Silver Stream Nursing and Rehabilitation Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 119 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Above-median deficiencies (14 vs median 8.0)
- High staff turnover (60%)
- High RN turnover (73%)
Below average in PA · Below recommended RN staffing · No penalties on record
What this means for your family
This facility offers an exceptional therapy team, particularly Carla Rake, which is a major asset for post-surgical recovery. However, families must be extremely vigilant regarding hygiene and responsiveness, as multiple recent reviews report significant delays in assistance for basic needs and issues with sanitation.
Google Reviews
Google Reviews
119 reviews on Google“Families considering Silver Stream should be aware of a significant divide between highly praised rehabilitation and therapy services and serious allegations of neglect. While many reviewers laud the compassion of specific therapists and the kindness of the administrative team, multiple recent reports highlight critical issues regarding hygiene, unresponsive call bells, and inadequate staffing for basic care needs.”
Quality Themes
Tap a score for detailsStrengths
- Exceptional physical and occupational therapy team
- Compassionate and professional administrative staff
- Friendly and attentive activities programming
- Cleanliness of common areas and housekeeping
Concerns
- Unresponsive call bells and delayed assistance for hygiene needs (mentioned by 5 reviewers)
- Poor facility maintenance and outdated/rusted bathrooms (mentioned by 4 reviewers)
- Inconsistent food quality and nutritional variety (mentioned by 3 reviewers)
- Difficulties with communication from administration (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 103 analyzed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1We've heard wonderful things about your physical and occupational therapy teams; could you tell us more about how they work with residents on their rehabilitation goals?
- 2How do you ensure that call bells are answered promptly, especially during busy times like hygiene or meal periods?
- 3What steps are being taken to update the facility's bathrooms and common areas to ensure everything is well-maintained?
- 4Could you describe the daily activity schedule and how you keep the residents engaged with your programming?
- 5What is the process for communicating important updates or changes in care from the administration to the family?
- 6How does the dining team manage nutritional variety and ensure meal quality is consistent for all residents?
Personalized based on this facility's data
Key Review Excerpts
“The therapy really got him up and walking again, the cnas absolutely worked their hardest and truly provided the best possible care!”
“I am laying in my own excrement for an hour after pressing my call..I could understand a 1 time thing but this is the 7th day in a row I have waited at least twice a day for over an hour..”
“Carla Rake is an amazing COTA one of the best there is”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
9
measures
7
measures
1
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents whose walking got worse
Residents on antipsychotic medication
Residents needing more daily help over time
Residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has a concerning pattern of 64 deficiencies across 9 surveys, with families filing complaints that triggered 8 additional inspections. The most recurring problems involve medication management, fire safety systems, and quality of care issues. While all deficiencies show correction dates, the high volume and repeat complaint investigations suggest ongoing operational challenges that warrant careful consideration during your visit.
Apr 10, 2026Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Mar 25, 2026Complaint2
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Jan 23, 2026Routine9
Resident Rights Deficiencies
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Provide care by qualified persons according to each resident's written plan of care.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Jul 1, 2025Complaint1
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Apr 1, 2025Complaint1
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Dec 12, 2024Routine18
Environmental Deficiencies
Keep all essential equipment working safely.
Egress Deficiencies
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.
Egress Deficiencies
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Resident Rights Deficiencies
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Resident Assessment and Care Planning Deficiencies
Plan the resident's discharge to meet the resident's goals and needs.
Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
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.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Ownership & Operations
Who Operates This Facility
Silver Stream Nursing and Rehabilitation Center
for profit
Ownership & Management
Owners
Lichtschein, Aaron
Owner
Lichtschein, Raphael
Owner
Muller, Martin
Owner
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
119 reviews from families & visitors
Official Website
Visit silverstreamhc.com
Medicare data downloads
Original nursing home datasets
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