Layhill Nursing and Rehabilitation Center

Nursing home in Silver Spring, MD

Medicare & Medicaid certified1★ overall (CMS)

Call (301) 871-2000 Send a message Map ↗

Public-record details

Address: 3227 Bel Pre Road, Silver Spring, MD 20906
Phone: (301) 871-2000
Listed under: For-profit
Medicare CCN: 215168
Overall star rating: 1 of 5 ★☆☆☆☆
Health inspection rating: 1 of 5
Staffing rating: 2 of 5
Quality measures rating: 4 of 5
Certified beds: 129
Average residents per day: 133
Ownership: For-profit, limited Liability company
Legal business name: Layhill SNF LLC
Chain: Lifeworks Rehab (64 facilities)
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Nov 2, 1987
Changed ownership in last 12 months: No
Continuing care retirement community: No
Located inside a hospital: No
Resident or family council: Resident council
Sprinklers in all required areas: Yes

CMS certification number 215168. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Feb 18, 2026. CMS lists 103 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 27, 2019 to Feb 18, 2026): 44 from complaint inspections, 3 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

Inspection	Citation	Severity
Feb 18, 2026	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights	D Potential for more than minimal harm, isolated
Feb 18, 2026	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	D Potential for more than minimal harm, isolated
Feb 18, 2026	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights · complaint inspection	D Potential for more than minimal harm, isolated
Feb 18, 2026	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	D Potential for more than minimal harm, isolated
Feb 18, 2026	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	D Potential for more than minimal harm, isolated
Feb 18, 2026	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated
Feb 18, 2026	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	D Potential for more than minimal harm, isolated
Feb 18, 2026	Ensure medication error rates are not 5 percent or greater. Pharmacy Service	D Potential for more than minimal harm, isolated
Feb 18, 2026	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	D Potential for more than minimal harm, isolated
Feb 18, 2026	Provide and implement an infection prevention and control program. Infection Control	D Potential for more than minimal harm, isolated
Feb 18, 2026	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental	D Potential for more than minimal harm, isolated
Feb 18, 2026	Honor the resident's right to manage his or her financial affairs. Resident Rights	E Potential for more than minimal harm, pattern

Showing the 12 most recent of 103. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $153,596 and 1 denial of Medicare payment for new admissions in the last three years.

Sep 23, 2024	Fine: $100,523
Sep 23, 2024	Payment denial for 20 days from Jan 1, 2025
Jun 18, 2024	Fine: $53,073

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day: 3.46 hours
Registered nurse (RN) time per resident per day: 0.72 hours
Nurse aide time per resident per day: 1.84 hours
Total nurse staffing on weekends: 2.91 hours
Nursing staff turnover (yearly): 38%
RN turnover (yearly): 44%
Administrators who left in the past year: 2

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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