SILVER STREAM REHABILITATION AND NURSING CENTER
Certified for Medicare and Medicaid since 1977-03-01, SILVER STREAM REHABILITATION AND NURSING CENTER is a 120-bed nursing home in SPRING HOUSE, Pennsylvania, averaging 105.3 residents a day.
Has SILVER STREAM REHABILITATION AND NURSING CENTER been cited for violations?
CMS lists 53 health-inspection deficiencies for SILVER STREAM REHABILITATION AND NURSING CENTER, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is F; the most recent health inspection was 2026-06-02.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-02 | F0610 | Respond appropriately to all alleged violations. | E |
| 2026-06-02 | F0584, F0697 | 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. / Provide safe, appropriate pain management for a resident who requires such services. | D |
| 2026-04-10 | F0600, F0689 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2026-03-25 | F0684, F0919 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Make sure that a working call system is available in each resident's bathroom and bathing area. | D |
| 2026-01-23 | F0584 | 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. | E |
| 2026-01-23 | F0610, F0656, F0659, F0684, F0689, F0692, F0791, F0814 | Respond appropriately to all alleged violations. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care by qualified persons according to each resident's written plan of care. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough food/fluids to maintain a resident's health. / Provide or obtain dental services for each resident. / Dispose of garbage and refuse properly. | D |
| 2025-07-01 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2025-04-01 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2024-12-12 | F0908 | Keep all essential equipment working safely. | F |
| 2024-12-12 | F0568, F0600, F0660, F0676, F0684, F0755, F0758, F0760, F0880, F0881, F0925 | 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. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D |
| 2024-02-27 | F0812, F0814 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Dispose of garbage and refuse properly. | F |
| 2024-02-27 | F0725, F0726, F0881 | 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. / Implement a program that monitors antibiotic use. | E |
| 2024-02-27 | F0553, F0557, F0580, F0636, F0638, F0646, F0677, F0687, F0689, F0694, F0697, F0755, F0761, F0842, F0947 | 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 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D |
| 2024-01-25 | F0550, F0695 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Provide safe and appropriate respiratory care for a resident when needed. | D |
| 2023-10-31 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
How is SILVER STREAM REHABILITATION AND NURSING CENTER staffed relative to the PA average?
| Measure | This facility | PA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.36348 | 3.88823 |
| Total nursing staff turnover (%) | 58.0 | 44.5 |
| Average number of residents per day | 105.3 | 104.6 |
Who owns SILVER STREAM REHABILITATION AND NURSING CENTER?
SILVER STREAM REHABILITATION AND NURSING CENTER is registered with CMS as For profit - Limited Liability company, operates under the legal business name SILVER STREAM NURSING AND REHAB FACILITY LLC.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | LICHTSCHEIN, AARON, LICHTSCHEIN, RAPHAEL, MULLER, MARTIN | since 06/04/2021 |
| W-2 MANAGING EMPLOYEE | GEWIRTZMAN, YEHUDAH | since 06/04/2021 |
| CORPORATE OFFICER | LICHTSCHEIN, RAPHAEL | since 06/04/2021 |
| OPERATIONAL/MANAGERIAL CONTROL | LICHTSCHEIN, RAPHAEL | since 06/04/2021 |
Were you or a family member harmed at SILVER STREAM REHABILITATION AND NURSING CENTER?