Starfile / Maryland

LAYHILL NURSING AND REHABILITATION CENTER

3227 BEL PRE ROAD, SILVER SPRING, MD 20906 · CCN 215168

SFF Candidate

Inspection history vs Maryland & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$153,596

Number of fines

2

Number of penalties

3

Payment denials

1

Chain

Chain

LIFEWORKS REHAB

Facilities in chain

59

Chain avg overall

2.10 / 5

Inspection citations (104)1 immediate jeopardy2 actual harm

1. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-10-09 · Health · corrected 2025-12-10

   Potential for more than minimal harm

2. DF0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.2025-10-09 · Health · corrected 2025-12-10

   Potential for more than minimal harm

3. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-10-09 · Health · corrected 2025-12-10

   Potential for more than minimal harm

4. DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-10-09 · Health · corrected 2025-12-10

   Potential for more than minimal harm

5. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-10-09 · Health · corrected 2025-12-10

   Potential for more than minimal harm

6. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-10-09 · Health · corrected 2025-09-06

   Potential for more than minimal harm

7. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-10-09 · Health · corrected 2025-12-10

   Potential for more than minimal harm

8. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-10-09 · Health · corrected 2025-12-10

   Potential for more than minimal harm

9. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-10-09 · Health · corrected 2025-12-10

   Potential for more than minimal harm

10. EF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.2025-10-09 · Health · corrected 2025-12-10

    Potential for more than minimal harm

11. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-10-09 · Health · corrected 2025-12-10

    Potential for more than minimal harm

12. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-09-23 · Health · corrected 2024-11-18

    Potential for more than minimal harm

13. DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2024-09-23 · Health · corrected 2024-11-18

    Potential for more than minimal harm

14. EF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2024-09-23 · Health · corrected 2024-11-18

    Potential for more than minimal harm

15. DF0578Honor 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.2024-09-23 · Health · corrected 2024-11-18

    Potential for more than minimal harm

16. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-09-23 · Health · corrected 2024-11-18

    Potential for more than minimal harm

17. EF0584Honor 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.2024-09-23 · Health · corrected 2025-01-15

    Potential for more than minimal harm

18. DF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2024-09-23 · Health · corrected 2024-11-18

    Potential for more than minimal harm

19. DF0610Respond appropriately to all alleged violations.2024-09-23 · Health · corrected 2024-11-18

    Potential for more than minimal harm

20. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2024-09-23 · Health · corrected 2024-11-18

    Potential for more than minimal harm

21. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-09-23 · Health · corrected 2024-11-18

    Potential for more than minimal harm

22. DF0625Notify 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.2024-09-23 · Health · corrected 2025-01-15

    Potential for more than minimal harm

23. DF0641Ensure each resident receives an accurate assessment.2024-09-23 · Health · corrected 2024-11-18

    Potential for more than minimal harm

24. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-09-23 · Health · corrected 2024-11-18

    Potential for more than minimal harm

25. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-09-23 · Health · corrected 2024-11-18

    Potential for more than minimal harm

26. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-09-23 · Health · corrected 2024-11-18

    Potential for more than minimal harm

27. FF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-09-23 · Health · corrected 2024-11-18

    Potential for more than minimal harm

28. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-09-23 · Health · corrected 2025-01-15

    Potential for more than minimal harm

29. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2024-09-23 · Health · corrected 2024-11-18

    Potential for more than minimal harm

30. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-09-23 · Health · corrected 2024-11-18

    Potential for more than minimal harm

31. KF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2024-09-23 · Health · corrected 2024-11-18

    Immediate jeopardy

32. EF0679Provide activities to meet all resident's needs.2024-09-23 · Health · corrected 2024-11-18

    Potential for more than minimal harm

33. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-09-23 · Health · corrected 2024-11-18

    Potential for more than minimal harm

34. DF0688Provide 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.2024-09-23 · Health · corrected 2024-11-18

    Potential for more than minimal harm

35. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-09-23 · Health · corrected 2024-11-18

