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HomeMarylandLayhill Nursing and Rehabilitation Center

Layhill Nursing and Rehabilitation Center

3227 Bel Pre Road, Silver Spring, MD 209063018712000WebsiteGoogle Maps
4.2on Google(403 reviews)
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
1/5
Staffing
2/5
Quality
4/5
Beds
129
certified
2 fine(s) totaling $153,596

How Layhill Nursing and Rehabilitation Center Compares in Maryland

Facility results compared with averages for CMS-certified nursing homes in Maryland. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
1/5
MD average
3.1/5
Below state average
Health inspection rating
1/5
MD average
2.8/5
Below state average
Staffing rating
2/5
MD average
3.2/5
Below state average
Nursing hours per resident
3.46 hrs/day
MD average
3.88 hrs/day
Below state average
RN hours per resident
0.72 hrs/day
MD average
0.85 hrs/day
Below state average
Staff turnover
38.1%
MD average
40.2%
Close to state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 1/5 overall CMS rating is below the Maryland average of 3.1/5.
Its 1/5 health inspection rating is below the Maryland average of 2.8/5.
Reported nursing time is 3.46 hours per resident per day, below the state average of 3.88.
Reported RN time is 0.72 hours per resident per day, below the state average of 0.85.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
70
deficiency citations
Inspected Sep 23, 2024
Most recent cycle
26
deficiency citations
Inspected Feb 18, 2026
The most recent cycle recorded 44 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$11,019/mo
Maryland median
Private Room
$12,419/mo
Maryland median
Montgomery County 65+
170,697
16.2% of county
County Population
1,056,910
Montgomery County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

Layhill Nursing and Rehabilitation Center is a 1-star Medicare and Medicaid certified nursing home in Silver Spring, Maryland with 129 certified beds. It has been operating since 1987. Its overall CMS rating is 1 out of 5.

Beds
129
Avg Residents/Day
132.8
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Nov 2, 1987
Sprinklers
Yes
Council
Resident
County
Montgomery
Last Inspection
Feb 18, 2026
Deficiencies (Cycle 1)
26
Weighted Score
309.5
Infection Citations
0

Deficiency Citations (103)

F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Feb 18, 2026Corrected: NoCycle: 1
F0567Potential for Harm

Honor the resident's right to manage his or her financial affairs.

Survey: Feb 18, 2026Corrected: NoCycle: 1
F0604Potential for Harm

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Survey: Feb 18, 2026Corrected: NoCycle: 1
F0917Potential for Harm

Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.

Survey: Feb 18, 2026Corrected: NoCycle: 1
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Feb 18, 2026Corrected: NoCycle: 1
F0584Potential for Harm

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.

Survey: Feb 18, 2026Corrected: NoCycle: 1
F0628Potential for Harm

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Survey: Feb 18, 2026Corrected: NoCycle: 1
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Feb 18, 2026Corrected: NoCycle: 1
F0657Potential 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.

Survey: Feb 18, 2026Corrected: NoCycle: 1
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Feb 18, 2026Corrected: NoCycle: 1
F0756Potential for Harm

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Survey: Feb 18, 2026Corrected: NoCycle: 1
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Feb 18, 2026Corrected: NoCycle: 1
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Feb 18, 2026Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Feb 18, 2026Corrected: NoCycle: 1
F0921Potential for Harm

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Survey: Feb 18, 2026Corrected: NoCycle: 1
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Oct 9, 2025Corrected: NoCycle: 1
F0711Potential for Harm

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Survey: Oct 9, 2025Corrected: NoCycle: 1
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Oct 9, 2025Corrected: NoCycle: 1
F0552Potential for Harm

Ensure that residents are fully informed and understand their health status, care and treatments.

Survey: Oct 9, 2025Corrected: NoCycle: 1
F0568Potential for Harm

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Survey: Oct 9, 2025Corrected: NoCycle: 1
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Oct 9, 2025Corrected: NoCycle: 1
F0628Potential for Harm

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Survey: Oct 9, 2025Corrected: NoCycle: 1
F0657Potential 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.

Survey: Oct 9, 2025Corrected: NoCycle: 1
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Oct 9, 2025Corrected: NoCycle: 1
F0686Potential for Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Oct 9, 2025Corrected: NoCycle: 1
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Oct 9, 2025Corrected: NoCycle: 1
F0678Immediate Jeopardy

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Survey: Sep 23, 2024Corrected: NoCycle: 2
F0657Potential 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.

Survey: Sep 23, 2024Corrected: NoCycle: 2
F0732Potential for Harm

Post nurse staffing information every day.

Survey: Sep 23, 2024Corrected: NoCycle: 2
F0865Potential for Harm

Have a plan that describes the process for conducting QAPI and QAA activities.

