Home / Maryland / Pocomoke City
Hartley Nursing and Rehab
1006 Market Street, Pocomoke City, MD 21851 · Worcester County · (410) 957-2252
73 certified beds, about 66 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1981
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 215134 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 23, 2026, inspectors cited 20 health deficiencies (the Maryland average is 17, the national average 9.2).
Of 37 health citations since August 2019, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.47 hours per resident per day, against 3.87 across Maryland and 3.86 nationally. Registered nurses accounted for 0.64 of those hours.
41.3% of nursing staff left within the year CMS measured (Maryland average 40.2%).
CMS links it to Key Health Management, an affiliated group of 7 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
708/19
907/24
110/25
2001/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 37 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
31D
5E
0F
Potential for minimal harm
0A
0B
0C
January 23, 2026Standard inspection · 20 citations
- E Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, interview and record review, it was determined that the facility failed to develop and implement comprehensive care plans for the use of 1) oxygen (O2) therapy and 2) cardiac medications. This was evident for 4 (Residents #45, #62, #53 and #2) of 23 residents reviewed for care planning during the recertification survey.
- E Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to provide necessary respiratory care services by failing to label oxygen administration equipment. This was evident for 4 (Resident #57, #53, #62 and #45) of 4 residents reviewed for respiratory care during the recertification survey.
- E 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.
Inspectors wroteBased on a review of staffing sheets and interview, it was determined that the facility failed to ensure a registered nurse (RN) was on duty of at least 8 consecutive hours, 7 days a week. This was evident for 2 of 23 days reviewed during the recertification survey and has the potential to affect all residents.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations and staff interviews, it was determined that the facility failed to store and prepare food in a manner that maintained professional standards of food service safety. This practice had the potential to affect all residents eating food prepared in the facility's kitchen.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on record review and interviews, it was determined that the facility failed to notify the Physician and Resident Representative (RP) of the residents' change in condition. This was evident for 2 (Resident #5 and Resident #57) of 4 residents reviewed for hospitalizations during the recertification survey.
- D 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.
Inspectors wroteBased on observations and interviews, it was determined that the facility failed to provide clean, comfortable and homelike environment for residents. This was evident for 2 (Resident #1 and Resident #48) during an initial tour of the facility. 1. On 1/14/26 at 10:25 AM during rounds the surveyor observed Resident #1 lying in bed with a wheelchair at the bedside. The resident stated that his/her bathroom door was locked for weeks and he/she could only use the bathroom when a staff member was present. The surveyor tried to open the bathroom door, but it was locked. Also, on the floor next to the wall facing the resident were several items. The items included a pair of wheelchair foot-rests, and a cardboard box containing personal items such as shoes and clothing. [...]
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on record review and interviews, it was determined the facility failed to review and revise the interdisciplinary care plans as changes in residents' treatment occurred. This was evident for 2 (Resident #3 and Resident #7) of 23 residents reviewed for care planning.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, record review and interview, it was determined that the facility failed to ensure that resident received treatment for a rash present since admission. This was evident for 1 (Resident #9) of 23 residents reviewed during the recertification survey.
- D 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.
Inspectors wroteBased on interview and record review, it was determined that the facility failed to ensure that nursing staff received competency evaluations upon hire and annually thereafter. This was evident for 3 (Geriatric Nurse Assistant GNA #8, Registered Nurse RN #9 and Licensed Practical Nurse LPN #12) of 5 randomly selected nursing staff reviewed for staff competency during the recertification survey.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on medical record review and interviews, it was determined that the facility failed to ensure that a recommendation by the consulting pharmacist was followed and documented on the resident's record. This was evident for 1 (Resident #11) of 5 residents reviewed for pharmacy recommendations.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and record review, it was determined that the facility failed to use appropriate infection control practices such as 1) improper use and care of oxygen administration equipment, 2) improper storage of clean linens, and 3) inadequate infection surveillance. This was evident for 1) 1 (Resident #45) of 1 resident, 2) 1 of 1 laundry observation, and 3) 9 of 9 months of infection surveillance reviewed during the recertification survey.
- D Implement a program that monitors antibiotic use.
Inspectors wroteBased on record review and interview, it was determined that the facility failed to collect all the information required for monitoring antibiotic stewardship. This was evident for 9 of 9 months of antibiotic logs reviewed during the recertification survey. This deficient practice has the potential to affect all residents in the facility.
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on record review and interview, it was determined that the facility failed to screen, offer and educate the residents or the Responsible Parties (RP) of risks and benefits of pneumococcal vaccines and flu vaccines. This was evident for 4 (Resident #62, #57, #45 and #9) of 5 residents randomly reviewed for immunizations.
- D 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.
Inspectors wroteBased on record review and interviews, it was determined that the facility failed to offer and provide required education regarding the benefits, risks, and potential side effects of COVID-19 vaccine to residents and staff. This was evident for 3 (Registered Nurse RN #10, Geriatric Nurse Assistants GNA #10 and #11) staff members and 4 (Resident #57, #45 and #9) of 5 residents randomly reviewed for immunizations.
