PlainNursing
CMS Nursing Home Compare · August 2026

Spruce Manor Nursing & Rehabilitation Center

220 S. Fourth Avenue, West Reading, PA 19611

Spruce Manor Nursing & Rehabilitation Center, a 184-bed for profit - corporation nursing facility in West Reading, PA, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #218 of 652 rated homes in PA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 6103745175

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4 / 5
Above average · CMS overall · nat'l 3.0
#218 of 652
In-state rank among rated PA homes
3.23
Well below average · nurse hrs/day · nat'l 3.86
8
Inspection findings

The verdict

Spruce Manor Nursing & Rehabilitation Center, a 184-bed for profit - corporation nursing facility in West Reading, PA, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #218 of 652 rated homes in PA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm level.

4 / 5
CMS overall · national 3.0
#218 of 652
In-state rank among rated PA homes
3.23
Nurse hrs/resident-day · national 3.86
8
Inspection findings on file

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 656 PA nursing homes split by ownership sector

This facility is recorded as For profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

4/5

Staffing

2/5

Quality Measures

4/5

Long-Stay Quality

5/5

Facility Information

Provider Number
395226
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
184
Residents
172
In Hospital
No
County
Berks
Last Inspection
Apr 24, 2026

Staffing Data

How the 3.23 total nursing hours per resident-day are staffed:

RN Hours
0.41 (nat'l avg: 0.69)
LPN Hours
0.88
CNA Hours
1.93
Total Nursing Hours
3.23 (nat'l avg: 3.86)
PT Hours
0.00
Nursing Turnover
24.6%
RN Turnover
33.3%

What the CMS Record Reveals About Spruce Manor Nursing & Rehabilitation Center

According to CMS Nursing Home Compare, Spruce Manor Nursing & Rehabilitation Center ranks #218 of 652 rated nursing homes in PA on overall stars (tie-broken by health+staffing+quality, then fewer fines). Spruce Manor Nursing & Rehabilitation Center operates 184 certified beds in West Reading, PA with approximately 172 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars (health inspection 4★ · staffing 2★ · quality 4★).

The inspection file contains 8 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. Reported nurse staffing runs 3.23 total hours per resident day (national average 3.86); RN hours specifically are 0.41 per resident day.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Spruce Manor Nursing & Rehabilitation Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 24.6% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. 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.

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. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

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 the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (8 most recent)

D - Isolated - Minimal harm Apr 24, 2026 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: May 15, 2026

D - Isolated - Minimal harm Apr 24, 2026 Tag: 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: May 15, 2026

D - Isolated - Minimal harm Apr 24, 2026 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 15, 2026

D - Isolated - Minimal harm Apr 24, 2026 Tag: 0605

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 15, 2026

E - Pattern - Minimal harm Apr 24, 2026 Tag: 0584

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Category: Resident Rights Deficiencies

Corrected: May 15, 2026

D - Isolated - Minimal harm Mar 21, 2025 Tag: 0656

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: Apr 8, 2025

D - Isolated - Minimal harm Apr 12, 2024 Tag: 0699

Provide care or services that was trauma informed and/or culturally competent.

Category: Quality of Life and Care Deficiencies

Corrected: May 1, 2024

D - Isolated - Minimal harm Apr 12, 2024 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: May 1, 2024

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 8.1% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.4% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.5% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 1.6% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 7.6% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 1.6% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 11.6% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.9% Yes
Percentage of long-stay residents who lose too much weight Long Stay 5.8% No
Percentage of long-stay residents who have depressive symptoms Long Stay 11.5% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 91.6% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 11.1% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 98.1% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 11.8% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 44.8% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 45.4% No

Penalty History

No penalties on record.

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Spruce Manor Nursing & Rehabilitation Center, both outside PA so the neighborhoods are not the same-state geography list below.

What the CMS records show for Spruce Manor Nursing & Rehabilitation Center

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The PA registry aggregates state averages and the highest-rated homes in this cohort. View PA registry
  • Peer homes near 184 beds show how CMS stars vary at a similar scale in PA. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Spruce Manor Nursing & Rehabilitation Center?
Spruce Manor Nursing & Rehabilitation Center has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (4★), staffing levels (2★), and quality measures (4★).
Where does Spruce Manor Nursing & Rehabilitation Center rank among nursing homes in PA?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Spruce Manor Nursing & Rehabilitation Center ranks 218th among 652 rated nursing homes in PA (#218 of 652). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Spruce Manor Nursing & Rehabilitation Center?
Spruce Manor Nursing & Rehabilitation Center reports 3.23 total nursing hours per resident day (national average: 3.86). RN hours are 0.41 per resident day (national average: 0.69). Nursing staff turnover is 24.6%.
How many beds does Spruce Manor Nursing & Rehabilitation Center have?
Spruce Manor Nursing & Rehabilitation Center has 184 certified beds with approximately 172 residents. The facility is located at 220 S. Fourth Avenue, West Reading, PA 19611.
Does Spruce Manor Nursing & Rehabilitation Center have any deficiencies on record?
Yes, Spruce Manor Nursing & Rehabilitation Center has 8 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has Spruce Manor Nursing & Rehabilitation Center received any fines or penalties?
No, Spruce Manor Nursing & Rehabilitation Center has no fines or penalties on record.
Who owns Spruce Manor Nursing & Rehabilitation Center?
Spruce Manor Nursing & Rehabilitation Center is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Spruce Manor Nursing & Rehabilitation Center last inspected?
The most recent health inspection for Spruce Manor Nursing & Rehabilitation Center was on Apr 24, 2026. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for Spruce Manor Nursing & Rehabilitation Center?
Spruce Manor Nursing & Rehabilitation Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
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. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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