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.
June 18, 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 July 26, 2024.
June 18, 2024
Tag F0558Reasonably accommodate the needs and preferences of each resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 26, 2024.
June 18, 2024
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 26, 2024.
June 18, 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 July 26, 2024.
June 18, 2024
Tag F0790Provide routine and 24-hour emergency dental care for each resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 26, 2024.
June 18, 2024
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 July 26, 2024.
June 18, 2024
Tag F0583Keep residents' personal and medical records private and confidential.
Severity G: isolated, actual harm. Corrected July 26, 2024.
June 18, 2024
Tag F0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 26, 2024.
June 18, 2024
Tag F0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 26, 2024.
June 18, 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 July 26, 2024.
June 18, 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 July 26, 2024.
June 18, 2024
Tag F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 26, 2024.
June 18, 2024
Tag F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 26, 2024.
June 18, 2024
Tag F0641Ensure each resident receives an accurate assessment.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 26, 2024.
June 18, 2024
Tag F0760Ensure that residents are free from significant medication errors.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 26, 2024.
June 18, 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 D: isolated, no actual harm, potential for more than minimal harm. Corrected July 26, 2024.
September 27, 2019
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 10, 2019.
September 27, 2019
Tag F0603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 10, 2019.
September 27, 2019
Tag F0880Provide and implement an infection prevention and control program.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected November 10, 2019.
September 27, 2019
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 November 10, 2019.
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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