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Establishment profile

Layhill Nursing and Rehabilitation Center

3227 Bel Pre Road, Silver Spring, MD, 20906
Operated by LIFEWORKS REHAB · 1 of 47 establishments
623110Nursing Care Facilities (Skilled Nursing Facilities)

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OSHA inspections
0
over 5 years
Violations
0
Penalties
$0
Context
No OSHA inspections on record. This does not mean the employer is violation-free — OSHA inspects a small fraction of workplaces annually.

Summary

Layhill Nursing and Rehabilitation Center has no OSHA inspection history on file. Federal records covering wage, environmental, labor relations, and other agencies are noted below where present.

The most recent federal enforcement activity was recorded 5 years ago.

Federal records were found in 1 of 15 sources. Sources without matching records returned empty for this establishment.

Agency coverage

Layhill Nursing and Rehabilitation Center appears in WHD wage enforcement and CMS nursing home enforcement records only. No matching records were found in OSHA workplace safety, MSHA mine safety, EPA environmental compliance, NLRB labor relations, OFLC visa and labor certification (historical), FMCSA motor carrier registration, SAM.gov federal debarment, UVA Corporate Prosecution Registry, CPSC product recalls, or NHTSA vehicle recalls.

OSHA workplace safety

No OSHA inspections, citations, or accidents on file for Layhill Nursing and Rehabilitation Center. Verify directly with Occupational Safety and Health Administration

Safety self-report (OSHA 300A)

No self-reported injury rates filed with OSHA's Injury Tracking Application for Layhill Nursing and Rehabilitation Center. Verify directly with OSHA Injury Tracking Application

Industry benchmark

Industry avg TRIR
5.5
BLS SOII 2024
Industry avg DART
3.6
BLS SOII 2024
Self-reported TRIR
Not in OSHA ITA

BLS rates reflect industry-wide averages. Self-reported figures come from OSHA’s Injury Tracking Application; absence of self-reported data does not necessarily indicate non-compliance — many establishments fall below the ITA reporting threshold.

OSHA severe injury reports

No severe injury reports (hospitalization, amputation, or loss of an eye) on file under 29 CFR 1904.39 for Layhill Nursing and Rehabilitation Center. Verify directly with Occupational Safety and Health Administration

Activity timeline

Data refreshed
Weekly
First OSHA inspection
Most recent activity
5 years ago

No federal enforcement activity has been recorded against this establishment in 5+ years. Most recent activity: 5 years ago. Data on this page is refreshed weekly.

Wage & Hour Division (WHD)

Cases
1
Back wages owed
$18,204
Employees affected
75

Department of Labor Wage & Hour Division — minimum-wage, overtime, child-labor, FMLA, and prevailing-wage enforcement.

Wage and hour breakdown by law

Per-statute totals across all closed DOL Wage & Hour cases against this employer. Backwages reflect amounts the agency assessed; civil penalty is the separate fine where applicable. Some acts (Davis-Bacon, SCA, CWHSSA, H-2B, CCPA) don't carry a civil penalty field in DOL's data. 1 statute · 76 violations · $18,204 in backwages

StatutePeriodCasesViolationsWorkersBackwagesCivil penalty
FLSA — minimum wage & overtimeMay 202117675$18,204

Source: DOL WHD enforcement database, aggregated per statute. Lifetime totals. A case can cite multiple statutes — so the total here may exceed the case count in the table above.

Wage and hour cases

Closed DOL Wage & Hour Division cases (FLSA, FMLA, H-2B, MSPA, and related statutes). Backwages reflect amounts the agency assessed; civil penalty (CMP) is a separate fine levied on top, where the statute provides for one (FLSA / H-1B / H-2A / MSPA / FMLA / EPPA / FLSA Child Labor; other acts have no CMP column in DOL’s data). The Statutes column lists which laws each case cited. 1 case · 76 violations · $18,204 in backwages · 75 workers affected

Case periodIndustryStatutesViolationsWorkersBackwagesCivil penalty
Jun 2019 – May 2021Nursing Care FacilitiesFLSA7675$18,204

Source: DOL WHD enforcement database. Cases shown reflect those the agency has closed and made public. A violation count is the agency’s tally of cited violations (one violation can affect many workers); the workers column counts distinct employees the agency found to be affected.

