Layhill Nursing & Rehabilitation Center
Nursing Home, Hospice Care, Palliative Care & Skilled Nursing · Silver Spring, MD
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Layhill Nursing & Rehabilitation Center

Nursing Home, Hospice Care, Palliative Care & Skilled Nursing · Silver Spring, MD
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Layhill Nursing & Rehabilitation Center accepts Medicare, Medicaid, and private pay.

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. 

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.
▼ 67.1% Below MD avg. ▼ 67.1% Below MD avg.MD average: 3.0Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▼ 64.5% Below MD avg. ▼ 64.5% Below MD avg.MD average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▼ 34.3% Below MD avg. ▼ 34.3% Below MD avg.MD average: 3.0Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▲ 8.2% Above MD avg. ▲ 8.2% Above MD avg.MD average: 3.7Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day vs Maryland averages

Rank #100 / 120Nurse hours — State benchmarkedThis home is ranked 100th out of 120 homes we track in Maryland for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Maryland average, with a ranking across 120 Maryland facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Maryland that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 100th out of 120 homes we track in Maryland for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.

3h 4m

19% below state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
38m
−24% State avg: 50m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
48m
−12% State avg: 54m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
1h 38m
−24% State avg: 2h 10m per day · National avg: 2h 21m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
2h 35m
−26% State avg: 3h 29m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
9m
+80% State avg: 5m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
23m
−37% State avg: 37m per day · National avg: 29m per day

5 of 6 metrics below state avg

Capacity and availability

Residents per day (avg)
133
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
68 days
Bed community size
129-bed community Rank #65 / 684Bed count — State benchmarkedThis home is ranked 65th out of 684 homes we track in Maryland for bed count. Shows this facility's certified or reported bed count compared to other Maryland facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Maryland that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Walk Score
Walk Score: 8 / 100 Rank #868 / 953Walk Score — State benchmarkedThis home is ranked 868th out of 953 homes we track in Maryland for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Maryland facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Maryland that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.

Contact Layhill Nursing & Rehabilitation Center

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 140
Employees 140
Contractors 0
Staff to resident ratio 1.10 : 1
39% fewer staff per resident than Maryland average
Maryland average ratio: 1.81 : 1 Maryland average ratio: 1.81 : 1See full Maryland ranking
Avg staff/day 70
Average shift 7.8 hours
0% compared with Maryland average
Maryland average: 8 hours Maryland average shift: 8 hoursSee full Maryland ranking
Total staff hours (quarter) 50,238

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 19 RN Staff are full-time employees. No contractors work on this role. 19
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.6 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 22 LPN Staff are full-time employees. No contractors work on this role. 22
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.6 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 51 CNA Staff are full-time employees. No contractors work on this role. 51
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.7 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors 0% — all staff are direct employees this quarter

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant5105121,65392100%7.7
Licensed Practical Nurse2202210,10792100%8.6
Registered Nurse190194,85592100%7.6
Respiratory Therapy Technician9091,6808188%7
Clinical Nurse Specialist5051,5757278%7.4
Speech Language Pathologist4041,5757480%8.3
RN Director of Nursing4041,5738795%8
Physical Therapy Assistant6061,5448390%7.7
Medication Aide/Technician2021,1478795%9.8
Other Dietary Services Staff4041,11292100%6.6
Physical Therapy Aide5059607076%7.6
Dental Services Staff2026026571%7.9
Dietitian1014766470%7.4
Qualified Social Worker3034616773%6.6
Nurse Practitioner1014516166%7.4
Administrator1014085661%7.3
Mental Health Service Worker1016089%7.5
51 Certified Nursing Assistant
% of Days 100%
22 Licensed Practical Nurse
% of Days 100%
19 Registered Nurse
% of Days 100%
9 Respiratory Therapy Technician
% of Days 88%

Penalties and fines

Includes penalties issued in 2024

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 Rank #122 / 123Federal fines — State benchmarkedThis home is ranked 122nd out of 123 homes we track in Maryland for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Maryland average among facilities with fines, and where it ranks among 123 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Maryland that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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.

