Elder Care Record

Maryland › Montgomery County › Silver Spring

Layhill Nursing and Rehabilitation Center

3227 Bel Pre Road, Silver Spring, MD 20906

CCN 215168 · For-profit, limited liability company · 129 certified beds · chain Lifeworks Rehab

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Layhill Nursing and Rehabilitation Center is a For-profit, limited liability company nursing home in Silver Spring, Maryland, certified for 129 beds and caring for about 133 residents a day.

CMS gives it 1 of 5 stars overall, below the Maryland median of 3; the health inspection rating is 1, staffing 2 and quality measures 4.

Inspectors recorded 103 health deficiencies across the three most recent survey cycles (26, 46, 31 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 79.8 per 100 beds, more than the state median of 43.7.

CMS lists 3 penalties in the period covered: fines totalling $154K and 1 payment denial.

Reported nurse staffing is 3.5 hours per resident per day (0.7 RN), close to the Maryland median of 3.6; nursing staff turnover is 38.1%.

103health deficiencies, 3 survey cycles3 at actual harm or worse
$154Kfines listed by CMS3 penalties in period
3.5nurse hours per resident per daystate median 3.6
103%occupancy (residents ÷ beds)133 residents a day

Compared with county, state and nation

MeasureThis facilityMontgomery Co. medianMaryland medianUS average
Overall star rating1333.0
Health citations, 3 cycles103404528.7
Citations per 100 beds79.839.843.726.8
Total nurse hours per resident day3.53.73.63.9
RN hours per resident day0.70.70.70.7
Nursing staff turnover38.1%34.8%41.5%45.8%
Fines listed$153,596$0$0—

County and state figures are medians across facilities (34 in the county, 221 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)26
Cycle 246
Cycle 331

Dark bar: this facility. Grey bar: Maryland average per facility for the same cycle, as published by CMS. Standard health survey dates: 18 Feb 2026, 23 Sep 2024.

