nursing home in Pocomoke City, MD

Hartley Nursing and Rehab

1006 Market Street, Pocomoke City, MD 21851 · (410) 957-2252

★★★★★3
Average
CMS overall star rating
  • Health inspections★★★★★3
  • Staffing★★★★★2
  • Quality measures★★★★★3

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Hartley Nursing and Rehab at a glance

Hartley Nursing and Rehab is a 73-bed for-profit nursing home in Pocomoke City, Maryland (Worcester County).

CMS gives it 3 out of 5 stars on its overall star rating, close to the Maryland average of 3.2.

Residents receive about 3.5 hours of nursing care per day (0.6 of them from registered nurses), worse than the state average of 3.9 hours.

Its most recent standard health inspection (January 23, 2026) found 21 health citations. The Maryland average is 17.

It has not received a federal fine in the past three years.

Nursing staff turnover is 41.3% per year (state average 40.2%).

Facility details

Type
Nursing home
Ownership
For Profit - Limited Liability Company
Beds
73
Certified for
Medicare and Medicaid
Chain / affiliated entity
Key Health Management
Medicare-certified since
October 1, 1981
Resident/family council
Resident
County
Worcester County
CMS Certification Number
215134

Ratings

MeasureThis facilityMaryland avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)3 / 53.2 / 53 / 5Average
Health inspection rating ⓘ (higher is better)3 / 52.9 / 52.8 / 5Average
Staffing rating ⓘ (higher is better)2 / 53.2 / 52.9 / 5Worse
Quality measures rating ⓘ (higher is better)3 / 53.9 / 53.6 / 5Worse
Long-stay quality rating (higher is better)4 / 53.7 / 53.8 / 5Average
Short-stay (rehab) quality rating (higher is better)2 / 53.9 / 53.3 / 5Worse

Staffing

This facility3.47 hrsMaryland average3.87 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Maryland and U.S. averages
MeasureThis facilityMaryland avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.47 hrs3.87 hrs3.86 hrsWorse
Registered nurse hours per resident per day (higher is better)0.64 hrs0.84 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)1.93 hrs2.12 hrs2.32 hrsWorse
Weekend nurse staff hours per resident per day (higher is better)3.02 hrs3.47 hrs3.42 hrsWorse
Nursing staff turnover (yearly) (lower is better)41.3%40.2%45.8%Better
Registered nurse turnover (yearly) (lower is better)27.3%38.7%42.9%Better
Administrators who left in the past year (lower is better)301Worse

Inspections

This facility21Maryland average17U.S. average9
Health citations in the most recent inspection: this facility vs. Maryland and U.S. averages
MeasureThis facilityMaryland avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)21179Worse
Citations from complaint investigations (latest cycle) (lower is better)153Better
Weighted health inspection score ⓘ (lower is better)84115.180.6Average

Penalties

This facility0Maryland average1U.S. average1
Fines in the past 3 years: this facility vs. Maryland and U.S. averages
MeasureThis facilityMaryland avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)011Better
Total fines in the past 3 years (lower is better)$0$21,934$30,972Better
All federal penalties in the past 3 years (lower is better)011Better

Size

MeasureThis facilityMaryland avg.U.S. avg.vs. U.S.
Certified beds73124107
Average residents per day6610686
Occupancy90%84.7%80.9%

Long-stay residents

This facility0.8%Maryland average2.4%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Maryland and U.S. averages
MeasureThis facilityMaryland avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)0.8%2.4%3.2%Better
Long-stay residents with pressure ulcers (lower is better)2.6%5.9%4.6%Better
Long-stay residents given antipsychotic medication (lower is better)7.4%13.8%15.4%Better
Long-stay residents with a urinary tract infection (lower is better)0.9%1.5%1.6%Better
Long-stay residents with a catheter left in the bladder (lower is better)1.3%0.5%0.8%Worse
Long-stay residents needing more help with daily activities (lower is better)16.8%20.4%13.9%Worse
Long-stay residents whose walking worsened (lower is better)25.3%22.2%14.1%Worse
Long-stay residents who lose too much weight (lower is better)7.4%5.4%5.2%Worse
Long-stay residents with depressive symptoms (lower is better)34%22.8%12.8%Worse
Long-stay residents who were physically restrained (lower is better)0%0%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)10.3%16.7%19.5%Better
Long-stay residents with new or worse incontinence (lower is better)18.2%25%19%Average
Long-stay residents given a flu vaccine (higher is better)97%96.6%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)100%92.6%93.6%Better

Short-stay residents

This facility2.7%Maryland average1.1%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Maryland and U.S. averages
MeasureThis facilityMaryland avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)2.7%1.1%1.6%Worse
Short-stay residents given a flu vaccine (higher is better)94.8%80.6%79.8%Better
Short-stay residents given a pneumonia vaccine (higher is better)96.7%79.1%82%Better

Inspection citations

State inspectors cited this home for 37 health deficiencies and 26 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".