    Potential for more than minimal harm

36. DF0692Provide enough food/fluids to maintain a resident's health.2024-09-23 · Health · corrected 2024-11-18

    Potential for more than minimal harm

37. DF0693Ensure 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.2024-09-23 · Health · corrected 2024-11-18

    Potential for more than minimal harm

38. EF0697Provide safe, appropriate pain management for a resident who requires such services.2024-09-23 · Health · corrected 2024-11-18

    Potential for more than minimal harm

39. EF0700Try 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.2024-09-23 · Health · corrected 2024-11-18

    Potential for more than minimal harm

40. FF0732Post nurse staffing information every day.2024-09-23 · Health · corrected 2024-11-18

    Potential for more than minimal harm

41. DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2024-09-23 · Health · corrected 2024-11-18

    Potential for more than minimal harm

42. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-09-23 · Health · corrected 2024-11-18

    Potential for more than minimal harm

43. EF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-09-23 · Health · corrected 2024-11-18

    Potential for more than minimal harm

44. DF0758Implement 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.2024-09-23 · Health · corrected 2024-11-18

    Potential for more than minimal harm

45. DF0759Ensure medication error rates are not 5 percent or greater.2024-09-23 · Health · corrected 2025-01-15

    Potential for more than minimal harm

46. EF0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.2024-09-23 · Health · corrected 2025-01-15

    Potential for more than minimal harm

47. DF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2024-09-23 · Health · corrected 2024-11-18

    Potential for more than minimal harm

48. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-09-23 · Health · corrected 2024-11-18

    Potential for more than minimal harm

49. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-09-23 · Health · corrected 2024-11-18

    Potential for more than minimal harm

50. FF0865Have a plan that describes the process for conducting QAPI and QAA activities.2024-09-23 · Health · corrected 2024-11-18

    Potential for more than minimal harm

51. FF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2024-09-23 · Health · corrected 2024-11-18

    Potential for more than minimal harm

52. DF0880Provide and implement an infection prevention and control program.2024-09-23 · Health · corrected 2024-11-18

    Potential for more than minimal harm

53. DF0908Keep all essential equipment working safely.2024-09-23 · Health · corrected 2024-11-18

    Potential for more than minimal harm

54. EF0909Regularly 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.2024-09-23 · Health · corrected 2024-11-18

    Potential for more than minimal harm

55. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2024-09-23 · Health · corrected 2025-01-15

    Potential for more than minimal harm

56. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-09-23 · Health · corrected 2025-01-15

    Potential for more than minimal harm

57. FF0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.2024-09-23 · Health · corrected 2024-11-18

    Potential for more than minimal harm

58. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-06-18 · Health · corrected 2024-07-26

    Potential for more than minimal harm

59. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-06-18 · Health · corrected 2024-07-26

    Potential for more than minimal harm

60. DF0558Reasonably accommodate the needs and preferences of each resident.2024-06-18 · Health · corrected 2024-07-26

    Potential for more than minimal harm

61. DF0578Honor 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.2024-06-18 · Health · corrected 2024-07-26

    Potential for more than minimal harm

62. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-06-18 · Health · corrected 2024-07-26

    Potential for more than minimal harm

63. GF0583Keep residents' personal and medical records private and confidential.2024-06-18 · Health · corrected 2024-07-26

    Actual harm

64. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-06-18 · Health · corrected 2024-07-26

    Actual harm

65. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-06-18 · Health · corrected 2024-07-26

    Potential for more than minimal harm

66. EF0610Respond appropriately to all alleged violations.2024-06-18 · Health · corrected 2024-07-26

    Potential for more than minimal harm

67. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2024-06-18 · Health · corrected 2024-07-26

    Potential for more than minimal harm

68. EF0641Ensure each resident receives an accurate assessment.2024-06-18 · Health · corrected 2024-07-26

    Potential for more than minimal harm

69. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-06-18 · Health · corrected 2024-07-26

