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B
Good

LAYHILL NURSING AND REHABILITATION CENTER

3227 BEL PRE ROAD · SILVER SPRING, MD 20906

3018712000 · For profit - Limited Liability company

129 beds123.8 residents140 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
B
Good
RN Staff
B
Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

LAYHILL NURSING AND REHABILITATION CENTER receives an overall staffing grade of B (Good). With 3.5142 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.7001 HPRD, below the recommended 0.75. It is 0.38 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 20.52% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

⚠️RN staffing (0.7001 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.5142hrs/resident/day▼ 0.38
CMS benchmark: 3.48
RN HPRD
0.7001hrs/resident/day▲ 0.02
Recommended: 0.75
Weekend Drop-off
20.52%
3.7306 weekday → 2.965 weekend
⚠ Significant weekend reduction
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.8033hrs/resident/day
Direct care aides
LPN HPRD
0.8886hrs/resident/day
Licensed practical nurses
Consistency
0.3984std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Montgomery County Average-0.25 HPRD
3.76
03.51 HPRD
vs. Maryland State Average-0.41 HPRD
3.92
03.51 HPRD
vs. National Average-0.38 HPRD
3.90
03.51 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
LAYHILL NURSING AND REHABILITATION CENTER ★
SILVER SPRING · This facility
—
B
3.51420.7001★☆☆☆☆
BEDFORD COURT HEALTHCARE CENT.
SILVER SPRING
1.1 mi
C
5.00550.5071★★★★★
COMPLETE CARE AT WHEATON
WHEATON
2.5 mi
C
3.34550.6312★★★☆☆
MONTCARE AT WHEATON
WHEATON
2.9 mi
B
3.6980.9175★★★☆☆
SILVER SPRING HEALTHCARE CENTER
SILVER SPRING
3.4 mi
A
4.7631.1253★★☆☆☆
FRIENDS NURSING HOME
SANDY SPRING
3.8 mi
B
4.02980.7292★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
104
Total Deficiencies
$153,596
Fines Assessed
Oct 9, 2025Health
11 deficiencies cited
▼
Sep 23, 2024Health
46 deficiencies cited· Includes actual harm
▼
Jun 18, 2024Health
24 deficiencies cited· Includes actual harm
▼
Sep 27, 2019Health
7 deficiencies cited
▼
Oct 16, 2018Health
16 deficiencies cited
▼

Penalty History

Sep 23, 2024Fine
$100,523
Sep 23, 2024Payment Denial
Jun 18, 2024Fine
$53,073
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.