Pennsylvania › Montgomery County › Spring House
Silver Stream Rehabilitation and Nursing Center
905 Penllyn Pike, Spring House, PA 19477
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Silver Stream Rehabilitation and Nursing Center is a For-profit, limited liability company nursing home in Spring House, Pennsylvania, certified for 120 beds and caring for about 105 residents a day.
CMS gives it 2 of 5 stars overall, below the Pennsylvania median of 3; the health inspection rating is 2, staffing 2 and quality measures 3.
Inspectors recorded 53 health deficiencies across the three most recent survey cycles (16, 14, 23 by cycle, most recent first), none at the actual-harm level. That is 44.2 per 100 beds, more than the state median of 22.2.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.4 hours per resident per day (0.4 RN), close to the Pennsylvania median of 3.6; nursing staff turnover is 58.0%.
CMS flags that the facility carries the CMS abuse icon.
Compared with county, state and nation
| Measure | This facility | Montgomery Co. median | Pennsylvania median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 53 | 20 | 26 | 28.7 |
| Citations per 100 beds | 44.2 | 16.8 | 22.2 | 26.8 |
| Total nurse hours per resident day | 3.4 | 3.6 | 3.6 | 3.9 |
| RN hours per resident day | 0.4 | 0.7 | 0.7 | 0.7 |
| Nursing staff turnover | 58.0% | 42.5% | 44.3% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (58 in the county, 656 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Pennsylvania average per facility for the same cycle, as published by CMS. Standard health survey dates: 23 Jan 2026, 12 Dec 2024.
Severity mix: D ×45 E ×5 F ×3
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 2 Jun 2026 | F0610 | Respond appropriately to all alleged violations. | E | Complaint investigation | Deficient, Provider has no plan of correction |
| 2 Jun 2026 | F0584 | 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. | D | Complaint investigation | Deficient, Provider has no plan of correction |
| 2 Jun 2026 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint investigation | Deficient, Provider has no plan of correction |
| 10 Apr 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 15 May 2026 |
| 10 Apr 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 15 May 2026 |
| 25 Mar 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 15 Apr 2026 |
| 25 Mar 2026 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Complaint investigation | 13 Apr 2026 |
| 23 Jan 2026 | F0584 | 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. | E | Standard survey | 25 Feb 2026 |
| 23 Jan 2026 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 25 Feb 2026 |
| 23 Jan 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 25 Feb 2026 |
| 23 Jan 2026 | F0659 | Provide care by qualified persons according to each resident's written plan of care. | D | Standard survey | 25 Feb 2026 |
| 23 Jan 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 25 Feb 2026 |
| 23 Jan 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 25 Feb 2026 |
| 23 Jan 2026 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 25 Feb 2026 |
| 23 Jan 2026 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 25 Feb 2026 |
| 23 Jan 2026 | F0814 | Dispose of garbage and refuse properly. | D | Standard survey | 25 Feb 2026 |
| 1 Jul 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 1 Aug 2025 |
| 1 Apr 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 24 Apr 2025 |
| 12 Dec 2024 | F0908 | Keep all essential equipment working safely. | F | Standard survey | 5 Feb 2025 |
| 12 Dec 2024 | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | D | Standard survey | 5 Feb 2025 |
| 12 Dec 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 5 Feb 2025 |
| 12 Dec 2024 | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | Standard survey | 5 Feb 2025 |
| 12 Dec 2024 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 5 Feb 2025 |
| 12 Dec 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 5 Feb 2025 |
| 12 Dec 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 5 Feb 2025 |
| 12 Dec 2024 | F0758 | 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. | D | Standard survey | 5 Feb 2025 |
| 12 Dec 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 5 Feb 2025 |
| 12 Dec 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 5 Feb 2025 |
| 12 Dec 2024 | F0881 | Implement a program that monitors antibiotic use. | D | Standard survey | 5 Feb 2025 |
| 12 Dec 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Standard survey | 5 Feb 2025 |
