Show Inspection Reports
Total health inspections
9
Pennsylvania average 6.7
Last Health inspection on Jul 2025
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Silver Stream Nursing and Rehabilitation Center
Nursing Home in Montgomery County
CMS overall rating
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.
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.
Silver Stream Nursing and Rehabilitation Center
Nursing Home in Montgomery County
CMS overall rating
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.
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.
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.
Quality ratings
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.
Staffing hours breakdown
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.
Total nursing care / resident
This home is ranked 103rd out of 168 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.
This home is ranked 103rd out of 168 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.
4h 1m per day
vs Pennsylvania avg
-12%
| Staff type | Hours / day | 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 |
|
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.
| 1h 55m per day | ▼ 13% State avg: 2h 12m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
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 5m per day | ▼ 12% 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.
| 4m per day | ▼ 33% State avg: 6m per day · National avg: 4m per day |
|
RN (Weekend)
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 | ▼ 52% State avg: 33m per day · National avg: 29m per day |
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
120
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
73.3%
Avg. Length of Stay
122 days
Occupancy rate
73.3%
Avg. Length of Stay
122 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
Breakdown by payment type
Medicare
25% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
4% of new residents, often for short stays.
Typical stay
8 - 9 months
Medicaid
72% of new residents, often for long-term daily care.
Typical stay
4 - 5 months
Finances and operations
Privately-owned community
Home revenue
$10.8M
Operating loss
-$94.4K
Privately-owned community
Home revenue
$10.8M
Operating loss
-$94.4K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.3M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$6.5M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$10.8M
Walk Score: 49 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
How BBB ratings work
Staffing
Key information about the people who lead and staff this community.
ContactMr. Robert Parvin, Owner
What does this home offer?
Housing Options: Private / Semi-Private Rooms
Building Type: 3-story
Dining Services
Beauty Services
Housekeeping Services
Recreational Activities
Exercise Programs
Types of Care at Silver Stream Nursing and Rehabilitation Center
Nursing Home
Inspection History
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.
9 visits/inspections
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Pennsylvania average: 4 complaint visits
Latest inspection
Date
July 1, 2025
Other54 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Pennsylvania average: 59 deficiencies
Inspection Report Summary for Silver Stream Nursing and Rehabilitation Center
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.
Health Inspection History
Inspections
Total health citations
53
Pennsylvania average 31.3
Citations per inspection
5.89
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).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Pennsylvania averagePennsylvania average: 0.3
Serious Health citations
0
0
100% better than Pennsylvania averagePennsylvania average: 0.6
0 critical citations
0 serious citations
53 moderate citations
0 minor citations
Citations history (last 3 years)
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jul 01, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jul 01, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Apr 01, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Apr 01, 2025
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Dec 12, 2024
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Dec 12, 2024
Corrected
Environmental moderate citation
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Dec 12, 2024
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Dec 12, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Montgomery County The information below is reported by the Pennsylvania Department of Human Services and Department of Health.
Filter by care type
| 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% | 1 | 17 | 3.4 | 1 | 172 | - | 8 | Taylor, Michelle | $24.5M | $8.7M | 35.7% | 395479 | ||||
| Ambler Extended Care Center |
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.
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). | Ambler (Rose Valley) | 100 | 90.7% | +15% | 3.46 | +5% | -16% | 0 | 11 | 2.8 | 0 | 92 | - | 84 | Meenan, Cody | $13.7M | $5.9M | 43.5% | 395176 | ||||
| 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 | -15% | -15% | 2 | 33 | 3.3 | 2 | 111 | - | 54 | - | $15.8M | $6.3M | 40.1% | 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 | -93% | -3% | 0 | 53 | 5.9 | 0 | 100 | A+ | 49 | Lichtschein, Aaron | $10.8M | $4.3M | 40.2% | 395354 | ||||
| AristaCare at Meadow Springs |
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). | Plymouth Meeting (Hickorytown) | 153 | 89.0% | +13% | 2.42 | -30% | -42% | 2 | 41 | 3.2 | 1 | 143 | - | 46 | Shalom Ubrocha Eh Llc | $32.3M | $13.8M | 42.6% | 395019 |
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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.