Severity mix: K ×1 G ×2 D ×72 E ×21 F ×7

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
18 Feb 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey3 Apr 2026
18 Feb 2026F0567Honor the resident's right to manage his or her financial affairs.EStandard survey3 Apr 2026
18 Feb 2026F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.EStandard survey3 Apr 2026
18 Feb 2026F0917Make 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.EStandard survey3 Apr 2026
18 Feb 2026F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey3 Apr 2026
18 Feb 2026F0584Honor 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.DStandard survey3 Apr 2026
18 Feb 2026F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DComplaint investigation3 Apr 2026
18 Feb 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey3 Apr 2026
18 Feb 2026F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey3 Apr 2026
18 Feb 2026F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey3 Apr 2026
18 Feb 2026F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey3 Apr 2026
18 Feb 2026F0759Ensure medication error rates are not 5 percent or greater.DStandard survey3 Apr 2026
18 Feb 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey3 Apr 2026
18 Feb 2026F0880Provide and implement an infection prevention and control program.DStandard survey3 Apr 2026
18 Feb 2026F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DStandard survey3 Apr 2026
9 Oct 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.EComplaint investigation6 Sep 2025
9 Oct 2025F0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.EComplaint investigation10 Dec 2025
9 Oct 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint investigation10 Dec 2025
9 Oct 2025F0552Ensure that residents are fully informed and understand their health status, care and treatments.DComplaint investigation10 Dec 2025
9 Oct 2025F0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.DComplaint investigation10 Dec 2025
9 Oct 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation10 Dec 2025
9 Oct 2025F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DComplaint investigation10 Dec 2025
9 Oct 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation10 Dec 2025
9 Oct 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation10 Dec 2025
9 Oct 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation10 Dec 2025
9 Oct 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation10 Dec 2025
23 Sep 2024F0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.KStandard survey18 Nov 2024
23 Sep 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.FComplaint investigation18 Nov 2024
23 Sep 2024F0732Post nurse staffing information every day.FStandard survey18 Nov 2024
23 Sep 2024F0865Have a plan that describes the process for conducting QAPI and QAA activities.FStandard survey18 Nov 2024
23 Sep 2024F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyFStandard survey18 Nov 2024
23 Sep 2024F0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.FStandard survey18 Nov 2024
23 Sep 2024F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.EStandard survey18 Nov 2024
23 Sep 2024F0584Honor 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.EStandard survey15 Jan 2025
23 Sep 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint investigation18 Nov 2024
23 Sep 2024F0679Provide activities to meet all resident's needs.EStandard survey18 Nov 2024
23 Sep 2024F0697Provide safe, appropriate pain management for a resident who requires such services.EStandard survey18 Nov 2024
23 Sep 2024F0700Try 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.EStandard survey18 Nov 2024
23 Sep 2024F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.EStandard survey18 Nov 2024
23 Sep 2024F0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.EStandard survey15 Jan 2025
23 Sep 2024F0909Regularly 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.EStandard survey18 Nov 2024
23 Sep 2024F0552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard survey18 Nov 2024
23 Sep 2024F0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DStandard survey18 Nov 2024
23 Sep 2024F0578Honor 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.DStandard survey18 Nov 2024
23 Sep 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation18 Nov 2024
23 Sep 2024F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard survey18 Nov 2024
23 Sep 2024F0610Respond appropriately to all alleged violations.DComplaint investigation18 Nov 2024
23 Sep 2024F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DComplaint investigation18 Nov 2024
23 Sep 2024F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey18 Nov 2024
23 Sep 2024F0625Notify 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.DStandard survey15 Jan 2025
23 Sep 2024F0641Ensure each resident receives an accurate assessment.DStandard survey18 Nov 2024
23 Sep 2024F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey18 Nov 2024
23 Sep 2024F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey18 Nov 2024
23 Sep 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey15 Jan 2025
23 Sep 2024F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DComplaint investigation18 Nov 2024
23 Sep 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey18 Nov 2024
23 Sep 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey18 Nov 2024
23 Sep 2024F0688Provide 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.DStandard survey18 Nov 2024
23 Sep 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey18 Nov 2024
23 Sep 2024F0692Provide enough food/fluids to maintain a resident's health.DStandard survey18 Nov 2024
23 Sep 2024F0693Ensure 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.DComplaint investigation18 Nov 2024
23 Sep 2024F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DComplaint investigation18 Nov 2024
23 Sep 2024F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey18 Nov 2024
23 Sep 2024F0758Implement 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 limited.DStandard survey18 Nov 2024
23 Sep 2024F0759Ensure medication error rates are not 5 percent or greater.DStandard survey15 Jan 2025
23 Sep 2024F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.DStandard survey18 Nov 2024
23 Sep 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard survey18 Nov 2024
23 Sep 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey18 Nov 2024
23 Sep 2024F0880Provide and implement an infection prevention and control program.DStandard survey18 Nov 2024
23 Sep 2024F0908Keep all essential equipment working safely.DStandard survey18 Nov 2024
23 Sep 2024F0919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard survey15 Jan 2025
23 Sep 2024F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DStandard survey15 Jan 2025
18 Jun 2024F0583Keep residents' personal and medical records private and confidential.GComplaint investigation26 Jul 2024
18 Jun 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint investigation26 Jul 2024
18 Jun 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint investigation26 Jul 2024
18 Jun 2024F0610Respond appropriately to all alleged violations.EComplaint investigation26 Jul 2024
18 Jun 2024F0641Ensure each resident receives an accurate assessment.EComplaint investigation26 Jul 2024
18 Jun 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint investigation26 Jul 2024
18 Jun 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation26 Jul 2024
18 Jun 2024F0554Allow residents to self-administer drugs if determined clinically appropriate.DComplaint investigation26 Jul 2024
18 Jun 2024F0558Reasonably accommodate the needs and preferences of each resident.DComplaint investigation26 Jul 2024
18 Jun 2024F0578Honor 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.DComplaint investigation26 Jul 2024
18 Jun 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation26 Jul 2024
18 Jun 2024F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DComplaint investigation26 Jul 2024
18 Jun 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation26 Jul 2024
18 Jun 2024F0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DComplaint investigation26 Jul 2024
18 Jun 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation26 Jul 2024
18 Jun 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation26 Jul 2024
18 Jun 2024F0692Provide enough food/fluids to maintain a resident's health.DComplaint investigation26 Jul 2024
18 Jun 2024F0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.DComplaint investigation26 Jul 2024
18 Jun 2024F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DComplaint investigation26 Jul 2024
18 Jun 2024F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DComplaint investigation26 Jul 2024
18 Jun 2024F0760Ensure that residents are free from significant medication errors.DComplaint investigation26 Jul 2024
18 Jun 2024F0790Provide routine and 24-hour emergency dental care for each resident.DComplaint investigation26 Jul 2024
18 Jun 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation26 Jul 2024
18 Jun 2024F0865Have a plan that describes the process for conducting QAPI and QAA activities.DComplaint investigation26 Jul 2024
27 Sep 2019F0880Provide and implement an infection prevention and control program.FStandard survey10 Nov 2019
27 Sep 2019F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey10 Nov 2019
27 Sep 2019F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard survey10 Nov 2019
27 Sep 2019F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey10 Nov 2019
27 Sep 2019F0603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).DStandard survey10 Nov 2019
27 Sep 2019F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey10 Nov 2019
27 Sep 2019F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey10 Nov 2019

