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D
Poor

SPRUCE MANOR NURSING & REHABILITATION CENTER

220 S. FOURTH AVENUE · WEST READING, PA 19611

6103745175 · For profit - Corporation

184 beds165.5 residents164 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

SPRUCE MANOR NURSING & REHABILITATION CENTER receives an overall staffing grade of D (Poor). With 3.2237 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.3498 HPRD, below the recommended 0.75. It is 0.67 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 11.31% compared to weekdays. The facility uses a moderate level of agency staff (9.28% of hours), suggesting some reliance on temporary workers.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.2237 HPRD — needs 0.26 more hours per resident per day.
⚠️RN staffing (0.3498 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
3.2237hrs/resident/day▼ 0.67
CMS benchmark: 3.48
RN HPRD
0.3498hrs/resident/day▼ 0.33
Recommended: 0.75
Weekend Drop-off
11.31%
3.3302 weekday → 2.9535 weekend
Agency Staff
9.28%
5.34% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.8747hrs/resident/day
Direct care aides
LPN HPRD
0.9579hrs/resident/day
Licensed practical nurses
Consistency
0.2093std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Berks County Average-0.61 HPRD
3.83
03.22 HPRD
vs. Pennsylvania State Average-0.68 HPRD
3.90
03.22 HPRD
vs. National Average-0.67 HPRD
3.90
03.22 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
SPRUCE MANOR NURSING & REHABILITATION CENTER ★
WEST READING · This facility
—
D
3.22370.3498★★★★★
WEST READING SKILLED NURSING AND REHABILITATION CE
WEST READING
0.3 mi
D
2.97740.3436★☆☆☆☆
WYOMISSING HEALTH AND REHABILITATION CENTER
READING
0.7 mi
C
3.39380.4526★★★★☆
MIFFLIN CENTER
SHILLINGTON
2.4 mi
C
3.48540.5205★★★★☆
BERKS COUNTY HOME- BERKS HEIM
LEESPORT
7.6 mi
B
3.79870.8507★★★★☆
ZERBE SISTERS NURSING CENTER,
NARVON
11.4 mi
B
4.22080.5691★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
5
Total Deficiencies
$0
Fines Assessed
Mar 21, 2025Health
1 deficiency cited
▼
Apr 12, 2024Health
2 deficiencies cited
▼
May 5, 2023Health
2 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.