3 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

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

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: 3.7 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
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%

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

Facility Characteristics

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

Total residents 127
Medicare
26
20.5% of residents
Medicaid
78
61.4% of residents
Private pay or other
23
18.1% of residents
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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$21.6M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$2.0M
For-profit Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$21.6M Rank #30 / 105Net patient revenue — State benchmarkedThis home is ranked 30th out of 105 homes we track in Maryland. Shows this facility's net patient revenue compared to the Maryland average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Maryland that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$2.0M
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$170.1K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #34 / 105Payroll costs — State benchmarkedThis home is ranked 34th out of 105 homes we track in Maryland. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Maryland average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Maryland that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$8.5M 39.3% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #63 / 105Payroll % of net patient revenue — State benchmarkedThis home is ranked 63rd out of 105 homes we track in Maryland. Shows payroll as a percentage of net patient revenue versus the Maryland average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Maryland that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$11.1M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$19.5M

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.

New residents most often arrive under private pay (49% of admissions), and a typical private pay stay runs around 20 days.

Admissions
694 total

Coverage residents most often arrive under.

Medicare 46%
Private pay 49%
Medicaid 4%
Discharges
685 total

Coverage residents most often leave under.

Medicare 38%
Private pay 52%
Medicaid 10%
Reviews (1)

Layhill Nursing & Rehabilitation Center Reviews

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.

Rating Their Experiences

What do you like most about living here?

Not a thing

Are there enough caregivers to handle the residents' needs, especially during emergencies?

No

Are the common areas pleasant and comfortable for socializing or relaxing?

No

How do you feel about the level of social interaction available with other residents?

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?

Private Rooms excellent ,but share rooms plentiful but not nice.

Do you feel safe living in this community?

No

How well do you think the community handles emergencies or unexpected events?

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.

How would you rate the quality and variety of the meals? (1-5)

1

Are special diets handled well?

Yes

Is the dining schedule flexible enough to meet your preferences?

No

Are there any hidden fees or unexpected charges?

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?

I would not recommend this community to anyone

Is there anything you wish you knew before moving in?

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 7.0 miles from city center Info Estimated distance in miles from Silver Spring's city center to Layhill Nursing & Rehabilitation Center's address, calculated via Google Maps. — 7.09 miles to nearest hospital (Suburban Hospital)

