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Nursing Home

Layhill Nursing & Rehabilitation Center

Nursing Home

Layhill Nursing & Rehabilitation Center

3227 Bel Pre Rd, Silver Spring, MD 20906 View map
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. 

(301) 871-2000

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
1/5
Maryland average: 3.0/5
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
1/5
Maryland average: 2.8/5
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
2/5
Maryland average: 3.0/5
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
3/5
Maryland average: 3.7/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
2h 56m per day

This home provides 22% less nursing time per resident than the Maryland average.

Maryland average: 3h 46m per day

Staffing hours breakdown

Info Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Staff type Facility State avg National avg
Registered Nurse (RN) Info Registered nurse hours per resident per day. 42m per day 50m per day 41m per day
Nurse Aide Info Nurse aide hours per resident per day. 1h 55m per day 2h 10m per day 2h 21m per day
Total Nursing (Weekend) Info Total number of nurse staff hours per resident per day on weekends. 2h 58m per day 3h 29m per day 3h 26m per day
Physical Therapist Info Physical therapist staff hours per resident per day. 9m per day 5m per day 4m per day
RN (Weekend) Info Registered nurse hours per resident per day on weekends. 29m per day 37m per day 29m per day

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 128

This home is often near full

That suggests steady demand, but availability may be limited.

Higher demand than most homes in Maryland
Occupancy rate 99.3%
Residents per day (avg) 127
Occupancy rate
99.3%
Residents per day (avg)
127

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Breakdown by payment type

Medicare

46% of new residents, usually for short-term rehab.

Typical stay 1 months

Private pay

49% of new residents, often for short stays.

Typical stay 20 days

Medicaid

4% of new residents, often for long-term daily care.

Typical stay 3 years

Finances and operations

Privately-owned community
Operated by a business corporation.
Home revenue
$27.5M
Profit
$2.2M
Privately-owned community Operated by a business corporation.
Home revenue
$27,457,236.00
Profit
$2,204,803.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$7.7M
28.1% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$17.5M
Total costs $25.3M

Types of Care at Layhill Nursing & Rehabilitation Center

Skilled Nursing
Contact Layhill Nursing & Rehabilitation Center

Health Inspection History

Inspections
Total health inspections 5

Maryland average 3.9


Last Health inspection on Oct 2025

Total health citations 104

Maryland average 49.9

Citations per inspection
20.8

Maryland average 12.81


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

61 of 104 citations resulted from standard inspections; 35 of 104 resulted from complaint investigations; and 8 of 104 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 1
100% worse than Maryland average

Maryland average: 0.5


Serious Health citations More info 2
233% worse than Maryland average

Maryland average: 0.6

1 critical citation More info Maryland average: 0.5

2 serious citations More info Maryland average: 0.6

98 moderate citations More info Maryland average: 47.2

3 minor citations More info Maryland average: 1.7
Citations history (last 3 years)
Abuse/Neglect moderate citation Info Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment. Oct 09, 2025
Corrected

Nursing Services moderate citation Info Issues related to the availability and quality of nursing staff and the care they provide. Oct 09, 2025
Corrected

Pharmacy moderate citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. Oct 09, 2025
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Oct 09, 2025
Corrected

Compare Nursing Homes around Silver Spring The information below is reported by the Maryland Department of Health, Office of Health Care Quality.

5 facilities compared · CMS & MD Dept. of Health data · Updated Mar 2026

Althea Woodland Nursing Home
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Silver Spring
50
91.7%
+11%
3.79
-29%
0%
0
29
0
43
12
Meyer, Toni
$7,6M
$2,3M
29.7%
215228
Autumn Lake Healthcare at Silver Spring
HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Silver Spring
148
93.4%
+13%
3.51
0%
-7%
0
35
0
135
16
2501 Musgrove Road Holdco Llc
$11,7M
$0,8M
6.8%
215224
Autumn Lake Healthcare at Arcola
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Silver Spring
151
87.9%
+7%
3.57
-15%
-5%
0
53
3
140
44
901 Arcola Avenue Opco Llc
$19,6M
$1,3M
6.8%
215014
Autumn Lake Healthcare at Oakview
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Silver Spring (Wheaton)
138
84.2%
+2%
3.74
-53%
-1%
0
60
0
123
29
Oakview Holdco Llc
$17,2M
$1,9M
11.3%
215338
Layhill Nursing & Rehabilitation Center
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Silver Spring
128
99.3%
+21%
2.94
+33%
-22%
2
104
3
127
8
-
$27,3M
$7,7M
28.3%
215168

