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.
September 23, 2024
Tag F0677Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 18, 2024.
September 23, 2024
Tag F0758Implement 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 l….
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 18, 2024.
September 23, 2024
Tag F0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 15, 2025.
September 23, 2024
Tag F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 18, 2024.
September 23, 2024
Tag F0641Ensure each resident receives an accurate assessment.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 18, 2024.
September 23, 2024
Tag F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 18, 2024.
September 23, 2024
Tag F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 18, 2024.
September 23, 2024
Tag F0865Have a plan that describes the process for conducting QAPI and QAA activities.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected November 18, 2024.
September 23, 2024
Tag F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 18, 2024.
September 23, 2024
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 E: pattern, no actual harm, potential for more than minimal harm. Corrected January 15, 2025.
September 23, 2024
Tag F0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 18, 2024.
September 23, 2024
Tag F0759Ensure medication error rates are not 5 percent or greater.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 15, 2025.
September 23, 2024
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 November 18, 2024.
September 23, 2024
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 January 15, 2025.
September 23, 2024
Tag F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 18, 2024.
September 23, 2024
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 18, 2024.
September 23, 2024
Tag F0697Provide safe, appropriate pain management for a resident who requires such services.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 18, 2024.
September 23, 2024
Tag F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 18, 2024.
September 23, 2024
Tag F0919Make sure that a working call system is available in each resident's bathroom and bathing area.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 15, 2025.
September 23, 2024
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 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.
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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