3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Enjoy a safe and quick recovery with Silver Stream Nursing and Rehabilitation Center, a trusted community in Spring House, PA, for those needing short-term care, long-term care, and rehabilitation services. Their reliable team is available 24/7 to support residents living with chronic illness or recovering from an injury by providing them with compassionate and personalized care tailored to their unique needs. In addition to physical, speech, and occupational therapy, complex medical services are provided to accommodate residents’ more serious needs.
Countless recreational opportunities are available to help residents remain active and socially connected while going through rehabilitation. Residents’ dietary and nutritional needs are also monitored and maintained to give them the energy to get through their day enthusiastically. Here, you enjoy the comfort of having excellent care services in a safe, idyllic, and peaceful recovery environment.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 122nd out of 207 homes in Pennsylvania for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 23m per day | ▼ 51% State avg: 47m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 58m per day | ▲ 5% State avg: 55m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 0m per day | ▼ 9% State avg: 2h 12m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 8m per day | ▼ 11% State avg: 3h 31m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 6m per day | ▼ 4% State avg: 6m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 16m per day | ▼ 51% State avg: 33m per day · National avg: 29m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Key information about the people who lead and staff this community.
In Pennsylvania, the Department of Human Services (for assisted living facilities) and the Department of Health (for nursing homes) conduct unannounced inspections to verify adherence to state regulations.
Inspection score unavailable
Not enough inspection history to generate a score.
Average score for Pennsylvania nursing homes: B 83/100
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Pennsylvania state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | PA Average | vs. PA Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 54 | 63 | This facility has 14% fewer total citations than a typical Pennsylvania nursing home (54 vs. PA avg 63).↓ 14% better |
|
Citations per year
Average citations per year since 2023.
| 18 | 21 | This facility has 14% fewer citations per year than a typical Pennsylvania nursing home (18 vs. PA avg 21).↓ 14% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Pennsylvania average 6.7
Last Health inspection on Jul 2025
Pennsylvania average 31.3
Pennsylvania average 4.4
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
45 of 53 citations resulted from standard inspections; 7 of 53 resulted from complaint investigations; and 1 of 53 came from combined inspections (standard and complaint).
100% better than Pennsylvania averagePennsylvania average: 0.3
100% better than Pennsylvania averagePennsylvania average: 0.6
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
61% more staff per resident than Pennsylvania average
5% better than Pennsylvania average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
8 total: 1 full-time employee and 7 contractors.
8
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursAssists with medical care and medications.
92 total: 25 full-time employees and 67 contractors.
92
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursHelps with daily care and mobility.
137 total: 44 full-time employees and 93 contractors.
137
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
5,973 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 44 | 93 | 137 | 18,033 | 92 | 100% | 8.8 |
| Licensed Practical Nurse | 25 | 67 | 92 | 8,325 | 92 | 100% | 8.5 |
| Clinical Nurse Specialist | 8 | 4 | 12 | 2,601 | 91 | 99% | 7.1 |
| Dietitian | 3 | 0 | 3 | 1,405 | 86 | 93% | 7.5 |
| Respiratory Therapy Technician | 5 | 0 | 5 | 870 | 68 | 74% | 6.3 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Physical Therapy Assistant | 2 | 0 | 2 | 514 | 65 | 71% | 6.8 |
| Mental Health Service Worker | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Speech Language Pathologist | 1 | 0 | 1 | 488 | 63 | 68% | 7.7 |
| Nurse Practitioner | 2 | 0 | 2 | 456 | 57 | 62% | 8 |
| RN Director of Nursing | 1 | 0 | 1 | 400 | 50 | 54% | 8 |
| Registered Nurse | 1 | 7 | 8 | 392 | 46 | 50% | 7.8 |
| Physical Therapy Aide | 2 | 0 | 2 | 176 | 33 | 36% | 5.3 |
| Qualified Social Worker | 4 | 0 | 4 | 59 | 17 | 18% | 3.4 |
| Other Dietary Services Staff | 1 | 0 | 1 | 7 | 1 | 1% | 6.5 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
4.7
57% better than Pennsylvania averagePennsylvania average: 11.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
9.1
59% better than Pennsylvania averagePennsylvania average: 22.2
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
5.3%
72% better than Pennsylvania averagePennsylvania average: 19.0%
Percent of long-stay residents whose ability to move independently worsened
1.7%
92% better than Pennsylvania averagePennsylvania average: 21.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.2%
24% better than Pennsylvania averagePennsylvania average: 26.7%
Percent of long-stay residents experiencing one or more falls with major injury
3.2%
In line with Pennsylvania averagePennsylvania average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
5.3%
In line with Pennsylvania averagePennsylvania average: 5.5%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Pennsylvania averagePennsylvania average: 1.8%
Percent of long-stay residents who lose too much weight
7.9%
20% worse than Pennsylvania averagePennsylvania average: 6.6%
Percent of long-stay residents who have depressive symptoms
1.3%
77% better than Pennsylvania averagePennsylvania average: 5.5%
Percent of long-stay residents who received an antipsychotic medication
21.5%
25% worse than Pennsylvania averagePennsylvania average: 17.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
91.3%
5% better than Pennsylvania averagePennsylvania average: 86.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
7% better than Pennsylvania averagePennsylvania average: 93.5%
Number of hospitalizations per 1,000 long-stay resident days.
