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.
October 9, 2025
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 December 10, 2025.
October 9, 2025
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 6, 2025.
October 9, 2025
Tag F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 10, 2025.
October 9, 2025
Tag F0552Ensure that residents are fully informed and understand their health status, care and treatments.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 10, 2025.
October 9, 2025
Tag F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 10, 2025.
October 9, 2025
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 10, 2025.
September 23, 2024
Tag F0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 15, 2025.
September 23, 2024
Tag F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 18, 2024.
September 23, 2024
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 January 15, 2025.
September 23, 2024
Tag F0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Severity K: pattern, immediate jeopardy. Corrected November 18, 2024.
September 23, 2024
Tag F0679Provide activities to meet all resident's needs.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 18, 2024.
September 23, 2024
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 November 18, 2024.
September 23, 2024
Tag F0552Ensure that residents are fully informed and understand their health status, care and treatments.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 18, 2024.
September 23, 2024
Tag F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 18, 2024.
September 23, 2024
Tag F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 18, 2024.
September 23, 2024
Tag F0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected November 18, 2024.
September 23, 2024
Tag F0692Provide enough food/fluids to maintain a resident's health.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 18, 2024.
September 23, 2024
Tag F0732Post nurse staffing information every day.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected November 18, 2024.
September 23, 2024
Tag F0908Keep all essential equipment working safely.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 18, 2024.
September 23, 2024
Tag F0645PASARR screening for Mental disorders or Intellectual Disabilities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 18, 2024.
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.
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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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