• 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.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Plan the resident's discharge to meet the resident's goals and needs.
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Ensure that residents are free from significant medication errors.
Provide and implement an infection prevention and control program.
Implement a program that monitors antibiotic use.
Keep all essential equipment working safely.
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Assure that each resident’s assessment is updated at least once every 3 months.
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide appropriate foot care.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Provide safe, appropriate pain management for a resident who requires such services.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
+ 24 more deficiencies
No penalties on record.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| LICHTSCHEIN, AARON | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 15% | Jun 4, 2021 |
| LICHTSCHEIN, RAPHAEL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 32% | Jun 4, 2021 |
| LICHTSCHEIN, TERESA | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 24% | Jun 4, 2021 |
| MULLER, MARTIN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 28% | Jun 4, 2021 |
| LICHTSCHEIN, RAPHAEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jun 4, 2021 |
| LICHTSCHEIN, RAPHAEL | CORPORATE OFFICER | Individual | N/A | Jun 4, 2021 |
| GEWIRTZMAN, YEHUDAH | W-2 MANAGING EMPLOYEE | Individual | N/A | Jun 4, 2021 |