- D Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Inspectors wroteBased on record review and interview, it was determined that the facility failed to provide evidence that nursing staff have received required training on abuse prevention, neglect, and exploitation upon hire and annually. This was evident for 5 (Geriatric Nurse Assistant GNA# 8, #11, #10, Registered Nurse RN #9, and Licensed Practical Nurse LPN #12) of 5 randomly selected nursing staff reviewed for annual training requirements during the recertification survey.
- D Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Inspectors wroteBased on record review and interview, it was determined that the facility failed to provide Quality Assessment and Performance Improvement (QAPI) training to staff. This was evident for 5 (Geriatric Nurse Assistant GNA# 8, #11, #10, Registered Nurse RN #9, and Licensed Practical Nurse LPN #12) of 5 randomly selected nursing staff reviewed during the recertification survey.
- D Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Inspectors wroteBased on record review and interview, it was determined that the facility failed to provide mandatory infection prevention and control training to staff upon and hire and routinely thereafter. This was evident for 5 ( Geriatric Nurse Assistant GNA# 8, #11, #10, Registered Nurse RN #9, and Licensed Practical Nurse LPN #12) of 5 randomly selected nursing staff reviewed during the recertification survey.
- D Provide training in compliance and ethics.
Inspectors wroteBased on record review and interview, it was determined that the facility failed to provide compliance and ethics training to staff. This was evident for 5 ( Geriatric Nurse Assistant GNA# 8, #11, #10, Registered Nurse RN #9, and Licensed Practical Nurse LPN #12) of 5 randomly selected nursing staff reviewed during the recertification survey.
- D Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Inspectors wroteBased on record review and interview, it was determined that the facility failed to provide the required 12 hours of annual in-service training for nurse aides. This was evident for 3 Geriatric Nurse Assistants (GNA# 8, #11, and #10) of 3 randomly selected GNAs reviewed for trainings during the recertification survey.
- D Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Inspectors wroteBased on record review and interview, it was determined that the facility failed to provide the mandatory behavioral health training program for all staff members upon and hire and annually. This was evident for 5 ( Geriatric Nurse Assistant GNA# 8, #11, #10, Registered Nurse RN #9, and Licensed Practical Nurse LPN #12) of 5 randomly selected nursing staff reviewed during the recertification survey.
October 29, 2025Complaint inspection · 1 citation
- D Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Inspectors wroteBased on complaint review, medical record review and interviews, it was determined the facility staff failed to ensure home health services and community referrals were in place at discharge for a resident (Resident #2). This was evident for 1 of 4 residents reviewed for community discharge during a complaint survey.
July 11, 2024Standard inspection · 9 citations
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on resident medical record review and interviews it was determined the facility failed to notify a resident that his/her Medicare services were ending with the right to appeal. This was evident for 1 out of 3 (Resident #1) residents reviewed during the survey.
- D 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.
Inspectors wrote2. During an initial tour of the facility, this surveyor made the following observations: On 7/8/24 at 10:30am in room [ROOM NUMBER], the upper part of the wall, above the headboard had ripped drywall with large holes in the wall. This damage could be seen immediately upon entering the room. Cracks were noted on several floor tiles. The floor was black in color thru-out the room and a broken and peeling baseboard was noted on the side of the sink. The shower on the back hall was noted with cracked and yellow stained-glass tiles. During an interview on 7/8/24 at 3:30pm the Administrator stated the Director of Maintenance was in the process of stripping floors and repairing rooms. As of exit on 7/11/24 at 1pm, the repairs or stripping of the floor had been completed. [...]
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on medical record review and staff interview it was determined the facility failed to notify the resident/resident representative in writing of a transfer/discharge of a resident along with the reason for the transfer. This was evident for 1 (#29) of 2 residents reviewed for hospitalization during the survey.
- D 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.
Inspectors wroteBased on medical record review and staff interview it was determined the facility failed to notify the resident/resident representative in writing of the bed hold policy when the resident was transferred/discharged from the facility to an acute care facility. This was evident for 1 (resident #29) of 2 residents reviewed that were transferred to an acute care facility.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on medical record review and staff interview it was determined the facility failed to develop a person-centered care plan for residents. This was evident for 2 residents (#11 and 21) out of 24 residents reviewed during the survey.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observations, resident medical record review and interviews it was determined the facility failed to complete a smoking assessment for Resident #56. This was evident for 1 resident (#56) out of 2 residents reviewed for smoking during the survey.
- D Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Inspectors wroteBased on medical record review and staff interview it was determined that what the Physician and the Nurse Practitioner documented in the resident's (#11) progress notes did not accurately reflect what was in the resident's medical record. This was evident for 1 of 24 residents reviewed during the survey.
- D 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.
Inspectors wroteBased on observations, interviews and review of facility documentation, the facility failed to properly store medications and biologicals under proper temperature controls. This was evident in 1 out of the 2 medication storage refrigerators and freezers observed during the survey.
