Nursing home
Silver Stream Nursing and Rehabilitation Center
905 Penllyn Pike, Spring House, PA 19477 · Map
For profit - Corporation · 120 certified beds
Silver Stream Nursing and Rehabilitation Center is a Medicare-certified nursing home in Spring House, Pennsylvania. CMS rates it 2 out of 5 stars overall (3/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.37 hours per resident per day, below the Pennsylvania average of 3.89. Its most recent inspection on Dec 12, 2024 cited 14 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Silver Stream Nursing and Rehabilitation Center compares
This facility vs. the Pennsylvania and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Pennsylvania avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.37 | 3.89 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.38 | 0.78 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.92 | 2.20 | 2.34 | below avg |
| Nursing staff turnover | 60.0% | 46.6% | 46.4% | above avg |
| Deficiencies cited, last inspection | 14.0 | 10.1 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Silver Stream Nursing and Rehabilitation Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · Mar 25, 2026 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Mar 25, 2026 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Jan 23, 2026 · Full report (PDF) - Potential for harm
Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies · Jan 23, 2026 · Full report (PDF) - Potential for harm
Provide or obtain dental services for each resident.
Quality of Life and Care Deficiencies · Jan 23, 2026 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Jan 23, 2026 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jan 23, 2026 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Jan 23, 2026 · Full report (PDF) - Potential for harm
Provide care by qualified persons according to each resident's written plan of care.
Resident Assessment and Care Planning Deficiencies · Jan 23, 2026 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Jan 23, 2026 · Full report (PDF) - Potential for harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jan 23, 2026 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Jul 1, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 905 Penllyn Pike
Spring House, PA 19477 - CMS certification #
- 395354
- Ownership
- For profit - Corporation
- Certified beds
- 120
- Avg residents/day
- 100.2
- Provider type
- Medicare and Medicaid
- First certified
- 1977-03-01
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Silver Stream Nursing and Rehabilitation Center using Google Maps.
Other public records
- Website says Respite stays, works with hospice, transportation
Full public records, with dates and sources
Care and services
From the community’s website
What Silver Stream Nursing and Rehabilitation Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
Respite care
(page, checked Oct 15, 2026) - Offers hospice care on site or works with hospice providers.
Hospice care
(page, checked Oct 15, 2026) - Provides transportation.
Coordinated transportation
(page, checked Oct 15, 2026) - Apartment types named: private room, semi-private room.
Private and semi-private rooms
(page, checked Oct 15, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Jefferson Lansdale Hospital, Lansdale. 5.3 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Artman Lutheran Home, Ambler. 1.3 miles away, straight line.
- Nearest home health agency office
- Bayada Home Health Care, Inc., Blue Bell. 1.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 0.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 19477 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fkc Abramson, North Wales, 3.2 miles away, straight line (has a shift starting after 5 pm; CMS rating 5 of 5 stars)
Fkc East Norriton, Norristown, 5.0 miles away, straight line (CMS rating 4 of 5 stars)
Fkc Lansdale, Lansdale, 5.3 miles away, straight line (CMS rating 5 of 5 stars) - Hospice
- 8 Medicare hospices tell CMS they serve ZIP code 19477.
Jefferson Health At Home By Bayada, office in Horsham, 4.7 miles away, straight line (CMS family survey rating 4 of 5 stars)
Crossroads Hospice Of Philadelphia, office in Plymouth Meeting, 5.8 miles away, straight line (CMS family survey rating 2 of 5 stars)
Holisticare Hospice, LLC, office in Wayne, 12.0 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Joseph Mambu, MD, Maple Glen. 2.5 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively low, inland flooding relatively high, wildfire very low, tornado relatively moderate, heat wave relatively moderate, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Silver Stream Nursing and Rehabilitation Center a good nursing home?
CMS gives Silver Stream Nursing and Rehabilitation Center an overall rating of 2 out of 5 stars, including 3/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Silver Stream Nursing and Rehabilitation Center staffed?
Silver Stream Nursing and Rehabilitation Center reports 3.37 total nurse hours per resident per day, compared with the Pennsylvania average of 3.89.
Has Silver Stream Nursing and Rehabilitation Center had inspection problems?
Its most recent CMS inspection cited 14 deficiencies.
How many beds does Silver Stream Nursing and Rehabilitation Center have?
Silver Stream Nursing and Rehabilitation Center is certified for 120 beds.