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.

Back to Silver Stream Rehabilitation and Nursing Center

Last standard health inspection on record

January 23, 2026

Showing 26 to 50 of 65 citations

  1. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of January 23, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 25, 2026).

  2. 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of January 23, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 25, 2026).

  3. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of January 23, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 25, 2026).

  4. No harm, with potential for more than minimal harm

    Provide or obtain dental services for each resident.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0791, Quality of Life and Care Deficiencies. Inspection of January 23, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 25, 2026).

  5. No harm, with potential for more than minimal harm

    Dispose of garbage and refuse properly.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0814, Nutrition and Dietary Deficiencies. Inspection of January 23, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 25, 2026).

  6. 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of July 1, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 1, 2025).

  7. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of April 1, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 24, 2025).

  8. No harm, with potential for more than minimal harm

    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0568, Resident Rights Deficiencies. Inspection of December 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 5, 2025).

  9. 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of December 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 5, 2025).

  10. No harm, with potential for more than minimal harm

    Plan the resident's discharge to meet the resident's goals and needs.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0660, Resident Assessment and Care Planning Deficiencies. Inspection of December 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 5, 2025).

  11. 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0676, Quality of Life and Care Deficiencies. Inspection of December 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 5, 2025).

  12. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of December 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 5, 2025).

  13. 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of December 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 5, 2025).

  14. 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of December 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 5, 2025).

  15. No harm, with potential for more than minimal harm

    Ensure that residents are free from significant medication errors.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of December 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 5, 2025).

  16. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of December 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 5, 2025).

  17. No harm, with potential for more than minimal harm

    Implement a program that monitors antibiotic use.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0881, Infection Control Deficiencies. Inspection of December 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 5, 2025).

  18. 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0925, Environmental Deficiencies. Inspection of December 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 5, 2025).

  19. 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0553, Resident Rights Deficiencies. Inspection of February 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 1, 2024).

  20. 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0557, Resident Rights Deficiencies. Inspection of February 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 1, 2024).

  21. 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0580, Resident Rights Deficiencies. Inspection of February 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 1, 2024).

  22. 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0636, Resident Assessment and Care Planning Deficiencies. Inspection of February 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 1, 2024).

  23. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0638, Resident Assessment and Care Planning Deficiencies. Inspection of February 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 1, 2024).

  24. 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0646, Resident Assessment and Care Planning Deficiencies. Inspection of February 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 1, 2024).

  25. 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of February 27, 2024. Found during a standard inspection.

    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.