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Silver Stream Nursing And Rehabilitation Center

📍 905 Penllyn Pike, Spring-house, PA 19477 📞 (215) 646-1500 🛏️ 120 beds

Inspection History Overview

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2022 3 penalties totaling $42,672

$17,872
Aug 26, 2022

Fine

$15,030
Jun 1, 2022

Fine

$9,770
Jun 1, 2022

Fine

2021 1 penalties totaling $655

$655
Sep 27, 2021

Fine

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Health Violations by Year

2025 1 violations

Tag 0684 D Apr 1, 2025

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

✓ Corrected: Apr 24, 2025

2024 22 violations

Tag 0553 D Feb 27, 2024

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

✓ Corrected: Apr 1, 2024
Tag 0557 D Feb 27, 2024

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

✓ Corrected: Apr 1, 2024
Tag 0580 D Feb 27, 2024

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

✓ Corrected: Apr 1, 2024
Tag 0636 D Feb 27, 2024

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

✓ Corrected: Apr 1, 2024
Tag 0638 D Feb 27, 2024

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

✓ Corrected: Apr 1, 2024
Tag 0646 D Feb 27, 2024

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

✓ Corrected: Apr 1, 2024
Tag 0677 D Feb 27, 2024

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

✓ Corrected: Apr 1, 2024
Tag 0687 D Feb 27, 2024

Provide appropriate foot care.

✓ Corrected: Apr 1, 2024
Tag 0689 D Feb 27, 2024

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

✓ Corrected: Apr 1, 2024
Tag 0694 D Feb 27, 2024

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

✓ Corrected: Apr 1, 2024
Tag 0697 D Feb 27, 2024

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

✓ Corrected: Apr 1, 2024
Tag 0725 E Feb 27, 2024

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

✓ Corrected: Apr 1, 2024
Tag 0726 E Feb 27, 2024

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: Apr 1, 2024
Tag 0755 D Feb 27, 2024

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

✓ Corrected: Apr 1, 2024
Tag 0761 D Feb 27, 2024

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: Apr 1, 2024
Tag 0812 F Feb 27, 2024

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

✓ Corrected: Apr 1, 2024
Tag 0814 F Feb 27, 2024

Dispose of garbage and refuse properly.

✓ Corrected: Apr 1, 2024
Tag 0842 D Feb 27, 2024

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

✓ Corrected: Apr 1, 2024
Tag 0881 E Feb 27, 2024

Implement a program that monitors antibiotic use.

✓ Corrected: Apr 1, 2024
Tag 0947 D Feb 27, 2024

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

✓ Corrected: Apr 1, 2024
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2023 18 violations

Tag 0755 D Oct 31, 2023

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

Tag 0550 D May 4, 2023

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

✓ Corrected: Jun 22, 2023
Tag 0576 D May 4, 2023

Ensure residents have reasonable access to and privacy in their use of communication methods.

✓ Corrected: Jun 22, 2023
Tag 0656 D May 4, 2023

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

✓ Corrected: Jun 22, 2023
Tag 0688 D May 4, 2023

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

✓ Corrected: Jun 22, 2023
Tag 0690 D May 4, 2023

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Jun 22, 2023
Tag 0699 D May 4, 2023

Provide care or services that was trauma informed and/or culturally competent.

✓ Corrected: Jun 22, 2023
Tag 0757 D May 4, 2023

Ensure each resident’s drug regimen must be free from unnecessary drugs.

✓ Corrected: Jun 22, 2023
Tag 0791 D May 4, 2023

Provide or obtain dental services for each resident.

✓ Corrected: Jun 22, 2023
Tag 0802 D May 4, 2023

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

✓ Corrected: Jun 22, 2023
Tag 0803 D May 4, 2023

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

✓ Corrected: Jun 22, 2023
Tag 0804 D May 4, 2023

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

✓ Corrected: Jun 22, 2023
Tag 0865 E May 4, 2023

Have a plan that describes the process for conducting QAPI and QAA activities.

✓ Corrected: Jun 22, 2023
Tag 0880 E May 4, 2023

Provide and implement an infection prevention and control program.

✓ Corrected: Jun 22, 2023
Tag 0908 D May 4, 2023

Keep all essential equipment working safely.

✓ Corrected: Jun 22, 2023
Tag 0656 D Mar 20, 2023

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

Tag 0690 D Feb 6, 2023

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Mar 1, 2023
Tag 0692 D Feb 6, 2023

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

✓ Corrected: Mar 1, 2023

2022 20 violations

Tag 0684 D Dec 2, 2022

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

✓ Corrected: Jan 3, 2023
Tag 0657 D Oct 19, 2022

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Jan 16, 2023
Tag 0610 D Sep 1, 2022

Respond appropriately to all alleged violations.

✓ Corrected: Sep 22, 2022
Tag 0609 D Aug 26, 2022

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Sep 15, 2022
Tag 0755 J Aug 26, 2022

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

✓ Corrected: Sep 15, 2022
Tag 0760 J Aug 26, 2022

Ensure that residents are free from significant medication errors.