DateCitationSeverityStatus
January 23, 2026
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
F
Potential harm, widespread
Corrected March 30, 2026
January 23, 2026
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected March 30, 2026
January 23, 2026
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
F
Potential harm, widespread
Corrected March 30, 2026
January 23, 2026
Fire safety
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies · Tag K0712
F
Potential harm, widespread
Corrected March 30, 2026
January 23, 2026
Fire safety
Have properly installed electrical wiring and gas equipment.
Services Deficiencies · Tag K0511
E
Potential harm, pattern
Corrected March 30, 2026
January 23, 2026
Fire safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Egress Deficiencies · Tag K0223
E
Potential harm, pattern
Corrected March 30, 2026
January 23, 2026
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
E
Potential harm, pattern
Corrected March 30, 2026
January 23, 2026
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
E
Potential harm, pattern
Corrected March 30, 2026
January 23, 2026
Fire safety
Have proper medical gas storage and administration areas.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923
D
Potential harm, isolated
Corrected March 30, 2026
January 23, 2026
Fire safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Smoke Deficiencies · Tag K0362
D
Potential harm, isolated
Corrected March 30, 2026
January 23, 2026
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
D
Potential harm, isolated
Corrected March 30, 2026
January 23, 2026
Standard
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 · Tag F0656
E
Potential harm, pattern
Corrected March 18, 2026
January 23, 2026
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected March 18, 2026
January 23, 2026
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
E
Potential harm, pattern
Corrected March 18, 2026
January 23, 2026
Standard
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services Deficiencies · Tag F0727
E
Potential harm, pattern
Corrected March 18, 2026
January 23, 2026
Standard
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Infection Control Deficiencies · Tag F0945
D
Potential harm, isolated
Corrected March 18, 2026
January 23, 2026
Standard
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 · Tag F0657
D
Potential harm, isolated
Corrected March 18, 2026
January 23, 2026
Standard
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0943
D
Potential harm, isolated
Corrected March 18, 2026
January 23, 2026
Standard
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Infection Control Deficiencies · Tag F0887
D
Potential harm, isolated
Corrected March 18, 2026
January 23, 2026
Standard
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Tag F0883
D
Potential harm, isolated
Corrected March 18, 2026
January 23, 2026
Standard
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 · Tag F0580
D
Potential harm, isolated
Corrected March 18, 2026
January 23, 2026
Standard
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 · Tag F0584
D
Potential harm, isolated
Corrected March 18, 2026
January 23, 2026
Standard
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · Tag F0881
D
Potential harm, isolated
Corrected March 18, 2026
January 23, 2026
Standard
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 · Tag F0726
D
Potential harm, isolated
Corrected March 18, 2026
January 23, 2026
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected March 18, 2026
January 23, 2026
Standard
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Administration Deficiencies · Tag F0949
D
Potential harm, isolated
Corrected March 18, 2026
January 23, 2026
Standard
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services Deficiencies · Tag F0947
D
Potential harm, isolated
Corrected March 18, 2026
January 23, 2026
Standard
Provide training in compliance and ethics.
Administration Deficiencies · Tag F0946
D
Potential harm, isolated
Corrected March 18, 2026
January 23, 2026
Standard
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Administration Deficiencies · Tag F0944
D
Potential harm, isolated
Corrected March 18, 2026
January 23, 2026
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected March 18, 2026
January 23, 2026
Standard
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 · Tag F0756
D
Potential harm, isolated
Corrected March 18, 2026
October 29, 2025
Complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights Deficiencies · Tag F0627
D
Potential harm, isolated
Corrected December 10, 2025
July 11, 2024
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
F
Potential harm, widespread
Corrected October 25, 2024
July 11, 2024
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected October 25, 2024
July 11, 2024
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
F
Potential harm, widespread
Corrected October 25, 2024
July 11, 2024
Fire safety
Develop and maintain an Emergency Preparedness Program (EP).
Emergency Preparedness Deficiencies · Tag E0004
F
Potential harm, widespread
Corrected October 25, 2024
July 11, 2024
Fire safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Egress Deficiencies · Tag K0223
D
Potential harm, isolated
Corrected September 16, 2024
July 11, 2024
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected August 20, 2024
July 11, 2024
Standard
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Tag F0582
D
Potential harm, isolated
Corrected August 20, 2024
July 11, 2024
Standard
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 · Tag F0584
D
Potential harm, isolated
Corrected August 20, 2024
July 11, 2024
Standard
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 · Tag F0623
D
Potential harm, isolated
Corrected August 20, 2024
July 11, 2024
Standard
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 · Tag F0625
D
Potential harm, isolated
Corrected August 20, 2024
July 11, 2024
Standard
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 · Tag F0656
D
Potential harm, isolated
Corrected August 20, 2024
July 11, 2024
Standard
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 · Tag F0711
D
Potential harm, isolated
Corrected August 20, 2024
July 11, 2024
Standard
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Tag F0761
D
Potential harm, isolated
Corrected August 20, 2024
July 11, 2024
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
D
Potential harm, isolated
Corrected August 20, 2024
August 5, 2019
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
F
Potential harm, widespread
Corrected September 30, 2019
August 5, 2019
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
F
Potential harm, widespread
Corrected November 8, 2019
August 5, 2019
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
F
Potential harm, widespread
Corrected November 8, 2019
August 5, 2019
Fire safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Egress Deficiencies · Tag K0223
E
Potential harm, pattern
Corrected October 11, 2019
August 5, 2019
Fire safety
Meet requirements for the use of electrical equipment.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0919
D
Potential harm, isolated
Corrected October 24, 2019
August 5, 2019
Fire safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies · Tag K0222
D
Potential harm, isolated
Corrected September 26, 2019
August 5, 2019
Fire safety
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
Miscellaneous Deficiencies · Tag K0700
D
Potential harm, isolated
Corrected October 24, 2019
August 5, 2019
Fire safety
Have properly installed electrical wiring and gas equipment.
Services Deficiencies · Tag K0511
D
Potential harm, isolated
Corrected September 25, 2019
August 5, 2019
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
D
Potential harm, isolated
Corrected November 8, 2019
August 5, 2019
Fire safety
Install an approved automatic sprinkler system.
Smoke Deficiencies · Tag K0351
D
Potential harm, isolated
Corrected November 8, 2019
August 5, 2019
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
J
Immediate jeopardy, isolated
Corrected October 11, 2019
August 5, 2019
Standard
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 · Tag F0842
E
Potential harm, pattern
Corrected October 11, 2019
August 5, 2019
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected October 11, 2019
August 5, 2019
Standard
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 · Tag F0605
D
Potential harm, isolated
Corrected October 11, 2019
August 5, 2019
Standard
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 · Tag F0657
D
Potential harm, isolated
Corrected October 11, 2019
August 5, 2019
Standard
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 · Tag F0623
D
Potential harm, isolated
Corrected October 11, 2019
August 5, 2019
Standard
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 · Tag F0656
D
Potential harm, isolated
Corrected October 11, 2019

