Layhill Nursing And Rehabilitation Center has received an F grade based on CMS data, with a score of 10/100 — placing it among the lowest-rated nursing facilities in Maryland. Families considering this Silver Spring facility should carefully review its inspection history and quality metrics.
Staffing at Layhill Nursing And Rehabilitation Center is near the national average, with 3.51 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 104 deficiencies at Layhill Nursing And Rehabilitation Center, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure services provided by the nursing facility meet professional standards of quality..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.51 | 3.8 | Average |
| Registered Nurses (RN) | 0.70 | 0.7 | Average |
| Licensed Practical Nurses (LPN) | 0.89 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.92 | 2.4 | Below Average |
| Weekend Total Nursing | 2.96 | 3.8 | Below Average |
| Weekend RN Hours | 0.48 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0658 Severity EEnsure services provided by the nursing facility meet professional standards of quality.Oct 8, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0711 Severity EEnsure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.Oct 8, 2025 · Nursing and Physician Services Deficiencies
- Tag 0755 Severity EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Oct 8, 2025 · Pharmacy Service Deficiencies
- Tag 0552 Severity DEnsure that residents are fully informed and understand their health status, care and treatments.Oct 8, 2025 · Resident Rights Deficiencies
- Tag 0568 Severity DProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.Oct 8, 2025 · Resident Rights Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 11.6% | 4.5% | Worse |
| Falls with major injury | 1.4% | 3.0% | Better |
| On antipsychotic medication | 17.2% | 14.5% | Worse |
| Urinary tract infections | 1.1% | 2.5% | Better |
| ADL decline (daily activities) | 8.1% | 14.0% | Better |
| Excessive weight loss | 2.7% | 7.5% | Better |
| New/worsened incontinence | 24.4% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $153,596
How This Grade Was Calculated
This facility's grade of F is based on a score of 10 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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