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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomePennsylvaniaSilver Stream Nursing and Rehabilitation Center

Silver Stream Nursing and Rehabilitation Center

905 Penllyn Pike, Spring House, PA 194772156461500
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
3/5
Quality
3/5
Beds
120
certified

Key Findings

• CMS rates this facility 2/5 stars (below average)

• Has 120 certified beds with an average of 100.2 residents per day (84% occupancy)

• Last health inspection found 14 deficiencies (inspected Dec 12, 2024)

• No fines on record

• Total nursing staff: 3.37 hours per resident per day

• Staff turnover rate: 60.0% (high)

Silver Stream Nursing and Rehabilitation Center is a 2-star Medicare and Medicaid certified nursing home in Spring House, Pennsylvania with 120 certified beds. It has been operating since 1977. The facility scored below average compared to Pennsylvania facilities.

Beds
120
Avg Residents/Day
100.2
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Mar 1, 1977
Sprinklers
Yes
Council
Resident
County
Montgomery
Last Inspection
Dec 12, 2024
Deficiencies (Cycle 1)
14
Weighted Score
87.0
Infection Citations
0

Deficiency Citations (54)

F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Jul 1, 2025Corrected: NoCycle: 1
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Apr 1, 2025Corrected: NoCycle: 1
F0568Potential for Harm

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Survey: Dec 12, 2024Corrected: NoCycle: 1
F0600Potential for Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Dec 12, 2024Corrected: NoCycle: 1
F0660Potential for Harm

Plan the resident's discharge to meet the resident's goals and needs.

Survey: Dec 12, 2024Corrected: NoCycle: 1
F0676Potential for Harm

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Survey: Dec 12, 2024Corrected: NoCycle: 1
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Dec 12, 2024Corrected: NoCycle: 1
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Dec 12, 2024Corrected: NoCycle: 1
F0758Potential for Harm

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.

Survey: Dec 12, 2024Corrected: NoCycle: 1
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Dec 12, 2024Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Dec 12, 2024Corrected: NoCycle: 1
F0881Potential for Harm

Implement a program that monitors antibiotic use.

Survey: Dec 12, 2024Corrected: NoCycle: 1
F0908Potential for Harm

Keep all essential equipment working safely.

Survey: Dec 12, 2024Corrected: NoCycle: 1
F0925Potential for Harm

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Survey: Dec 12, 2024Corrected: NoCycle: 1
F0553Potential for Harm

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Survey: Feb 27, 2024Corrected: NoCycle: 2
F0557Potential for Harm

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Survey: Feb 27, 2024Corrected: NoCycle: 2
F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Feb 27, 2024Corrected: NoCycle: 2
F0636Potential for Harm

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Survey: Feb 27, 2024Corrected: NoCycle: 2
F0638Potential for Harm

Assure that each resident’s assessment is updated at least once every 3 months.

Survey: Feb 27, 2024Corrected: NoCycle: 2
F0646Potential for Harm

Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

Survey: Feb 27, 2024Corrected: NoCycle: 2
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Feb 27, 2024Corrected: NoCycle: 2
F0687Potential for Harm

Provide appropriate foot care.

Survey: Feb 27, 2024Corrected: NoCycle: 2
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Feb 27, 2024Corrected: NoCycle: 2
F0694Potential for Harm

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Survey: Feb 27, 2024Corrected: NoCycle: 2
F0697Potential for Harm

Provide safe, appropriate pain management for a resident who requires such services.

Survey: Feb 27, 2024Corrected: NoCycle: 2
F0725Potential for Harm

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Survey: Feb 27, 2024Corrected: NoCycle: 2
F0726Potential for Harm

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Survey: Feb 27, 2024Corrected: NoCycle: 2
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Feb 27, 2024Corrected: NoCycle: 2
F0761Potential for Harm

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Survey: Feb 27, 2024Corrected: NoCycle: 2
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Feb 27, 2024Corrected: NoCycle: 2

+ 24 more deficiencies

Total Fines
$0
Number of Fines
0
Payment Denials
0
Total Penalties
0

No penalties on record.

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.92 hrs
National avg: 2.35 hrs
LPN1.08 hrs
National avg: 0.86 hrs
RN0.38 hrs
National avg: 0.68 hrs
Total Nursing3.37 hrs
National avg: 3.89 hrs
Weekend Total3.08 hrs
National avg: 0.00 hrs
Physical Therapist0.07 hrs
National avg: 0.07 hrs
Total Turnover
60.0%
RN Turnover
72.7%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (7)

NameRoleTypeOwnership %Since
LICHTSCHEIN, AARON5% OR GREATER DIRECT OWNERSHIP INTERESTIndividual15%Jun 4, 2021
LICHTSCHEIN, RAPHAEL5% OR GREATER DIRECT OWNERSHIP INTERESTIndividual32%Jun 4, 2021
LICHTSCHEIN, TERESA5% OR GREATER DIRECT OWNERSHIP INTERESTIndividual24%Jun 4, 2021
MULLER, MARTIN5% OR GREATER DIRECT OWNERSHIP INTERESTIndividual28%Jun 4, 2021
LICHTSCHEIN, RAPHAELOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJun 4, 2021
LICHTSCHEIN, RAPHAELCORPORATE OFFICERIndividualN/AJun 4, 2021
GEWIRTZMAN, YEHUDAHW-2 MANAGING EMPLOYEEIndividualN/AJun 4, 2021

Frequently Asked Questions

What is the CMS rating for Silver Stream Nursing and Rehabilitation Center?▾
Silver Stream Nursing and Rehabilitation Center has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 3/5, and quality measures rating of 3/5. This facility is rated below average.
Has Silver Stream Nursing and Rehabilitation Center had any health inspection violations?▾
Silver Stream Nursing and Rehabilitation Center had 14 deficiency citations in its most recent health inspection (Dec 12, 2024). The facility has no fines on record.
What are the staffing levels at Silver Stream Nursing and Rehabilitation Center?▾
Silver Stream Nursing and Rehabilitation Center provides 3.37 total nursing staff hours per resident per day, including 0.38 RN hours, 1.08 LPN hours, and 1.92 nurse aide hours. The total staff turnover rate is 60.0%.
How many beds does Silver Stream Nursing and Rehabilitation Center have?▾
Silver Stream Nursing and Rehabilitation Center has 120 certified beds with an average of 100.2 residents per day, resulting in approximately 84% occupancy. The facility is For profit - Corporation owned.