    Potential for more than minimal harm

70. DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2024-06-18 · Health · corrected 2024-07-26

    Potential for more than minimal harm

71. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-06-18 · Health · corrected 2024-07-26

    Potential for more than minimal harm

72. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-06-18 · Health · corrected 2024-07-26

    Potential for more than minimal harm

73. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-06-18 · Health · corrected 2024-07-26

    Potential for more than minimal harm

74. DF0692Provide enough food/fluids to maintain a resident's health.2024-06-18 · Health · corrected 2024-07-26

    Potential for more than minimal harm

75. DF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.2024-06-18 · Health · corrected 2024-07-26

    Potential for more than minimal harm

76. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-06-18 · Health · corrected 2024-07-26

    Potential for more than minimal harm

77. DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2024-06-18 · Health · corrected 2024-07-26

    Potential for more than minimal harm

78. DF0760Ensure that residents are free from significant medication errors.2024-06-18 · Health · corrected 2024-07-26

    Potential for more than minimal harm

79. DF0790Provide routine and 24-hour emergency dental care for each resident.2024-06-18 · Health · corrected 2024-07-26

    Potential for more than minimal harm

80. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-06-18 · Health · corrected 2024-07-26

    Potential for more than minimal harm

81. DF0865Have a plan that describes the process for conducting QAPI and QAA activities.2024-06-18 · Health · corrected 2024-07-26

    Potential for more than minimal harm

82. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2019-09-27 · Health · corrected 2019-11-10

    Potential for more than minimal harm

83. DF0603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).2019-09-27 · Health · corrected 2019-11-10

    Potential for more than minimal harm

84. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2019-09-27 · Health · corrected 2019-11-10

    Potential for more than minimal harm

85. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2019-09-27 · Health · corrected 2019-11-10

    Potential for more than minimal harm

86. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2019-09-27 · Health · corrected 2019-11-10

    Potential for more than minimal harm

87. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2019-09-27 · Health · corrected 2019-11-10

    Potential for more than minimal harm

88. FF0880Provide and implement an infection prevention and control program.2019-09-27 · Health · corrected 2019-11-10

    Potential for more than minimal harm

89. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2018-10-16 · Health · corrected 2018-11-29

    Potential for more than minimal harm

90. EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2018-10-16 · Health · corrected 2018-11-29

    Potential for more than minimal harm

91. EF0641Ensure each resident receives an accurate assessment.2018-10-16 · Health · corrected 2018-11-29

    Potential for more than minimal harm

92. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2018-10-16 · Health · corrected 2018-11-29

    Potential for more than minimal harm

93. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2018-10-16 · Health · corrected 2018-11-29

    Potential for more than minimal harm

94. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2018-10-16 · Health · corrected 2018-11-29

    Potential for more than minimal harm

95. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2018-10-16 · Health · corrected 2018-11-29

    Potential for more than minimal harm

96. EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2018-10-16 · Health · corrected 2018-11-29

    Potential for more than minimal harm

97. DF0697Provide safe, appropriate pain management for a resident who requires such services.2018-10-16 · Health · corrected 2018-11-29

    Potential for more than minimal harm

98. DF0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.2018-10-16 · Health · corrected 2018-11-29

    Potential for more than minimal harm

99. BF0730Observe each nurse aide's job performance and give regular training.2018-10-16 · Health · corrected 2018-11-29

    Potential for minimal harm

100. BF0732Post nurse staffing information every day.2018-10-16 · Health · corrected 2018-11-29

     Potential for minimal harm

101. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2018-10-16 · Health · corrected 2018-11-29

     Potential for more than minimal harm

102. DF0758Implement 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.2018-10-16 · Health · corrected 2018-11-29

     Potential for more than minimal harm

103. CF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2018-10-16 · Health · corrected 2018-11-29

     Potential for minimal harm

104. EF0880Provide and implement an infection prevention and control program.2018-10-16 · Health · corrected 2018-11-29

     Potential for more than minimal harm

Ownership

Other facilities in SILVER SPRING

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.