Mine safety (MSHA)

No MSHA mine safety violations on file for Layhill Nursing and Rehabilitation Center. Verify directly with Mine Safety and Health Administration

Labor relations (NLRB)

No NLRB unfair labor practice charges or union representation cases on file for Layhill Nursing and Rehabilitation Center. Verify directly with National Labor Relations Board

Visa & labor certification (OFLC) — historical

No H-1B, H-2A, or H-2B labor condition applications on file (historical data only — DOL ended OFLC publication) for Layhill Nursing and Rehabilitation Center. Verify directly with Office of Foreign Labor Certification

Environmental compliance (EPA)

No EPA inspections or formal enforcement actions on file for Layhill Nursing and Rehabilitation Center. Verify directly with Environmental Protection Agency

CMS nursing-home record

CCN 215168 · Chain: LIFEWORKS REHAB

CMS abuse iconSpecial focus: SFF Candidate
Overall rating
1 of 5 stars
Certified beds
129
Deficiencies (3y)
82
CMS fines
$153,596

Source: CMS Provider Data Catalog (Care Compare) — health-inspection deficiencies, fines, and ratings. Full nursing-home record →

CMS Care Compare deficiencies

Every Health Deficiency citation issued by CMS surveyors during this facility’s annual and complaint-triggered surveys. F-tags reference 42 CFR 483 regulatory requirements (resident rights, staffing, infection control, medication management, etc.). Scope-severity letters grade citations from A (isolated potential harm) through L (widespread immediate jeopardy); immediate-jeopardy citations are the critical signal. 105 citations across 6 surveys · 1 immediate jeopardy · 2 actual-harm · 44 complaint-triggered.

Survey dateF-TagSeverityDescriptionTypeCorrected
Feb 20260628D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies
Complaint
Oct 20250658E
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies
Complaint
Oct 20250711E
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Nursing and Physician Services Deficiencies
Complaint
Oct 20250755E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Complaint
Oct 20250552D
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies
Complaint
Oct 20250568D
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Resident Rights Deficiencies
Complaint
Oct 20250609D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint
Oct 20250628D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies
Complaint
Oct 20250657D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies
Complaint
Oct 20250684D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Complaint
Oct 20250686D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Complaint
Oct 20250689D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Complaint
Sep 20240678K (IJ)
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Quality of Life and Care Deficiencies
Standard
Sep 20240657F
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies
Complaint
Sep 20240732F
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies
Standard
Sep 20240865F
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies
Standard
Sep 20240868F
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration Deficiencies
Standard
Sep 20240941F
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Administration Deficiencies
Standard
Sep 20240561E
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies
Standard
Sep 20240584E
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.
Resident Rights Deficiencies
Standard
Sep 20240656E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Complaint
Sep 20240679E
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies
Standard
Sep 20240697E
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies
Standard
Sep 20240700E
Try 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.
Quality of Life and Care Deficiencies
Standard
Sep 20240757E
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies
Standard
Sep 20240800E
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Nutrition and Dietary Deficiencies
Standard
Sep 20240909E
Regularly 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.
Environmental Deficiencies
Standard
Sep 20240552D
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies
Standard
Sep 20240557D
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Rights Deficiencies
Standard
Sep 20240578D
Honor 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.
Resident Rights Deficiencies
Standard
Sep 20240580D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies
Complaint
Sep 20240605D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Standard
Sep 20240610D
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint
Sep 20240622D
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Resident Rights Deficiencies
Complaint
Sep 20240623D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies
Standard
Sep 20240625D
Notify 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.
Resident Rights Deficiencies
Standard
Sep 20240641D
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Standard
Sep 20240645D
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies
Standard
Sep 20240655D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies
Standard
Sep 20240658D
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies
Standard
Sep 20240676D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies
Complaint
Sep 20240677D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Standard
Sep 20240686D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Standard
Sep 20240688D
Provide 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.
Quality of Life and Care Deficiencies
Standard
Sep 20240689D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Standard
Sep 20240692D
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Standard
Sep 20240693D
Ensure 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.
Quality of Life and Care Deficiencies
Complaint
Sep 20240740D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care Deficiencies
Complaint
Sep 20240756D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies
Standard
Sep 20240758D
Implement 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.
Pharmacy Service Deficiencies
Standard
Sep 20240759D
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
Standard
Sep 20240801D
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and Dietary Deficiencies
Standard
Sep 20240812D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Standard
Sep 20240842D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
Standard
Sep 20240880D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Standard
Sep 20240908D
Keep all essential equipment working safely.
Environmental Deficiencies
Standard
Sep 20240919D
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies
Standard
Sep 20240921D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies
Standard
Jun 20240583G (harm)
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies
Complaint
Jun 20240600G (harm)
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint
Jun 20240609E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint
Jun 20240610E
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint
Jun 20240641E
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Complaint
Jun 20240684E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Complaint
Jun 20240550D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Complaint
Jun 20240554D
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies
Complaint
Jun 20240558D
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Complaint
Jun 20240578D
Honor 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.
Resident Rights Deficiencies
Complaint
Jun 20240580D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies
Complaint
Jun 20240622D
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Resident Rights Deficiencies
Complaint
Jun 20240656D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Complaint
Jun 20240661D
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Resident Assessment and Care Planning Deficiencies
Complaint
Jun 20240686D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Complaint
Jun 20240689D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Complaint
Jun 20240692D
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Complaint
Jun 20240711D
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Nursing and Physician Services Deficiencies
Complaint
Jun 20240726D
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies
Complaint
Jun 20240740D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care Deficiencies
Complaint
Jun 20240760D
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
Complaint
Jun 20240790D
Provide routine and 24-hour emergency dental care for each resident.
Quality of Life and Care Deficiencies
Complaint
Jun 20240842D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
Complaint
Jun 20240865D
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies
Complaint
Sep 20190880F
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Standard
Sep 20190656E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Standard
Sep 20190689E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Standard
Sep 20190550D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Standard
Sep 20190603D
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Standard
Sep 20190609D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Standard
Sep 20190658D
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies
Standard
Oct 20180623E
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies
Standard
Oct 20180641E
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Standard
Oct 20180684E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Standard
Oct 20180686E
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Standard
Oct 20180880E
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Standard
Oct 20180580D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies
Standard
Oct 20180656D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Standard
Oct 20180657D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies
Standard
Oct 20180658D
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies
Standard
Oct 20180697D
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies
Standard
Oct 20180710D
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Nursing and Physician Services Deficiencies
Standard
Oct 20180756D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies
Standard
Oct 20180758D
Implement 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.
Pharmacy Service Deficiencies
Standard
Oct 20180812C
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Standard
Oct 20180730B
Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services Deficiencies
Standard
Oct 20180732B
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies
Standard

