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Data / Nursing homes / Maryland / Layhill Nursing and Rehabilitation Center

Layhill Nursing and Rehabilitation Center, Silver Spring, MD: 2 star rating, fined $153,596 across 2 fines and had 1 payment denial

Layhill Nursing and Rehabilitation Center in Silver Spring, MD is owned by Thunder Health HOLDCO LLC, is rated 2 of 5 stars by Medicare, and was fined $153,596 across 2 fines and had 1 payment denial in the three years to October 1, 2026. CMS lists 98 health citations from inspections in that time, the latest survey on July 14, 2026, and 3 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in Maryland
Address
3227 Bel Pre Road, Silver Spring, MD 20906
Overall rating
2 of 5 stars
Health inspection rating
1 of 5
Staffing rating
3 of 5
Quality measure rating
5 of 5
Certified beds
129
Residents per day
131 on average
Ownership type
For profit, limited liability company
Legal business name
Layhill SNF LLC
Chain
Lifeworks Rehab, 64 facilities
Special focus
Special focus candidate
Fines
$153,596 across 2 fines, three years to October 1, 2026
Payment denials
1
Health citations
98, of which 3 with actual harm or immediate jeopardy
Latest survey
July 14, 2026
CMS Certification Number
215168
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
September 23, 2024Fine$100,523Not listeddata.cms.gov
September 23, 2024Payment denialNot listedJanuary 1, 202520data.cms.gov
June 18, 2024Fine$53,073Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
July 14, 2026F697Provide safe, appropriate pain management for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 21, 2026data.cms.gov
July 14, 2026F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 21, 2026data.cms.gov
February 18, 2026F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 3, 2026data.cms.gov
February 18, 2026F917Make 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: pattern, no actual harm, potential for more than minimal harmCorrectedApril 3, 2026data.cms.gov
February 18, 2026F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 3, 2026data.cms.gov
February 18, 2026F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 3, 2026data.cms.gov
February 18, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 3, 2026data.cms.gov
February 18, 2026F759Ensure medication error rates are not 5 percent or greater.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 3, 2026data.cms.gov
February 18, 2026F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 3, 2026data.cms.gov
February 18, 2026F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 3, 2026data.cms.gov
February 18, 2026F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 3, 2026data.cms.gov
February 18, 2026F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 3, 2026data.cms.gov
February 18, 2026F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 3, 2026data.cms.gov
February 18, 2026F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 3, 2026data.cms.gov
February 18, 2026F584Honor 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: isolated, no actual harm, potential for more than minimal harmCorrectedApril 3, 2026data.cms.gov
February 18, 2026F567Honor the resident's right to manage his or her financial affairs.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 3, 2026data.cms.gov
February 18, 2026F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 3, 2026data.cms.gov
October 9, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 10, 2025data.cms.gov
October 9, 2025F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 10, 2025data.cms.gov
October 9, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 10, 2025data.cms.gov
October 9, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 10, 2025data.cms.gov
October 9, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 10, 2025data.cms.gov
October 9, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.E: pattern, no actual harm, potential for more than minimal harmPast noncomplianceSeptember 6, 2025data.cms.gov
October 9, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 10, 2025data.cms.gov
October 9, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 10, 2025data.cms.gov
October 9, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 10, 2025data.cms.gov
October 9, 2025F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 10, 2025data.cms.gov
October 9, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 10, 2025data.cms.gov
September 23, 2024F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.K: pattern, immediate jeopardyCorrectedNovember 18, 2024data.cms.gov
September 23, 2024F941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.F: widespread, no actual harm, potential for more than minimal harmCorrectedNovember 18, 2024data.cms.gov
September 23, 2024F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 15, 2025data.cms.gov
September 23, 2024F919Make sure that a working call system is available in each resident's bathroom and bathing area.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 15, 2025data.cms.gov
September 23, 2024F909Regularly 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 18, 2024data.cms.gov
September 23, 2024F908Keep all essential equipment working safely.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 18, 2024data.cms.gov
September 23, 2024F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 18, 2024data.cms.gov
September 23, 2024F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyF: widespread, no actual harm, potential for more than minimal harmCorrectedNovember 18, 2024data.cms.gov
September 23, 2024F865Have a plan that describes the process for conducting QAPI and QAA activities.F: widespread, no actual harm, potential for more than minimal harmCorrectedNovember 18, 2024data.cms.gov
September 23, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 18, 2024data.cms.gov
September 23, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 18, 2024data.cms.gov
September 23, 2024F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 18, 2024data.cms.gov
September 23, 2024F800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 15, 2025data.cms.gov
September 23, 2024F759Ensure medication error rates are not 5 percent or greater.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 15, 2025data.cms.gov
September 23, 2024F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 18, 2024data.cms.gov
