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Nursing homeFAID #10868

Silver Stream Rehabilitation and Nursing Center

905 PENLLYN PIKE, SPRING HOUSE, PA, 19477

(215) 646-1500

silverstreamhc.com

120 licensed beds

★★★★★2/5CMS Five-Star overall2/5 health inspections2/5 staffing3/5 quality measuresSource: CMS Care Compare

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Photo of SILVER STREAM REHABILITATION AND NURSING CENTER

Photo via Google · Silver Stream Nursing and Rehabilitation Center

Address

905 Penllyn Pike

Spring House, PA 19477

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Public record summary

What we can show you for free.

Bed capacity

120

CMS facility ID

395354

Care type

Nursing home

County

Montgomery

Facility name

Silver Stream Rehabilitation and Nursing Center

Street address

905 PENLLYN PIKE

City / state / ZIP

Spring House, PA 19477

Phone

(215) 646-1500

Website

silverstreamhc.com

About this facility — Silver Stream Rehabilitation and Nursing Center

Silver Stream Rehabilitation and Nursing Center is a Medicare/Medicaid-certified skilled nursing facility in Spring House, Pennsylvania. It is licensed for 120 beds — close to the median for skilled nursing facilities in Pennsylvania (119 beds).

It is one of 1 senior care facility in Spring House and 656 skilled nursing facilities across Pennsylvania. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Silver Stream Rehabilitation and Nursing Center 65 times across 14 inspections in the last three years, including 3 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Ownership type

For profit - Limited Liability company

Registered owners & officers

Lichtschein, Raphael

Direct owner · Officer · Operational control — 32% stake — since 2021

Muller, Martin

Direct owner — 28% stake — since 2021

Lichtschein, Aaron

Direct owner — 15% stake — since 2021

Gewirtzman, Yehudah

Managing employee — since 2021

Regulatory standing

Licensed / certified since

1977-03-01

CMS overall rating

2 of 5 stars

Health deficiencies

16 at the last standard inspection

Federal fines

None on record

Last standard inspection

2026-01-23

Nurse staffing

3.4 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges

$346 per day (≈ $10,520/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

84% Medicaid · 7% Medicare · 9% private/other

Occupancy

71% (fiscal year 2024)

Vs. state median

17% below the PA median of $415/day — full state cost breakdown

Services & coverage

Licensed beds

120

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily Open 24 hours

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.

2026-06-02Health inspectionComplaint-triggered3 citations

F-0584

D · No harm foundFrom a complaint

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.

F-0610

E · No harm foundFrom a complaint

Respond appropriately to all alleged violations.

F-0697

D · No harm foundFrom a complaint

Provide safe, appropriate pain management for a resident who requires such services.

2026-04-10Health inspectionComplaint-triggered2 citations

F-0600

D · No harm foundFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2026-05-15

F-0689

D · No harm foundFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2026-05-15

12 earlier / fire-safety inspections (60 citations)

2026-03-25Health inspectionComplaint-triggered2 citations

F-0684

D · No harm foundFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2026-04-15

F-0919

D · No harm foundFrom a complaint

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2026-04-13

2026-01-23Health inspection9 citations

F-0584

E · No harm found

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.

Corrected 2026-02-25

F-0610

D · No harm found

Respond appropriately to all alleged violations.

Corrected 2026-02-25

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2026-02-25

F-0659

D · No harm found

Provide care by qualified persons according to each resident's written plan of care.

Corrected 2026-02-25

F-0684

D · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2026-02-25

F-0689

D · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2026-02-25

F-0692

D · No harm found

Provide enough food/fluids to maintain a resident's health.

Corrected 2026-02-25

F-0791

D · No harm found

Provide or obtain dental services for each resident.

Corrected 2026-02-25

F-0814

D · No harm foundFood safety

Dispose of garbage and refuse properly.

Corrected 2026-02-25

2025-07-01Health inspectionComplaint-triggered1 citation

F-0755

D · No harm foundFrom a complaint

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-08-01

2025-04-01Health inspectionComplaint-triggered1 citation

F-0684

D · No harm foundFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-04-24

2024-12-12Health inspection12 citations

F-0568

D · No harm found

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Corrected 2025-02-05

F-0600

D · No harm found

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-02-05

F-0660

D · No harm found

Plan the resident's discharge to meet the resident's goals and needs.

