D

SILVER STREAM NURSING AND REHABILITATION CENTER

905 PENLLYN PIKE, SPRING HOUSE, PA 19477
Score: 47 / 100

CMS data shows Silver Stream Nursing And Rehabilitation Center earning a D grade with a score of 47/100, placing it below most facilities in Pennsylvania. Prospective residents and families should carefully review the specific areas of concern detailed below.

With 3.37 total nurse hours per resident per day, Silver Stream Nursing And Rehabilitation Center falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.

Recent inspections identified 52 deficiencies at Silver Stream Nursing And Rehabilitation Center. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 12 / 20 pts
3 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.37 3.8 Below Average
Registered Nurses (RN) 0.38 0.7 Below Average
Licensed Practical Nurses (LPN) 1.08 0.7 Above Average
Certified Nursing Assistants (CNA) 1.92 2.4 Below Average
Weekend Total Nursing 3.08 3.8 Below Average
Weekend RN Hours 0.26 0.7 Below Average

🔍 Inspection & Deficiency History

52
Total Deficiencies
Jun 30, 2025
Most Recent Inspection
🟠 52 Moderate
View recent deficiencies (5 shown)
  • Tag 0755 Severity D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    Jun 30, 2025 · Pharmacy Service Deficiencies
  • Tag 0684 Severity D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    Mar 31, 2025 · Quality of Life and Care Deficiencies
  • Tag 0908 Severity F
    Keep all essential equipment working safely.
    Dec 11, 2024 · Environmental Deficiencies
  • Tag 0568 Severity D
    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
    Dec 11, 2024 · Resident Rights Deficiencies
  • Tag 0600 Severity D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    Dec 11, 2024 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 5.7% 4.5% Worse
Falls with major injury 3.1% 3.0% Average
On antipsychotic medication 30.9% 14.5% Worse
Urinary tract infections 0.0% 2.5% Better
ADL decline (daily activities) 6.0% 14.0% Better
Excessive weight loss 8.9% 7.5% Worse
New/worsened incontinence 22.1% 45.0% Better

How This Grade Was Calculated

This facility's grade of D is based on a score of 47 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 3★ → 12 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Corporation
Certified Beds
120
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Dec 11, 2024
Deficiencies (Cycle 1)
14