| 27 Feb 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 1 Apr 2024 |
| 27 Feb 2024 | F0814 | Dispose of garbage and refuse properly. | F | Standard survey | 1 Apr 2024 |
| 27 Feb 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 1 Apr 2024 |
| 27 Feb 2024 | F0726 | 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. | E | Standard survey | 1 Apr 2024 |
| 27 Feb 2024 | F0881 | Implement a program that monitors antibiotic use. | E | Standard survey | 1 Apr 2024 |
| 27 Feb 2024 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Standard survey | 1 Apr 2024 |
| 27 Feb 2024 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Standard survey | 1 Apr 2024 |
| 27 Feb 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 1 Apr 2024 |
| 27 Feb 2024 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 1 Apr 2024 |
| 27 Feb 2024 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Standard survey | 1 Apr 2024 |
| 27 Feb 2024 | F0646 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D | Standard survey | 1 Apr 2024 |
| 27 Feb 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 1 Apr 2024 |
| 27 Feb 2024 | F0687 | Provide appropriate foot care. | D | Standard survey | 1 Apr 2024 |
| 27 Feb 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 1 Apr 2024 |
| 27 Feb 2024 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard survey | 1 Apr 2024 |
| 27 Feb 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 1 Apr 2024 |
| 27 Feb 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 1 Apr 2024 |
| 27 Feb 2024 | F0761 | 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. | D | Standard survey | 1 Apr 2024 |
| 27 Feb 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 1 Apr 2024 |
| 27 Feb 2024 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Standard survey | 1 Apr 2024 |
| 25 Jan 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 1 Mar 2024 |
| 25 Jan 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 1 Mar 2024 |
| 31 Oct 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 8 Dec 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Pennsylvania average. Turnover: nursing staff 58.0%, RNs 71.4%; 2 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Pennsylvania median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 5.9% | 15.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.4% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.6% | 2.9% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.4% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 3.8% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.7% | 4.5% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 28.2% | 17.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Silver Stream Nursing And Rehab Facility Llc.
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Montgomery County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Artman Lutheran Home | Ambler | 61 | 5 | 4 | 5 | 17 | 27.9 | — | 11 May 2026 |
| Dock Terrace | Lansdale | 72 | 5 | 5 | 5 | 0 | 0.0 | — | — |
| Dresher Hill Health and Rehabilitation Center | Fort Washington | 118 | 5 | 4 | 3 | 5 | 4.2 | — | 30 Jan 2026 |
| Elm Terrace Gardens | Lansdale | 72 | 5 | 5 | 5 | 4 | 5.6 | — | 27 Mar 2025 |
| Frederick Living - Cedarwood | Frederick | 61 | 5 | 5 | 5 | 1 | 1.6 | — | 26 Oct 2023 |
| Gwynedd Healthcare and Rehabilitation Center | Lansdale | 181 | 5 | 4 | 3 | 15 | 8.3 | $24K | 4 Dec 2025 |
| Health Center At the Hill At Whitemarsh, The | Lafayette Hill | 60 | 5 | 5 | 5 | 1 | 1.7 | — | 14 Feb 2024 |
| Hrh Transitional Care Unit(A D/B/A Entity of Hrhs) | Meadowbrook | 21 | 5 | 5 | 5 | 3 | 14.3 | — | 19 Feb 2026 |
All 58 facilities in Montgomery County
Questions and answers
How many deficiencies has Silver Stream Rehabilitation and Nursing Center been cited for?
53 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Pennsylvania median is 26 per facility.
Has Silver Stream Rehabilitation and Nursing Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Silver Stream Rehabilitation and Nursing Center compare?
Reported total nurse staffing is 3.4 hours per resident per day against a Pennsylvania median of 3.6 and a national average of 3.9.
Who operates Silver Stream Rehabilitation and Nursing Center?
Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.
When was Silver Stream Rehabilitation and Nursing Center last inspected?
The most recent survey or investigation in the CMS record is dated 2 Jun 2026; the most recent standard health survey was 23 Jan 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.