SPIRITRUST LUTHERAN THE VILLAGE AT UTZ TERRACE
Open-data reference.
SPIRITRUST LUTHERAN THE VILLAGE AT UTZ TERRACE is a non profit - corporation facility in HANOVER, PA with 40 certified beds and a 5-star overall CMS rating. The facility has 11 deficiency records on file.
2100 UTZ TERRACE, HANOVER, PA 17331
Phone: 7176370633
Overall Rating
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 396111
- Ownership
- Non profit - Corporation
- Provider Type
- Medicare and Medicaid
- Beds
- 40
- Residents
- 35
- In Hospital
- No
- County
- York
- Last Inspection
- Apr 30, 2025
Staffing Data
- RN Hours
- 1.05 (nat'l avg: 0.68)
- LPN Hours
- 1.05
- CNA Hours
- 1.90
- Total Nursing Hours
- 4.00 (nat'l avg: 3.89)
- PT Hours
- 0.07
- Nursing Turnover
- 53.2%
- RN Turnover
- 46.2%
What the CMS Record Reveals About SPIRITRUST LUTHERAN THE VILLAGE AT UTZ TERRACE
SPIRITRUST LUTHERAN THE VILLAGE AT UTZ TERRACE operates 40 certified beds in HANOVER, PA with approximately 35 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (4★), staffing levels (4★), and quality measures (5★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
The inspection file contains 11 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 4.00 total nursing hours per resident day (national average 3.89), with RN coverage at 1.05 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.
Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, SPIRITRUST LUTHERAN THE VILLAGE AT UTZ TERRACE falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 53.2%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.
Deficiency History (11 most recent)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: May 30, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Category: Nutrition and Dietary Deficiencies
Corrected: May 30, 2025
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Category: Nutrition and Dietary Deficiencies
Corrected: May 30, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: May 30, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 13, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 13, 2024
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Category: Infection Control Deficiencies
Corrected: Jun 26, 2023
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Category: Administration Deficiencies
Corrected: Jun 26, 2023
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Category: Pharmacy Service Deficiencies
Corrected: Jun 26, 2023
Ensure each resident receives an accurate assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jun 26, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Mar 16, 2023
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 24.8% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 3.5% | No |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.1% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 4.2% | Yes |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 2.7% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.5% | Yes |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 100.0% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 88.2% | No |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.7% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 9.2% | Yes |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 14.2% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 100.0% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 83.0% | No |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.8% | Yes |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 30.3% | No |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 24.7% | Yes |
Penalty History
No penalties on record.
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Frequently Asked Questions
What is the overall CMS rating for SPIRITRUST LUTHERAN THE VILLAGE AT UTZ TERRACE?
What are the staffing levels at SPIRITRUST LUTHERAN THE VILLAGE AT UTZ TERRACE?
How many beds does SPIRITRUST LUTHERAN THE VILLAGE AT UTZ TERRACE have?
Does SPIRITRUST LUTHERAN THE VILLAGE AT UTZ TERRACE have any deficiencies on record?
Has SPIRITRUST LUTHERAN THE VILLAGE AT UTZ TERRACE received any fines or penalties?
Who owns SPIRITRUST LUTHERAN THE VILLAGE AT UTZ TERRACE?
When was SPIRITRUST LUTHERAN THE VILLAGE AT UTZ TERRACE last inspected?
What quality measures are tracked for SPIRITRUST LUTHERAN THE VILLAGE AT UTZ TERRACE?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.
Read our methodology — how this data is sourced, computed, and verified.