Spruce Manor Nursing & Rehabilitation Center
220 S. FOURTH AVENUE, West Reading, PA 19611
West Reading, Pennsylvania · CMS verdict
CMS rates Spruce Manor Nursing & Rehabilitation Center at 5 of 5 stars overall - above-average on the federal scale, and above the Pennsylvania average of 3.0.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Spruce Manor Nursing & Rehabilitation Center in West Reading, Pennsylvania holds a CMS overall rating of 5 of 5 stars and a PlainElderCare Quality & Compliance Index of 80 of 100 (grade B). The 184-bed facility operates where a semi-private nursing-home room in Pennsylvania runs a median of $11,954 per month. Figures are from CMS Nursing Home Compare.
PlainElderCare Quality & Compliance Index
A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 5 of 5 stars. How this is calculated.
How the 80 is built
Each segment is a dimension's weighted points toward the score, summing to 80.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Data insights
Quality ratings
On Care Compare (data as of April 2026), Spruce Manor Nursing & Rehabilitation Center carries an overall CMS quality rating of 5 out of 5 stars. That figure rolls up three sub-ratings tracked separately: health inspection (5/5), staffing (3/5), and quality measures (4/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in West Reading, Pennsylvania, this facility operates 184 certified beds with an average daily census of roughly 166 residents - an occupancy rate of about 90%. The facility is classified under for profit - corporation ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 90% occupancy, this facility runs close to its typical range for a stabilized operation.
Same-ownership peers
Within Pennsylvania, Spruce Manor Nursing & Rehabilitation Center is one of 232 for profit - corporation nursing homes CMS rates. Its 5-star overall rating sits above the for profit - corporation-segment average of 2.5 stars, ahead of roughly 89% of same-ownership peers in the state. Comparing a facility against its own ownership segment holds the business model roughly constant, which helps isolate facility-level performance from the staffing and reinvestment patterns that differ across for-profit, non-profit, and government operators.
Inspection record
On the regulatory side, federal and state surveyors have documented a moderate number of deficiencies at this facility (5 total). CMS has levied no enforcement penalties over the equivalent window. This volume of findings is worth reading past the count: CMS's F-tag scale separates isolated, low-harm citations from widespread or immediate-jeopardy ones, and only the full report shows which this facility has.
Where these figures come from
The figures above come directly from the U.S. Centers for Medicare \& Medicaid Services Nursing Home Compare dataset for federal quality ratings, combined with the CareScout 2025 Cost of Care Survey of more than 15,000 elder-care providers nationwide and U.S. Census American Community Survey income data. Cost figures are monthly medians, refreshed annually with each new CareScout release; quality ratings are refreshed quarterly from the CMS Provider Information File. Read these state and county medians as benchmarks, then verify current rates with individual providers and consult care managers before making placement decisions. See our methodology for source vintage.
How Spruce Manor Nursing & Rehabilitation Center compares to Pennsylvania
CMS five-star sub-ratings (0–5) for this facility against the Pennsylvania facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Pennsylvania state average. Higher is better on all four CMS measures.
Where Spruce Manor Nursing & Rehabilitation Center ranks in Pennsylvania
Among the 653 CMS-rated nursing homes in Pennsylvania, Spruce Manor Nursing & Rehabilitation Center’s 5-star overall rating is higher than 77% of them. The bars show how all Pennsylvania homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
149 Pennsylvania homes share this 5-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 184 |
| Residents | 166 |
| Ownership | For profit - Corporation |
| County | Berks |
| Penalties | 0 |
| Deficiencies | 5 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Spruce Manor Nursing & Rehabilitation Center? ▾
CMS rates Spruce Manor Nursing & Rehabilitation Center at 5 out of 5 stars overall. The three sub-ratings behind that number: health inspection 5/5, staffing 3/5, quality measures 4/5.
How much does a nursing home cost per month in Pennsylvania? ▾
CareScout's 2025 survey puts Pennsylvania's median semi-private nursing home rate at $11,954 per month ($143,445 per year), with private rooms averaging $13,688 per month.
What services does Spruce Manor Nursing & Rehabilitation Center offer? ▾
With 184 beds with approximately 166 current residents, Spruce Manor Nursing & Rehabilitation Center is a skilled nursing facility. It operates under for profit - corporation ownership, and CMS's inspection record shows 5 deficiencies and 0 penalties.
Does Spruce Manor Nursing & Rehabilitation Center have any deficiencies or penalties? ▾
Spruce Manor Nursing & Rehabilitation Center has multiple deficiencies (5 total) and 0 penalties recorded by CMS. A count in this range makes it worth asking staff or the facility directly which findings were minor paperwork versus resident-care issues.
What are the alternatives to a nursing home in Pennsylvania? ▾
In Pennsylvania, alternatives include assisted living ($6,480/mo), home health aides ($6,483/mo), and adult day care ($2,535/mo).
Elder Care Guides
Explore PlainElderCare
Related Resources
Compare cost and CMS quality across the state on the Pennsylvania elder-care overview, or see how facilities rank nationwide in our highest-rated states ranking.
Weigh nursing care against assisted living, home health, and adult day care, with national median costs, on our care types comparison, and learn how to fund it in our paying for elder care guide.
Source: CMS Nursing Home Compare. Provider ID: 395226.
Read our methodology - how this data is sourced, computed, and verified.