Layhill Nursing and Rehabilitation Center
3227 Bel Pre Road · Silver Spring, MD · 20906 · 3018712000
129 certified beds For profit - Limited Liability company Chain: Lifeworks Rehab
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $100,523 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$100,523 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.57 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.59 | 0.55–0.75 |
| Weekend hours / resident-day | 3.05 | ≈ weekday level |
| Nursing turnover / year | 42% | median 45% |
| Fines (3-yr window) | 2 · $153,596 |
Inspection citations (103 in the current record)
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Potential for harm · D February 18, 2026 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected April 3, 2026 · Resident Rights
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Potential for harm · D February 18, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 3, 2026 · Resident Rights
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Potential for harm · E February 18, 2026
Honor the resident's right to manage his or her financial affairs.
Corrected April 3, 2026 · Resident Rights
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Potential for harm · D February 18, 2026
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.
Corrected April 3, 2026 · Resident Rights
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Potential for harm · E February 18, 2026
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected April 3, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 18, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 3, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 18, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 3, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 18, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 3, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 18, 2026
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected April 3, 2026 · Pharmacy Service
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Potential for harm · D February 18, 2026
Ensure medication error rates are not 5 percent or greater.
Corrected April 3, 2026 · Pharmacy Service
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Potential for harm · F February 18, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 3, 2026 · Nutrition and Dietary
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Potential for harm · D February 18, 2026
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 3, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 18, 2026
Provide and implement an infection prevention and control program.
Corrected April 3, 2026 · Infection Control
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Potential for harm · E February 18, 2026
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.
Corrected April 3, 2026 · Environmental
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Potential for harm · D February 18, 2026
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected April 3, 2026 · Environmental
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Potential for harm · D October 9, 2025 · found via complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected December 10, 2025 · Resident Rights
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Potential for harm · D October 9, 2025 · found via complaint
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected December 10, 2025 · Resident Rights
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Potential for harm · D October 9, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 10, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 9, 2025 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected December 10, 2025 · Resident Rights
-
Potential for harm · D October 9, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected December 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · E October 9, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 6, 2025 · Resident Assessment and Care Planning
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Potential for harm · D October 9, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 10, 2025 · Quality of Life and Care
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Potential for harm · D October 9, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected December 10, 2025 · Quality of Life and Care
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Potential for harm · D October 9, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 10, 2025 · Quality of Life and Care
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Potential for harm · E October 9, 2025 · found via complaint
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected December 10, 2025 · Nursing and Physician Services
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 23, 2024 | Fine | $100,523 |
| September 23, 2024 | Payment Denial | 20 days |
| June 18, 2024 | Fine | $53,073 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 215168 · certified since November 2, 1987. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.