1. Facility Overview

Layhill Nursing & Rehabilitation Center is located at 3227 Bel Pre Rd, Silver Spring, MD 20906. It’s a for-profit skilled nursing facility operated by Thunder Health Holdco LLC, with a capacity of 132 certified beds and an average daily resident count of 129.

2. Services Offered

2.1 Core Services

1. Skilled Nursing Care
   • 24/7 nursing supervision
   • Medication management
   • Wound care
   • Post-acute care
2. Rehabilitation Services
   • Physical therapy
   • Occupational therapy
   • Speech therapy
3. Assisted Living Services
   • Daily living assistance
   • Personal care support
   • Meal preparation
   • Medication monitoring

2.2 Specialized Care Options

1. Stroke Rehabilitation Program
   • Customized recovery plans
   • Mobility training
   • Activities of daily living (ADL) training
2. Brain Injury Rehabilitation
   • Cognitive rehabilitation
   • Physical recovery support
   • Behavioral management
3. Cardiac Rehabilitation
4. Multiple Sclerosis Care
5. Orthopedic Rehabilitation

3. Amenities and Activities

3.1 Facility Amenities

• Activity center for social gatherings
• Pet-friendly environment
• Housekeeping services
• Emergency call system

3.2 Daily Activities and Programs

• Organized group activities (e.g., arts and crafts, games)
• Religious services
• Social outings
• Pet therapy programs
• Fitness classes (specifics not provided)
• Educational programs (specifics not provided)

3.3 Dining Services

• Nutritional support with specialized dietary options
• Restaurant-style dining (details on meal options not specified)

4. Pricing Information

• Monthly costs range from $2,500 to $8,150
• Average rate: $5,325 per month before discounts
• Semi-private room rate: Approximately $11,726 per month

4.1 Payment Options

• Medicare
• Medicaid
• Private insurance
• Private pay

5. Comparative Analysis with Other Silver Spring Facilities

*Semi-private room rate

5.1 Pricing Comparison

6. Quality of Management and Staff Responsiveness

6.1 Staffing Metrics

• Nurse hours per resident per day: 3.33 (State average: 3.9)
• Nursing staff turnover rate: 47% (State average: 44.3%)

6.2 Quality Indicators

• Total deficiencies reported: 61
• Recent fine: $81,650 for violations (June 2024)
• Total fines in recent years: $169,000

6.3 Areas of Concern

• Infection control issues
• Resident rights violations
• Care quality concerns

7. Resident and Family Experiences

7.1 Positive Testimonials

1. “The staff were all kind and capable. The halls were decorated for Christmas and cheery. My husband’s room looked out on a pleasant courtyard and he could watch people coming and going. The food was good.” – Recent resident family member (January 2025)
2. “I was very pleased with this facility. My private room was comfortable and cleaned every day. The food was basic and nutritious. I found the staff to be very helpful and professional.” – Post-surgery resident

7.2 Critical Concerns

1. “My father fell and laid there for over an hour pressing the button for help… After my father passed away, I inquired with the head nurse as to why fragile patients didn’t have bed alarms.” – Family member (April 2020)
2. “When I call to get updates, I either have to wait on hold for 30+ mins or don’t get a call/email back.” – Family member (January 2022)

8. Reputation and Recognition

• Placed on the Nursing Homes Abuse Advocate (NHAA) Watchlist due to:
  • Seven separate deficiencies causing actual harm (2012-2022)
  • Unsafe staffing levels
  • CNA staffing below recommended levels for 69.6% of 2022
• No specific awards or recognitions found in the research

9. Recommendations for Potential Residents and Families

1. Schedule an On-Site Visit:
   • Observe staff interactions with residents
   • Check cleanliness and overall atmosphere
   • Inquire about staffing levels during different shifts
2. Review Recent Inspection Reports:
   • Request access to the latest state inspection reports
   • Pay attention to how the facility has addressed past deficiencies
3. Discuss Care Plans in Detail:
   • Meet with the nursing director to understand how care plans are developed and implemented
   • Ask about staff training, especially for specialized care needs
4. Evaluate Communication Protocols:
   • Inquire about the facility’s policy for updating families on resident status
   • Ask about the best ways to reach staff for urgent matters
5. Consider Short-Term Stay:
   • If possible, arrange for a short-term rehabilitation stay to experience the facility firsthand before committing to long-term care
6. Explore Financial Options:
   • Discuss all available payment options and any potential additional fees
   • Inquire about the facility’s policy on rate increases
7. Assess Activity Programs:
   • Request a detailed schedule of daily activities
   • Observe resident participation in these activities during your visit
8. Check Safety Measures:
   • Ask about fall prevention protocols
   • Inquire about the emergency response system and average response times

By thoroughly investigating these aspects, potential residents and their families can make a more informed decision about whether Layhill Nursing & Rehabilitation Center meets their specific care needs and expectations.