Montgomery County, Maryland · Nursing home
Layhill Nursing and Rehabilitation Center
1 of 5 overall from CMS
3227 Bel Pre Road, Silver Spring, MD 20906
At a glance
- Overall rating 1 of 5 Below the state average of 3.2
- Nurse time per resident, per day 3.46 hours Below the state average of 3.87
- Nursing staff who left in a year 38.1% Below the state average of 40.2%
- Health citations, last 3 inspection cycles 105 3 at the harm level or above
- Fines in 3 years $153,596 2 fines
- Certified beds in use 102.9% of 129 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Layhill Nursing and Rehabilitation Center is a 129-bed nursing home in Silver Spring, Maryland (Montgomery County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 3.46 nurse staffing hours per resident per day, below the Maryland average of 3.87. CMS lists 2 fines totaling $153,596 in the past three years.
- Certified beds
- 129
- Residents per day (average)
- 132.8
- Certified since
- 1987 (39 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidPart of Lifeworks Rehab (64 homes)CMS Special Focus: SFF Candidate
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
- Special Focus candidate. CMS lists this home as a candidate for its Special Focus Facility program: its inspection record qualifies it for the program, but it has not been selected. What a Special Focus Facility is
These labels are shown as CMS publishes them. They describe the inspection record, not what has changed since.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Layhill Nursing and Rehabilitation Center
Chosen from this home's public data.
- CMS lists this home as a candidate for its Special Focus Facility program, which means it qualifies but has not been selected. What has changed since the inspections behind that listing?Special Focus status in CMS data
- CMS lists 2 fines totaling $153,596 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 28 health deficiencies in the latest inspection cycle (the standard inspection on Feb 18, 2026 plus complaint and infection-control inspections); the Maryland average is 17.0. Which have been corrected?Inspection results in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 Maryland average 3.2
- Health inspections 1 of 5 Maryland average 2.9
- Staffing 2 of 5 Maryland average 3.2
- Quality measures 4 of 5 Maryland average 3.9
The vertical line marks the Maryland average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.46 h Maryland average 3.87
- Nurse aides 1.84 h Maryland average 2.12
- Licensed practical nurses 0.90 h Maryland average 0.91
- Registered nurses 0.72 h Maryland average 0.84
- All staff, weekends 2.91 h Maryland average 3.47
How much nurse staffing is enough? All bars share one scale, 0 to 10 hours. The vertical line marks the Maryland average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover38.1%
- Maryland average40.2%
- Registered nurse turnover44.4%
- Maryland average38.7%
- Administrators who left2
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Maryland and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Maryland | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 3.9% | 20.4% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 1.7% | 5.4% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% | 0.5% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.6% | 1.5% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 70.2% | 22.8% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 1.6% | 2.4% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.8% | 92.6% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 1.5% | 22.2% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 4.2% | 16.7% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 85.8% | 96.6% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 10.8% | 5.9% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 29.7% | 25.0% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 15.3% | 13.8% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.09 | 1.33 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 1.88 | 1.20 | 1.78 |
Short-stay residents
| Measure | This home | Maryland | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 90.5% | 79.1% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.3% | 1.1% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.8% | 80.6% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.2% | 21.0% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 9.8% | 9.8% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 105 health deficiencies in the three most recent inspection cycles. Of these, 1 was at the immediate jeopardy level and 2 involved actual harm; the rest were graded as no actual harm. 46 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Sep 23, 2024: Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Feb 18, 2026 | 28 | 16 |
| Sep 23, 2024 | 46 | 18 |
| Sep 27, 2019 | 31 | 6 |
Maryland homes averaged 17.0 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (105)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Aug 21, 2026)
-
DPotential for more than minimal harm, isolated
Provide safe, appropriate pain management for a resident who requires such services.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Aug 21, 2026)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Apr 3, 2026)
-
EPotential for more than minimal harm, pattern
Honor the resident's right to manage his or her financial affairs.
