CCN 395354 · Montgomery County, Pennsylvania
Silver Stream Rehabilitation and Nursing Center
905 Penllyn Pike, Spring House, PA 19477
Silver Stream Rehabilitation and Nursing Center is a 120-bed for-profit nursing home in Spring House, Pennsylvania, first certified for Medicare or Medicaid in 1977. CMS rates it 2 out of 5 stars overall in its September 2026 data, and it averaged 105.3 residents a day, about 88% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 120
- Average residents per day
- 105.3 (87.8% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Silver Stream Nursing and Rehab Facility LLC
- Certified since
- Mar 1, 1977
- Chain or affiliated group
- None listed by CMS
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Pennsylvania median | US median |
|---|---|---|---|
| Overall rating | 2 of 5 | State spread: 145 at 1, 135 at 2, 118 at 3, 97 at 4, 157 at 5 | |
| Health inspections | 2 of 5 | ||
| Quality measures | 3 of 5 | ||
| Staffing | 2 of 5 | ||
| Total nurse hours per resident per day | 3.36 | 3.63 | 3.68 |
| RN hours per resident per day | 0.36 | 0.66 | 0.58 |
| Weekend nurse hours per resident per day | 3.14 | ||
| Nursing staff turnover | 58.0% | 44.2% | 44.9% |
| Occupancy (residents / beds) | 87.8% | 88.7% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 16 (Jan 23, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Silver Stream Rehabilitation and Nursing Center does not meet it today: the abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Lichtschein, AaronIndividual | Direct Ownership Interest | 15% | 06/04/2021 |
| Lichtschein, RaphaelIndividual | Direct Ownership Interest | 32% | 06/04/2021 |
| Muller, MartinIndividual | Direct Ownership Interest | 28% | 06/04/2021 |
| Lichtschein, RaphaelIndividual | Operational / Managerial Control | n/a | 06/04/2021 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Jun 4, 2021 | Silver Stream Nursing and Rehab Facility LLC | Silver Stream Nursing and Rehab SNF LLC |
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.