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Nursing home report

Layhill Rehab

Registered name: LAYHILL NURSING AND REHABILITATION CENTER

SILVER SPRING, MD · Medicare-certified · 129 beds

Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall

Layhill Rehab in Silver Spring, MD has a 1-star overall rating, with a 1-star health inspection rating and 2-star staffing; reported nurse staffing is 3.46 hours per resident per day, below the 4.1 federal benchmark. It also has $100,523 in fines over the last 24 months and a recent federal penalty, while its quality measures rating is 4 stars.

Facility ratings

Health inspections

Staffing

3.4568 hrs/resident/day

Quality measures

Last inspection: February 18, 2026Penalties, last 24 months: $100,523recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4568.

Staffing detail

Registered nurses
0.72
Licensed practical nurses
0.90
Nurse aides
1.84
Weekend nursing
2.91

Hours per resident per day.

Total staff turnover: 38%
Registered nurse turnover: 44%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

15.9%11%Improving

Residents with a fall causing major injury

1.2%2%Worsening

Residents with pressure ulcers (bedsores)

9.6%9.9%No change

Residents with a urinary tract infection

1.3%0%Improving

Residents who lost too much weight

2.7%2.2%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

7.2%2.5%Improving

Residents whose ability to walk got worse

6.5%0%Improving

Long-stay residents on antianxiety or sleep medication

5.1%4.3%Improving

Short-stay residents newly given an antipsychotic

0.6%0.7%No change

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

35.1%34.2%Improving

Residents with depressive symptoms

64.5%73.3%Worsening

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

85.8%

Long-stay residents given the pneumonia vaccine

100%95.9%Worsening

Short-stay residents given the seasonal flu vaccine

94.8%

Short-stay residents given the pneumonia vaccine

95%88%Worsening

What the inspectors found

The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited September 2024 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: K

The home failed to keep residents’ personal and medical records private and confidential. Cited June 2024 — isolated incident, actual harm.

View the original federal record

F-Tag 583 — 42 CFR §483.10 — S/S: G

The nursing home failed to protect residents from abuse and neglect by others. Cited June 2024 — isolated incident, actual harm.

View the original federal record

F-Tag 600 — 42 CFR §483.12 — S/S: G

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2026 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited September 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: F

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. INSPECTION

    Health inspection found 11 health deficiencies.

    See what inspectors found
  4. PENALTY

    A federal payment denial was recorded.

  5. PENALTY

    A federal fine of $100,523 was recorded.

  6. INSPECTION

    Health inspection found 46 health deficiencies.

    See what inspectors found
  7. PENALTY

    A federal fine of $53,073 was recorded.

Penalties & enforcement

On record with Medicare: 2 fines · $153,596 in total fines · 1 payment denial.

  • Medicare/Medicaid payment denial

    Sep 23, 2024

    20 days
  • Federal fine

    Sep 23, 2024

    $100,523
  • Federal fine

    Jun 18, 2024

    $53,073

Operator & ownership

Recent ownership change · Aug 1, 2018

Now operated by Layhill Snf LLC, previously 3227 Bel Pre Road Operations LLC.

Ownership
For profit - Limited Liability company
Chain
Part of LIFEWORKS REHAB · 69 homes · 2 stars avg
Occupancy
132.8 residents on an average day (103% of 129 beds)
Resident voice
Resident council
Medicare history
Certified for 38 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.