September 23, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 18, 2024data.cms.gov
September 23, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 18, 2024data.cms.gov
September 23, 2024F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 18, 2024data.cms.gov
September 23, 2024F732Post nurse staffing information every day.F: widespread, no actual harm, potential for more than minimal harmCorrectedNovember 18, 2024data.cms.gov
September 23, 2024F700Try 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: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 18, 2024data.cms.gov
September 23, 2024F697Provide safe, appropriate pain management for a resident who requires such services.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 18, 2024data.cms.gov
September 23, 2024F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 18, 2024data.cms.gov
September 23, 2024F692Provide enough food/fluids to maintain a resident's health.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 18, 2024data.cms.gov
September 23, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 18, 2024data.cms.gov
September 23, 2024F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 18, 2024data.cms.gov
September 23, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 18, 2024data.cms.gov
September 23, 2024F679Provide activities to meet all resident's needs.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 18, 2024data.cms.gov
September 23, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 18, 2024data.cms.gov
September 23, 2024F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 18, 2024data.cms.gov
September 23, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 15, 2025data.cms.gov
September 23, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.F: widespread, no actual harm, potential for more than minimal harmCorrectedNovember 18, 2024data.cms.gov
September 23, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 18, 2024data.cms.gov
September 23, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 18, 2024data.cms.gov
September 23, 2024F645PASARR screening for Mental disorders or Intellectual DisabilitiesD: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 18, 2024data.cms.gov
September 23, 2024F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 18, 2024data.cms.gov
September 23, 2024F625Notify 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 15, 2025data.cms.gov
September 23, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 18, 2024data.cms.gov
September 23, 2024F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 18, 2024data.cms.gov
September 23, 2024F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 18, 2024data.cms.gov
September 23, 2024F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 18, 2024data.cms.gov
September 23, 2024F584Honor 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: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 15, 2025data.cms.gov
September 23, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 18, 2024data.cms.gov
September 23, 2024F578Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 18, 2024data.cms.gov
September 23, 2024F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 18, 2024data.cms.gov
September 23, 2024F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 18, 2024data.cms.gov
September 23, 2024F552Ensure that residents are fully informed and understand their health status, care and treatments.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 18, 2024data.cms.gov
June 18, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G: isolated, actual harmCorrectedJuly 26, 2024data.cms.gov
June 18, 2024F583Keep residents' personal and medical records private and confidential.G: isolated, actual harmCorrectedJuly 26, 2024data.cms.gov
June 18, 2024F865Have a plan that describes the process for conducting QAPI and QAA activities.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 26, 2024data.cms.gov
June 18, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 26, 2024data.cms.gov
June 18, 2024F790Provide routine and 24-hour emergency dental care for each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 26, 2024data.cms.gov
June 18, 2024F760Ensure that residents are free from significant medication errors.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 26, 2024data.cms.gov
June 18, 2024F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 26, 2024data.cms.gov
June 18, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 26, 2024data.cms.gov
June 18, 2024F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 26, 2024data.cms.gov
June 18, 2024F692Provide enough food/fluids to maintain a resident's health.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 26, 2024data.cms.gov
June 18, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 26, 2024data.cms.gov
June 18, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 26, 2024data.cms.gov
June 18, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 26, 2024data.cms.gov
June 18, 2024F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 26, 2024data.cms.gov
June 18, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 26, 2024data.cms.gov
June 18, 2024F641Ensure each resident receives an accurate assessment.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 26, 2024data.cms.gov
June 18, 2024F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 26, 2024data.cms.gov
June 18, 2024F610Respond appropriately to all alleged violations.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 26, 2024data.cms.gov
June 18, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 26, 2024data.cms.gov
June 18, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 26, 2024data.cms.gov
June 18, 2024F578Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 26, 2024data.cms.gov
June 18, 2024F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 26, 2024data.cms.gov
June 18, 2024F554Allow residents to self-administer drugs if determined clinically appropriate.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 26, 2024data.cms.gov
June 18, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 26, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 4 individual or personal trusts (3 owners, 1 managers). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Thunder Health HOLDCO LLCDirect owner100%July 1, 2018data.cms.gov
Rma Equity LLCIndirect owner10%July 13, 2023data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.