Skilled Nursing

SILVER STREAM NURSING AND REHABILITATION CENTER

905 PENLLYN PIKE, SPRING HOUSE, PA 19477

120beds
Skilled Nursingcare types
3/5CMS rating
Updated2026

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Inspection & Compliance

Data from CMS (Centers for Medicare & Medicaid Services), updated weekly. Medicare.gov Care Compare

CMS Abuse/Neglect Flag

This facility has been flagged by CMS for substantiated abuse or neglect of residents.

View full report

3.1h

Hrs/resident · weekday

Expected: 4.0h

3.7h

Hrs/resident · weekend

vs 3.1h on weekdays

Not reported

30-day hospital readmission rate

Annual Staff Turnover Rates

High turnover is one of the strongest predictors of care quality. National average CNA turnover is ~75%.

RNs
73%
LPNs
CNAs
59%

Administrator turnover: 2 in the past year — above average

Health Inspection Deficiencies · Last 3 Years

50 standard deficiencies in the last 3 years

View all
0689Severity DApr 10, 2026

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

0600Severity DApr 10, 2026

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0919Severity DMar 25, 2026

Make sure that a working call system is available in each resident's bathroom and bathing area.

0684Severity DMar 25, 2026

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0814Severity DJan 23, 2026

Dispose of garbage and refuse properly.

0791Severity DJan 23, 2026

Provide or obtain dental services for each resident.

0692Severity DJan 23, 2026

Provide enough food/fluids to maintain a resident's health.

0689Severity DJan 23, 2026

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

0684Severity DJan 23, 2026

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0659Severity DJan 23, 2026

Provide care by qualified persons according to each resident's written plan of care.

0656Severity DJan 23, 2026

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0610Severity DJan 23, 2026

Respond appropriately to all alleged violations.

0584Severity EJan 23, 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.

0755Severity DJul 1, 2025

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0684Severity DApr 1, 2025

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0925Severity DDec 12, 2024

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

0908Severity FDec 12, 2024

Keep all essential equipment working safely.

0881Severity DDec 12, 2024

Implement a program that monitors antibiotic use.

0880Severity DDec 12, 2024

Provide and implement an infection prevention and control program.

0760Severity DDec 12, 2024

Ensure that residents are free from significant medication errors.

0758Severity DDec 12, 2024

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.

0755Severity DDec 12, 2024

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0684Severity DDec 12, 2024

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0676Severity DDec 12, 2024

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

0660Severity DDec 12, 2024

Plan the resident's discharge to meet the resident's goals and needs.

0600Severity DDec 12, 2024

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0568Severity DDec 12, 2024

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

0947Severity DFeb 27, 2024

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

0881Severity EFeb 27, 2024

Implement a program that monitors antibiotic use.

0842Severity DFeb 27, 2024

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0814Severity FFeb 27, 2024

Dispose of garbage and refuse properly.

0812Severity FFeb 27, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0761Severity DFeb 27, 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.

0755Severity DFeb 27, 2024

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0726Severity EFeb 27, 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.

0725Severity EFeb 27, 2024

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0697Severity DFeb 27, 2024

Provide safe, appropriate pain management for a resident who requires such services.

0694Severity DFeb 27, 2024

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

0689Severity DFeb 27, 2024

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

0687Severity DFeb 27, 2024

Provide appropriate foot care.

0677Severity DFeb 27, 2024

Provide care and assistance to perform activities of daily living for any resident who is unable.

0646Severity DFeb 27, 2024

Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

0638Severity DFeb 27, 2024

Assure that each resident’s assessment is updated at least once every 3 months.

0636Severity DFeb 27, 2024

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

0580Severity DFeb 27, 2024

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0557Severity DFeb 27, 2024

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

0553Severity DFeb 27, 2024

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

0695Severity DJan 25, 2024

Provide safe and appropriate respiratory care for a resident when needed.

0550Severity DJan 25, 2024

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0755Severity DOct 31, 2023

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

View full inspection history on Medicare.gov

Civil Monetary Penalties

No civil monetary penalties on record.

Nearby Hospitals

No hospitals found within 10 miles.

Proximity to emergency care is especially important for medically complex residents.

Ownership

SILVER STREAM NURSING AND REHAB FACILITY LLC· For profit - Limited Liability company

Data updated weekly from CMS. Last sync: Jun 26, 2026. Medicare.gov Care Compare →

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Data sourced from the Centers for Medicare & Medicaid Services and state licensing agencies. ← Back to search

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