Detailed Review: Layhill Nursing & Rehabilitation Center

Facility overview

Layhill Nursing & Rehabilitation Center sits at 3227 Bel Pre Rd, Silver Spring, MD 20906, a for-profit skilled nursing facility operated by Thunder Health Holdco LLC. It has 129 certified beds and runs close to full, with an average daily census of about 126.

At a glance

Services offered

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

Specialized care options

1. Stroke rehabilitation
   • 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

Amenities and activities

Facility amenities

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

Daily activities and programs

• Arts and crafts, games, and other organized activities
• Religious services
• Social outings
• Pet therapy
• Fitness classes
• Educational programs

Dining services

• Specialized dietary options based on medical or personal needs
• Restaurant-style dining

Cost and payment

• Layhill does not publish standardized private-pay rates, and costs depend on room type, level of care, and payer source. Medicare.gov does not report private-pay nursing home pricing, so families should request a current written quote directly from the facility and confirm what Medicare or Medicaid will cover.

Payment options

• Medicare
• Medicaid
• Private insurance
• Private pay

Medicare Care Compare ratings and inspection record

Medicare star ratings

• According to Medicare.gov Care Compare, Layhill Nursing and Rehabilitation Center (CMS Certification Number 215168, 129 certified beds) holds an overall rating of 1 out of 5 stars, the lowest on the five-star scale. It earns 1 star for health inspections and 2 stars for staffing, with a 4-star quality-measure rating. The facility is for-profit and has been Medicare and Medicaid certified since 1987. It does not currently carry an abuse citation flag.
• On staffing, the center reports 3.57 total nurse staffing hours per resident per day, including 0.59 hours of registered nurse time, roughly in line with the national benchmark of about 3.5 hours. Total nursing staff turnover is reported at 42.1 percent, per Medicare.gov Care Compare.

Inspections and penalties

• Its most recent standard health inspection, completed on February 18, 2026, cited 26 health deficiencies, well above the national average and a key reason for the facility's 1-star health-inspection rating.
• Medicare records show two federal fines in the most recent reporting period: $53,073 in June 2024 and $100,523 in September 2024. The facility also received a Medicare payment denial that began in January 2025.
• Together, those fines total $153,596 over the reporting period, according to Medicare.gov Care Compare.

What the ratings mean for families

• Layhill's 1-star overall rating, its high deficiency count, and its recent federal fines place it among the lower-performing nursing homes in Maryland on Medicare's five-star scale. Families considering Layhill should read the full inspection reports on Medicare.gov Care Compare, ask the facility directly how it has addressed recent deficiencies, and compare it against higher-rated options nearby.

Recommendations for potential residents and families

1. Schedule an on-site visit
   • Observe how staff interact with residents
   • Check cleanliness and the overall feel of the facility
   • Ask 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 carried out
   • Ask about staff training for your specific care needs
4. Evaluate communication protocols
   • Ask how the facility keeps families updated about residents
   • Ask who you call when there's an urgent problem and how quickly the facility responds. Find out if they have a dedicated emergency line, direct staff pager, or resident portal. Being able to reach someone quickly matters for everyone's peace of mind.
5. Consider a short-term stay
   • If possible, arrange for a short-term rehabilitation stay to experience the facility before committing to long-term care
6. Explore financial options
   • Ask about all available payment options and any fees beyond the base monthly rate
   • Ask about the facility's policy on rate increases
7. Look at activity programs
   • Request a detailed schedule of daily activities. Look for a mix of physical, mental, and social options: fitness classes, educational seminars, art workshops, outings. Different residents have different interests and abilities, so a variety matters. This shows you what a typical day looks like.
   • During your visit, notice how many residents are actively participating in these activities
8. Check safety measures
   • Ask about fall prevention protocols
   • Ask about the emergency response system and how long it typically takes staff to respond

Work through these steps and you'll know whether Layhill is a fit for your family, or whether a higher-rated option nearby makes more sense.