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports no federal fines or payment denials in the past three years.

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
MD4 HOLDCO, LLC
Organization
5% or greater direct ownership interest100%04/01/2023
BARAL, SARAD
Individual
adp of the snfNOT APPLICABLE04/01/2023
KEY HEALTH MANAGEMENT LLC
Organization
adp of the snfNOT APPLICABLE04/01/2023
YOUNG, MICHELE
Individual
adp of the snfNOT APPLICABLE02/17/2025
HIRTH, YECHIEL
Individual
corporate officerNOT APPLICABLE04/01/2023
AUSCH, SARA
Individual
individual is an owner, partner or trustee of any adp of the snfNOT APPLICABLE06/25/2025
EISEN, MENASHE
Individual
individual is an owner, partner or trustee of any adp of the snfNOT APPLICABLE06/25/2025
KLEIN, YEHUDIS
Individual
individual is an owner, partner or trustee of any adp of the snfNOT APPLICABLE06/25/2025
PERLSTEIN, BARRY
Individual
individual is an owner, partner or trustee of any adp of the snfNOT APPLICABLE06/25/2025
SCHLUSSEL, NAFTALI
Individual
individual is an owner, partner or trustee of any adp of the snfNOT APPLICABLE06/25/2025
BARAL, SARAD
Individual
operational/managerial controlNOT APPLICABLE04/01/2023
HIRTH, YECHIEL
Individual
operational/managerial controlNOT APPLICABLE04/01/2023
YOUNG, MICHELE
Individual
operational/managerial controlNOT APPLICABLE02/17/2025

Other nursing homes near Hartley Nursing and Rehab

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    For-profit · 69 beds · Part of Venza Care Management

    ★★★★★1Much below average
  2. Manokin Nursing and Rehab

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    For-profit · 135 beds · Part of Key Health Management

    • Special Focus candidate
    • Abuse citation
    ★★★★★1Much below average
  3. Alice Byrd Tawes Nursing Home

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  4. Anchorage Rehabilitation and Wellness Center

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    For-profit · 126 beds

    ★★★★★2Below average
  5. Bay Harbor Post Acute Healthcare Center

    200 Civic Avenue, Salisbury, MD 21804 · 21 mi

    For-profit · 305 beds · Part of Marquis Health Services

    • Special Focus candidate
    • Abuse citation
    ★★★★★1Much below average
  6. Wicomico Nursing Home

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Frequently asked questions

What is Hartley Nursing and Rehab's rating?

Hartley Nursing and Rehab has 3 out of 5 stars on the CMS overall star rating. The average for Maryland nursing homes is 3.2 stars.

How many inspection citations did Hartley Nursing and Rehab receive?

Its most recent standard health inspection found 21 citations, compared with a Maryland average of 17. Every citation is listed on this page with its severity.

Does Hartley Nursing and Rehab accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Hartley Nursing and Rehab?

It is for profit - limited liability company and part of Key Health Management. The ownership section on this page lists the owners and managers reported to CMS.

Where is Hartley Nursing and Rehab and how do I contact it?

Hartley Nursing and Rehab is at 1006 Market Street, Pocomoke City, MD 21851. Phone: (410) 957-2252.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.