Layhill Nursing & Rehabilitation Center Reviews

Share your thoughts and experiences about Layhill Nursing & Rehabilitation Center. Let’s celebrate the stories that make a difference!
Reviewer avatar
Cecil Murray
No way to Layhill, was there for physical therapy and promise to be long care, physical therapy department is a joke everyone rides this cycle bike regardless of disability and sets you for 15 minutes, this gives the staff time to talk amongst there self's and not watching you or coaching you and then you will stretch a little or walk around the gym and then back to bed, the food you do not pick you get what they serve and it's soft and ice cold with a small glass of powered drink with a fruit cup, breakfast is very small with egg no meat with toast no butter or jam, bad coffee with 1 creamer and 1 sugar and water down oatmeal, nurses a couple are very nice and works hard but most of them useless, don't care about you or your needs your get part of your medicine and don't ask for anything because you won't get it, activities only a few times a day lasting about a hour ,if you get a private room then your lucky there large and kept clean, bathrooms are nice, but if you have a roomy then it's tight any very well could smell, some of the patients are load and you will have to live with it because of there mental state, sometimes staff will roll out patients in the hallway that have dementia and other aliments for show case, the bosses will stay in the office in till 4pm. And the door is locked, your concerns and complaints go unanswered, Layhill promise me long term and I went through all this trouble of getting the paperwork to apply but because of my to many complaints they told me that they no longer had any long term beds and transfer me to a smaller dirtier Rehabilitation Center, this place could run well with the right people but they decide not to, so they get reviews like this one and I'm really going to miss some of the people that helped me and that I made friends with but for the other ones God is watching.What do you like most about living here? Answer: Not a thing Are there enough caregivers to handle the residents' needs, especially during emergencies? Answer: No Are the common areas pleasant and comfortable for socializing or relaxing? Answer: No How would you rate the quality and variety of the meals? (1-5) Answer: 1 Are special diets handled well? Answer: Yes Is the dining schedule flexible enough to meet your preferences? Answer: No How do you feel about the level of social interaction available with other residents? Answer: Most patients can't really have a conversation with you and always asking for a hand out How was the units offered in this community? Answer: Private Rooms excellent ,but share rooms plentiful but not nice. Do you feel safe living in this community? Answer: No How well do you think the community handles emergencies or unexpected events? Answer: Not at all well if you need to call 911 to go to the ER nurse will refuse to call so have a working phone. Are there any hidden fees or unexpected charges? Answer: If you want a treat the snack store charges a $1.00 a piece for a small little Debbie cupcake or the same for a can of off brand soda. Would you recommend this community to others looking for senior living options? Answer: I would not recommend this community to anyone Is there anything you wish you knew before moving in? Answer: I wish I knew the little PT that you get, small portions of food and the control they have over you.

Places of interest near Layhill Nursing & Rehabilitation Center

Address 8.6 miles from city center — 7.09 miles to nearest hospital (Suburban Hospital)

Address 3227 Bel Pre Rd, Silver Spring, MD 20906

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 142
Employees 142
Contractors 0
Staff to resident ratio 1.12:1
38% worse than Maryland average

Maryland average ratio: 1.81:1

Avg staff/day 66
Average shift 8.5 hours
6% better than Maryland average

Maryland average: 8 hours

Total staff hours (quarter) 50,791
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 25
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 24
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.4 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 45
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.8 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

0%

0 contractor hours this quarter

No contractor roles were reported this quarter.

Staff by category
Certified Nursing Assistant4504520,80191100%8.8
Licensed Practical Nurse240248,02591100%9.4
Registered Nurse250256,78291100%8
Clinical Nurse Specialist7072,2567279%8
Respiratory Therapy Technician100102,0838088%6.6
Physical Therapy Assistant7071,8238492%7.9
Speech Language Pathologist4041,7028088%8.2
RN Director of Nursing4041,2368088%8.6
Other Dietary Services Staff2021,0129099%8.1
Medication Aide/Technician2029637481%9.6
Physical Therapy Aide4049367582%7.8
Qualified Social Worker3037606976%6.5
Nurse Practitioner1015046369%8
Dietitian1015046369%8
Dental Services Staff1014956066%8.2
Mental Health Service Worker1014725965%8
Administrator1014405560%8
45 Certified Nursing Assistant
% of Days 100%
24 Licensed Practical Nurse
% of Days 100%
25 Registered Nurse
% of Days 100%
7 Clinical Nurse Specialist
% of Days 79%
10 Respiratory Therapy Technician
% of Days 88%
7 Physical Therapy Assistant
% of Days 92%
4 Speech Language Pathologist
% of Days 88%
4 RN Director of Nursing
% of Days 88%
2 Other Dietary Services Staff
% of Days 99%
2 Medication Aide/Technician
% of Days 81%
4 Physical Therapy Aide
% of Days 82%
3 Qualified Social Worker
% of Days 76%
1 Nurse Practitioner
% of Days 69%
1 Dietitian
% of Days 69%
1 Dental Services Staff
% of Days 66%
1 Mental Health Service Worker
% of Days 65%
1 Administrator
% of Days 60%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
127 residents
Residents by payment source
Medicare
26 residents (20.5%)
Medicaid
78 residents (61.4%)
Private pay or other
23 residents (18.1%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 7.4
43% better than Maryland average