✓ Corrected: Sep 15, 2022
Tag 0609 D Jun 13, 2022

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Jul 26, 2022
Tag 0623 D Jun 13, 2022

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

✓ Corrected: Jul 26, 2022
Tag 0637 D Jun 13, 2022

Assess the resident when there is a significant change in condition

✓ Corrected: Jul 26, 2022
Tag 0689 G Jun 13, 2022

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

✓ Corrected: Jul 26, 2022
Tag 0695 D Jun 13, 2022

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

✓ Corrected: Jul 26, 2022
Tag 0698 D Jun 13, 2022

Provide safe, appropriate dialysis care/services for a resident who requires such services.

✓ Corrected: Jul 26, 2022
Tag 0801 D Jun 13, 2022

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

✓ Corrected: Jul 26, 2022
Tag 0804 D Jun 13, 2022

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

✓ Corrected: Jul 26, 2022
Tag 0812 F Jun 13, 2022

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

✓ Corrected: Jul 26, 2022
Tag 0814 D Jun 13, 2022

Dispose of garbage and refuse properly.

✓ Corrected: Jul 26, 2022
Tag 0684 D Jun 1, 2022

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

✓ Corrected: Jun 29, 2022
Tag 0755 D Jun 1, 2022

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

✓ Corrected: Jun 29, 2022
Tag 0842 D Jun 1, 2022

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

✓ Corrected: Jun 29, 2022
Tag 0585 E Feb 16, 2022

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

✓ Corrected: Mar 9, 2022
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2021 9 violations

Tag 0558 D May 21, 2021

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Jun 22, 2021
Tag 0803 E May 21, 2021

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

✓ Corrected: Jun 22, 2021
Tag 0804 E May 21, 2021

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

✓ Corrected: Jun 22, 2021
Tag 0806 D May 21, 2021

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

✓ Corrected: Jun 22, 2021
Tag 0908 E May 21, 2021

Keep all essential equipment working safely.

✓ Corrected: Jun 22, 2021
Tag 0921 D May 21, 2021

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

✓ Corrected: Jun 22, 2021
Tag 0842 D Apr 28, 2021

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

✓ Corrected: Jun 3, 2021
Tag 0558 D Jan 8, 2021

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Jan 22, 2021
Tag 0842 D Jan 8, 2021

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

✓ Corrected: Jan 22, 2021

2020 2 violations

Tag 0809 E Oct 26, 2020

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

✓ Corrected: Nov 19, 2020
Tag 0686 D Jan 17, 2020

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Feb 18, 2020
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2019 11 violations

Tag 0552 D May 31, 2019

Ensure that residents are fully informed and understand their health status, care and treatments.

✓ Corrected: Jul 3, 2019
Tag 0559 D May 31, 2019

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

✓ Corrected: Jul 3, 2019
Tag 0578 D May 31, 2019

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

✓ Corrected: Jul 3, 2019
Tag 0610 D May 31, 2019

Respond appropriately to all alleged violations.

✓ Corrected: Jul 3, 2019
Tag 0623 D May 31, 2019

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

✓ Corrected: Jul 3, 2019
Tag 0655 D May 31, 2019

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Jul 3, 2019
Tag 0656 D May 31, 2019

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

✓ Corrected: Jul 3, 2019
Tag 0657 D May 31, 2019

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Jul 3, 2019
Tag 0677 D May 31, 2019

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

✓ Corrected: Jul 3, 2019
Tag 0880 E May 31, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: Jul 3, 2019
Tag 0690 D Apr 6, 2019

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Apr 30, 2019

2018 6 violations

Tag 0686 D Nov 2, 2018

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Dec 5, 2018
Tag 0838 D Nov 2, 2018

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies.

✓ Corrected: Dec 5, 2018
Tag 0657 D Jun 14, 2018

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Aug 7, 2018
Tag 0761 D Jun 14, 2018

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: Aug 7, 2018
Tag 0812 F Jun 14, 2018

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

✓ Corrected: Aug 7, 2018
Tag 0917 E Jun 14, 2018

Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.

✓ Corrected: Aug 7, 2018
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2017 7 violations

Tag 0246 E Oct 27, 2017

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Nov 29, 2017
Tag 0366 E Aug 11, 2017

Offer other nutritional food to each resident who will not eat the food served.

✓ Corrected: Sep 20, 2017
Tag 0225 D Mar 25, 2017

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

✓ Corrected: May 10, 2017
Tag 0309 G Mar 25, 2017

Provide necessary care and services to maintain or improve the highest well being of each resident .

✓ Corrected: May 10, 2017
Tag 0323 D Mar 25, 2017

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

✓ Corrected: May 10, 2017
Tag 0325 D Mar 25, 2017

Ensure residents maintain acceptable nutritional status.

✓ Corrected: May 10, 2017
Tag 0499 D Mar 25, 2017

Employ staff that are licensed, certified, or registered in accordance with state laws.

✓ Corrected: May 10, 2017
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