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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeMarylandLayhill Nursing and Rehabilitation Center

Layhill Nursing and Rehabilitation Center

3227 Bel Pre Road, Silver Spring, MD 209063018712000
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
2/5
Quality
3/5
Beds
129
certified
Special Focus Facility: SFF Candidate
2 fine(s) totaling $153,596

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 129 certified beds with an average of 123.8 residents per day (96% occupancy)

• Last health inspection found 57 deficiencies (inspected Sep 23, 2024)

• Has been fined a total of $153,596 across 2 fine(s)

• Total nursing staff: 3.51 hours per resident per day

• Staff turnover rate: 47.6%

• Part of the Lifeworks Rehab chain (59 facilities)

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. The facility scored below average compared to Maryland facilities.

Beds
129
Avg Residents/Day
123.8
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
Sep 23, 2024
Deficiencies (Cycle 1)
57
Weighted Score
562.5
Infection Citations
0

Deficiency Citations (104)

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
F0658Potential for Harm

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

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
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: Sep 23, 2024Corrected: NoCycle: 1
F0557Potential for Harm

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Survey: Sep 23, 2024Corrected: NoCycle: 1
F0561Potential for Harm

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Survey: Sep 23, 2024Corrected: NoCycle: 1
F0578Potential for Harm

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.

Survey: Sep 23, 2024Corrected: 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: Sep 23, 2024Corrected: NoCycle: 1
F0605Potential for Harm

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Survey: Sep 23, 2024Corrected: NoCycle: 1
F0623Potential for Harm

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Survey: Sep 23, 2024Corrected: NoCycle: 1
F0625Potential for Harm

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Survey: Sep 23, 2024Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Sep 23, 2024Corrected: NoCycle: 1
F0645Potential for Harm

PASARR screening for Mental disorders or Intellectual Disabilities

Survey: Sep 23, 2024Corrected: NoCycle: 1
F0655Potential for Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey: Sep 23, 2024Corrected: NoCycle: 1
F0658Potential for Harm

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

Survey: Sep 23, 2024Corrected: NoCycle: 1
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Sep 23, 2024Corrected: 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: 1
F0679Potential for Harm

Provide activities to meet all resident's needs.

Survey: Sep 23, 2024Corrected: NoCycle: 1
F0686Potential for Harm

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

Survey: Sep 23, 2024Corrected: NoCycle: 1
F0688Potential for Harm

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Survey: Sep 23, 2024Corrected: NoCycle: 1
F0689Potential for Harm

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

Survey: Sep 23, 2024Corrected: NoCycle: 1
F0692Potential for Harm

Provide enough food/fluids to maintain a resident's health.

Survey: Sep 23, 2024Corrected: NoCycle: 1

+ 74 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 Aide1.92 hrs
National avg: 2.35 hrs
LPN0.89 hrs
National avg: 0.86 hrs
RN0.70 hrs
National avg: 0.68 hrs
Total Nursing3.51 hrs
National avg: 3.89 hrs
Weekend Total2.96 hrs
National avg: 0.00 hrs
Physical Therapist0.15 hrs
National avg: 0.07 hrs
Total Turnover
47.6%
RN Turnover
44.0%
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 (6)

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
NETZER, MICHELE5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividual37%May 1, 2021
BIRNBAUM, ISRAELW-2 MANAGING EMPLOYEEIndividualN/AAug 1, 2018

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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 3/5. This facility is rated below average.
Has Layhill Nursing and Rehabilitation Center had any health inspection violations?▾
Layhill Nursing and Rehabilitation Center had 57 deficiency citations in its most recent health inspection (Sep 23, 2024). The facility has been fined a total of $153,596 across 2 fine(s).
What are the staffing levels at Layhill Nursing and Rehabilitation Center?▾
Layhill Nursing and Rehabilitation Center provides 3.51 total nursing staff hours per resident per day, including 0.70 RN hours, 0.89 LPN hours, and 1.92 nurse aide hours. The total staff turnover rate is 47.6%.
How many beds does Layhill Nursing and Rehabilitation Center have?▾
Layhill Nursing and Rehabilitation Center has 129 certified beds with an average of 123.8 residents per day, resulting in approximately 96% 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, there are 11 other nursing homes in Silver Spring, Maryland with an average rating of 3.1/5. You can compare all facilities on the Silver Spring nursing homes page.

Part of Lifeworks Rehab

This chain operates 59 facilities. View all →