LAYHILL NURSING AND REHABILITATION CENTER

3227 BEL PRE ROAD, SILVER SPRING, MD 20906 · CCN 215168 · 129 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing2 of 5CMS quality4 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

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Serious inspection findings

2024-09-23 — IMMEDIATE JEOPARDY (tag F0678, severity K)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

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

2024-06-18 — ACTUAL HARM (tag F0583, severity G)

Resident Rights Deficiencies · correction not recorded in CMS data

Keep residents' personal and medical records private and confidential.

2024-06-18 — ACTUAL HARM (tag F0600, severity G)

Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Staffing, from payroll records

Nursing hours / resident / day

3.00

state median 3.27

Weekend staffing gap

−13%

fewer nursing hours on weekends · state median −5%

RN hours / resident / day

0.51

registered nurses only

Contract (agency) staff

share of all nursing hours

Nursing staff turnover

38%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

3 enforcement action(s), totaling $153,596 in fines.

Date	Type	Amount
2024-09-23	Fine	$100,523
2024-09-23	Payment Denial	payment denial
2024-06-18	Fine	$53,073

Ownership

Ownership type: For profit - Limited Liability company. Part of the LIFEWORKS REHAB chain.

Other facilities under the same ownership, with their CMS overall ratings:

WILMINGTON NURSING & REHABILITATION CENTER (WILMINGTON, DE) — CMS overallnot rated
PIKE CREEK NURSING & REHABILITATION CENTER (WILMINGTON, DE) — CMS overall2 of 5
WHITE OAK REHABILITATION AND NURSING CENTER (HYATTSVILLE, MD) — CMS overall1 of 5
POTOMAC VALLEY REHABILITATION AND HEALTHCARE (ROCKVILLE, MD) — CMS overall4 of 5
ADELPHI NURSING AND REHABILITATION CENTER (ADELPHI, MD) — CMS overall2 of 5
SHADY GROVE NURSING AND REHABILITATION CENTER (ROCKVILLE, MD) — CMS overall2 of 5
WILLIAMSPORT HEALTH AND REHABILITATION CENTER (WILLIAMSPORT, MD) — CMS overall1 of 5
ELKTON NURSING AND REHABILITATION CENTER (ELKTON, MD) — CMS overall1 of 5

Full citation history

By severity: Actual harm: 2 · Potential for more than minimal harm: 100 · Immediate jeopardy: 1

