Layhill Center
Assisted Living
3227 Bel Pre Road, Silver Spring, MD 20906
Situated on beautifully landscaped grounds in a suburban environment, Layhill Center is located near hospitals, churches, schools and shopping. We offer ShortStay, LongTerm and Respite Care as well as Physical, Occupational, Speech and Orthopedic Therapies as well as IV Therapy. Additional specialties include TPN, Wound Care, Diabetes Management, Medication Management and specialized diets. Patients and residents will also enjoy the outdoor, fenced-in courtyard, beauty shop, with manicure/pedicure services and activities that include weekly outings, musical entertainment and religious services. Layhill accepts Medicare, Medicaid, most Managed Care Insurances as well as private payment.
Operated by Genesis HealthCare, which runs 507 communities in our directory.
With 129 beds, Layhill Center is one of the larger communities in the area, senior care communities in Silver Spring average about 46 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.
Federal reporting puts occupancy at about 103% of its licensed beds, which is high; communities this full often maintain a waiting list, so it is worth calling well before you need a place. That is above the Silver Spring average of roughly 90%.
Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Silver Spring average about 3.1 stars. Its most recent standard health inspection was in February 2026 and recorded 26 deficiencies.
Residents receive about 3.5 hours of nursing care per day on average, including 0.7 hours from a registered nurse. Communities in Silver Spring average about 3.9 hours. Nursing staff turnover over the past year was about 38%.
The community is located in Montgomery County, MD.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 103 problems at Layhill Center. 3 findings involved harm to a resident, including 1 that put residents in immediate danger. 44 came from investigating complaints by residents or families.
In the last three years Medicare fined this home twice, a total of $153,596. Medicare also stopped paying for new admissions once in that period.
Findings from the most recent inspection cycle
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Could cause more than minimal harm, widespread
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Could cause more than minimal harm, a pattern
Resident Rights
Honor the resident's right to manage his or her financial affairs.
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Could cause more than minimal harm, a pattern
Freedom from Abuse, Neglect, and Exploitation
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
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Could cause more than minimal harm, a pattern
Environmental
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.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Could cause more than minimal harm, one or a few residents
Resident Rights
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.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Show 18 more
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Ensure services provided by the nursing facility meet professional standards of quality.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
Ensure medication error rates are not 5 percent or greater.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Could cause more than minimal harm, one or a few residents
Infection Control
Provide and implement an infection prevention and control program.
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Could cause more than minimal harm, one or a few residents
Environmental
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
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Could cause more than minimal harm, a pattern
Resident Assessment and Care Planning
Ensure services provided by the nursing facility meet professional standards of quality.
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Could cause more than minimal harm, a pattern
Nursing and Physician Services
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
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Could cause more than minimal harm, a pattern
Pharmacy Service
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Ensure that residents are fully informed and understand their health status, care and treatments.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Layhill Center offers assisted living, nursing home care, hospice care, respite care, and senior living.
Facility details
- Organization type for-profit corporation
- Beds / units 129
- Occupancy 103%
- Nursing hours per resident/day 3.5
- Annual staff turnover 38%
- Last health inspection February 2026
Resident & family reviews
No one has shared a review of Layhill Center yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.