Layhill Nursing and Rehabilitation Center

SILVER SPRING, MD • CMS Certification: 215168

  • Date Updated: May 01, 2026
  • Overall Rating: 1 Stars
  • Address: 3227 BEL PRE ROAD, SILVER SPRING MD 20906
  • Phone: 3018712000
  • Certified Beds: 129
  • Residents: 125.9
  • Occupancy: 97.6%
  • Fines: $153,596.00
  • Website: http://layhillhc.com/

About Layhill Nursing and Rehabilitation Center

Layhill Nursing And Rehabilitation Center, located in SILVER SPRING, MD, is a for-profit organization that accepts Medicare and Medicaid.

Why Families Choose Layhill Nursing and Rehabilitation Center

Key Performance Indicators

  • CMS Overall Rating 1 Stars
  • Nursing Hours 3.57 hrs
  • Safety Record Clean

Chain Affiliations & Network

This facility is part of the LIFEWORKS REHAB network. This chain operates 66 facilities.

Chain Performance Overview

Inspection
2.0
Staffing
1.5
Quality
3.9

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Nursing Staff Analysis

Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).

Below Average Staffing

Layhill Nursing and Rehabilitation Center provides less care hours than the state average and less than the national average.

Registered Nurses (RN)

0.59 hrs/day
State: 0.82 US: 0.68
Case Mix Adj: 0.76
Quality Adj: 0.52

Licensed Practical Nurses

1.60 hrs/day
State: 1.73 US: 1.54
Case Mix Adj: 0.97
Quality Adj: 0.89

Certified Assistants

1.97 hrs/day
State: 2.14 US: 2.33
Case Mix Adj: 2.63
Quality Adj: 1.74

CMS Quality Ratings

Category Rating Stars
Overall Rating 1
Health Inspection 1
Quality Measures 4
Staffing 2

Health Inspection History

Inspection Cycle Score Date
Cycle 1 (Most Recent) 692 Sep 23, 2024
Weighted Average 567 Combined Score
Lower scores are better. Scores are based on health inspections and complaint investigations.

Detailed Quality Measures

Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.

Medicare claims-based measures

Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.

Measure Rate
Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) 23.0%
Percentage of short-stay residents who had an outpatient emergency depar... (QM522) 9.0%
Number of hospitalizations per 1000 long-stay resident days (QM551) 1.5%
Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) 1.4%

MDS-based measures

Resident assessment data; often used for long-stay care quality.

Measure Rate
Percentage of long-stay residents whose need for help with daily activit... (QM401) 5.3%
Percentage of long-stay residents who lose too much weight (QM404) 2.3%
Percentage of long-stay residents with a catheter inserted and left in t... (QM406) 0.3%
Percentage of long-stay residents with a urinary tract infection (QM407) 0.8%
Percentage of long-stay residents who have depressive symptoms (QM408) 65.9%
Percentage of long-stay residents who were physically restrained (QM409) 0.0%
Percentage of long-stay residents experiencing one or more falls with ma... (QM410) 1.4%
Percentage of long-stay residents assessed and appropriately given the p... (QM415) 98.9%
Percentage of short-stay residents assessed and appropriately given the... (QM430) 92.3%
Percentage of short-stay residents who newly received an antipsychotic m... (QM434) 0.7%
Percentage of long-stay residents whose ability to walk independently wo... (QM451) 3.2%
Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) 4.3%
Percentage of long-stay residents assessed and appropriately given the s... (QM454) 85.8%
Percentage of short-stay residents who were assessed and appropriately g... (QM472) 94.8%
Percentage of long-stay residents with pressure ulcers (QM479) 11.3%
Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) 27.0%
Percentage of long-stay residents who received an antipsychotic medicati... (QM481) 16.9%

Complaints & Deficiencies

Complaint History by Year

This chart shows the number of complaints filed each year.

