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Silver Stream Center

Nursing Home Facility

905 Penllyn Pike, Spring House, PA 19477

Assisted Living Memory Care Nursing Home Care Hospice Care Respite Care Senior Living
Silver Stream Center

Silver Stream Center is the perfect place for patient rehabilitation. The architecture of the building looks like a castle, with a rustic stone exterior, set in a beautiful idyllic suburban landscape. We are the recipient of the 2010 AHCA Bronze Quality Award and declared Deficiency Free. Silver Stream Center provides LongTerm Care and ShortStay Rehabilitation.

Operated by Genesis HealthCare, which runs 507 communities in our directory.

Silver Stream Center is licensed for 120 beds, about typical for the area, where senior care communities in Montgomery County average about 100 beds.

Federal reporting puts occupancy at about 88% of its licensed beds.

Medicare rates this community 2 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Montgomery County average about 3.2 stars. Its most recent standard health inspection was in January 2026 and recorded 16 deficiencies.

Residents receive about 3.4 hours of nursing care per day on average, including 0.4 hours from a registered nurse. Communities in Montgomery County average about 4.0 hours. Nursing staff turnover over the past year was about 58%.

The community is located in Montgomery County, PA.

Medicare five-star ratings

  • Overall ★★★★★ 2/5
  • Health inspections ★★★★★ 2/5
  • Staffing ★★★★★ 2/5
  • Quality measures ★★★★★ 3/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 53 problems at Silver Stream Center. None of them caused harm to a resident. 12 came from investigating complaints by residents or families.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, a pattern Freedom from Abuse, Neglect, and Exploitation

    Respond appropriately to all alleged violations.

    Inspected June 2026, after a complaint.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    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.

    Inspected June 2026, after a complaint.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected June 2026, after a complaint.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

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

    Inspected April 2026, after a complaint. Corrected by May 15, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected April 2026, after a complaint. Corrected by May 15, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected March 2026, after a complaint. Corrected by April 15, 2026.

  • Could cause more than minimal harm, one or a few residents Environmental

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

    Inspected March 2026, after a complaint. Corrected by April 13, 2026.

  • Could cause more than minimal harm, a pattern Resident Rights

    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.

    Inspected January 2026. Corrected by February 25, 2026.

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  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Respond appropriately to all alleged violations.

    Inspected January 2026. Corrected by February 25, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

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

    Inspected January 2026. Corrected by February 25, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

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

    Inspected January 2026. Corrected by February 25, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected January 2026. Corrected by February 25, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected January 2026. Corrected by February 25, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected January 2026. Corrected by February 25, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide or obtain dental services for each resident.

    Inspected January 2026. Corrected by February 25, 2026.

  • Could cause more than minimal harm, one or a few residents Nutrition and Dietary

    Dispose of garbage and refuse properly.

    Inspected January 2026. Corrected by February 25, 2026.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Silver Stream Center offers assisted living, memory care, nursing home care, hospice care, respite care, and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 120
  • Occupancy 88%
  • Nursing hours per resident/day 3.4
  • Annual staff turnover 58%
  • Last health inspection January 2026

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