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Medicare-certifiedSkilled Nursing

Silver Stream Rehabilitation and Nursing Center

Spring House, PennsylvaniaMedicare inspection record
(215) 646-1500

About Silver Stream Rehabilitation and Nursing Center

Silver Stream Rehabilitation and Nursing Center brings skilled nursing and rehabilitation services to Spring House, Pennsylvania with a focus on personalized recovery. Our team supports patients through short-term rehabilitation and long-term care needs, combining medical expertise with compassionate attention to help each person regain independence and dignity.

Community at a glance

Capacity

120 residents

Location

Spring House, PA

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

905 PENLLYN PIKE, Spring House, Pennsylvania 19477

(215) 646-1500

Medicare inspection record

From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov

  • Medicare flags Silver Stream Rehabilitation and Nursing Center for a citation related to abuse of residents in its recent inspections.

At its most recent standard inspection, on January 23, 2026, state inspectors cited 16 health deficiencies (the Pennsylvania average is 10.0).

Nurses and nurse aides spend 3 hours 22 minutes with each resident a day, below the Pennsylvania average of 3 hours 53 minutes.

Medicare has not fined Silver Stream Rehabilitation and Nursing Center in the last three years.

Staffing

MeasureThis home
Nurse and aide time per resident, per day3 hours 22 minutesBelow the Pennsylvania average
Registered nurse time per resident, per day22 minutesBelow the Pennsylvania average
Nursing staff who left in the past year58%Above the Pennsylvania average

2 administrators have left the home in the past year.

Inspections

53 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

June 2, 2026 · Complaint investigation · 3 citations

  • Respond appropriately to all alleged violations.

    Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jul 3, 2026
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jul 1, 2026
  • Provide safe, appropriate pain management for a resident who requires such services.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jul 3, 2026

April 10, 2026 · Complaint investigation · 2 citations

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected May 15, 2026
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected May 15, 2026
March 25, 2026 · Complaint investigation · 2 citations+
  • Make sure that a working call system is available in each resident's bathroom and bathing area.

    Risk of harm, no one hurt, a few residents (level D)EnvironmentalFrom a complaintCorrected Apr 13, 2026
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Apr 15, 2026
January 23, 2026 · Standard inspection · 9 citations+
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Feb 25, 2026
  • Respond appropriately to all alleged violations.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Feb 25, 2026
  • Provide care by qualified persons according to each resident's written plan of care.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Feb 25, 2026
  • Dispose of garbage and refuse properly.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Feb 25, 2026
  • Provide or obtain dental services for each resident.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 25, 2026
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 25, 2026
  • Provide enough food/fluids to maintain a resident's health.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 25, 2026
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Feb 25, 2026
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 25, 2026
July 1, 2025 · Complaint investigation · 1 citation+
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Aug 1, 2025
April 1, 2025 · Complaint investigation · 1 citation+
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Apr 24, 2025
December 12, 2024 · Standard inspection · 12 citations+
  • Keep all essential equipment working safely.

    Risk of harm, no one hurt, widespread (level F)EnvironmentalCorrected Feb 5, 2025
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Feb 5, 2025
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Feb 5, 2025
  • Plan the resident's discharge to meet the resident's goals and needs.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Feb 5, 2025
  • Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Feb 5, 2025
  • Implement a program that monitors antibiotic use.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Feb 5, 2025
  • Ensure that residents are free from significant medication errors.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Feb 5, 2025
  • Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Feb 5, 2025
  • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 5, 2025
  • Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Risk of harm, no one hurt, a few residents (level D)EnvironmentalCorrected Feb 5, 2025
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Feb 5, 2025
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 5, 2025
February 27, 2024 · Standard inspection · 20 citations+
  • Dispose of garbage and refuse properly.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Apr 1, 2024
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Apr 1, 2024
  • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesCorrected Apr 1, 2024
  • Implement a program that monitors antibiotic use.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Apr 1, 2024
  • Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesCorrected Apr 1, 2024
  • Assure that each resident’s assessment is updated at least once every 3 months.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Apr 1, 2024
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Apr 1, 2024
  • Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Apr 1, 2024
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Apr 1, 2024
  • Provide appropriate foot care.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 1, 2024
  • Provide safe, appropriate pain management for a resident who requires such services.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 1, 2024
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 1, 2024
  • Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Apr 1, 2024
  • Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesCorrected Apr 1, 2024
  • Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Apr 1, 2024
  • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Apr 1, 2024
  • Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Apr 1, 2024
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Apr 1, 2024
  • Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 1, 2024
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 1, 2024
January 25, 2024 · Complaint investigation · 2 citations+
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Mar 1, 2024
  • Provide safe and appropriate respiratory care for a resident when needed.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Mar 1, 2024
October 31, 2023 · Complaint investigation · 1 citation+
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Dec 8, 2023

Fines and payment denials

No fines or Medicare payment denials in the last three years.

About the home, per Medicare

Ownership
For profit - Limited Liability company
Legal business name
Silver Stream Nursing and Rehab Facility LLC
Medicare-certified beds
120
Average residents per day
105
Accepts
Medicare and Medicaid
First certified
March 1, 1977
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
395354

Location

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905 PENLLYN PIKESpring House, PA 19477

12 other communities within 10 miles

Senior living near Spring House

Questions about Silver Stream Rehabilitation and Nursing Center

How did Silver Stream Rehabilitation and Nursing Center do on its last inspection?+

State inspectors visited on January 23, 2026 and cited 16 health deficiencies, 7 of them from complaint investigations. The Pennsylvania average is 10.0.

How much nursing care does each resident get at Silver Stream Rehabilitation and Nursing Center?+

Nurses and aides spend 3 hours 22 minutes with each resident per day, including 22 minutes from registered nurses. 58% of nursing staff left over the past year.

Has Silver Stream Rehabilitation and Nursing Center been fined by Medicare?+

Medicare's records show no fines against Silver Stream Rehabilitation and Nursing Center in the last three years.

Does Medicare cover skilled nursing?+

Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.

How much does a nursing home cost?+

A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.

What is the CMS star rating?+

Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.

Senior living in Spring House Skilled Nursing in Pennsylvania Skilled Nursing guide Information last updated October 2026