Survey date	Tag	Category	Severity	Corrected
2026-02-18	F0550	Resident Rights Deficiencies	D	not recorded
2026-02-18	F0567	Resident Rights Deficiencies	E	not recorded
2026-02-18	F0584	Resident Rights Deficiencies	D	not recorded
2026-02-18	F0604	Freedom from Abuse, Neglect, and Exploitation Deficiencies	E	not recorded
2026-02-18	F0628	Resident Rights Deficiencies	D	not recorded
2026-02-18	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-02-18	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-02-18	F0658	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-02-18	F0756	Pharmacy Service Deficiencies	D	not recorded
2026-02-18	F0759	Pharmacy Service Deficiencies	D	not recorded
2026-02-18	F0812	Nutrition and Dietary Deficiencies	F	not recorded
2026-02-18	F0842	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-02-18	F0880	Infection Control Deficiencies	D	not recorded
2026-02-18	F0917	Environmental Deficiencies	E	not recorded
2026-02-18	F0921	Environmental Deficiencies	D	not recorded
2025-10-09	F0552	Resident Rights Deficiencies	D	not recorded
2025-10-09	F0568	Resident Rights Deficiencies	D	not recorded
2025-10-09	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2025-10-09	F0628	Resident Rights Deficiencies	D	not recorded
2025-10-09	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-10-09	F0658	Resident Assessment and Care Planning Deficiencies	E	not recorded
2025-10-09	F0684	Quality of Life and Care Deficiencies	D	not recorded
2025-10-09	F0686	Quality of Life and Care Deficiencies	D	not recorded
2025-10-09	F0689	Quality of Life and Care Deficiencies	D	not recorded
2025-10-09	F0711	Nursing and Physician Services Deficiencies	E	not recorded
2025-10-09	F0755	Pharmacy Service Deficiencies	E	not recorded
2024-09-23	F0552	Resident Rights Deficiencies	D	not recorded
2024-09-23	F0557	Resident Rights Deficiencies	D	not recorded
2024-09-23	F0561	Resident Rights Deficiencies	E	not recorded
2024-09-23	F0578	Resident Rights Deficiencies	D	not recorded
2024-09-23	F0580	Resident Rights Deficiencies	D	not recorded
2024-09-23	F0584	Resident Rights Deficiencies	E	not recorded
2024-09-23	F0605	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2024-09-23	F0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2024-09-23	F0622	Resident Rights Deficiencies	D	not recorded
2024-09-23	F0623	Resident Rights Deficiencies	D	not recorded
2024-09-23	F0625	Resident Rights Deficiencies	D	not recorded
2024-09-23	F0641	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-09-23	F0645	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-09-23	F0655	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-09-23	F0656	Resident Assessment and Care Planning Deficiencies	E	not recorded
2024-09-23	F0657	Resident Assessment and Care Planning Deficiencies	F	not recorded
2024-09-23	F0658	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-09-23	F0676	Quality of Life and Care Deficiencies	D	not recorded
2024-09-23	F0677	Quality of Life and Care Deficiencies	D	not recorded
2024-09-23	F0678	Quality of Life and Care Deficiencies	K	not recorded
2024-09-23	F0679	Quality of Life and Care Deficiencies	E	not recorded
2024-09-23	F0686	Quality of Life and Care Deficiencies	D	not recorded
2024-09-23	F0688	Quality of Life and Care Deficiencies	D	not recorded
2024-09-23	F0689	Quality of Life and Care Deficiencies	D	not recorded
2024-09-23	F0692	Quality of Life and Care Deficiencies	D	not recorded
2024-09-23	F0693	Quality of Life and Care Deficiencies	D	not recorded
2024-09-23	F0697	Quality of Life and Care Deficiencies	E	not recorded
2024-09-23	F0700	Quality of Life and Care Deficiencies	E	not recorded
2024-09-23	F0732	Nursing and Physician Services Deficiencies	F	not recorded
2024-09-23	F0740	Quality of Life and Care Deficiencies	D	not recorded
2024-09-23	F0756	Pharmacy Service Deficiencies	D	not recorded
2024-09-23	F0757	Pharmacy Service Deficiencies	E	not recorded
2024-09-23	F0758	Pharmacy Service Deficiencies	D	not recorded
2024-09-23	F0759	Pharmacy Service Deficiencies	D	not recorded
2024-09-23	F0800	Nutrition and Dietary Deficiencies	E	not recorded
2024-09-23	F0801	Nutrition and Dietary Deficiencies	D	not recorded
2024-09-23	F0812	Nutrition and Dietary Deficiencies	D	not recorded
2024-09-23	F0842	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-09-23	F0865	Administration Deficiencies	F	not recorded
2024-09-23	F0868	Administration Deficiencies	F	not recorded
2024-09-23	F0880	Infection Control Deficiencies	D	not recorded
2024-09-23	F0908	Environmental Deficiencies	D	not recorded
2024-09-23	F0909	Environmental Deficiencies	E	not recorded
2024-09-23	F0919	Environmental Deficiencies	D	not recorded
2024-09-23	F0921	Environmental Deficiencies	D	not recorded
2024-09-23	F0941	Administration Deficiencies	F	not recorded
2024-06-18	F0550	Resident Rights Deficiencies	D	not recorded
2024-06-18	F0554	Resident Rights Deficiencies	D	not recorded
2024-06-18	F0558	Resident Rights Deficiencies	D	not recorded
2024-06-18	F0578	Resident Rights Deficiencies	D	not recorded
2024-06-18	F0580	Resident Rights Deficiencies	D	not recorded
2024-06-18	F0583	Resident Rights Deficiencies	G	not recorded
2024-06-18	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	G	not recorded
2024-06-18	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	E	not recorded
2024-06-18	F0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	E	not recorded
2024-06-18	F0622	Resident Rights Deficiencies	D	not recorded
2024-06-18	F0641	Resident Assessment and Care Planning Deficiencies	E	not recorded
2024-06-18	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-06-18	F0661	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-06-18	F0684	Quality of Life and Care Deficiencies	E	not recorded
2024-06-18	F0686	Quality of Life and Care Deficiencies	D	not recorded
2024-06-18	F0689	Quality of Life and Care Deficiencies	D	not recorded
2024-06-18	F0692	Quality of Life and Care Deficiencies	D	not recorded
2024-06-18	F0711	Nursing and Physician Services Deficiencies	D	not recorded
2024-06-18	F0726	Nursing and Physician Services Deficiencies	D	not recorded
2024-06-18	F0740	Quality of Life and Care Deficiencies	D	not recorded
2024-06-18	F0760	Pharmacy Service Deficiencies	D	not recorded
2024-06-18	F0790	Quality of Life and Care Deficiencies	D	not recorded
2024-06-18	F0842	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-06-18	F0865	Administration Deficiencies	D	not recorded
2019-09-27	F0550	Resident Rights Deficiencies	D	not recorded
2019-09-27	F0603	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2019-09-27	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2019-09-27	F0656	Resident Assessment and Care Planning Deficiencies	E	not recorded
2019-09-27	F0658	Resident Assessment and Care Planning Deficiencies	D	not recorded
2019-09-27	F0689	Quality of Life and Care Deficiencies	E	not recorded
2019-09-27	F0880	Infection Control Deficiencies	F	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “LAYHILL NURSING AND REHABILITATION CENTER, SILVER SPRING” at medicare.gov/care-compare.