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Why trust this guide?
Our editorial team analyzed 10 nursing homes in Silver Spring, MD using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in MD
Avg Overall CMS Rating:3.0/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Silver Spring, MD. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average:3.2/ 5
Avg Staffing Rating:3.0/ 5The average Staffing Rating across all CMS-certified nursing homes in Silver Spring, MD. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average:3.4/ 5
Avg Health Insp. Rating:2.6/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Silver Spring, MD. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average:3.0/ 5
Compare Nursing Homes around Silver Spring
Info below is compiled from CMS reports & the MD Dept. of Health (OHCQ), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This TableAL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
CCRC (Continuing Care Retirement Community):
A campus with multiple care levels so residents can age in place without moving.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine score. It is not a government rating. A dash means we do not publish a grade for that facility: either its public record is too thin to be fair, or we hold nothing for it at all.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Maryland average is: 50.3% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
$15.6M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$8.6M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
55%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$10.5M*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$5.1M*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
48.9%*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$8.8M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$2.7M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
30.1%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Rank badges are statewide: each nursing home is ranked against every MD nursing home we track that reports that metric, not just the 10 analyzed for Silver Spring. See how we rank facilities
Bedford Court has been running in Silver Spring, Maryland for 34 years now, and it’s built around a simple idea: one community, several kinds of care. Independent living, assisted living, memory care, hospice, skilled nursing, rehab, it’s all under the same roof at 3701 International Dr.
The place itself has 76 beds spread across studios, one-bedrooms, and two-bedrooms in a mid-rise building, and right now it’s sitting at 77% occupancy, 58 beds filled. The average stay runs about 64 days, and the starting price is $3,893 a month.
Most people land here through Medicare, 90% of new admissions, usually for short-term rehab after something like a surgery or a fall. The typical Medicare stay is 27 days, so this is a community that does a lot of short, focused recovery work, not just long-term placement.
On staffing: residents get 32 minutes of RN time a day, 1 hour and 24 minutes from LPNs, and almost 3 hours from nurse aides, adding up to 4 hours and 48 minutes of total nursing care per resident, per day. That’s on top of rehab services, respite care, and round-the-clock staffing.
Day to day, there’s a spa, a dining room, a restaurant, a courtyard, a garden, a patio, billiards, transportation, and housekeeping. People do fitness classes, social events, resident groups. Walk Score is 66, moderately walkable, so a short list of errands can happen on foot without much fuss.
Put together, the numbers describe a community built for quick turnaround rehab care backed by a fuller continuum underneath it, the kind of place where a short stay and a long-term move both fit the same address.
If you’re looking for a home where you can proudly say that you reside in a top-notch level of care in Silver Spring, then Autumn Lake Healthcare at Arcola is the ideal nursing home to receive good care. It’s composed of a professional care staff who brings not only excellence to the recovery of every senior; residents can truly feel the high-end quality of care in a nurturing environment. Autumn Lake Healthcare at Arcola is the place to rest, recover, and rejuvenate. Expect nothing but quality when it comes to their service: an advanced level of recovery found by the support of a psychiatrist, a wound care specialist, and a physiatrist; stroke recovery, cardio-pulmonary care, joining replacement, and orthopedic care.
Autumn Lake Healthcare at Arcola is an independently owned and operated healthcare center that is licensed to use the Autumn Lake Healthcare name and receive non-healthcare related services. All healthcare-related services are provided solely by Autumn Lake Healthcare at Arcola.
Located on Barker Street in Montgomery County’s urban area, Autumn Lake Healthcare at Oakview is a skilled nursing home dedicated to short-term rehabilitation and ongoing long-term care in Silver Spring, Maryland. Owned by Oakview Holdco LLC, it takes Medicare, Medicaid, and private pay, giving families multiple ways to fund care. The facility serves around 138 residents with a current 84.2 percent occupancy rate.
The home provides 24/7 nursing care averaging 3 hours 44 minutes of nursing support per resident day, delivered by a team of registered nurses, licensed practical nurses, and nurse aides. That level of diligent staffing ensures consistent support all the time. A nurse practitioner works on-site, and the facility brings in consulting specialists: a psychiatrist, a wound care specialist, and a physiatrist (a physician focused on physical medicine and rehabilitation). This clinical depth makes the community well-positioned for occupants convalescing from serious health events or managing complex care needs. Clinically, the home’s programs underscore recovery and restoration. It offers specialized tracks for stroke recovery, cardiopulmonary rehabilitation, joint replacement recovery, and orthopedic care. Physical therapy, speech-language pathology, and respiratory therapy services exist on-site, staffed with licensed therapists and technicians. The facility also delivers palliative care and respite care, broadening its reach to residents and families with different objectives. The typical stay here is about 129 days, reflecting the mix of post-acute rehabilitation residents who remain weeks to a few months and longer-term occupants staying for ongoing nursing care. Private pay residents, about half of new admissions, typically stay around 27 days. Medicare and Medicaid residents represent roughly 29 and 21 percent of admissions apiece, and the home takes three forms of coverage. Daily life is anchored by a dietitian, on-site dental services, mental health services, and a full activities and recreation program. The facility has an active Resident Council and Family Council so that occupants and family members can join discussions about policies, care quality, and community life. The neighborhood around Autumn Lake is somewhat walkable. Some errands and services are then reachable on foot, but most travels need a car. The home sits about 2.3 miles from Silver Spring’s city center in an urban, residential setting convenient to family visitors.
Althea Woodland Nursing Home is a skilled nursing community that has been the center of excellence for nursing homes. They have continuously provided the highest level of support for the speedy recovery of its residents. The results-driven community follows a resident-centered approach to holistic wellness for seniors.
