nursing home in Spring House, PA
Silver Stream Rehabilitation and Nursing Center
905 Penllyn Pike, Spring House, PA 19477 · (215) 646-1500
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★2
- Quality measures★★★★★3
- Abuse citation
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Silver Stream Rehabilitation and Nursing Center at a glance
Silver Stream Rehabilitation and Nursing Center is a 120-bed for-profit nursing home in Spring House, Pennsylvania (Montgomery County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Pennsylvania average of 3.
Residents receive about 3.4 hours of nursing care per day (0.4 of them from registered nurses), worse than the state average of 3.9 hours.
Its most recent standard health inspection (January 23, 2026) found 16 health citations. The Pennsylvania average is 10.
It has not received a federal fine in the past three years.
Nursing staff turnover is 58% per year (state average 44.5%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 120
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- March 1, 1977
- Resident/family council
- Resident
- County
- Montgomery County
- CMS Certification Number
- 395354
Ratings
| Measure | This facility | Pennsylvania avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 3 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 3 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.6 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 4 / 5 | 3.8 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 2 / 5 | 3.3 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Pennsylvania avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.36 hrs | 3.89 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.36 hrs | 0.79 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.01 hrs | 2.19 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.14 hrs | 3.53 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 58% | 44.5% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 71.4% | 39.9% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 2 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Pennsylvania avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 16 | 10 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 7 | 3 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 74 | 82.4 | 80.6 | Better |
Penalties
| Measure | This facility | Pennsylvania avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $25,774 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Pennsylvania avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 120 | 127 | 107 | |
| Average residents per day | 105 | 105 | 86 | |
| Occupancy | 87.8% | 84% | 80.9% |
Long-stay residents
| Measure | This facility | Pennsylvania avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.6% | 3.1% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 4.7% | 4.8% | 4.6% | Average |
| Long-stay residents given antipsychotic medication (lower is better) | 28.2% | 17.7% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 1.5% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.4% | 0.7% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 5.9% | 16.8% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 3.8% | 17% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 7.2% | 6.2% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 3.1% | 10.8% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.2% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 15.5% | 20% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 24.9% | 25.5% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 93.5% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 77.2% | 87.5% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Pennsylvania avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.4% | 1.4% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 17.9% | 68.7% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 15.5% | 70% | 82% | Worse |
Inspection citations
State inspectors cited this home for 53 health deficiencies and 12 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 2, 2026 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | E Potential harm, pattern | Corrected July 3, 2026 |
| June 2, 2026 Complaint | 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. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected July 1, 2026 |
| June 2, 2026 Complaint | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | D Potential harm, isolated | Corrected July 3, 2026 |
| April 10, 2026 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected May 15, 2026 |
| April 10, 2026 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected May 15, 2026 |
| March 25, 2026 Complaint | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Tag F0919 | D Potential harm, isolated | Corrected April 13, 2026 |
| March 25, 2026 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected April 15, 2026 |
| January 23, 2026 Standard | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected February 25, 2026 |
| January 23, 2026 Standard | Provide care by qualified persons according to each resident's written plan of care. Resident Assessment and Care Planning Deficiencies · Tag F0659 | D Potential harm, isolated | Corrected February 25, 2026 |
| January 23, 2026 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected February 25, 2026 |
| January 23, 2026 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected February 25, 2026 |
| January 23, 2026 Standard | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Tag F0791 | D Potential harm, isolated | Corrected February 25, 2026 |
| January 23, 2026 Standard | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Tag F0814 | D Potential harm, isolated | Corrected February 25, 2026 |
| January 23, 2026 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected February 25, 2026 |
| January 23, 2026 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected February 25, 2026 |
| January 23, 2026 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected February 25, 2026 |
| July 1, 2025 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected August 1, 2025 |
| April 1, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected April 24, 2025 |
| December 12, 2024 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | E Potential harm, pattern | Corrected January 24, 2025 |
| December 12, 2024 Fire safety | Have stairways and smokeproof enclosures used as exits that meet safety requirements. Egress Deficiencies · Tag K0225 | E Potential harm, pattern | Corrected March 5, 2025 |
| December 12, 2024 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | E Potential harm, pattern | Corrected January 24, 2025 |
| December 12, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected January 24, 2025 |
| December 12, 2024 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected January 24, 2025 |
| December 12, 2024 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | C No harm, widespread | Corrected January 24, 2025 |