Maryland average: 12.9

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 15.8
38% better than Maryland average

Maryland average: 25.7

Long-stay resident measures
Significantly above average Maryland avg: 3.8 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 9.2%
61% better than Maryland average

Maryland average: 23.7%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 13.6%
51% better than Maryland average

Maryland average: 27.7%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 24.7%
5% better than Maryland average

Maryland average: 25.9%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 0.8%
64% better than Maryland average

Maryland average: 2.3%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 10.7%
64% worse than Maryland average

Maryland average: 6.5%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.1%
30% better than Maryland average

Maryland average: 1.6%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 3.0%
49% better than Maryland average

Maryland average: 5.8%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 56.3%
179% worse than Maryland average

Maryland average: 20.2%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 15.3%
18% worse than Maryland average

Maryland average: 12.9%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.7%
8% better than Maryland average

Maryland average: 92.0%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 85.9%
11% worse than Maryland average

Maryland average: 96.6%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.49
13% worse than Maryland average

Maryland average: 1.32

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.61
33% worse than Maryland average

Maryland average: 1.21

Short-stay resident measures
Below average Maryland avg: 3.7 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 94.4%
20% better than Maryland average

Maryland average: 78.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.2%
13% better than Maryland average

Maryland average: 1.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 94.8%
18% better than Maryland average

Maryland average: 80.6%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 22.1%
In line with Maryland average

Maryland average: 21.2%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 10.6%
7% worse than Maryland average

Maryland average: 9.9%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than Maryland average

Maryland average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 52.4%
In line with Maryland average

Maryland average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 48.8%
In line with Maryland average

Maryland average: 50.6%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $154K
150% higher than Maryland average

Maryland average: $61K

Number of fines 2
34% more fines than Maryland average

Maryland average: 1.5

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 1
650% more payment denials than Maryland average

Maryland average: 0.1

Fines amount comparison
Fines amount comparison
This facility $154K
Maryland average $61K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Sep 23, 2024
$101K
Payment Denial Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. Sep 23, 2024
20 days
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jun 18, 2024
$53K

Last updated: Jan 2026

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Community Options Waiver

Maryland Medicaid Community Options Waiver

Age 65+ or disabled, Maryland resident, Medicaid- eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple) (excludes home, car).

High urban demand; rural outreach efforts.

Senior Care Program

Maryland Senior Care

Age 65+, Maryland resident, at risk of nursing home placement.

~$2,000/month (individual, varies by county).

$11,000 (individual).

Limited funding; waitlists common in high-demand areas.

Maryland Nursing Home Medicaid

Maryland Medical Assistance (Medicaid) Nursing Home Program

Age 65+, Maryland resident, Medicaid-eligible, requires nursing home-level care.

$943/month (individual); most income applied to care costs.

$2,500 (individual), $3,000 (couple); spousal protections up to $155,356.

Home equity limit $636,000; estate recovery applies post-55.

Senior Assisted Living Subsidy Program

Maryland Senior Assisted Living Group Home Subsidy

Age 62+, Maryland resident, in or moving to approved assisted living, low/moderate income.

~$34,000/year (individual, varies by county).

Not strict; prioritizes low-income.

Not available statewide; facility must be licensed by MDH.

Veterans Aid and Attendance (A&A) Benefit

Maryland VA Aid and Attendance

Wartime veteran/spouse, age 65+ or disabled, needs ADL help, Maryland resident.

Net income minus medical expenses < $1,984/month (individual with A&A).

$155,356 (net worth limit).

High veteran population in suburban/rural areas.

Senior Prescription Drug Assistance Program (SPDAP)

Maryland Senior Prescription Drug Assistance Program

Age 65+, Maryland resident (6+ months), Medicare Part D enrolled.

$48,560/year (individual, 300% FPL).

None specified.

Supplements Medicare Part D; annual enrollment required.

Medicare Savings Programs (MSP)

Maryland Medicare Savings Programs

Age 65+, Maryland resident, Medicare Part A/B enrollee.

$2,014/month (QMB), $2,706/month (SLMB/QI, individual).

$9,090 (individual), $13,630 (couple).

Includes QMB, SLMB, QI categories.

Community Personal Assistance Services (CPAS)

Maryland Medicaid Community Personal Assistance Services

Age 65+, Maryland resident, Medicaid-eligible, needs ADL assistance.

$943/month (individual); spend-down available.

$2,500 (individual), $3,000 (couple).

Consumer-directed option allows hiring family caregivers.