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Nursing home report

LAYHILL NURSING AND REHABILITATION CENTER

SILVER SPRING, MD · Medicare-certified · 129 beds

Needs attention
Special Focus candidateFor-profitChain member
1 of 5 overall

1 of 5 stars overall. This facility is a Special Focus Facility candidate with a special focus flag, very low health inspection and staffing ratings, nurse staffing below the federal benchmark (3.57 vs 4.1 hours per resident per day), and $153,596 in fines over the last 24 months; quality measures are rated 4 of 5 stars.

Facility ratings

Health inspections

Staffing

3.5706 hrs/resident/day

Quality measures

Last inspection: February 18, 2026Penalties, last 24 months: $153,596special focus facility

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5706.

Staffing detail

Registered nurses
0.59
Licensed practical nurses
1.01
Nurse aides
1.97
Weekend nursing
3.05

Hours per resident per day.

Total staff turnover: 42%
Registered nurse turnover: 36%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

16.9%Improving

Residents with a fall causing major injury

1.4%Steady

Residents with pressure ulcers (bedsores)

11.3%Worsening

Residents with a urinary tract infection

0.8%Steady

Residents who lost too much weight

2.3%Improving

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

5.3%Improving

Residents whose ability to walk got worse

3.2%Improving
Show all measures

Long-stay residents on antianxiety or sleep medication

4.3%Steady

Short-stay residents newly given an antipsychotic

0.7%Improving

Residents with a long-term catheter

0.3%Worsening

Residents with new or worsening incontinence

27%Worsening

Residents with depressive symptoms

65.9%Worsening

Long-stay residents given the seasonal flu vaccine

85.8%Steady

Long-stay residents given the pneumonia vaccine

98.9%Worsening

Short-stay residents given the seasonal flu vaccine

94.8%Steady

Short-stay residents given the pneumonia vaccine

92.3%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 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

The nursing home failed to post its nurse staffing information every day, so families could not easily see daily staffing levels. Cited September 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 732 — 42 CFR §483.35(i) — 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

Ownership
For profit - Limited Liability company
Chain
Part of LIFEWORKS REHAB · 66 homes · 2.1 stars avg
Occupancy
125.9 residents on an average day (98% 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.