Layhill Nursing and Rehabilitation Center

Nursing Home · Silver Spring, MD

CMS overall rating 1/5 For profit - Limited Liability company

CMS certification number215168

Contact & location

3227 Bel Pre Road
Silver Spring, MD 20906
Montgomery County
Phone
(301) 871-2000
ZIP code
20906 – all care providers

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Facility details

Certified beds
129
Residents per day
132.8 (103% occupied)
Ownership
For profit - Limited Liability company
Legal name
Layhill SNF LLC
Chain
Lifeworks Rehab (64 facilities, avg 2.1★)
Medicare certified since
November 2, 1987
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 3.1
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 2/5
State avg 3.2
Quality measures★★★★★ 4/5
State avg 3.9
Long-stay quality★★★★★ 5/5
Short-stay quality★★★★★ 3/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.46 (state 3.87 · U.S. 3.86)
Registered nurses (RN)
0.72 (state 0.84 · U.S. 0.69)
Licensed practical nurses
0.90 (state 0.91 · U.S. 0.86)
Nurse aides
1.84 (state 2.12 · U.S. 2.32)
Weekend total
2.91 (state 3.47 · U.S. 3.42)
Nursing staff turnover
38.1 (state 40.2 · U.S. 45.8)%
RN turnover
44.4 (state 38.7 · U.S. 42.9)%
Administrators who left
2 in the last year

Inspections

Last standard inspection
February 18, 2026
Health deficiencies (last cycle)
26.0 (state 17.5 · U.S. 9.3)
From complaints
12
Citations on record (3 years)
64 health · 16 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-02-18 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2026-04-03
2026-02-18 Honor the resident's right to manage his or her financial affairs.
F0567 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-04-03
2026-02-18 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-04-03
2026-02-18 Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.
F0917 · Environmental Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-04-03
2026-02-18 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-03
2026-02-18 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
F0584 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-03
2026-02-18 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F0628 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-03
2026-02-18 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-03
2026-02-18 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-03
2026-02-18 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-03
2026-02-18 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-03
2026-02-18 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-03
2026-02-18 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-03
2026-02-18 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-03
2026-02-18 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-03
2025-10-09 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-09-06
2025-10-09 Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
F0711 · Nursing and Physician Services Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-12-10
2025-10-09 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-12-10
2025-10-09 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-10
2025-10-09 Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
F0568 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-10
2025-10-09 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-10
2025-10-09 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F0628 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-10
2025-10-09 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-10
2025-10-09 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-10
2025-10-09 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-10
2025-10-09 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-10
2024-09-23 Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
F0678 · Quality of Life and Care Deficiencies		 K
Immediate jeopardy to resident health or safety		 Corrected 2024-11-18
2024-09-23 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-11-18
2024-09-23 Post nurse staffing information every day.
F0732 · Nursing and Physician Services Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-11-18
2024-09-23 Have a plan that describes the process for conducting QAPI and QAA activities.
F0865 · Administration Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-11-18
2024-09-23 Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
F0868 · Administration Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-11-18
2024-09-23 Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
F0941 · Administration Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-11-18
2024-09-23 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
F0561 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-11-18
2024-09-23 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
F0584 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-01-15
2024-09-23 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-11-18
2024-09-23 Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-11-18
2024-09-23 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-11-18
2024-09-23 Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
F0700 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-11-18
2024-09-23 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-11-18
2024-09-23 Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
F0800 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-01-15
2024-09-23 Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
F0909 · Environmental Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-11-18
2024-09-23 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-18
2024-09-23 Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
F0557 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-18
2024-09-23 Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
F0578 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-18
2024-09-23 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-18
2024-09-23 Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-18
2024-09-23 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-18
2024-09-23 Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
F0622 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-18
2024-09-23 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-18
2024-09-23 Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
F0625 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-01-15

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

3 penalties in the last three years, including $153,596 in fines.

DateTypeAmount
2024-09-23Payment Denial20 days payment denial
2024-09-23Fine$100,523
2024-06-18Fine$53,073

Ownership & management

NameRoleSince
Thunder Health Holdco LLC (organization)5%+ Direct Ownership Interest · 100%
Birnbaum, Israel (individual)5%+ Indirect Ownership Interest · 37%
Kohn, Avrohom (individual)5%+ Indirect Ownership Interest · 11%
Rma Equity LLC (organization)5%+ Indirect Ownership Interest · 10%
Birnbaum, Israel (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Layhill Nursing and Rehabilitation Center?

Layhill Nursing and Rehabilitation Center has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Maryland.

How many beds does Layhill Nursing and Rehabilitation Center have?

It has 129 certified beds and cares for about 133 residents per day.

Has Layhill Nursing and Rehabilitation Center been fined?

Yes. CMS lists 3 penalties totaling $153,596 in the last three years.

Who owns Layhill Nursing and Rehabilitation Center?

It is part of Lifeworks Rehab and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

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

(301) 871-2000. The facility is located at 3227 Bel Pre Road, Silver Spring, MD 20906.

Other nursing homes in Silver Spring

Compare all nursing homes in Silver Spring, MD →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.