Nursing Homes · Silver Spring, MD
Nursing Homes · Medicare certified
Layhill Nursing and Rehabilitation Center
3227 Bel Pre Road · Silver Spring, MD 20906 · 129 certified beds
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About Layhill Nursing and Rehabilitation Center
Layhill Nursing and Rehabilitation Center is a nursing home in Silver Spring, Maryland. Its capacity is 129 beds, above the Montgomery County median of 116 for nursing homes. It is run by a for-profit operator and is part of Lifeworks Rehab. It is Medicare certified. Its public inspection record shows 103 citations, the most recent on February 18, 2026. CMS also lists 3 fines or payment denials against it. Nurse staffing averages 3.51 hours per resident per day. It is one of 12 nursing homes listed in Silver Spring. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Special Focus Facility candidate
CMS lists this nursing home as a candidate for its Special Focus Facility program, which is for nursing homes with a history of serious quality issues. About the program.
Certification
Medicare-certified.
Ratings
Overall
2.0Staffing
3.0Quality measures
5.0CMS Care Compare, October 2026.
Inspection history (103)
Records from September 2019 to February 2026.
February 18, 2026
Tag F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 3, 2026.
February 18, 2026
Tag F0917Make 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 3, 2026.
February 18, 2026
Tag F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 3, 2026.
February 18, 2026
Tag F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 3, 2026.
February 18, 2026
Tag F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 3, 2026.
February 18, 2026
Tag F0567Honor the resident's right to manage his or her financial affairs.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 3, 2026.
February 18, 2026
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 3, 2026.
February 18, 2026
Tag F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 3, 2026.
February 18, 2026
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected April 3, 2026.
February 18, 2026
Tag F0759Ensure medication error rates are not 5 percent or greater.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 3, 2026.
February 18, 2026
Tag F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 3, 2026.
February 18, 2026
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 3, 2026.
February 18, 2026
Tag F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 3, 2026.
February 18, 2026
Tag F0584Honor 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 3, 2026.
February 18, 2026
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 3, 2026.
October 9, 2025
Tag F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 10, 2025.
October 9, 2025
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 10, 2025.
October 9, 2025
Tag F0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 10, 2025.
October 9, 2025
Tag F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 10, 2025.
October 9, 2025
Tag F0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 10, 2025.
Penalties (3)
Total fines: $153,596
September 23, 2024 · Payment Denial
CMS recorded a Medicare/Medicaid payment denial for new admissions starting January 1, 2025, lasting 20 days (triggered by inspection on September 23, 2024).
September 23, 2024 · Fine
CMS recorded a civil money penalty of $100,523 against this nursing home on September 23, 2024.
June 18, 2024 · Fine
CMS recorded a civil money penalty of $53,073 against this nursing home on June 18, 2024.
Staffing
3.51 nurse hours per resident per day in Q2 2026, down from 3.57 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
For profit
Part of Lifeworks Rehab, a chain of 64 nursing homes.
Average CMS star ratings across the chain: 2.2 overall, 2.0 for health inspections, 1.8 for staffing, 4.1 for quality measures.
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Maryland.
Nearby alternatives
Other licensed providers in Silver Spring.
Nursing Homes · Silver Spring, MD
Autumn Lake Healthcare at Arcola
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Autumn Lake Healthcare at Oakview
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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