3.87
130% worse than Pennsylvania averagePennsylvania average: 1.68
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.85
54% worse than Pennsylvania averagePennsylvania average: 1.20
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
19.6%
71% worse than Pennsylvania averagePennsylvania average: 68.8%
Percent of short-stay residents who newly received an antipsychotic medication
1.2%
23% better than Pennsylvania averagePennsylvania average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
17.9%
74% worse than Pennsylvania averagePennsylvania average: 68.7%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
41.7%
81% worse than Pennsylvania averagePennsylvania average: 23.1%
Percentage of short-stay residents who had an outpatient emergency department visit.
19.0%
94% worse than Pennsylvania averagePennsylvania average: 9.8%
Percentage of SNF residents who experience falls with major injury during their stay.
2.4%
213% worse than Pennsylvania averagePennsylvania average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
74.0%
38% better than Pennsylvania averagePennsylvania average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
35.6%
30% worse than Pennsylvania averagePennsylvania average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
25% of new residents, usually for short-term rehab.
4% of new residents, often for short stays.
72% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
92Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Silver Stream Nursing and Rehabilitation Center from 2012–2024, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 06/2024.
Based on CMS SNF Cost Report for fiscal year ending in 06/2024.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #182 / 209Payroll — State benchmarkedThis home is ranked 182nd out of 209 homes in Pennsylvania. Shows total annual staff payroll benchmarked to the Pennsylvania average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Pennsylvania that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #73 / 209Payroll % — State benchmarkedThis home is ranked 73rd out of 209 homes in Pennsylvania. Shows payroll as a percentage of revenue versus the Pennsylvania average. Well-run Pennsylvania facilities typically land around 53–61% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Pennsylvania that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Housing Options: Private / Semi-Private Rooms
Building Type: 3-story
Beauty Services
Housekeeping Services
Recreational Activities
Exercise Programs
Most residents stay for extended periods and receive ongoing daily care.
Most new residents arrive under Medicaid (72% of admissions), and a typical Medicaid stay runs around 4 - 5 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.3 miles from city center
Estimated distance in miles from Spring House's city center to Silver Stream Nursing and Rehabilitation Center's address, calculated via Google Maps.
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The information below is reported by the Pennsylvania Department of Human Services and Department of Health.
| Gwynedd Healthcare & Rehabilitation Center | NH HOS MC RC SNF | Lansdale (Sumneytown Pike) | 181
Facility
181
PA AVG
94
Rank
#26 / 555 |
92.7%
Facility
92.7%
PA AVG
78.7%
Rank
#36 / 518 | +18% | 4.09
Facility
4.09
PA AVG
4.15
Rank
#111 / 207 | -41% | -1% | $24.1k
Facility
$24.1k
PA AVG
$61.2k
Rank
#179 / 210 | - | 17
Facility
17
PA AVG
31.3
Rank
#103 / 207 | 3.4
Facility
3.4
PA AVG
4.4
Rank
#95 / 207 | 1 | 172 | - |
8
Facility
8
PA AVG
46
Rank
#611 / 668 | Michelle Taylor | $22.6MFiscal year ending 12/2023
Facility
$22.6MFiscal year ending 12/2023
PA AVG
$32.8M
Rank
#94 / 209 | $10.1MFiscal year ending 12/2023
Facility
$10.1MFiscal year ending 12/2023
PA AVG
$6.7M
Rank
#77 / 209 | 44.5%Fiscal year ending 12/2023
Facility
44.5%Fiscal year ending 12/2023
PA AVG
40%
Rank
#84 / 209 | 395479 | ||||
| Ambler Extended Care Center | NH HOS MC RC SNF | Ambler (Rose Valley) | 100
