Hartley Nursing and Rehab
1006 Market Street · Pocomoke City, MD · 21851 · 4109572252
73 certified beds For profit - Limited Liability company Chain: Key Health Management
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.22 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.65 | 0.55–0.75 |
| Weekend hours / resident-day | 2.84 | ≈ weekday level |
| Nursing turnover / year | 40% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (37 in the current record)
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Potential for harm · D January 23, 2026
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected March 18, 2026 · Resident Rights
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Potential for harm · D January 23, 2026
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.
Corrected March 18, 2026 · Resident Rights
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Potential for harm · E January 23, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 18, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 23, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 18, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 23, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 18, 2026 · Quality of Life and Care
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Potential for harm · E January 23, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 18, 2026 · Quality of Life and Care
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Potential for harm · D January 23, 2026
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.
Corrected March 18, 2026 · Nursing and Physician Services
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Potential for harm · E January 23, 2026
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.
Corrected March 18, 2026 · Nursing and Physician Services
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Potential for harm · D January 23, 2026
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected March 18, 2026 · Pharmacy Service
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Potential for harm · E January 23, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 18, 2026 · Nutrition and Dietary
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Potential for harm · D January 23, 2026
Provide and implement an infection prevention and control program.
Corrected March 18, 2026 · Infection Control
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Potential for harm · D January 23, 2026
Implement a program that monitors antibiotic use.
Corrected March 18, 2026 · Infection Control
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Potential for harm · D January 23, 2026
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected March 18, 2026 · Infection Control
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Potential for harm · D January 23, 2026
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.
Corrected March 18, 2026 · Infection Control
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Potential for harm · D January 23, 2026
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected March 18, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 23, 2026
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected March 18, 2026 · Administration
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Potential for harm · D January 23, 2026
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Corrected March 18, 2026 · Infection Control
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Potential for harm · D January 23, 2026
Provide training in compliance and ethics.
Corrected March 18, 2026 · Administration
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Potential for harm · D January 23, 2026
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected March 18, 2026 · Nursing and Physician Services
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Potential for harm · D January 23, 2026
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Corrected March 18, 2026 · Administration
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Potential for harm · D October 29, 2025 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected December 10, 2025 · Resident Rights
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Potential for harm · D July 11, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected August 20, 2024 · Resident Rights
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Potential for harm · D July 11, 2024
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.
Corrected August 20, 2024 · Resident Rights
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Potential for harm · D July 11, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected August 20, 2024 · Resident Rights
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Potential for harm · D July 11, 2024
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.
Corrected August 20, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 215134 · certified since October 1, 1981. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.