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D
Poor

SILVER STREAM NURSING AND REHABILITATION CENTER

905 PENLLYN PIKE · SPRING HOUSE, PA 19477

2156461500 · For profit - Corporation

120 beds100.2 residents279 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

SILVER STREAM NURSING AND REHABILITATION CENTER receives an overall staffing grade of D (Poor). With 3.3751 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.3823 HPRD, below the recommended 0.75. It is 0.52 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 11.63% compared to weekdays. The facility relies heavily on temporary agency staff (22.48% of hours), suggesting potential workforce instability.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (3)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.3751 HPRD — needs 0.10 more hours per resident per day.
⚠️RN staffing (0.3823 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️22.48% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
3.3751hrs/resident/day▼ 0.52
CMS benchmark: 3.48
RN HPRD
0.3823hrs/resident/day▼ 0.30
Recommended: 0.75
Weekend Drop-off
11.63%
3.4897 weekday → 3.0839 weekend
Agency Staff
22.48%
28.78% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.9155hrs/resident/day
Direct care aides
LPN HPRD
1.0773hrs/resident/day
Licensed practical nurses
Consistency
0.2869std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Montgomery County Average-0.67 HPRD
4.04
03.38 HPRD
vs. Pennsylvania State Average-0.53 HPRD
3.90
03.38 HPRD
vs. National Average-0.52 HPRD
3.90
03.38 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
SILVER STREAM NURSING AND REHABILITATION CENTER ★
SPRING HOUSE · This facility
—
D
3.37510.3823★★☆☆☆
Ambler Extended Care Center
AMBLER
1.8 mi
C
3.20810.4911★★★★★
HARBORVIEW REHABILITATION AND CARE CENTER AT LANSD
LANSDALE
5.1 mi
C
3.37660.6529★☆☆☆☆
ARISTACARE AT MEADOW SPRINGS
PLYMOUTH MEETING
5.1 mi
C
4.94620.5034★☆☆☆☆
SAINT JOSEPH VILLA
FLOURTOWN
5.8 mi
A+
5.18981.433★★★★★
GARDEN SPRING REHAB AND CARE CENTER
WILLOW GROVE
6 mi
C
3.48870.4571★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

9
Inspections
54
Total Deficiencies
$0
Fines Assessed
Jul 1, 2025Health
1 deficiency cited
▼
Apr 1, 2025Health
1 deficiency cited
▼
Dec 12, 2024Health
12 deficiencies cited
▼
Feb 27, 2024Health
20 deficiencies cited
▼
Jan 25, 2024Health
2 deficiencies cited
▼
Oct 31, 2023Health
1 deficiency cited
▼
May 4, 2023Health
14 deficiencies cited
▼
Mar 20, 2023Health
1 deficiency cited
▼
Feb 6, 2023Health
2 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.