Layhill Nursing and Rehabilitation Center: Staffing, Turnover, and Inspection Record
Layhill Nursing and Rehabilitation Center is a 129-bed for-profit nursing home in Silver Spring, Maryland, part of Lifeworks Rehab. In the CMS August 2026 release it reported 1.84 nurse aide hours per resident per day, 13% below the Maryland average of 2.12, and 38.1% nursing staff turnover (Maryland average 40.2%).
Layhill Nursing and Rehabilitation Center
3227 Bel Pre RoadSilver Spring, MD 20906
Montgomery County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Layhill Nursing and Rehabilitation Center, nurse aides logged 1.84 hours per resident per day, 13% below the Maryland average. With about 133 residents a day, that works out to roughly 245 aide hours a day, or about 31 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 16% below the all-days figure.
| Hours per resident per day | This home | Maryland avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.84 | 2.12 | 2.32 |
| Licensed practical nurses | 0.90 | 0.91 | 0.86 |
| Registered nurses | 0.72 | 0.84 | 0.69 |
| All nursing staff | 3.46 | 3.87 | 3.86 |
| All nursing staff, weekends | 2.91 | 3.47 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
38.1% of nursing staff at Layhill Nursing and Rehabilitation Center left over the year CMS measured, against a Maryland average of 40.2% and a US average of 45.8%. Registered nurse turnover was 44.4%. 2 administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Feb 18, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 26 health deficiencies (Maryland average 17.5). CMS lists 2 fines totaling $153,596 and 1 payment denial in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Sep 23, 2024 | Fine | $100,523 |
| Sep 23, 2024 | Payment Denial | 20 days from Jan 1, 2025 |
| Jun 18, 2024 | Fine | $53,073 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Layhill Nursing and Rehabilitation Center holds 1 of 5 overall; the Maryland average is 3.1.
About Layhill Nursing and Rehabilitation Center
- Ownership: For profit - Limited Liability company
- Chain: Lifeworks Rehab, 64 homes
- Legal name: Layhill SNF LLC
- Medicare and Medicaid certified since: Nov 2, 1987
- Councils: resident council
- Area: urban
Nursing homes near Layhill Nursing and Rehabilitation Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Bedford Court Healthcare Cent. Silver Spring | 1.1 | 60 | 2.98 | 5.06 | 19.1% | 5 | None |
| Complete Care at Wheaton Wheaton | 2.5 | 116 | 1.83 | 3.38 | 41.7% | 5 | None |
| Montcare at Wheaton Wheaton | 2.9 | 94 | 2.12 | 3.82 | 35.1% | 3 | None |
| Harmony Suites Rehabilitation and Wellness Center Silver Spring | 3.4 | 100 | 2.26 | 4.15 | 49.3% | 2 | $61,269 |
| Friends Nursing Home Sandy Spring | 3.8 | 82 | 2.34 | 3.94 | 15.3% | 5 | $22,965 |
| Turtle Creek Rehabilitation and Wellness Center Kensington | 4.0 | 140 | 2.01 | 3.45 | 34.2% | 2 | $80,425 |
| Complete Care at Springbrook Silver Spring | 4.2 | 93 | 1.91 | 3.45 | 37.8% | 3 | None |
| Hebrew Home of Greater Washington Rockville | 4.2 | 558 | 2.13 | 3.95 | 19.3% | 5 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.