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 120 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 F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected November 18, 2024.
September 23, 2024
Tag F0610Respond appropriately to all alleged violations.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 18, 2024.
September 23, 2024
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 18, 2024.
September 23, 2024
Tag F0909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 18, 2024.
September 23, 2024
Tag F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 18, 2024.
September 23, 2024
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 18, 2024.
September 23, 2024
Tag F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 18, 2024.
September 23, 2024
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 F: widespread, no actual harm, potential for more than minimal harm. Corrected November 18, 2024.
September 23, 2024
Tag F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 18, 2024.
September 23, 2024
Tag F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 18, 2024.
September 23, 2024
Tag F0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 18, 2024.
September 23, 2024
Tag F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 18, 2024.
June 18, 2024
Tag F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 26, 2024.
June 18, 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 July 26, 2024.
June 18, 2024
Tag F0610Respond appropriately to all alleged violations.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 26, 2024.
June 18, 2024
Tag F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity G: isolated, actual harm. Corrected July 26, 2024.
June 18, 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 July 26, 2024.
June 18, 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 July 26, 2024.
June 18, 2024
Tag F0554Allow residents to self-administer drugs if determined clinically appropriate.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 26, 2024.
June 18, 2024
Tag F0865Have a plan that describes the process for conducting QAPI and QAA activities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 26, 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
Nursing Homes · Silver Spring, MD
Autumn Lake Healthcare at Oakview
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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