Nursing homes › Maryland › Layhill Nursing and Rehabilitation Center
3227 Bel Pre Road, Silver Spring, MD 20906 · 3018712000 · 129 certified beds
Per CMS filings, this facility is affiliated with Lifeworks Rehab, a group operating 69 facilities in 5 states. Group record: average rating 2.0/5, 10 abuse citation icons, 8 facilities on the Special Focus list, $4,831,787 in federal fines. This facility rates below its group average (2.0/5).
Total nurse staffing: 3.46 (Maryland median: 3.60). RN hours: 0.72. Weekend total: 2.91. Nursing staff turnover: 38%.
All-time on record: 103 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-02-18 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2026-04-03 |
| 2026-02-18 | Honor the resident's right to manage his or her financial affairs. | E | Health | corrected 2026-04-03 |
| 2026-02-18 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | E | Health | 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. | E | Health | 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. | D | Health | 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. | D | Health | 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. | D | complaint | 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. | D | Health | 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. | D | Health | corrected 2026-04-03 |
| 2026-02-18 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | 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. | D | Health | corrected 2026-04-03 |
| 2026-02-18 | Ensure medication error rates are not 5 percent or greater. | D | Health | 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. | D | Health | corrected 2026-04-03 |
| 2026-02-18 | Provide and implement an infection prevention and control program. | D | Health | 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. | D | Health | corrected 2026-04-03 |
| 2025-10-09 | Ensure services provided by the nursing facility meet professional standards of quality. | E | complaint | 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. | E | complaint | 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. | E | complaint | corrected 2025-12-10 |
| 2025-10-09 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | complaint | corrected 2025-12-10 |
| 2025-10-09 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | D | complaint | corrected 2025-12-10 |
| 2025-10-09 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | 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. | D | complaint | 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. | D | complaint | corrected 2025-12-10 |
| 2025-10-09 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2025-12-10 |
| 2025-10-09 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | complaint | 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. | D | complaint | 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. | K | Health | 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. | F | complaint | corrected 2024-11-18 |
| 2024-09-23 | Post nurse staffing information every day. | F | Health | corrected 2024-11-18 |
| 2024-09-23 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Health | corrected 2024-11-18 |
| 2024-09-23 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Health | 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. | F | Health | 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. | E | Health | 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. | E | Health | 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. | E | complaint | corrected 2024-11-18 |
| 2024-09-23 | Provide activities to meet all resident's needs. | E | Health | corrected 2024-11-18 |
| 2024-09-23 | Provide safe, appropriate pain management for a resident who requires such services. | E | Health | 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. | E | Health | corrected 2024-11-18 |
| 2024-09-23 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Health | 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. | E | Health | corrected 2025-01-15 |
| Date | Type | Amount |
|---|---|---|
| 2024-09-23 | Fine | $100,523 |
| 2024-09-23 | Payment Denial | 20 days payment denial |
| 2024-06-18 | Fine | $53,073 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| THUNDER HEALTH HOLDCO LLC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 07/01/2018 |
| RMA EQUITY LLC | 5% Or Greater Indirect Ownership Interest | Organization | 10% | since 07/13/2023 |
| BIRNBAUM, ISRAEL | 5% Or Greater Indirect Ownership Interest | Individual | 37% | since 05/01/2021 |
| KOHN, AVROHOM | 5% Or Greater Indirect Ownership Interest | Individual | 11% | since 05/01/2021 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 215168. Corrections: data@carerecords.org.