Penalties

DateTypeAmountDetail
23 Sep 2024Payment denial—20 days
23 Sep 2024Fine$100,523
18 Jun 2024Fine$53,073

Staffing

Total nursing3.46 h
Nurse aides1.84 h
LPN0.9 h
RN0.72 h
Weekend total2.91 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Maryland average. Turnover: nursing staff 38.1%, RNs 44.4%; 2 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityMaryland medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay3.9%20.0%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.3%0.3%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.6%0.9%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.6%2.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.3%0.8%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay1.5%20.7%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay10.8%5.3%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay15.3%11.9%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. Legal business name: Layhill Snf Llc. Chain: Lifeworks Rehab (64 facilities).

OrganisationRole in the CMS recordInterestSince
Thunder Health Holdco LLC5% or greater direct ownership interest100%07/01/2018
Rma Equity LLC5% or greater indirect ownership interest10%07/13/2023

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Montgomery County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Bedford Court Healthcare Cent.Silver Spring605442846.7—20 Mar 2026
Complete Care At WheatonWheaton1165433731.9—21 Apr 2026
Friends Nursing HomeSandy Spring825451923.2$23K26 May 2026
Hebrew Home of Greater WashingtonRockville558544315.6—23 Apr 2026
Ingleside At King FarmRockville455451942.2—31 Mar 2026
Maplewood Park PlaceBethesda3155—516.1—10 Mar 2025
Montcare At BethesdaBethesda1205432823.3—25 Feb 2026
Montcare At PotomacPotomac1685442112.5—18 Feb 2026

All 34 facilities in Montgomery County

Questions and answers

How many deficiencies has Layhill Nursing and Rehabilitation Center been cited for?

103 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Maryland median is 45 per facility.

Has Layhill Nursing and Rehabilitation Center been fined?

Yes. CMS lists fines totalling $154K in the period covered, plus 1 payment denial.

How does staffing at Layhill Nursing and Rehabilitation Center compare?

Reported total nurse staffing is 3.5 hours per resident per day against a Maryland median of 3.6 and a national average of 3.9.

Who operates Layhill Nursing and Rehabilitation Center?

It is part of the Lifeworks Rehab chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Thunder Health Holdco LLC and Rma Equity LLC. Individual owners and managers are not listed on this site.

When was Layhill Nursing and Rehabilitation Center last inspected?

The most recent survey or investigation in the CMS record is dated 18 Feb 2026; the most recent standard health survey was 18 Feb 2026.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.