Homewood Living Frederick
Scout 100Frederick, MD · 120 beds
5.0CMS rating
Skilled NursingContinuing Care (CCRC / Life Plan)Usually has openings
One of Frederick's top-rated skilled nursing communities.
Est. $12,320–$16,490/mo
View full evaluation →Skilled NursingCMS verified
Layhill Nursing and Rehabilitation Center
3227 Bel Pre Road, Silver Spring, MD 20906 · Montgomery County
Layhill Rehabilitation and Nursing Center in Silver Spring, MD provides expert short-term rehabilitation, skilled nursing, and long-term care. In-house therapy up to 7 days a week. Schedule a tour today.
29
Use CautionHaven Scout Score
Our composite of CMS ratings, staffing, and safety. This community rates use caution.
Photos via google places, facility website.
Availability outlook● Very limited availability
Typically 98% full (126 of 129 beds occupied on an average day). Openings here tend to go fast.
If this community is on your shortlist, checking current openings sooner rather than later genuinely matters here.
Source: federal census data (average daily residents vs. certified beds, CMS Care Compare). Confirm current openings with an advisor — availability changes weekly.
Our evaluation
An honest, data-grounded look at this community — every claim is drawn from public inspection data.
A low federal rating — review the details closely
Layhill Nursing and Rehabilitation Center is a for-profit skilled nursing facility in Silver Spring, MD, with 129 certified beds and an average of about 126 residents per day. It operates as part of the Lifeworks Rehab network.
Medicare rates it 1 out of 5 stars overall — below the national average of about 3 stars. Component ratings: 1/5 on health inspections, 2/5 on staffing, 4/5 on quality measures.
Staff provide about 3.57 total nurse hours per resident each day (0.59 of them from registered nurses), below the national benchmark of roughly 3.9 hours. Annual nursing-staff turnover is about 42.1%, better than the ~52% national average — a sign of staffing stability. On the safety record, CMS notes 26 health deficiencies at its most recent standard survey, and 2 federal fines totaling $153,596 in the recent record.
Strengths
- ✓Full sprinkler system
- ✓Active resident & family council
Things to ask about
- •Below-average 1-star overall CMS rating
- •Below-average health-inspection rating
- •Below-average nurse staffing (3.57 hrs/resident/day)
- •26 deficiencies at last survey
- •$153,596 in federal fines
Best for: Families considering this community should tour in person, request the latest survey, and weigh it against higher-rated Silver Spring options — our advisors can help you compare.
At a glance
- Certified beds
- 129
- Avg. residents/day
- 126
- Ownership
- For profit - Limited Liability company
- Part of a chain
- Lifeworks Rehab
- Continuing care
- No
- CMS provider #
- 215168
Federal quality ratings
From the U.S. Centers for Medicare & Medicaid Services (CMS), on a 1–5 star scale.
Overall rating
Health inspections
Staffing
Quality measures
Pricing & cost
We publish transparent estimates and verify exact pricing on request. No surprises.
| Level of care | Monthly cost | Source |
|---|---|---|
| Skilled Nursing | $12,320–$16,490/mo (median $13,980) | Local market estimate |
2024–2026 published survey medians, state median adjusted to local Frederick prices (BEA regional price parities). Request a quote for exact pricing. Range spans semi-private to private rooms. How we estimate costs
Staffing & care
More nursing time per resident — and lower turnover — generally means more attentive care.
- Total nurse hrs / resident / day
- 3.57
- National avg ≈ 3.9
- RN hrs / resident / day
- 0.59
- National avg ≈ 0.75
- Nursing staff turnover
- 42.1%
- National avg ≈ 52%
Safety & inspection record
Federal inspectors survey nursing homes roughly once a year. Here's the latest on file.
- Health deficiencies (last survey)
- 26
- Federal fines
- 2 ($153,596)
- Total penalties
- 3
- Last standard survey
- 2026-02-18
- Sprinkler system
- Yes
- Resident & family council
- Resident
What inspectors found
The most recent findings from federal health inspections (103 citations on record — showing the latest 8). Every nursing home is inspected roughly once a year; most receive some citations.
2026-02-18Severity F — potential for harmNutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
2026-02-18Severity E — potential for harmResident Rights Deficiencies
Honor the resident's right to manage his or her financial affairs.
2026-02-18Severity E — potential for harmFreedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
2026-02-18Severity E — potential for harmEnvironmental Deficiencies
Make 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.
2026-02-18Severity D — potential for harmFrom a complaintResident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
2026-02-18Severity D — potential for harmResident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2026-02-18Severity D — potential for harmResident Rights Deficiencies
Honor 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.