Summary:

  • 2024: 32 complaints
  • 2025: 11 complaints
  • 2026: 1 complaint
  • Total: 44 complaints on record

Recent Complaints (Since Jan 2023)

Date Description
Apr 03, 2026 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Dec 10, 2025 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Dec 10, 2025 Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Dec 10, 2025 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Dec 10, 2025 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Dec 10, 2025 Provide appropriate treatment and care according to orders, resident?s preferences and goals.
Dec 10, 2025 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Dec 10, 2025 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Dec 10, 2025 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Dec 10, 2025 Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Dec 10, 2025 Ensure that residents are fully informed and understand their health status, care and treatments.
Sep 06, 2025 Ensure services provided by the nursing facility meet professional standards of quality.
Nov 18, 2024 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nov 18, 2024 Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Nov 18, 2024 Ensure 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.
Nov 18, 2024 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Nov 18, 2024 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Nov 18, 2024 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Nov 18, 2024 Respond appropriately to all alleged violations.
Nov 18, 2024 Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Jul 26, 2024 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Jul 26, 2024 Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Jul 26, 2024 Respond appropriately to all alleged violations.
Jul 26, 2024 Ensure each resident receives an accurate assessment.
Jul 26, 2024 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Jul 26, 2024 Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Jul 26, 2024 Provide appropriate treatment and care according to orders, resident?s preferences and goals.
Jul 26, 2024 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Jul 26, 2024 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jul 26, 2024 Provide enough food/fluids to maintain a resident's health.
Jul 26, 2024 Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Jul 26, 2024 Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Jul 26, 2024 Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Jul 26, 2024 Ensure that residents are free from significant medication errors.
Jul 26, 2024 Provide routine and 24-hour emergency dental care for each resident.
Jul 26, 2024 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Jul 26, 2024 Have a plan that describes the process for conducting QAPI and QAA activities.
Jul 26, 2024 Keep residents' personal and medical records private and confidential.
Jul 26, 2024 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Jul 26, 2024 Honor 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.
Jul 26, 2024 Reasonably accommodate the needs and preferences of each resident.
Jul 26, 2024 Allow residents to self-administer drugs if determined clinically appropriate.
Jul 26, 2024 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Jul 26, 2024 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Note: Table shows only complaints filed since Jan 1, 2023. See chart for historical trends.

Owner & Operator Information

Business Entity

LAYHILL SNF LLC

Ownership Structure

Management & Direction

Associated Doctors

No associated doctor information available.

Related Analysis

Best Nursing Homes in SILVER SPRING, MD

Compare Layhill Nursing and Rehabilitation Center to the top-rated facilities in the area.

Ownership Details

Complete list of registered owners, including direct and indirect ownership.

Noted Deficiencies

Detailed history of deficiencies with descriptions and correction dates.

Nursing Hours Analysis

Detailed breakdown of staffing hours per resident by role.

Frequently Asked Questions

Layhill Nursing and Rehabilitation Center has a 1-star CMS overall rating out of 5, which indicates care quality that may need improvement. The nursing staff spends 3.57 hours per resident daily, compared to the national average of 3.87 hours.

Layhill Nursing and Rehabilitation Center is certified to accept Medicare and Medicaid and provides comprehensive nursing home services including:
  • Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
  • Long-term Residential Care: Assistance with daily living activities for extended stays
  • Short-term Rehabilitation: Recovery services after hospital stays or surgeries
  • Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
The facility has 129 certified beds.

Layhill Nursing and Rehabilitation Center accepts Medicare and Medicaid, which helps cover costs for eligible residents. Specific pricing varies based on:
  • Level of care needed (skilled nursing vs. long-term care)
  • Room type (private vs. semi-private)
  • Insurance coverage (Medicare, Medicaid, private insurance)
  • Length of stay and specific services required

For current rates and to discuss payment options, contact Layhill Nursing and Rehabilitation Center directly at 3018712000. Their admissions team can help determine coverage and out-of-pocket expenses.

When visiting Layhill Nursing and Rehabilitation Center, pay attention to these important factors:

Environment & Cleanliness

  • Overall cleanliness and odors
  • Resident room conditions
  • Common area maintenance
  • Safety features and accessibility

Staff & Care Quality

  • Staff-to-resident ratios
  • How staff interact with residents
  • Response time to resident needs
  • Staff knowledge and professionalism

Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.

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