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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
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 120th out of 203 homes in Pennsylvania. 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 |
|---|---|---|
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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.
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23m per day | ▼ 51% State avg: 47m per day · National avg: 41m per day |
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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.
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1h 5m per day | ▲ 18% State avg: 55m per day · National avg: 52m per day |
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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.
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1h 55m per day | ▼ 13% State avg: 2h 12m per day · National avg: 2h 21m per day |
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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.
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3h 2m per day | ▼ 14% State avg: 3h 31m per day · National avg: 3h 26m per day |
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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.
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4m per day | ▼ 33% State avg: 6m per day · National avg: 4m per day |
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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.
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16m per day | ▼ 52% State avg: 33m per day · National avg: 29m per day |
Occupancy lower than 85% suggests more openings may be available.
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.
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
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This Facility | PA Average | vs. PA Avg |
|---|---|---|---|
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Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
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54 | 63 | This facility has 14% fewer total citations than a typical Pennsylvania nursing home (54 vs. PA avg 63).↓ 14% better |
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Citations per year
Average citations per year since 2023.
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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.
The most recent inspection on July 1, 2025, found deficiencies related to failure to provide necessary pharmaceutical services due to medication unavailability for one resident. Earlier inspections showed a pattern of issues including respiratory care deficiencies, medication administration errors, infection control lapses, and problems with resident dignity and privacy. Complaint investigations substantiated failures in respiratory therapy, medication management, narcotic accountability, and resident privacy, with one resident hospitalized due to inadequate breathing treatments. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s inspection history indicates ongoing challenges in medication and respiratory care, with some issues persisting over time.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsPennsylvania 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 average
Pennsylvania average: 0.3
100% better than Pennsylvania average
Pennsylvania average: 0.6
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
61% better 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.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
This role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hours
This role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hours
This role is partially covered by contractors.
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 average
Pennsylvania average: 11.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
9.1
59% better than Pennsylvania average
Pennsylvania 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 average
Pennsylvania average: 19.0%
Percent of long-stay residents whose ability to move independently worsened
1.7%
92% better than Pennsylvania average
Pennsylvania average: 21.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.2%
24% better than Pennsylvania average
Pennsylvania average: 26.7%
Percent of long-stay residents experiencing one or more falls with major injury
3.2%
In line with Pennsylvania average
Pennsylvania average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
5.3%
In line with Pennsylvania average
Pennsylvania average: 5.5%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Pennsylvania average
Pennsylvania average: 1.8%
Percent of long-stay residents who lose too much weight
7.9%
20% worse than Pennsylvania average
Pennsylvania average: 6.6%
Percent of long-stay residents who have depressive symptoms
1.3%
77% better than Pennsylvania average
Pennsylvania average: 5.5%
Percent of long-stay residents who received an antipsychotic medication
21.5%
25% worse than Pennsylvania average
Pennsylvania average: 17.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
91.3%
5% better than Pennsylvania average
Pennsylvania average: 86.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
7% better than Pennsylvania average
Pennsylvania average: 93.5%
Number of hospitalizations per 1,000 long-stay resident days.
3.87
130% worse than Pennsylvania average
Pennsylvania average: 1.68
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.85
54% worse than Pennsylvania average
Pennsylvania 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 average
Pennsylvania average: 68.8%
Percent of short-stay residents who newly received an antipsychotic medication
1.2%
23% better than Pennsylvania average
Pennsylvania average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
17.9%
74% worse than Pennsylvania average
Pennsylvania average: 68.7%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
41.7%
81% worse than Pennsylvania average
Pennsylvania average: 23.1%
Percentage of short-stay residents who had an outpatient emergency department visit.
19.0%
94% worse than Pennsylvania average
Pennsylvania average: 9.8%
Percentage of SNF residents who experience falls with major injury during their stay.
2.4%
213% worse than Pennsylvania average
Pennsylvania average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
74.0%
38% better than Pennsylvania average
Pennsylvania average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
35.6%
30% worse than Pennsylvania average
Pennsylvania 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
92
Residents 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 based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #178 / 205Payroll — State benchmarkedThis home is ranked 178th out of 205 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Housing Options: Private / Semi-Private Rooms
Building Type: 3-story
Dining Services
Beauty Services
Housekeeping Services
Recreational Activities
Exercise Programs
Most residents stay for extended periods and receive ongoing daily care.
3.2 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.
Add your location
Silver Stream Nursing and Rehabilitation Center is located in Spring House, Pennsylvania.
Here are the financial assistance programs available to residents in Pennsylvania.
The information below is reported by the Pennsylvania Department of Human Services and Department of Health.
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| Gwynedd Healthcare & Rehabilitation Center |
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). |
Lansdale (Sumneytown Pike) | 181 | 92.7% | +18% | 4.09 | -41% | -1% | $24.1k | 17 | 3.4 | 1 | 172 | - | 8 | Michelle Taylor | $24.7M | $12.7M | 51.4% | 395479 | ||||
| Ambler Extended Care Center |
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. |
Ambler (Rose Valley) | 100 | 90.7% | +15% | 3.46 | -17% | -16% | $0 | 11 | 2.8 | - | 92 | - | 84 | Cody Meenan | $13.7M | $7.5M | 54.6% | 395176 | ||||
| Montgomeryville Skilled Nursing and Rehabilitation Center |
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). |
Montgomeryville | 170 | 78.2% | -1% | 7.50 | +14% | +81% | $0 | 40 | 3.3 | - | 19 | - | 27 | - | $20.7M | $10.2M | 49.1% | 395796 | ||||
| Markley Rehabilitation & Healthcare Center |
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). |
Norristown (East Fornance Street) | 121 | 92.5% | +18% | 3.51 | +12% | -15% | $20.5k | 33 | 3.3 | 2 | 111 | - | 54 | - | $15.8M | $8.8M | 55.9% | 395483 | ||||
| Silver Stream Nursing and Rehabilitation Center |
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). |
Spring House (Penllyn) | 120 | 70.7% | -10% | 4.02 | -76% | -3% | $0 | 53 | 5.9 | - | 100 | A+ | 49 | Aaron Lichtschein | $10.8M | $5.6M | 52.1% | 395354 |
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 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.
Yes — Silver Stream Nursing and Rehabilitation Center is a CMS-certified provider of Medicare and Medicaid.
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