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
259
Employees
88
Contractors
171
Staff to resident ratio
2.82:1
45% better than Pennsylvania averagePennsylvania average ratio: 1.94:1
Avg staff/day
45
Average shift
8.3 hours
6% better than Pennsylvania averagePennsylvania average: 7.8 hours
Total staff hours (quarter)
33,994
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
2
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
84
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
128
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
18.4%
6,258 contractor hours this quarter
Certified Nursing Assistant: 90
Licensed Practical Nurse: 60
Clinical Nurse Specialist: 17
Occupational Therapy Aide: 3
Registered Nurse: 1
Staff by category
| Certified Nursing Assistant | 38 | 90 | 128 | 17,229 | 91 | 100% | 8.5 |
| Licensed Practical Nurse | 24 | 60 | 84 | 8,789 | 91 | 100% | 9.1 |
| Clinical Nurse Specialist | 7 | 17 | 24 | 2,620 | 91 | 100% | 7.9 |
| Dietitian | 2 | 0 | 2 | 1,024 | 78 | 86% | 7.6 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 589 | 66 | 73% | 5.8 |
| Physical Therapy Assistant | 2 | 0 | 2 | 533 | 67 | 74% | 7.6 |
| Administrator | 2 | 0 | 2 | 520 | 65 | 71% | 8 |
| RN Director of Nursing | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 496 | 62 | 68% | 8 |
| Speech Language Pathologist | 1 | 0 | 1 | 492 | 62 | 68% | 7.9 |
| Physical Therapy Aide | 3 | 0 | 3 | 262 | 59 | 65% | 4.4 |
| Occupational Therapy Aide | 0 | 3 | 3 | 210 | 27 | 30% | 7.3 |
| Registered Nurse | 1 | 1 | 2 | 112 | 14 | 15% | 8 |
| Qualified Social Worker | 2 | 0 | 2 | 95 | 30 | 33% | 3.2 |
128 Certified Nursing Assistant
% of Days
100%
84 Licensed Practical Nurse
% of Days
100%
24 Clinical Nurse Specialist
% of Days
100%
2 Dietitian
% of Days
86%
3 Respiratory Therapy Technician
% of Days
73%
2 Physical Therapy Assistant
% of Days
74%
2 Administrator
% of Days
71%
1 RN Director of Nursing
% of Days
70%
1 Mental Health Service Worker
% of Days
70%
1 Nurse Practitioner
% of Days
68%
1 Speech Language Pathologist
% of Days
68%
3 Physical Therapy Aide
% of Days
65%
3 Occupational Therapy Aide
% of Days
30%
2 Registered Nurse
% of Days
15%
2 Qualified Social Worker
% of Days
33%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
92
Medicare
6
6.5% of residents
Medicaid
79
85.9% of residents
Private pay or other
7
7.6% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
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.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
4.7
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
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
9.1
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
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
5.3%
Percent of long-stay residents whose need for help with daily activities has increased
5.3%
72% better than Pennsylvania averagePennsylvania average: 19.0%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
1.7%
Percent of long-stay residents whose ability to move independently worsened
1.7%
92% better than Pennsylvania averagePennsylvania average: 21.1%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.2%
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%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.2%
Percent of long-stay residents experiencing one or more falls with major injury
3.2%
In line with Pennsylvania averagePennsylvania average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.3%
Percent of long-stay high risk residents with pressure ulcers
5.3%
In line with Pennsylvania averagePennsylvania average: 5.5%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Pennsylvania averagePennsylvania average: 1.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
7.9%
Percent of long-stay residents who lose too much weight
7.9%
20% worse than Pennsylvania averagePennsylvania average: 6.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.3%
Percent of long-stay residents who have depressive symptoms
1.3%
77% better than Pennsylvania averagePennsylvania average: 5.5%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
21.5%
Percent of long-stay residents who received an antipsychotic medication
21.5%
25% worse than Pennsylvania averagePennsylvania average: 17.1%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
91.3%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
91.3%
5% better than Pennsylvania averagePennsylvania average: 86.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
7% better than Pennsylvania averagePennsylvania average: 93.5%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
3.87
Number of hospitalizations per 1,000 long-stay resident days.
3.87
130% worse than Pennsylvania averagePennsylvania average: 1.68
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.85
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.85
54% worse than Pennsylvania averagePennsylvania average: 1.20
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
19.6%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
19.6%
71% worse than Pennsylvania averagePennsylvania average: 68.8%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.2%
Percent of short-stay residents who newly received an antipsychotic medication
1.2%
23% better than Pennsylvania averagePennsylvania average: 1.5%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
17.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
17.9%
74% worse than Pennsylvania averagePennsylvania average: 68.7%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
41.7%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
41.7%
81% worse than Pennsylvania averagePennsylvania average: 23.1%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
19.0%
Percentage of short-stay residents who had an outpatient emergency department visit.
19.0%
94% worse than Pennsylvania averagePennsylvania average: 9.8%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
2.4%
Percentage of SNF residents who experience falls with major injury during their stay.
2.4%
213% worse than Pennsylvania averagePennsylvania average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
74.0%
Percentage of residents at or above expected ability to care for themselves at discharge.
74.0%
38% better than Pennsylvania averagePennsylvania average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
35.6%
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.
Financial Trends
Historical financial and operational data for Silver Stream Nursing and Rehabilitation Center based on CMS SNF Cost Reports.
Occupancy Rate
70.7%
↓ 2.4pp vs 2023
Net Income
-$94.4K
↑ ~$95.2K vs 2023
Total Payroll
$5.6M
↑ ~$818.1K vs 2023
Profit Margin
-0.9%
↑ 0.3pp vs 2023
Loading trend charts...
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