Survey: Sep 23, 2024Corrected: NoCycle: 2

+ 73 more deficiencies

Total Fines
$153,596
Number of Fines
2
Payment Denials
1
Total Penalties
3

Penalty History

FineJun 18, 2024
$53,073
FineSep 23, 2024
$100,523
Payment DenialSep 23, 2024
20 days denied

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.84 hrs
National avg: 2.32 hrs
LPN0.90 hrs
National avg: 0.86 hrs
RN0.72 hrs
National avg: 0.69 hrs
Total Nursing3.46 hrs
National avg: 3.86 hrs
Weekend Total2.91 hrs
National avg: 0.00 hrs
Physical Therapist0.15 hrs
National avg: 0.07 hrs
Total Turnover
38.1%
RN Turnover
44.4%
Administrators Left
2

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (5)

NameRoleTypeOwnership %Since
THUNDER HEALTH HOLDCO LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Jul 1, 2018
RMA EQUITY LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization10%Jul 13, 2023
BIRNBAUM, ISRAEL5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividual37%May 1, 2021
KOHN, AVROHOM5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividual11%May 1, 2021
BIRNBAUM, ISRAELW-2 MANAGING EMPLOYEEIndividualN/AAug 1, 2018

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Layhill Nursing and Rehabilitation Center and nearby alternatives.

All Maryland facilities
Layhill Nursing and Rehabilitation Center
Silver Spring, MDCurrent facility
CMS
1/5
Health
1/5
Staffing
2/5
Recorded fines: $153,596
Bedford Court Healthcare Cent.
Silver Spring, MD1.1 mi
CMS
5/5
Health
4/5
Staffing
4/5
Recorded fines: None
Complete Care at Wheaton
Wheaton, MD2.5 mi
CMS
4/5
Health
3/5
Staffing
3/5
Recorded fines: None
Montcare at Wheaton
Wheaton, MD2.9 mi
CMS
3/5
Health
2/5
Staffing
3/5
Recorded fines: None
Harmony Suites Rehabilitation and Wellness Center
Silver Spring, MD3.4 mi
CMS
2/5
Health
1/5
Staffing
3/5
Recorded fines: $61,269
Friends Nursing Home
Sandy Spring, MD3.8 mi
CMS
5/5
Health
4/5
Staffing
5/5
Recorded fines: $22,965
Turtle Creek Rehabilitation and Wellness Center
Kensington, MD4.0 mi
CMS
2/5
Health
1/5
Staffing
4/5
Recorded fines: $80,425
FacilityDistanceCMSHealthStaffingRecorded fines
Layhill Nursing and Rehabilitation Center
Silver Spring, MD · Current facility
—1/51/52/5$153,596
Bedford Court Healthcare Cent.
Silver Spring, MD
1.1 mi5/54/54/5None recorded
Complete Care at Wheaton
Wheaton, MD
2.5 mi4/53/53/5None recorded
Montcare at Wheaton
Wheaton, MD
2.9 mi3/52/53/5None recorded
Harmony Suites Rehabilitation and Wellness Center
Silver Spring, MD
3.4 mi2/51/53/5$61,269
Friends Nursing Home
Sandy Spring, MD
3.8 mi5/54/55/5$22,965
Turtle Creek Rehabilitation and Wellness Center
Kensington, MD
4.0 mi2/51/54/5$80,425

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for Layhill Nursing and Rehabilitation Center?▾
Layhill Nursing and Rehabilitation Center has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 2/5, and quality measures rating of 4/5. This facility is rated below average.
How much does Layhill Nursing and Rehabilitation Center cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Maryland is $11,019/month for a semi-private room and $12,419/month for a private room (Genworth/CareScout 2024). Layhill Nursing and Rehabilitation Center participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Layhill Nursing and Rehabilitation Center had any health inspection violations?▾
Layhill Nursing and Rehabilitation Center had 26 deficiency citations in its most recent health inspection (Feb 18, 2026). The current CMS dataset records 2 fine(s) totaling $153,596.
What are the staffing levels at Layhill Nursing and Rehabilitation Center?▾
Layhill Nursing and Rehabilitation Center provides 3.46 total nursing staff hours per resident per day, including 0.72 RN hours, 0.90 LPN hours, and 1.84 nurse aide hours. The total staff turnover rate is 38.1%.
How many beds does Layhill Nursing and Rehabilitation Center have?▾
Layhill Nursing and Rehabilitation Center has 129 certified beds with an average of 132.8 residents per day, resulting in approximately 103% occupancy. The facility is For profit - Limited Liability company owned and is part of the Lifeworks Rehab chain.
Are there other nursing homes near Layhill Nursing and Rehabilitation Center?▾
Yes. This page lists 6 nearby nursing homes in Maryland, including 2 in Silver Spring. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Layhill Nursing and Rehabilitation Center?▾
On Google Maps, Layhill Nursing and Rehabilitation Center has a rating of 4.2 out of 5 based on 403 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 1/5.

Part of Lifeworks Rehab

This chain operates 69 facilities. View all →