Nursing home
Layhill Nursing and Rehabilitation Center
3227 Bel Pre Road, Silver Spring, MD 20906 · Map
For profit - Limited Liability company · Part of Lifeworks Rehab (59 facilities) · 129 certified beds
Layhill Nursing and Rehabilitation Center is a Medicare-certified nursing home in Silver Spring, Maryland. CMS rates it 1 out of 5 stars overall (2/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.51 hours per resident per day, below the Maryland average of 3.87. Its most recent inspection on Sep 23, 2024 cited 57 deficiencies. Note: it is a CMS Special Focus Facility under enhanced oversight.
- Special Focus Facility candidateCMS lists this facility as a candidate for enhanced oversight.
- 2 fines totaling $153,596In CMS records: 3 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Layhill Nursing and Rehabilitation Center compares
This facility vs. the Maryland and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Maryland avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.51 | 3.87 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.70 | 0.81 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.92 | 2.15 | 2.34 | below avg |
| Nursing staff turnover | 47.6% | 40.6% | 46.4% | above avg |
| Deficiencies cited, last inspection | 57.0 | 18.9 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 2 fines totaling $153,596, 3 total penalties, 1 Medicare payment denial.
What inspectors found at Layhill Nursing and Rehabilitation Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · Feb 18, 2026 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Oct 9, 2025 · Full report (PDF) - Potential for harm
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Nursing and Physician Services Deficiencies · Oct 9, 2025 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Oct 9, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Oct 9, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Oct 9, 2025 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Oct 9, 2025 · Full report (PDF) - Potential for harm
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 Deficiencies · Oct 9, 2025 · Full report (PDF) - Potential for harm
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · Oct 9, 2025 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Oct 9, 2025 · Full report (PDF) - Potential for harm
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Resident Rights Deficiencies · Oct 9, 2025 · Full report (PDF) - Potential for harm
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Oct 9, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 3227 Bel Pre Road
Silver Spring, MD 20906 - CMS certification #
- 215168
- Ownership
- For profit - Limited Liability company
- Certified beds
- 129
- Avg residents/day
- 123.8
- Provider type
- Medicare and Medicaid
- First certified
- 1987-11-02
- Chain
- Lifeworks Rehab (59 facilities)
- Setting
- Urban
Part of Lifeworks Rehab
Lifeworks Rehab operates 59 nursing facilities across the United States. View all Lifeworks Rehab facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Layhill Nursing and Rehabilitation Center using Google Maps.
Other public records
- Website says Works with hospice
- Staff pay 2 federal wage cases with violations found, since 1997
Full public records, with dates and sources
Care and services
From the community’s website
What Layhill Nursing and Rehabilitation Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Jun 1, 2019 to May 15, 2021. Violations found: Overtime. Back wages: $18,204 owed to 75 employees. Employer as DOL recorded it: Layhill Nursing and Rehabilitation Center (Layhill SNF LLC). Case 1937444.
- Findings for Jun 1, 1997 to Jun 25, 1999. Violations found: Overtime. Back wages: $7,417 owed to 33 employees. Civil money penalties assessed: $6,600. DOL marked the employer as a repeat violator. Employer as DOL recorded it: Layhill Center (Genesis Health Ventures). Case 1019802.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Medstar Montgomery Medical Center, Olney. 4.3 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Bedford Court Healthcare Cent., Silver Spring. 1.1 miles away, straight line.
- Nearest home health agency office
- Professional Healthcare Resources Of Maryland, Inc., Kensington. 4.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 0.8 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 20906 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Rock Creek Dialysis, Rockville, 2.6 miles away, straight line (CMS rating 4 of 5 stars)
Davita Wheaton Dialysis Center, Wheaton, 3.5 miles away, straight line (CMS rating 4 of 5 stars)
Bma - Wheaton, Silver Spring, 4.0 miles away, straight line (has a shift starting after 5 pm; CMS rating 4 of 5 stars) - Hospice
- 8 Medicare hospices tell CMS they serve ZIP code 20906.
Jewish Social Service Agency Hospice, office in Rockville, 4.2 miles away, straight line (CMS family survey rating 2 of 5 stars)
Holy Cross Home Care And Hospice, office in Silver Spring, 5.2 miles away, straight line (CMS family survey rating 2 of 5 stars)
Montgomery Hospice & Prince Georges Hospice, office in Rockville, 6.3 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Maryland Medical First Pa, Silver Spring. 2.5 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: very low. By hazard: hurricane relatively low, inland flooding relatively low, wildfire very low, tornado relatively low, heat wave relatively moderate, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Montgomery County Department of Health and Human Services, Licensure and Regulatory Services kitchen inspections | Oct 15, 2026 | No kitchen matched |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Layhill Nursing and Rehabilitation Center a good nursing home?
CMS gives Layhill Nursing and Rehabilitation Center an overall rating of 1 out of 5 stars, including 2/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Layhill Nursing and Rehabilitation Center staffed?
Layhill Nursing and Rehabilitation Center reports 3.51 total nurse hours per resident per day, compared with the Maryland average of 3.87.
Has Layhill Nursing and Rehabilitation Center had inspection problems?
Its most recent CMS inspection cited 57 deficiencies. This facility is on CMS's Special Focus list for enhanced oversight.
How many beds does Layhill Nursing and Rehabilitation Center have?
Layhill Nursing and Rehabilitation Center is certified for 129 beds.