Source: CMS Care Compare Health Deficiencies dataset. Standard survey citations come from routine annual inspections; complaint citations come from CMS investigations of resident or family complaints; infection control citations come from focused infection-prevention surveys. F-tag definitions are at cms.gov/medicare/quality-initiatives-patient-assessment-instruments/nursinghomequalityinits.

Federal criminal prosecution record

No federal criminal prosecutions, plea agreements, or deferred-prosecution agreements on file for Layhill Nursing and Rehabilitation Center. Verify directly with UVA Corporate Prosecution Registry

In the news

Part of a larger organization

Layhill Nursing and Rehabilitation Center is one of 47 establishments rolled up under the parent organization LIFEWORKS REHAB.

Federal enforcement records on this page represent activity at this specific establishment only. The full enforcement footprint of LIFEWORKS REHAB across all 47 of its tracked locations is viewable on the parent profile.

Other employers in this industry and state

Other employers in nursing care facilities (skilled nursing facilities) within MD, ordered by federal enforcement volume:

Other locations under this parent

Other establishments operated by LIFEWORKS REHAB, ordered by federal enforcement volume:

Related searches

About this data

This profile aggregates federal enforcement records on Layhill Nursing and Rehabilitation Center from every major federal compliance and enforcement source plus the UVA Corporate Prosecution Registry. OSHA workplace safety inspections, WHD wage cases, MSHA mine safety, EPA environmental enforcement, NLRB labor relations, OFLC visa/labor certification, FMCSA motor carrier registration, SAM.gov debarments, CMS nursing-home records, BLS industry safety benchmarks, OSHA ITA self-reported injury rates, SEC enforcement and financial disclosures, CPSC and NHTSA recalls.

Establishments are matched across agencies using normalized employer name, state, and ZIP code. This establishment resolves to the parent rollup LIFEWORKS REHAB, which operates 47 establishments in our dataset.

OSHA citations typically appear 3–8 months after the inspection, so very recent enforcement actions may not yet be reflected. Profiles may be incomplete if the establishment operates under multiple legal names or files under variations our entity-matching rules don’t yet cover. To report a missing record or correction, email corrections@fastdol.com.

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Frequently asked

What is Layhill Nursing and Rehabilitation Center's OSHA violation history?
Layhill Nursing and Rehabilitation Center has no OSHA inspections on record.
How does Layhill Nursing and Rehabilitation Center's safety record compare to its industry?
Layhill Nursing and Rehabilitation Center operates in the nursing care facilities (skilled nursing facilities) industry. The industry average Total Recordable Incident Rate (TRIR) is 5.5.