Worcester County, Maryland · Nursing home
Hartley Nursing and Rehab
3 of 5 overall from CMS
1006 Market Street, Pocomoke City, MD 21851
At a glance
- Overall rating 3 of 5 Below the state average of 3.2
- Nurse time per resident, per day 3.47 hours Below the state average of 3.87
- Nursing staff who left in a year 41.3% Above the state average of 40.2%
- Health citations, last 3 inspection cycles 37 1 at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 90.0% of 73 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Hartley Nursing and Rehab is a 73-bed nursing home in Pocomoke City, Maryland (Worcester County). CMS rates it 3 of 5 stars overall as of Sep 2026. It reports 3.47 nurse staffing hours per resident per day, below the Maryland average of 3.87. CMS lists no fines in the past three years.
- Certified beds
- 73
- Residents per day (average)
- 65.7
- Certified since
- 1981 (45 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidPart of Key Health Management (7 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Hartley Nursing and Rehab
Chosen from this home's public data.
- CMS counts 21 health deficiencies in the latest inspection cycle (the standard inspection on Jan 23, 2026 plus complaint and infection-control inspections); the Maryland average is 17.0. Which have been corrected?Inspection results in CMS data
- Nursing staff turnover is 41.3%, above the Maryland average of 40.2%. How often would the same aides care for my relative?Turnover in CMS data
- Reported nurse staffing is 3.02 hours per resident on weekends against 3.47 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 3 of 5 Maryland average 3.2
- Health inspections 3 of 5 Maryland average 2.9
- Staffing 2 of 5 Maryland average 3.2
- Quality measures 3 of 5 Maryland average 3.9
The vertical line marks the Maryland average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.47 h Maryland average 3.87
- Nurse aides 1.93 h Maryland average 2.12
- Licensed practical nurses 0.90 h Maryland average 0.91
- Registered nurses 0.64 h Maryland average 0.84
- All staff, weekends 3.02 h Maryland average 3.47
How much nurse staffing is enough? All bars share one scale, 0 to 10 hours. The vertical line marks the Maryland average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover41.3%
- Maryland average40.2%
- Registered nurse turnover27.3%
- Maryland average38.7%
- Administrators who left3
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Maryland and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Maryland | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 16.8% | 20.4% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 7.4% | 5.4% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.3% | 0.5% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.9% | 1.5% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 34.0% | 22.8% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 0.8% | 2.4% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 92.6% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 25.3% | 22.2% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.3% | 16.7% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.0% | 96.6% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 2.6% | 5.9% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.2% | 25.0% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 7.4% | 13.8% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.91 | 1.33 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 1.06 | 1.20 | 1.78 |
Short-stay residents
| Measure | This home | Maryland | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.7% | 79.1% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 2.7% | 1.1% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.8% | 80.6% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.2% | 21.0% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 17.2% | 9.8% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 37 health deficiencies in the three most recent inspection cycles. Of these, 1 was at the immediate jeopardy level; the rest were graded as no actual harm. 1 was cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Aug 5, 2019: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Jan 23, 2026 | 21 | 11 |
| Jul 11, 2024 | 9 | 5 |
| Aug 5, 2019 | 7 | 10 |
Maryland homes averaged 17.0 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (37)
-
EPotential for more than minimal harm, pattern
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 · Deficient, Provider has date of correction (Mar 18, 2026)
-
EPotential for more than minimal harm, pattern
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 18, 2026)
-
EPotential for more than minimal harm, pattern
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 · Deficient, Provider has date of correction (Mar 18, 2026)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Mar 18, 2026)
-
DPotential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · Deficient, Provider has date of correction (Mar 18, 2026)
Show 25 more
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Mar 18, 2026)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Mar 18, 2026)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 18, 2026)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Mar 18, 2026)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Mar 18, 2026)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Mar 18, 2026)
-
DPotential for more than minimal harm, isolated
Implement a program that monitors antibiotic use.
Infection Control · Deficient, Provider has date of correction (Mar 18, 2026)
-
DPotential for more than minimal harm, isolated
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control · Deficient, Provider has date of correction (Mar 18, 2026)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Mar 18, 2026)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Mar 18, 2026)
-
DPotential for more than minimal harm, isolated
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Administration · Deficient, Provider has date of correction (Mar 18, 2026)
-
DPotential for more than minimal harm, isolated
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Infection Control · Deficient, Provider has date of correction (Mar 18, 2026)
-
DPotential for more than minimal harm, isolated
Provide training in compliance and ethics.
Administration · Deficient, Provider has date of correction (Mar 18, 2026)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Mar 18, 2026)
-
DPotential for more than minimal harm, isolated
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Administration · Deficient, Provider has date of correction (Mar 18, 2026)
-
DPotential for more than minimal harm, isolated
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Dec 10, 2025)
-
DPotential for more than minimal harm, isolated
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights · Deficient, Provider has date of correction (Aug 20, 2024)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Aug 20, 2024)
-
DPotential for more than minimal harm, isolated
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights · Deficient, Provider has date of correction (Aug 20, 2024)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Aug 20, 2024)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Aug 20, 2024)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Aug 20, 2024)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Aug 20, 2024)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Aug 20, 2024)
-
DPotential for more than minimal harm, isolated
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Aug 20, 2024)
Showing the 30 most recent of 37.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
CMS lists no fines or payment denials for this home in the past three years.
Maryland homes averaged 0.6 fines and $21,934 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Maryland
- Size179 of 220 by certified beds
- Maryland average residents per day105.7
- ChainKey Health Management
- Chain average overall rating1.7 of 5
- Resident or family councilResident
- Homes in Worcester County3
Common questions
What is the CMS star rating for Hartley Nursing and Rehab?
Hartley Nursing and Rehab has an overall rating of 3 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 3, staffing is 2 and quality measures is 3.
How many beds does Hartley Nursing and Rehab have?
Hartley Nursing and Rehab has 73 certified beds. It averages 65.7 residents per day, about 90.0% of its certified beds.
How much nursing care do residents get at Hartley Nursing and Rehab?
The home reports 3.47 hours of nurse staffing per resident per day, including 0.64 hours from registered nurses. The Maryland average is 3.87 hours and 0.84 hours from registered nurses.
Has Hartley Nursing and Rehab been fined?
CMS lists no fines for this home in the past three years.
Does Hartley Nursing and Rehab accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 1 of 5 Snow Hill Rehabilitation & Healthcare Center 69beds 86.5%in use –nurse hours a day
- 1 of 5 Manokin Nursing and Rehab 135beds 79.0%in use 3.22nurse hours a day
- 5 of 5 Alice Byrd Tawes Nursing Home 76beds 91.3%in use 3.46nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Worcester County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 215134. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.