Calculate Travel Distance to Layhill Nursing & Rehabilitation Center

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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 to lowest based on our ranking 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 Table AL (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.
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.
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.
Bedford Court, a CCRC
NH
AL
HOS
IL
MC
RC
SNF
Silver Spring
76
Facility 76
MD AVG 42
Rank #173 / 684
--
5.66
Facility 5.66
MD AVG 3.77
Rank #7 / 120
-36%+50%
$0
Facility $0
MD AVG $65.0k
Rank #1 / 123
23
Facility 23
MD AVG 49.9
Rank #17 / 123
7.7
Facility 7.7
MD AVG 12.8
Rank #29 / 123
-43-
64
Facility 64
MD AVG 45
Rank #261 / 953
Welltower Opco Group LLC
$23.1MFiscal year ending 12/2023
Facility $23.1MFiscal year ending 12/2023
MD AVG $18.4M
Rank #22 / 105
$10.0MFiscal year ending 12/2023
Facility $10.0MFiscal year ending 12/2023
MD AVG $8.4M
Rank #26 / 105
43.1%Fiscal year ending 12/2023
Facility 43.1%Fiscal year ending 12/2023
MD AVG 50.3%
Rank #53 / 105
215246
Autumn Lake Healthcare at Arcola
NH
HOS
SNF
Silver Spring
151
Facility 151
MD AVG 42
Rank #41 / 684
94.8%
Facility 94.8%
MD AVG 82.2%
Rank #14 / 91
+15%
3.47
Facility 3.47
MD AVG 3.77
Rank #62 / 120
-55%-8%
$0
Facility $0
MD AVG $65.0k
Rank #1 / 123
53
Facility 53
MD AVG 49.9
Rank #79 / 123
17.7
Facility 17.7
MD AVG 12.8
Rank #100 / 123
3143-
44
Facility 44
MD AVG 45
Rank #488 / 953
901 Arcola Avenue Opco LLC
$18.3MFiscal year ending 12/2023
Facility $18.3MFiscal year ending 12/2023
MD AVG $18.4M
Rank #44 / 105
$1.5MFiscal year ending 12/2023
Facility $1.5MFiscal year ending 12/2023
MD AVG $8.4M
Rank #87 / 105
8.1%Fiscal year ending 12/2023
Facility 8.1%Fiscal year ending 12/2023
MD AVG 50.3%
Rank #90 / 105
215014
Autumn Lake Healthcare at Oakview
NH
PC
RC
SNF
Silver Spring (Wheaton)
138
Facility 138
MD AVG 42
Rank #54 / 684
92.2%
Facility 92.2%
MD AVG 82.2%
Rank #28 / 91
+12%
3.62
Facility 3.62
MD AVG 3.77
Rank #53 / 120
-53%-4%
$0
Facility $0
MD AVG $65.0k
Rank #1 / 123
60
Facility 60
MD AVG 49.9
Rank #90 / 123
20.0
Facility 20.0
MD AVG 12.8
Rank #108 / 123
-127-
29
Facility 29
MD AVG 45
Rank #638 / 953
Oakview Holdco LLC
$16.0MFiscal year ending 12/2023
Facility $16.0MFiscal year ending 12/2023
MD AVG $18.4M
Rank #56 / 105
$2.2MFiscal year ending 12/2023
Facility $2.2MFiscal year ending 12/2023
MD AVG $8.4M
Rank #81 / 105
13.7%Fiscal year ending 12/2023
Facility 13.7%Fiscal year ending 12/2023
MD AVG 50.3%
Rank #82 / 105
215338
Althea Woodland Nursing Home
NH
HOS
MC
RC
SNF
Silver Spring (Montgomery Knolls)
50
Facility 50
MD AVG 42
Rank #212 / 684
97.6%
Facility 97.6%
MD AVG 82.2%
Rank #5 / 91
+19%
3.99
Facility 3.99
MD AVG 3.77
Rank #32 / 120
-3%+6%
$0
Facility $0
MD AVG $65.0k
Rank #1 / 123
29
Facility 29
MD AVG 49.9
Rank #27 / 123
7.3
Facility 7.3
MD AVG 12.8
Rank #23 / 123
-49-
12
Facility 12
MD AVG 45
Rank #802 / 953
Toni Meyer
$6.3MFiscal year ending 12/2023
Facility $6.3MFiscal year ending 12/2023
MD AVG $18.4M
Rank #100 / 105
$2.5MFiscal year ending 12/2023
Facility $2.5MFiscal year ending 12/2023
MD AVG $8.4M
Rank #75 / 105
40.3%Fiscal year ending 12/2023
Facility 40.3%Fiscal year ending 12/2023
MD AVG 50.3%
Rank #61 / 105
215228
Layhill Nursing & Rehabilitation Center
NH
HOS
PC
SNF
Silver Spring
129
Facility 129
MD AVG 42
Rank #65 / 684
--
3.07
Facility 3.07
MD AVG 3.77
Rank #100 / 120
-1%-19%
$153.6k
Facility $153.6k
MD AVG $65.0k
Rank #122 / 123
104
Facility 104
MD AVG 49.9
Rank #117 / 123
20.8
Facility 20.8
MD AVG 12.8
Rank #109 / 123
3133-
8
Facility 8
MD AVG 45
Rank #868 / 953
-
$21.6MFiscal year ending 12/2023
Facility $21.6MFiscal year ending 12/2023
MD AVG $18.4M
Rank #30 / 105
$8.5MFiscal year ending 12/2023
Facility $8.5MFiscal year ending 12/2023
MD AVG $8.4M
Rank #34 / 105
39.3%Fiscal year ending 12/2023
Facility 39.3%Fiscal year ending 12/2023
MD AVG 50.3%
Rank #63 / 105
215168

Financial Assistance for
Nursing Home in Maryland

Layhill Nursing & Rehabilitation Center is located in Silver Spring, Maryland.
Here are the financial assistance programs available to residents in Maryland.

Get Financial aid guidance

Community Options Waiver

Maryland Medicaid Community Options Waiver

Age 65+ or disabled
General Maryland resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple) (excludes home, car).
MD

High urban demand; rural outreach efforts.

Benefits
Personal care (5-7 hours/day, e.g., bathing, dressing) Respite care (up to 240 hours/year) Adult day care ($70/day) Home modifications ($1,500 avg.)