Althea Woodland is the premiere home for skilled nursing and long-term care because of its commitment to maintaining a level of comfort, safety, and security in the community.
Overview of Autumn Lake Healthcare at Silver Spring
Autumn Lake Healthcare at Silver Spring is a nursing home in Silver Spring, MD, offering skilled nursing, palliative care, respite care, and short term rehabilitation. Skilled nursing means licensed nursing care is available on site around the clock, while palliative care centers on comfort and symptom management. The home may be a good fit for a resident who needs short term rehabilitation after a medical event or ongoing skilled nursing care.
Short term rehabilitation includes joint replacement and orthopedic care, stroke recovery, respiratory therapy, IV therapy, wound care, colostomy care, tracheostomy management, and diabetes management. These programs give residents access to care for specific clinical needs during a temporary stay. A secured unit provides supervision in a secured setting for a resident who needs that level of oversight. Respite care offers a short stay when a usual caregiver needs to travel or recover.
The facility has 148 beds. Total nurse staffing is 3 hours and 35 minutes per resident per day, representing the daily nursing time allocated to each resident. Medicare, Medicaid, and private pay are accepted. Medicare is relevant to short term skilled care after a hospital stay, while Medicaid may help cover care for eligible residents whose savings may not cover a long stay.
As its name suggests, Complete Care provides a complete list of comprehensive care that enhances the quality of life for its seniors. The nursing home practices the golden standard of exemplary living– a high-end level of medical attention. It’s been one of the most trusted skilled nursing communities in the city because it has the most comfortable and secure environment and lifestyle for the residents. Complete Care at Springbrook strives to improve the lives of its residents by touching their lives and leading them to an extraordinary experience of senior care.
Complete Care specializes in orthopedic rehabilitation, sub-acute rehabilitation, in-house dialysis, long-term care, and in-house dialysis.
Peacefully set in the tree-lined neighborhood of Silver Spring, MD, Bel Pre Healthcare Center is an outstanding community that offers skilled nursing. Here, residents receive different levels of care, depending on their unique needs. With a kind and highly trained team available around the clock, residents are guaranteed to live their golden years without worries.
Featuring a well-thought-out calendar of fun activities and engaging programs, residents have plenty of things to do for recreation and wellness. Therapy services including occupational and physical therapy, short-term rehabilitation, and long-term care are available to enhance residents’ living conditions. Delightful and healthy meals are served for residents’ nutritional needs and preferences. The community is great for those who need supplementary care to live comfortably in their later years.
Peak Healthcare at Fox Chase is a skilled nursing facility that offers seniors a comfortable and accessible home in Silver Spring, Maryland. The nursing staff at Peak Healthcare at Fox Chase are exceptional, always providing residents with the highest level of care and attention. The facility is kept spotlessly clean, and residents can take comfort in knowing that their well-being is the top priority. It is fully handicap accessible, ensuring that residents with mobility issues have the support they need to get around.
Pets are welcome in this home as well, allowing residents to keep their beloved furry friends close by. With 27 hospitals located within 25 miles of the facility, including Holy Cross Hospital and Adventist Healthcare, residents can access top-notch medical care whenever they need it. In addition to exceptional care, Peak Healthcare at Fox Chase also offers an activity center and housekeeping services, allowing residents to focus solely on their health and well-being.
Overview of Layhill Nursing & Rehabilitation Center
Layhill Nursing and Rehabilitation Center specializes in a range of rehabilitation services. to its residents as they deserve an exceptional level of service. The health staff strives to promote a fast recovery so residents could be back with their families as soon as possible. They boast their comprehensive programs that successfully care for even challenging medical conditions. Layhill strives to enhance the holistic wellness of each resident.
Layhill’s centers of excellence are found in specialty rehabilitation for stroke, brain injury, orthopedic rehab, cardiac care rehab, and multiple sclerosis– to name a few. Other dedicated services provided by the compassionate staff include physical, occupational, and speech therapies; an on-site dietician available for a proper diet necessary for nutrition; and social services available for support and decision-making.
Live a vibrant retirement life with Bedford Court, a blissful senior living community in the serene and beautiful neighborhood of Silver Spring, MD, that strives to provide a welcoming environment filled with warmth and outgoing residents. Here, residents are offered with an active independent living and assisted living lifestyle, as well as skilled nursing and rehabilitation services for those who require assistance in their recovery process. The community provides an array of convenient services, including assistance with daily living activities, medication management, personal care support, and more.
Various conveniences, such as housekeeping, maintenance and concierge services are offered for a maintenance-free living experience. Residents can prepare their own meals or enjoy the community’s restaurant-style dining experience with a great selection of delicately prepared meals served in an elegant dining area. A multitude of hotel-like amenities, such as fitness center, spa, gazebo, activity rooms, a bistro, salon, sun room, and beautiful outdoor spaces are offered to make residents’ living experience more enjoyable.
Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.
How we're paid:If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
Frequently Asked Questions about Nursing Homes in Silver Spring, MD
What's the difference between assisted living and a nursing home in Maryland?
Assisted living in Maryland is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.
Does Maryland Medicaid cover nursing home care?
Yes — Maryland Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.
What is nursing home care?
Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.
How many nursing homes are listed on this page?
This page features 10 nursing homes in Silver Spring, MD. Use the filters and comparison tools above to compare ratings, amenities, and pricing.
How do I choose the right nursing home in Silver Spring, MD?
Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Silver Spring, MD, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.
What should I look for when visiting nursing homes in Silver Spring, MD?
Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.
If you move into a community through us, that community may pay us a referral fee. This never changes your cost or which options we recommend. Learn more
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