Facility
100
PA AVG
94
Rank
#203 / 555 |
90.7%
Facility
90.7%
PA AVG
78.7%
Rank
#51 / 518 | +15% | 3.46
Facility
3.46
PA AVG
4.15
Rank
#174 / 207 | -17% | -16% | $0
Facility
$0
PA AVG
$61.2k
Rank
#1 / 210 | - | 11
Facility
11
PA AVG
31.3
Rank
#72 / 207 | 2.8
Facility
2.8
PA AVG
4.4
Rank
#64 / 207 | - | 94 | - |
84
Facility
84
PA AVG
46
Rank
#59 / 668 | Cody Meenan | $11.6MFiscal year ending 12/2023
Facility
$11.6MFiscal year ending 12/2023
PA AVG
$32.8M
Rank
#162 / 209 | $6.7MFiscal year ending 12/2023
Facility
$6.7MFiscal year ending 12/2023
PA AVG
$6.7M
Rank
#153 / 209 | 58%Fiscal year ending 12/2023
Facility
58%Fiscal year ending 12/2023
PA AVG
40%
Rank
#53 / 209 | 395176 | ||||
| Silver Stream Nursing and Rehabilitation Center | NH | Spring House (Penllyn) | 120
Facility
120
PA AVG
94
Rank
#127 / 555 |
73.3%
Facility
73.3%
PA AVG
78.7%
Rank
#229 / 518 | -7% | 4.02
Facility
4.02
PA AVG
4.15
Rank
#122 / 207 | -76% | -3% | $0
Facility
$0
PA AVG
$61.2k
Rank
#1 / 210 | - | 53
Facility
53
PA AVG
31.3
Rank
#184 / 207 | 5.9
Facility
5.9
PA AVG
4.4
Rank
#169 / 207 | - | 98 | A+ |
49
Facility
49
PA AVG
46
Rank
#293 / 668 | Aaron Lichtschein | $10.0MFiscal year ending 06/2024
Facility
$10.0MFiscal year ending 06/2024
PA AVG
$32.8M
Rank
#180 / 209 | $4.8MFiscal year ending 06/2024
Facility
$4.8MFiscal year ending 06/2024
PA AVG
$6.7M
Rank
#182 / 209 | 48.3%Fiscal year ending 06/2024
Facility
48.3%Fiscal year ending 06/2024
PA AVG
40%
Rank
#73 / 209 | 395354 | ||||
| Montgomeryville Skilled Nursing and Rehabilitation Center | NH SNF | Montgomeryville | 155
Facility
155
PA AVG
94
Rank
#45 / 555 |
78.2%
Facility
78.2%
PA AVG
78.7%
Rank
#177 / 518 | -1% | 7.50
Facility
7.50
PA AVG
4.15
Rank
#3 / 207 | +14% | +81% | $0
Facility
$0
PA AVG
$61.2k
Rank
#1 / 210 | - | 40
Facility
40
PA AVG
31.3
Rank
#158 / 207 | 3.3
Facility
3.3
PA AVG
4.4
Rank
#90 / 207 | - | 54 | - |
27
Facility
27
PA AVG
46
Rank
#489 / 668 | - | $16.1MFiscal year ending 06/2024
Facility
$16.1MFiscal year ending 06/2024
PA AVG
$32.8M
Rank
#121 / 209 | $6.3MFiscal year ending 06/2024
Facility
$6.3MFiscal year ending 06/2024
PA AVG
$6.7M
Rank
#108 / 209 | 39%Fiscal year ending 06/2024
Facility
39%Fiscal year ending 06/2024
PA AVG
40%
Rank
#101 / 209 | 395796 | ||||
| Markley Rehabilitation & Healthcare Center | NH HOS MC PC RC SNF | Norristown (East Fornance Street) | 121
Facility
121
PA AVG
94
Rank
#122 / 555 |
92.5%
Facility
92.5%
PA AVG
78.7%
Rank
#38 / 518 | +18% | 3.51
Facility
3.51
PA AVG
4.15
Rank
#174 / 207 | +12% | -15% | $9.3k
Facility
$9.3k
PA AVG
$61.2k
Rank
#153 / 210 | - | 33
Facility
33
PA AVG
31.3
Rank
#150 / 207 | 3.3
Facility
3.3
PA AVG
4.4
Rank
#90 / 207 | 2 | 113 | - |
54
Facility
54
PA AVG
46
Rank
#249 / 668 | - | $14.5MFiscal year ending 12/2023
Facility
$14.5MFiscal year ending 12/2023
PA AVG
$32.8M
Rank
#150 / 209 | $7.2MFiscal year ending 12/2023
Facility
$7.2MFiscal year ending 12/2023
PA AVG
$6.7M
Rank
#131 / 209 | 49.6%Fiscal year ending 12/2023
Facility
49.6%Fiscal year ending 12/2023
PA AVG
40%
Rank
#42 / 209 | 395483 |
Silver Stream Nursing and Rehabilitation Center is located in Spring House, Pennsylvania.
Here are the financial assistance programs available to residents in Pennsylvania.
Silver Stream Nursing and Rehabilitation Center is in the Penllyn neighborhood of Spring House.
Silver Stream Nursing and Rehabilitation Center has a walk score of 49. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Silver Stream Nursing and Rehabilitation Center's occupancy is 70.7%.
Silver Stream Nursing and Rehabilitation Center is registered as a for-profit in PA.
Yes — there are 4 photos of Silver Stream Nursing and Rehabilitation Center in the photo gallery on this page.
Silver Stream Nursing and Rehabilitation Center is located at 905 Penllyn Pike, Spring House, PA 19477.
(215) 646-1500 will put you in contact with the team at Silver Stream Nursing and Rehabilitation Center.
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