Nursing homes › Pennsylvania › Silver Stream Rehabilitation and Nursing Center
905 Penllyn Pike, Spring House, PA 19477 · 2156461500 · 120 certified beds
CMS lists no chain affiliation for this facility. Ownership type on record: For profit - Limited Liability company.
Total nurse staffing: 3.36 (Pennsylvania median: 3.63). RN hours: 0.36. Weekend total: 3.14. Nursing staff turnover: 58%.
All-time on record: 50 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-04-10 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2026-05-15 |
| 2026-04-10 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2026-05-15 |
| 2026-03-25 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2026-04-15 |
| 2026-03-25 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | complaint | corrected 2026-04-13 |
| 2026-01-23 | 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. | E | Health | corrected 2026-02-25 |
| 2026-01-23 | Respond appropriately to all alleged violations. | D | Health | corrected 2026-02-25 |
| 2026-01-23 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2026-02-25 |
| 2026-01-23 | Provide care by qualified persons according to each resident's written plan of care. | D | Health | corrected 2026-02-25 |
| 2026-01-23 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2026-02-25 |
| 2026-01-23 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2026-02-25 |
| 2026-01-23 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2026-02-25 |
| 2026-01-23 | Provide or obtain dental services for each resident. | D | Health | corrected 2026-02-25 |
| 2026-01-23 | Dispose of garbage and refuse properly. | D | Health | corrected 2026-02-25 |
| 2025-07-01 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2025-08-01 |
| 2025-04-01 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2025-04-24 |
| 2024-12-12 | Keep all essential equipment working safely. | F | Health | corrected 2025-02-05 |
| 2024-12-12 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | D | Health | corrected 2025-02-05 |
| 2024-12-12 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Health | corrected 2025-02-05 |
| 2024-12-12 | Plan the resident's discharge to meet the resident's goals and needs. | D | Health | corrected 2025-02-05 |
| 2024-12-12 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Health | corrected 2025-02-05 |
| 2024-12-12 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2025-02-05 |
| 2024-12-12 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2025-02-05 |
| 2024-12-12 | 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. | D | Health | corrected 2025-02-05 |
| 2024-12-12 | Ensure that residents are free from significant medication errors. | D | Health | corrected 2025-02-05 |
| 2024-12-12 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-02-05 |
| 2024-12-12 | Implement a program that monitors antibiotic use. | D | Health | corrected 2025-02-05 |
| 2024-12-12 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Health | corrected 2025-02-05 |
| 2024-02-27 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2024-04-01 |
| 2024-02-27 | Dispose of garbage and refuse properly. | F | Health | corrected 2024-04-01 |
| 2024-02-27 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Health | corrected 2024-04-01 |
| 2024-02-27 | 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. | E | Health | corrected 2024-04-01 |
| 2024-02-27 | Implement a program that monitors antibiotic use. | E | Health | corrected 2024-04-01 |
| 2024-02-27 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Health | corrected 2024-04-01 |
| 2024-02-27 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Health | corrected 2024-04-01 |
| 2024-02-27 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Health | corrected 2024-04-01 |
| 2024-02-27 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Health | corrected 2024-04-01 |
| 2024-02-27 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Health | corrected 2024-04-01 |
| 2024-02-27 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D | Health | corrected 2024-04-01 |
| 2024-02-27 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2024-04-01 |
| 2024-02-27 | Provide appropriate foot care. | D | Health | corrected 2024-04-01 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| LICHTSCHEIN, AARON | 5% Or Greater Direct Ownership Interest | Individual | 15% | since 06/04/2021 |
| LICHTSCHEIN, RAPHAEL | 5% Or Greater Direct Ownership Interest | Individual | 32% | since 06/04/2021 |
| MULLER, MARTIN | 5% Or Greater Direct Ownership Interest | Individual | 28% | since 06/04/2021 |
| LICHTSCHEIN, RAPHAEL | Corporate Officer | Individual | NOT APPLICABLE | since 06/04/2021 |
| LICHTSCHEIN, RAPHAEL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/04/2021 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 395354. Corrections: data@carerecords.org.