Senior Care Program

Maryland Senior Care

Age 65+
General Maryland resident, at risk of nursing home placement.
Income Limits ~$2,000/month individual, varies by county
Asset Limits $11,000 individual
MD

Limited funding; waitlists common in high-demand areas.

Benefits
In-home care (3-5 hours/week) Respite care (up to 10 days/year) Meals (~$6/meal) Transportation (~5 trips/month) Case management

Maryland Nursing Home Medicaid

Maryland Medical Assistance (Medicaid) Nursing Home Program

Age 65+
General Maryland resident, Medicaid-eligible, requires nursing home-level care.
Income Limits (2025) $943/month (individual); most income applied to care costs.
Asset Limits $2,500 (individual), $3,000 (couple); spousal protections up to $155,356.
MD

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

Benefits
24/7 nursing care Meals Therapy Medications (unlimited per medical need)

Senior Assisted Living Subsidy Program

Maryland Senior Assisted Living Group Home Subsidy

Age 62+
General Maryland resident, in or moving to approved assisted living, low/moderate income.
Income Limits (2025) ~$34,000/year individual, varies by county
Asset Limits Not strict; prioritizes low-income.
MD

Not available statewide; facility must be licensed by MDH.

Benefits
Personal care Meals 24-hour supervision (up to $1,500/month subsidy typical)

Veterans Aid and Attendance (A&A) Benefit

Maryland VA Aid and Attendance

Age
General Wartime veteran/spouse, age 65+ or disabled, needs ADL help, Maryland resident.
Income Limits (2025) Net income minus medical expenses < $1,984/month individual with A&A
Asset Limits $155,356 net worth limit
MD

High veteran population in suburban/rural areas.

Benefits
Cash benefit ($1,478-$2,471/month, varies by status) for care costs

Senior Prescription Drug Assistance Program (SPDAP)

Maryland Senior Prescription Drug Assistance Program

Age 65+
General Maryland resident (6+ months), Medicare Part D enrolled.
Income Limits (2025) $48,560/year individual, 300% FPL
Asset Limits None specified.
MD

Supplements Medicare Part D; annual enrollment required.

Benefits
Up to $40/month premium subsidy Reducing drug costs

Medicare Savings Programs (MSP)

Maryland Medicare Savings Programs

Age 65+
General Maryland resident, Medicare Part A/B enrollee.
Income Limits (2025) $2,014/month (QMB), $2,706/month (SLMB/QI, individual).
Asset Limits $9,090 (individual), $13,630 (couple).
MD

Includes QMB, SLMB, QI categories.

Benefits
Covers premiums (up to $174.70/month Part B) Co-pays Deductibles

Community Personal Assistance Services (CPAS)

Maryland Medicaid Community Personal Assistance Services

Age 65+
General Maryland resident, Medicaid-eligible, needs ADL assistance.
Income Limits (2025) $943/month (individual); spend-down available.
Asset Limits $2,500 (individual), $3,000 (couple).
MD

Consumer-directed option allows hiring family caregivers.

Benefits
Personal care (hours vary, typically 20-30/week) Chores Nurse supervision

Frequently Asked Questions about Layhill Nursing & Rehabilitation Center

Is Layhill Nursing & Rehabilitation Center in a walkable area?

Layhill Nursing & Rehabilitation Center has a walk score of 8. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the occupancy rate at Layhill Nursing & Rehabilitation Center?

Layhill Nursing & Rehabilitation Center's occupancy is 99.3%.

Are pets allowed at Layhill Nursing & Rehabilitation Center?

No, Layhill Nursing & Rehabilitation Center has a no-pet policy.

Does Layhill Nursing & Rehabilitation Center operate as a for-profit or non-profit?

Layhill Nursing & Rehabilitation Center is registered as a for-profit.

Are there photos of Layhill Nursing & Rehabilitation Center?

Yes — there are 6 photos of Layhill Nursing & Rehabilitation Center in the photo gallery on this page.

What is the address of Layhill Nursing & Rehabilitation Center?

Layhill Nursing & Rehabilitation Center is located at 3227 Bel Pre Rd, Silver Spring, MD 20906.

What is the phone number of Layhill Nursing & Rehabilitation Center?

(301) 871-2000 will put you in contact with the team at Layhill Nursing & Rehabilitation Center.

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