2026-02-18Severity D — potential for harmResident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity uses the CMS scope/severity scale: D–F = potential for harm, G–I = actual harm, J–L = immediate jeopardy. Source: CMS Care Compare health citations; data as of the latest federal release. Discuss any finding directly with the community on a tour.
Penalty history
Federal fines and Medicare/Medicaid payment denials on record.
| Date | Type | Amount |
|---|---|---|
| 2024-09-23 | Fine | $100,523 |
| 2024-09-23 | Payment denial | — |
| 2024-06-18 | Fine | $53,073 |
Services & amenities
- ✓ Full automatic sprinkler system
- ✓ Medicare & Medicaid certified
- ✓ 24-hour licensed nursing
- ✓ On-site rehabilitation therapy
- ✓ Rehabilitation services
- ✓ Restaurant-style dining
- ✓ On-site salon / barber
- ✓ Housekeeping & laundry
- ✓ Daily activities & events
- ✓ Courtyard / outdoor space
- ✓ Private rooms available
- ✓ Concierge services
- ✓ 24/7 staff
Location
3227 Bel Pre Road, Silver Spring, MD
- Monday: 8:00 AM – 8:00 PM
- Tuesday: 8:00 AM – 8:00 PM
- Wednesday: 8:00 AM – 8:00 PM
- Thursday: 8:00 AM – 8:00 PM
- Friday: 8:00 AM – 8:00 PM
- Saturday: 8:00 AM – 8:00 PM
- Sunday: 8:00 AM – 8:00 PM
Reviews & reputation
We aggregate ratings across Google, Yelp, and verified families — and link back to every source so you can read more.
Verified family reviews
No verified family reviews yet for Layhill Nursing and Rehabilitation Center.
Have a loved one here, or recently toured? Help other families by sharing your experience — we verify every review before it's published.
Talk to an advisor about this communityCommon questions about Layhill Nursing and Rehabilitation Center
How much does Layhill Nursing and Rehabilitation Center cost?
Layhill Nursing and Rehabilitation Center does not publish exact rates. Comparable skilled nursing in the Silver Spring, MD area typically runs $12,320–$16,490 per month (median $13,980, based on published survey medians adjusted for local prices). A Haven advisor can confirm current pricing for free.
What is Layhill Nursing and Rehabilitation Center's Medicare rating?
Medicare (CMS) rates Layhill Nursing and Rehabilitation Center 1 out of 5 stars overall, including 1/5 for health inspections, 2/5 for staffing, 4/5 for quality measures. The national average is about 3 stars.
How is the staffing at Layhill Nursing and Rehabilitation Center?
Staff provide about 3.57 total nurse hours per resident per day (national benchmark ≈ 3.9), and annual nursing-staff turnover is about 42.1% (national average ≈ 52%). These figures are reported to the federal government and updated regularly.
What did inspectors find at Layhill Nursing and Rehabilitation Center?
Layhill Nursing and Rehabilitation Center has 103 health citations on its recent federal inspection record (last standard survey: 2026-02-18). The full citation-by-citation detail, with severity levels, is published on this page.
Does Layhill Nursing and Rehabilitation Center have availability?
Typically 98% full (126 of 129 beds occupied on an average day). Openings here tend to go fast. Availability changes weekly — a Haven advisor can confirm current openings at no cost.
What types of care does Layhill Nursing and Rehabilitation Center offer?
Layhill Nursing and Rehabilitation Center in Silver Spring, MD offers skilled nursing and is licensed for 129 beds.
The best time to decide is before a crisis decides for you
Most families start this search after a fall, a hospital stay, or a caregiver reaching a breaking point — and end up choosing from whatever has a bed open that week. Families who plan even a few weeks ahead get to choose on quality, fit, and price instead of availability alone.
- Move-ins take time: assessments, paperwork, and preparation typically run 2–6 weeks in Frederick.
- The best communities fill first: top-rated communities often run a waitlist — touring early holds your place in line.
- Touring costs nothing and commits you to nothing — but it turns a future emergency into a calm, informed choice.
Your next steps — this week
- 1Confirm the fitCheck the inspection record and staffing data on this page against your loved one's needs.
- 2Get exact pricing & availabilityRequest current rates for Layhill Nursing and Rehabilitation Center — takes one minute, answered same day.
- 3Tour 2–3 communitiesCompare this community against two alternatives. Ask about staff turnover, all-in monthly cost, and care-plan changes.
- 4Hold a spotMost communities hold a residence with a small refundable deposit while you decide.
Data sources:CMS verifiedGoogleOfficial website
Last verified 2026-07-06. We refresh inspection data monthly and reviews continuously.
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