Silver Stream Rehabilitation and Nursing Center
905 Penllyn Pike · Spring House, PA · 19477 · 2156461500
120 certified beds For profit - Limited Liability company
Why this verdict
- Carries CMS’s abuse warning icon.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
Cited under the freedom-from-abuse rule
Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.34 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.38 | 0.55–0.75 |
| Weekend hours / resident-day | 3.14 | ≈ weekday level |
| Nursing turnover / year | 59% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (50 in the current record)
-
Potential for harm · D April 10, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 15, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D April 10, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 15, 2026 · Quality of Life and Care
-
Potential for harm · D March 25, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 15, 2026 · Quality of Life and Care
-
Potential for harm · D March 25, 2026 · found via complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected April 13, 2026 · Environmental
-
Potential for harm · E January 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.
Corrected February 25, 2026 · Resident Rights
-
Potential for harm · D January 23, 2026
Respond appropriately to all alleged violations.
Corrected February 25, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D January 23, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 25, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D January 23, 2026
Provide care by qualified persons according to each resident's written plan of care.
Corrected February 25, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D January 23, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 25, 2026 · Quality of Life and Care
-
Potential for harm · D January 23, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 25, 2026 · Quality of Life and Care
-
Potential for harm · D January 23, 2026
Provide enough food/fluids to maintain a resident's health.
Corrected February 25, 2026 · Quality of Life and Care
-
Potential for harm · D January 23, 2026
Provide or obtain dental services for each resident.
Corrected February 25, 2026 · Quality of Life and Care
-
Potential for harm · D January 23, 2026
Dispose of garbage and refuse properly.
Corrected February 25, 2026 · Nutrition and Dietary
-
Potential for harm · D July 1, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 1, 2025 · Pharmacy Service
-
Potential for harm · D April 1, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 24, 2025 · Quality of Life and Care
-
Potential for harm · D December 12, 2024
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected February 5, 2025 · Resident Rights
-
Potential for harm · D December 12, 2024
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 5, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D December 12, 2024
Plan the resident's discharge to meet the resident's goals and needs.
Corrected February 5, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D December 12, 2024
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected February 5, 2025 · Quality of Life and Care
-
Potential for harm · D December 12, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 5, 2025 · Quality of Life and Care
-
Potential for harm · D December 12, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 5, 2025 · Pharmacy Service
-
Potential for harm · D December 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.
Corrected February 5, 2025 · Pharmacy Service
-
Potential for harm · D December 12, 2024
Ensure that residents are free from significant medication errors.
Corrected February 5, 2025 · Pharmacy Service
-
Potential for harm · D December 12, 2024
Provide and implement an infection prevention and control program.
Corrected February 5, 2025 · Infection Control
-
Potential for harm · D December 12, 2024
Implement a program that monitors antibiotic use.
Corrected February 5, 2025 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 395354 · certified since March 1, 1977. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.