Silver Stream Rehabilitation and Nursing Center: Staffing, Turnover, and Inspection Record
Silver Stream Rehabilitation and Nursing Center is a 120-bed for-profit nursing home in Spring House, Pennsylvania. In the CMS August 2026 release it reported 2.01 nurse aide hours per resident per day, 8% below the Pennsylvania average of 2.19, and 58.0% nursing staff turnover (Pennsylvania average 44.5%).
Silver Stream Rehabilitation and Nursing Center
905 Penllyn PikeSpring House, PA 19477
Montgomery County
CMS Care Compare, August 2026 release
Cited for abuse or neglect. CMS marks this home with its abuse icon: it was cited for abuse or neglect that caused harm on its most recent inspection cycle, or for abuse or neglect with potential for harm on each of its last two cycles.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Silver Stream Rehabilitation and Nursing Center, nurse aides logged 2.01 hours per resident per day, 8% below the Pennsylvania average. With about 105 residents a day, that works out to roughly 212 aide hours a day, or about 26 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 7% below the all-days figure.
| Hours per resident per day | This home | Pennsylvania avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.01 | 2.19 | 2.32 |
| Licensed practical nurses | 0.99 | 0.91 | 0.86 |
| Registered nurses | 0.36 | 0.79 | 0.69 |
| All nursing staff | 3.36 | 3.89 | 3.86 |
| All nursing staff, weekends | 3.14 | 3.53 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
58.0% of nursing staff at Silver Stream Rehabilitation and Nursing Center left over the year CMS measured, against a Pennsylvania average of 44.5% and a US average of 45.8%. Registered nurse turnover was 71.4%. 2 administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jan 23, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 16 health deficiencies (Pennsylvania average 10.1). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Silver Stream Rehabilitation and Nursing Center holds 2 of 5 overall; the Pennsylvania average is 3.0.
About Silver Stream Rehabilitation and Nursing Center
- Ownership: For profit - Limited Liability company
- Legal name: Silver Stream Nursing and Rehab Facility LLC
- Medicare and Medicaid certified since: Mar 1, 1977
- Councils: resident council
- Area: urban
Nursing homes near Silver Stream Rehabilitation and Nursing Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Artman Lutheran Home Ambler | 1.3 | 61 | 3.11 | 5.39 | 36.8% | 5 | None |
| Willowbrooke Court-Spring Hous Lower Gwynedd | 1.6 | 16 | 2.19 | 4.05 | — | 5 | None |
| Ambler Extended Care Center Ambler | 1.8 | 100 | 1.76 | 3.27 | 54.0% | 4 | None |
| Willowbrooke Ctskdcarectr at Fortwashingtonestates Fort Washington | 2.7 | 9 | 2.33 | 5.50 | 20.0% | 5 | None |
| Willowbrooke Ctskdcarectr Atnormandy Farms Estates Blue Bell | 2.9 | 10 | 2.58 | 4.56 | — | 5 | None |
| Horsham Center for Jewish Life North Wales | 3.2 | 324 | 2.13 | 3.57 | 45.9% | 2 | $114,699 |
| Dresher Hill Health and Rehabilitation Center Fort Washington | 3.8 | 118 | 2.14 | 3.46 | 44.8% | 5 | None |
| Montgomery Subacute and Respiratory Center Plymouth Meeting | 4.3 | 60 | 2.27 | 5.40 | 29.6% | 4 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.