The nursing home failed to keep essential equipment working safely. Cited December 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 908 — 42 CFR §483.90 — S/S: F
Nursing home report
SILVER STREAM REHABILITATION AND NURSING CENTER
SPRING HOUSE, PA · Medicare-certified · 120 beds
Needs attention
Abuse citationFor-profit
Data as of July 1, 2026
2 of 5 overall
2 out of 5 stars overall. Silver Stream Rehabilitation and Nursing Center has 2-star health inspection and staffing ratings, 3-star quality measures, and reported nurse staffing below the federal benchmark (3.36 vs. 4.1 hours per resident per day); it also has a recent abuse citation, though no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.3635 hrs/resident/day
Quality measures
Last inspection: April 10, 2026Penalties, last 24 months: $0recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3635.
Staffing detail
- Registered nurses
- 0.36
- Licensed practical nurses
- 0.99
- Nurse aides
- 2.01
- Weekend nursing
- 3.14
Hours per resident per day.
Total staff turnover: 58%
Registered nurse turnover: 71%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
35.8%22%Improving
Residents with a fall causing major injury
2.2%2.2%No change
Residents with pressure ulcers (bedsores)
4.8%0%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
7.1%2.4%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
3.4%6%Worsening
Residents whose ability to walk got worse
1.9%3.8%Worsening
Long-stay residents on antianxiety or sleep medication
18%14.3%Improving
Short-stay residents newly given an antipsychotic
0%4.8%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
19.9%25.4%Worsening
Residents with depressive symptoms
2.2%3.5%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
78.3%94.5%Improving
Short-stay residents given the seasonal flu vaccine
—17.9%—
Short-stay residents given the pneumonia vaccine
4.6%32.3%Improving
What the inspectors found
The home failed to properly dispose of garbage and other waste. Cited February 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 814 — 42 CFR §483.60 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited January 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
The home failed to monitor antibiotic use properly. Cited February 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 881 — 42 CFR §483.80 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
Recent ownership change · Jun 4, 2021
Now operated by Silver Stream Nursing and Rehab Facility LLC, previously Silver Stream Nursing and Rehab Snf LLC.
- Ownership
- For profit - Limited Liability company
- Occupancy
- 105.3 residents on an average day (88% of 120 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 49 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.