Corrected 2025-02-05

F-0676

D · No harm found

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2025-02-05

F-0684

D · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-02-05

F-0755

D · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-02-05

F-0758

D · No harm found

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.

Corrected 2025-02-05

F-0760

D · No harm found

Ensure that residents are free from significant medication errors.

Corrected 2025-02-05

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-02-05

F-0881

D · No harm found

Implement a program that monitors antibiotic use.

Corrected 2025-02-05

F-0908

F · No harm found

Keep all essential equipment working safely.

Corrected 2025-02-05

F-0925

D · No harm found

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2025-02-05

2024-02-27Health inspection20 citations

F-0553

D · No harm found

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Corrected 2024-04-01

F-0557

D · No harm found

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Corrected 2024-04-01

F-0580

D · No harm found

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-04-01

F-0636

D · No harm found

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2024-04-01

F-0638

D · No harm found

Assure that each resident’s assessment is updated at least once every 3 months.

Corrected 2024-04-01

F-0646

D · No harm found

Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

Corrected 2024-04-01

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-04-01

F-0687

D · No harm found

Provide appropriate foot care.

Corrected 2024-04-01

F-0689

D · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-04-01

F-0694

D · No harm found

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2024-04-01

F-0697

D · No harm found

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2024-04-01

F-0725

E · No harm found

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2024-04-01

F-0726

E · No harm found

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.

Corrected 2024-04-01

F-0755

D · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-04-01

F-0761

D · No harm found

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.

Corrected 2024-04-01

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-04-01

F-0814

F · No harm foundFood safety

Dispose of garbage and refuse properly.

Corrected 2024-04-01

F-0842

D · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-04-01

F-0881

E · No harm found

Implement a program that monitors antibiotic use.

Corrected 2024-04-01

F-0947

D · No harm found

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Corrected 2024-04-01

2024-01-25Health inspectionComplaint-triggered2 citations

F-0550

D · No harm foundFrom a complaint

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-03-01

F-0695

D · No harm foundFrom a complaint

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-03-01

2023-10-31Health inspectionComplaint-triggered1 citation

F-0755

D · No harm foundFrom a complaint

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2023-12-08

2024-12-12Fire-safety inspection6 citations

E-0039

C · No harm found

Conduct testing and exercise requirements.

Corrected 2025-01-24

K-0222

E · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2025-01-24

K-0225

E · No harm found

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2025-03-05

K-0355

E · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-01-24

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2025-01-24

K-0511

E · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2025-01-24

2024-03-18Fire-safety inspectionComplaint-triggered1 citation

K-0355

F · No harm foundFrom a complaint

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-04-10

2024-02-27Fire-safety inspection1 citation

K-0133

E · No harm found

Install a two-hour-resistant firewall separation.

Corrected 2024-04-06

2023-05-04Fire-safety inspection4 citations

E-0039

C · No harm found

Conduct testing and exercise requirements.

Corrected 2023-07-07

K-0353

C · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-07-07

K-0761

F · No harm found

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-07-07

K-0918

C · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-08-08

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 395354.

Visitor reviews

What people say on Google.

3.9119 ratings on Google

★Tita Vega · 2026-02-18 · via Google
“Not very good. They're not very sanitary and the rooms look old rusted. Furniture in rooms need to be updated. Bathrooms in rooms are in very poor conditions. Can never get answers to questions about your family member residing there. They're always telling you, you need to speak to so and so, but they're not there at the moment. Half the staff are very difficult to understand what they're saying …”

★B · 2026-05-29 · via Google
“Do not send your loved ones to this facility. The level of neglect and unprofessionalism here is staggering. Severe Neglect & Safety Issues: My mother was dropped and injured due to a severe lack of care. It has been three days, and management has still not filed an incident report, nor has a doctor evaluated her injuries. Medication & Call Bell Delays: Medication is routinely hours late; her 9:…”

★★★★★Jasmine Kolukciva · 2026-01-08 · via Google
“My brother has been admitted to this facility several weeks ago and so far he is doing very well. Very happy with Silver Stream!! We visit him on the regular and have noticed how nice and friendly everyone is. Starting with the director of admissions Kristina. She was amazing and made his transfer there so smooth. Also, Mary is amazing, she reached out to me quickly after admission to ask how eve…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 65 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-08-31

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered