28.40 : 1
1448% more staff per resident than Pennsylvania average
Pennsylvania average ratio: 1.83 : 1 Pennsylvania average ratio: 1.83 : 1See full Pennsylvania ranking
Avg staff/day 43
Average shift 1.6 hours
79% worse than Pennsylvania average
Pennsylvania average: 7.8 hours Pennsylvania average shift: 7.8 hoursSee full Pennsylvania ranking
Total staff hours (quarter) 6,152

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 27 RN Staff are full-time employees. No contractors work on this role. 27
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 1 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 18 LPN Staff are full-time employees. No contractors work on this role. 18
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 1.3 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 65 CNA Staff are full-time employees. No contractors work on this role. 65
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 1 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

0.3%

17 contractor hours this quarter

Occupational Therapy Assistant: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant650651,79592100%1
Respiratory Therapy Technician7071,0137582%5.2
Registered Nurse2702784292100%1
Physical Therapy Assistant6067216975%5.7
Licensed Practical Nurse1801844292100%1.3
Speech Language Pathologist1013655964%6.2
Qualified Social Worker2023036065%5.1
Other Dietary Services Staff40416892100%1
Clinical Nurse Specialist3031466470%1.2
Mental Health Service Worker2021266470%1.2
Administrator101726065%1.2
Dietitian101705762%1.2
Nurse Practitioner101555762%1
Occupational Therapy Assistant112182932%0.6
Occupational Therapy Aide101131112%1.2
Medical Director10141415%0.3
65 Certified Nursing Assistant
% of Days 100%
7 Respiratory Therapy Technician
% of Days 82%
27 Registered Nurse
% of Days 100%
6 Physical Therapy Assistant
% of Days 75%

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

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

Short-stay resident measures
Significantly above average Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
45% better than Pennsylvania average

Pennsylvania average: 68.8%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Pennsylvania average

Pennsylvania average: 1.5%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
46% better than Pennsylvania average

Pennsylvania average: 68.7%

Breakdown by payment type

Medicare

43% of new residents, usually for short-term rehab.

Typical stay 22 days

Private pay

57% of new residents, often for short stays.

Typical stay 10 - 11 months

Facility Characteristics

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

Total residents 5
Medicare
4
80% of residents
Private pay or other
1
20% 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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Nonprofit
Nonprofit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$24.1M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$3.4M
Nonprofit Nonprofit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$24.1M Rank #36 / 167Net patient revenue — State benchmarkedThis home is ranked 36th out of 167 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 cover every community we track in Pennsylvania that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$3.4M
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$1.1M
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #54 / 167Payroll costs — State benchmarkedThis home is ranked 54th out of 167 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 cover every community we track in Pennsylvania that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$11.8M 48.8% of net patient revenue Info 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 #108 / 167Payroll % of net patient revenue — State benchmarkedThis home is ranked 108th out of 167 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 cover every community we track in Pennsylvania that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$8.9M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$20.7M

What does this home offer?

Room sizes icon
Room sizes icon

Room Sizes: 529 / 806 / 770 / 1132 sq. ft

Housing options icon
Housing options icon

Housing Options: 1 Bed / 2 Bed / 3 Bed

Building type icon
Building type icon

Building Type: 2-story

Recreational activities icon
Recreational activities icon

Recreational Activities

Exercise program icon
Exercise program icon

Exercise Programs

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 (57% of admissions), and a typical private pay stay runs around 10 - 11 months.

Admissions
119 total

Coverage residents most often arrive under.

Medicare 43%
Private pay 57%
Discharges
124 total

Coverage residents most often leave under.

Medicare 47%
Private pay 53%

Places of interest near Spring House Estates

Address 0.8 miles from city center Info Estimated distance in miles from Lower Gwynedd Township's city center to Spring House Estates's address, calculated via Google Maps.

Calculate Travel Distance to Spring House Estates

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Compare Assisted Living 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 to lowest based on our ranking 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 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.
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: 69.2% 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.
Elm Terrace Gardens
AL
IL
MC
NH
SNF
Lansdale
250
Facility 250
PA AVG 94
Rank #9 / 552
30.4%
Facility 30.4%
PA AVG 69.7%
Rank #491 / 494
-56%
4.93
Facility 4.93
PA AVG 4.15
Rank #43 / 181
+25%+19%
$0
Facility $0
PA AVG $61.2k
Rank #1 / 183
9
Facility 9
PA AVG 31.3
Rank #55 / 178
3.0
Facility 3.0
PA AVG 4.4
Rank #61 / 178
-76-
68
Facility 68
PA AVG 47
Rank #153 / 657
James Burns
$20.9MFiscal year ending 06/2024
Facility $20.9MFiscal year ending 06/2024
PA AVG $18.8M
Rank #54 / 167
$10.6MFiscal year ending 06/2024
Facility $10.6MFiscal year ending 06/2024
PA AVG $11.4M
Rank #69 / 167
50.7%Fiscal year ending 06/2024
Facility 50.7%Fiscal year ending 06/2024
PA AVG 69.2%
Rank #97 / 167
395507
Spring House Estates
AL
NH
HC
HOS
IL
MC
PC
SNF
Lower Gwynedd Township (Spring House)
16
Facility 16
PA AVG 94
Rank #551 / 552
62.5%
Facility 62.5%
PA AVG 69.7%
Rank #322 / 494
-10%
4.44
Facility 4.44
PA AVG 4.15
Rank #73 / 181
+59%+7%
$0
Facility $0
PA AVG $61.2k
Rank #1 / 183
1
Facility 1
PA AVG 31.3
Rank #1 / 178
1.0
Facility 1.0
PA AVG 4.4
Rank #1 / 178
-10A+
43
Facility 43
PA AVG 47
Rank #362 / 657
-
$24.1MFiscal year ending 12/2023
Facility $24.1MFiscal year ending 12/2023
PA AVG $18.8M
Rank #36 / 167
$11.8MFiscal year ending 12/2023
Facility $11.8MFiscal year ending 12/2023
PA AVG $11.4M
Rank #54 / 167
48.8%Fiscal year ending 12/2023
Facility 48.8%Fiscal year ending 12/2023
PA AVG 69.2%
Rank #108 / 167
395495
Gwynedd Healthcare & Rehabilitation Center
AL
HOS
MC
NH
RC
SNF
Lansdale
181
Facility 181
PA AVG 94
Rank #26 / 552
94.0%
Facility 94.0%
PA AVG 69.7%
Rank #30 / 494
+35%
3.71
Facility 3.71
PA AVG 4.15
Rank #121 / 181
-41%-11%
$24.1k
Facility $24.1k
PA AVG $61.2k
Rank #155 / 183
17
Facility 17
PA AVG 31.3
Rank #92 / 178
3.4
Facility 3.4
PA AVG 4.4
Rank #82 / 178
1170-
8
Facility 8
PA AVG 47
Rank #610 / 657
Michelle Taylor
$22.6MFiscal year ending 12/2023
Facility $22.6MFiscal year ending 12/2023
PA AVG $18.8M
Rank #42 / 167
$10.1MFiscal year ending 12/2023
Facility $10.1MFiscal year ending 12/2023
PA AVG $11.4M
Rank #77 / 167
44.5%Fiscal year ending 12/2023
Facility 44.5%Fiscal year ending 12/2023
PA AVG 69.2%
Rank #133 / 167
395479
Ambler Extended Care Center
AL
HOS
MC
NH
RC
SNF
Ambler (Rose Valley)
100
Facility 100
PA AVG 94
Rank #202 / 552
93.5%
Facility 93.5%
PA AVG 69.7%
Rank #39 / 494
+34%
2.90
Facility 2.90
PA AVG 4.15
Rank #173 / 181
-17%-30%
$0
Facility $0
PA AVG $61.2k
Rank #1 / 183
11
Facility 11
PA AVG 31.3
Rank #65 / 178
2.8
Facility 2.8
PA AVG 4.4
Rank #55 / 178
-94-
84
Facility 84
PA AVG 47
Rank #58 / 657
Cody Meenan
$11.6MFiscal year ending 12/2023
Facility $11.6MFiscal year ending 12/2023
PA AVG $18.8M
Rank #117 / 167
$6.7MFiscal year ending 12/2023
Facility $6.7MFiscal year ending 12/2023
PA AVG $11.4M
Rank #129 / 167
58%Fiscal year ending 12/2023
Facility 58%Fiscal year ending 12/2023
PA AVG 69.2%
Rank #70 / 167
395176
Montgomeryville Skilled Nursing and Rehabilitation Center
AL
NH
SNF
Montgomeryville
155
Facility 155
PA AVG 94
Rank #45 / 552
37.0%
Facility 37.0%
PA AVG 69.7%
Rank #478 / 494
-47%
3.61
Facility 3.61
PA AVG 4.15
Rank #127 / 181
+14%-13%
$0
Facility $0
PA AVG $61.2k
Rank #1 / 183
40
Facility 40
PA AVG 31.3
Rank #135 / 178
3.3
Facility 3.3
PA AVG 4.4
Rank #77 / 178
-57-
27
Facility 27
PA AVG 47
Rank #488 / 657
-
$16.1MFiscal year ending 06/2024
Facility $16.1MFiscal year ending 06/2024
PA AVG $18.8M
Rank #86 / 167
$6.3MFiscal year ending 06/2024
Facility $6.3MFiscal year ending 06/2024
PA AVG $11.4M
Rank #132 / 167
39%Fiscal year ending 06/2024
Facility 39%Fiscal year ending 06/2024
PA AVG 69.2%
Rank #153 / 167
395796

Financial Assistance for
Assisted Living in Pennsylvania

Spring House Estates is located in Lower Gwynedd Township, Pennsylvania.
Here are the financial assistance programs available to residents in Pennsylvania.

Get Financial aid guidance

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%)

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

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

Frequently Asked Questions about Spring House Estates

What neighborhood is Spring House Estates in?

Spring House Estates is in the Spring House neighborhood of Lower Gwynedd Township.

Is Spring House Estates in a walkable area?

Spring House Estates has a walk score of 43. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the occupancy rate at Spring House Estates?

Spring House Estates's occupancy is 66.2%.

How long has Spring House Estates been in business?

Spring House Estates has been operating for approximately 53 years, based on available licensing and registration records.

Are pets allowed at Spring House Estates?

No, Spring House Estates has a no-pet policy.

Does Spring House Estates operate as a for-profit or non-profit?

Spring House Estates is registered as a non-profit in PA.

Are there photos of Spring House Estates?

Yes — there are 2 photos of Spring House Estates in the photo gallery on this page.

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