64/100
Average
Silver Stream Rehabilitation And Nursing Center
905 Penllyn Pike, Spring House, PA 19477
- Certified beds
- 120
- Occupancy
- 88%
- Ownership
- For-profit
- Accepts
- Medicare + Medicaid
What to ask about before you visit
These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.
Abuse icon on record
CMS flags this facility for citations of abuse that caused harm, or potential for harm, to residents.
Our read on Silver Stream Rehabilitation And Nursing Center
Silver Stream runs on 3.36 nurse hours per resident per day, about 13% under the national figure, and weekend coverage drops roughly 7% below what the home staffs on weekdays. Turnover sits at 58% against a national 45.8%, so the faces change often, and 50 deficiencies sit on the current record, three tied to abuse, though none cited at the harm or jeopardy level. The last inspection came January 23, 2026. With a limited liability company operating the 120 beds for profit, the staffing and inspection scores both land at 2 out of 5. Worth asking how they hold weekend coverage and what those abuse-related citations actually involved.
Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.
How this grade was calculated
Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.
Inspection safety
30/30Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
18/30Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →3.85 total nurse hours per resident per day (national median 3.77)
- →0.36 RN hours per resident per day
- →Weekend staffing drops 7% against weekdays
Staff stability
3/15How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →58% of nursing staff left in the last year
- →-2 for 2 administrator departures
Resident outcomes
9/15The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
- →3 of 5 stars on the CMS quality-measure rating
Enforcement history
10/10Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →No federal fines on record
Grade ceiling applied
- Capped at 64 (grade C), CMS abuse icon on record
Staffing, against the national average
Full detailHours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Recent inspection findings
Last standard health inspection: January 23, 2026 (9 months ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
What families say
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Common questions about Silver Stream Rehabilitation And Nursing Center
What is the ElderGrade for Silver Stream Rehabilitation And Nursing Center? +
Silver Stream Rehabilitation And Nursing Center holds an ElderGrade of C (64 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
How many nursing hours does each resident get at Silver Stream Rehabilitation And Nursing Center? +
Residents receive an average of 3.36 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Has Silver Stream Rehabilitation And Nursing Center been cited for harming residents? +
No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Does Silver Stream Rehabilitation And Nursing Center accept Medicaid? +
Yes, Silver Stream Rehabilitation And Nursing Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.
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