All citations for Silver Stream Rehabilitation and Nursing Center
State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.
Last standard health inspection on record
January 23, 2026
Showing 26 to 50 of 53 citations
No harm, with potential for more than minimal harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
The home gave a date the problem would be corrected (February 5, 2025).
No harm, with potential for more than minimal harm
Plan the resident's discharge to meet the resident's goals and needs.
The home gave a date the problem would be corrected (February 5, 2025).
No harm, with potential for more than minimal harm
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
The home gave a date the problem would be corrected (February 5, 2025).
No harm, with potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
The home gave a date the problem would be corrected (February 5, 2025).
No harm, with potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
The home gave a date the problem would be corrected (February 5, 2025).
No harm, with potential for more than minimal harm
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.
The home gave a date the problem would be corrected (February 5, 2025).
No harm, with potential for more than minimal harm
Ensure that residents are free from significant medication errors.
The home gave a date the problem would be corrected (February 5, 2025).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
The home gave a date the problem would be corrected (February 5, 2025).
No harm, with potential for more than minimal harm
Implement a program that monitors antibiotic use.
The home gave a date the problem would be corrected (February 5, 2025).
No harm, with potential for more than minimal harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
The home gave a date the problem would be corrected (February 5, 2025).
No harm, with potential for more than minimal harm
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
The home gave a date the problem would be corrected (April 1, 2024).
No harm, with potential for more than minimal harm
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
The home gave a date the problem would be corrected (April 1, 2024).
No harm, with potential for more than minimal harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
The home gave a date the problem would be corrected (April 1, 2024).
No harm, with potential for more than minimal harm
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
The home gave a date the problem would be corrected (April 1, 2024).
No harm, with potential for more than minimal harm
Assure that each resident’s assessment is updated at least once every 3 months.
The home gave a date the problem would be corrected (April 1, 2024).
No harm, with potential for more than minimal harm
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
The home gave a date the problem would be corrected (April 1, 2024).
No harm, with potential for more than minimal harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
The home gave a date the problem would be corrected (April 1, 2024).
No harm, with potential for more than minimal harm
Provide appropriate foot care.
The home gave a date the problem would be corrected (April 1, 2024).
No harm, with potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
The home gave a date the problem would be corrected (April 1, 2024).
No harm, with potential for more than minimal harm
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
The home gave a date the problem would be corrected (April 1, 2024).
No harm, with potential for more than minimal harm
Provide safe, appropriate pain management for a resident who requires such services.
The home gave a date the problem would be corrected (April 1, 2024).
No harm, with potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
The home gave a date the problem would be corrected (April 1, 2024).
No harm, with potential for more than minimal harm
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.
The home gave a date the problem would be corrected (April 1, 2024).
No harm, with potential for more than minimal harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
The home gave a date the problem would be corrected (April 1, 2024).
No harm, with potential for more than minimal harm
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
The home gave a date the problem would be corrected (April 1, 2024).
Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.