| December 12, 2024 Standard | Keep all essential equipment working safely. Environmental Deficiencies · Tag F0908 | F Potential harm, widespread | Corrected February 5, 2025 |
| December 12, 2024 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected February 5, 2025 |
| December 12, 2024 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected February 5, 2025 |
| December 12, 2024 Standard | 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. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected February 5, 2025 |
| December 12, 2024 Standard | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Tag F0881 | D Potential harm, isolated | Corrected February 5, 2025 |
| December 12, 2024 Standard | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Resident Rights Deficiencies · Tag F0568 | D Potential harm, isolated | Corrected February 5, 2025 |
| December 12, 2024 Standard | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected February 5, 2025 |
| December 12, 2024 Standard | Plan the resident's discharge to meet the resident's goals and needs. Resident Assessment and Care Planning Deficiencies · Tag F0660 | D Potential harm, isolated | Corrected February 5, 2025 |
| December 12, 2024 Standard | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Tag F0676 | D Potential harm, isolated | Corrected February 5, 2025 |
| December 12, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected February 5, 2025 |
| December 12, 2024 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected February 5, 2025 |
| December 12, 2024 Standard | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | D Potential harm, isolated | Corrected February 5, 2025 |
| March 18, 2024 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | F Potential harm, widespread | Corrected April 10, 2024 |
| February 27, 2024 Fire safety | Install a two-hour-resistant firewall separation. Construction Deficiencies · Tag K0133 | E Potential harm, pattern | Corrected April 6, 2024 |
| February 27, 2024 Standard | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Tag F0814 | F Potential harm, widespread | Corrected April 1, 2024 |
| February 27, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected April 1, 2024 |
| February 27, 2024 Standard | 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. Nursing and Physician Services Deficiencies · Tag F0726 | E Potential harm, pattern | Corrected April 1, 2024 |
| February 27, 2024 Standard | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Tag F0881 | E Potential harm, pattern | Corrected April 1, 2024 |
| February 27, 2024 Standard | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | E Potential harm, pattern | Corrected April 1, 2024 |
| February 27, 2024 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected April 1, 2024 |
| February 27, 2024 Standard | Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights Deficiencies · Tag F0553 | D Potential harm, isolated | Corrected April 1, 2024 |
| February 27, 2024 Standard | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · Tag F0557 | D Potential harm, isolated | Corrected April 1, 2024 |
| February 27, 2024 Standard | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected April 1, 2024 |
| February 27, 2024 Standard | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Tag F0636 | D Potential harm, isolated | Corrected April 1, 2024 |
| February 27, 2024 Standard | Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · Tag F0638 | D Potential harm, isolated | Corrected April 1, 2024 |
| February 27, 2024 Standard | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. Resident Assessment and Care Planning Deficiencies · Tag F0646 | D Potential harm, isolated | Corrected April 1, 2024 |
| February 27, 2024 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected April 1, 2024 |
| February 27, 2024 Standard | Provide appropriate foot care. Quality of Life and Care Deficiencies · Tag F0687 | D Potential harm, isolated | Corrected April 1, 2024 |
| February 27, 2024 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected April 1, 2024 |
| February 27, 2024 Standard | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Tag F0694 | D Potential harm, isolated | Corrected April 1, 2024 |
| February 27, 2024 Standard | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | D Potential harm, isolated | Corrected April 1, 2024 |
| February 27, 2024 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected April 1, 2024 |
| February 27, 2024 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected April 1, 2024 |
| February 27, 2024 Standard | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Tag F0947 | D Potential harm, isolated | Corrected April 1, 2024 |
| January 25, 2024 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected March 1, 2024 |
| January 25, 2024 Complaint | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected March 1, 2024 |
| October 31, 2023 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected December 8, 2023 |
| May 4, 2023 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected July 7, 2023 |
| May 4, 2023 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | C No harm, widespread | Corrected July 7, 2023 |
| May 4, 2023 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | C No harm, widespread | Corrected August 8, 2023 |
| May 4, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | C No harm, widespread | Corrected July 7, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| LICHTSCHEIN, AARON Individual | 5% or greater direct ownership interest | 15% | 06/04/2021 |
| LICHTSCHEIN, RAPHAEL Individual | 5% or greater direct ownership interest | 32% | 06/04/2021 |
| MULLER, MARTIN Individual | 5% or greater direct ownership interest | 28% | 06/04/2021 |
| LICHTSCHEIN, RAPHAEL Individual | corporate officer | NOT APPLICABLE | 06/04/2021 |
| LICHTSCHEIN, RAPHAEL Individual | operational/managerial control | NOT APPLICABLE | 06/04/2021 |
| GEWIRTZMAN, YEHUDAH Individual | w-2 managing employee | NOT APPLICABLE | 06/04/2021 |
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Frequently asked questions
What is Silver Stream Rehabilitation and Nursing Center's rating?
Silver Stream Rehabilitation and Nursing Center has 2 out of 5 stars on the CMS overall star rating. The average for Pennsylvania nursing homes is 3 stars.
How many inspection citations did Silver Stream Rehabilitation and Nursing Center receive?
Its most recent standard health inspection found 16 citations, compared with a Pennsylvania average of 10. Every citation is listed on this page with its severity.
Does Silver Stream Rehabilitation and Nursing Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Silver Stream Rehabilitation and Nursing Center?
It is for profit - limited liability company. The ownership section on this page lists the owners and managers reported to CMS.
Where is Silver Stream Rehabilitation and Nursing Center and how do I contact it?
Silver Stream Rehabilitation and Nursing Center is at 905 Penllyn Pike, Spring House, PA 19477. Phone: (215) 646-1500.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.