Resident Rights · Deficient, Provider has date of correction (Apr 3, 2026)
-
EPotential for more than minimal harm, pattern
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Apr 3, 2026)
Show 25 more
-
EPotential for more than minimal harm, pattern
Make 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.
Environmental · Deficient, Provider has date of correction (Apr 3, 2026)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · Deficient, Provider has date of correction (Apr 3, 2026)
-
DPotential for more than minimal harm, isolated
Honor 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.
Resident Rights · Deficient, Provider has date of correction (Apr 3, 2026)
-
DPotential for more than minimal harm, isolated
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Apr 3, 2026)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 3, 2026)
-
DPotential for more than minimal harm, isolated
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 3, 2026)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 3, 2026)
-
DPotential for more than minimal harm, isolated
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service · Deficient, Provider has date of correction (Apr 3, 2026)
-
DPotential for more than minimal harm, isolated
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service · Deficient, Provider has date of correction (Apr 3, 2026)
-
DPotential for more than minimal harm, isolated
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 3, 2026)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Apr 3, 2026)
-
DPotential for more than minimal harm, isolated
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental · Deficient, Provider has date of correction (Apr 3, 2026)
-
EPotential for more than minimal harm, pattern
Ensure services provided by the nursing facility meet professional standards of quality.
Complaint investigation · Resident Assessment and Care Planning · Past Non-Compliance (Sep 6, 2025)
-
EPotential for more than minimal harm, pattern
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Dec 10, 2025)
-
EPotential for more than minimal harm, pattern
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Dec 10, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that residents are fully informed and understand their health status, care and treatments.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Dec 10, 2025)
-
DPotential for more than minimal harm, isolated
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Dec 10, 2025)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Dec 10, 2025)
-
DPotential for more than minimal harm, isolated
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Dec 10, 2025)
-
DPotential for more than minimal harm, isolated
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Dec 10, 2025)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Dec 10, 2025)
-
DPotential for more than minimal harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Dec 10, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Dec 10, 2025)
-
KImmediate jeopardy, pattern
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Quality of Life and Care · Deficient, Provider has date of correction (Nov 18, 2024)
-
FPotential for more than minimal harm, widespread
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Nov 18, 2024)
Showing the 30 most recent of 105.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Sep 23, 2024 | Fine | $100,523 |
| Sep 23, 2024 | Payment Denial | 20 days |
| Jun 18, 2024 | Fine | $53,073 |
Maryland homes averaged 0.6 fines and $21,934 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Maryland
- Size98 of 220 by certified beds
- Maryland average residents per day105.7
- ChainLifeworks Rehab
- Chain average overall rating2.1 of 5
- Resident or family councilResident
- Homes in Silver Spring12
- Homes in Montgomery County34
Common questions
What is the CMS star rating for Layhill Nursing and Rehabilitation Center?
Layhill Nursing and Rehabilitation Center has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 2 and quality measures is 4.
How many beds does Layhill Nursing and Rehabilitation Center have?
Layhill Nursing and Rehabilitation Center has 129 certified beds. It averages 132.8 residents per day, about 102.9% of its certified beds.
How much nursing care do residents get at Layhill Nursing and Rehabilitation Center?
The home reports 3.46 hours of nurse staffing per resident per day, including 0.72 hours from registered nurses. The Maryland average is 3.87 hours and 0.84 hours from registered nurses.
Has Layhill Nursing and Rehabilitation Center been fined?
Yes. CMS lists 2 fines totaling $153,596 in the past three years. It also lists 1 payment denial.
Does Layhill Nursing and Rehabilitation Center accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 5 of 5 Bedford Court Healthcare Cent. 60beds 71.0%in use 5.06nurse hours a day
- 5 of 5 Complete Care at Wheaton 116beds 95.6%in use 3.38nurse hours a day
- 4 of 5 Montcare at Wheaton 94beds 94.9%in use 3.82nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Montgomery County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 215168. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.