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and interview the facility failed to store food in accordance with professional standards for food safety. This was evident during the kitchen observation of the recertification survey.
August 5, 2019Standard inspection · 7 citations
- J Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observations, interview with residents and facility staff, and review of residents' medical records, facility policy, and facility quality assurance and performance improvement (QAPI) material, it was determined that the facility failed to have an effective system in place to prevent cognitively-impaired residents from leaving the facility without adequate supervision. This was evident by the facility's failure to: 1) monitor wander guard placement on Resident #59's person and wheelchair, 2) perform an investigation into Resident #59's first elopement attempt on 9/7/18, 3) prevent Resident #59's second elopement on 10/4/18 for almost 40 minutes in the middle of the night, 4) perform and document staff education following either elopement, and 5) secure or monitor the front door during nighttime hours. This was true for 1 (Resident #59) of 8 residents reviewed for elopement. [...]
- E Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on observation, medical record review and staff interview it was determined the facility failed to provide documentation supporting the use of an intramuscular (in the muscle) antipsychotic injection for 1 of 6 resident reviewed for unnecessary medications during the survey (Resident #36).
- D Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteBased on observation, medical record review, and staff interview, it was determined the facility failed to ensure less restrictive alternatives were tried and documented prior to administering an antipsychotic for 1 of 6 residents reviewed during the survey for unnecessary medications (Resident #36).
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on review of resident medical records and interview with facility staff, it was determined that the facility failed to ensure that residents and their representatives received written notice of resident transfer. This was evident for of 1 resident reviewed for hospitalization 1 (Resident #26).
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on review of medical records and interviews with facility staff, it was determined that the facility staff failed to develop a care plan to address each residents medical condition. This was evident for 1 of 24 residents investigated during the survey process (Resident #14).
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on observation, medical record review and staff interview, it was determined the facility failed to revise the behavioral care plan to address approaches to agitation and/or aggressive behavior and when to use intramuscular (in the muscle) antipsychotic injections. This was evident for 1 of 6 residents reviewed for unnecessary medications and care plans during the survey (Resident #36).
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, medical record review, and staff interview, it was determined that the facility failed implement a system to prevent the spread of communicable diseases and to discreetly notify visitors and staff to take standard precaution for 1 of 1 resident reviewed for isolation precautions during the survey (Resident #55).
Fire safety inspections
26 fire safety citations on file: 11 on January 23, 2026, 5 on July 11, 2024, 10 on August 5, 2019.
Every fire safety citation26 citations
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have simulated fire drills held at unexpected times.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Have properly installed electrical wiring and gas equipment.
- D Provide properly protected cooking facilities.
- D Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- D Have proper medical gas storage and administration areas.
- F Develop and maintain an Emergency Preparedness Program (EP).
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- D Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- F Provide properly protected cooking facilities.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D 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.
- D Install an approved automatic sprinkler system.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Have properly installed electrical wiring and gas equipment.
- D Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
- D Meet requirements for the use of electrical equipment.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Maryland | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.47 | 3.87 | 3.86 |
| Registered nurses | 0.64 | 0.84 | 0.69 |
| All nursing staff on weekends | 3.02 | 3.47 | 3.42 |
| Nurse aides | 1.93 | ||
| Licensed practical nurses | 0.90 | ||
| Nursing staff turnover (share who left in a year) | 41.3% | 40.2% | 45.8% |
| Registered nurse turnover | 27.3% | 38.7% | 42.9% |
| Administrators who left | 3 |
CMS expects 4.16 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.65 on weekdays and 3.02 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.40 in April to June 2025 to 3.47 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.47 | 0.64 | 3.65 | 3.02 | 0.0% | 0 of 90 | 66 |
| Oct to Dec 2025 | 3.22 | 0.65 | 3.37 | 2.84 | 0.0% | 0 of 92 | 65 |
| Jul to Sep 2025 | 3.39 | 0.77 | 3.52 | 3.07 | 0.0% | 0 of 92 | 63 |
| Apr to Jun 2025 | 3.40 | 0.68 | 3.52 | 3.10 | 0.0% | 0 of 91 | 66 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Maryland, Jan to Mar 2026 | 3.73 | 0.74 | 3.88 | 3.34 | 8.0% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Maryland | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 16.8 | 20.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.3 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.9 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.8 | 2.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.6 | 1.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 25.3 | 22.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.6 | 5.9 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 7.4 | 13.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 20.2 | 21.0 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 17.2 | 9.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 1.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.2 | 1.8 |
Owners and operators
Legal business name: HARTLEY NURSING AND REHAB, LLC. CMS links this home to Key Health Management, a group of 7 nursing homes averaging 1.7 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Md4 Holdco, LLC | 5% or greater direct ownership interest | Organization | 100% | 04/01/2023 |
| Hirth, Yechiel | Corporate officer | Individual | 04/01/2023 | |
| Baral, Sarad | Operational/managerial control | Individual | 04/01/2023 | |
| Hirth, Yechiel | Operational/managerial control | Individual | 04/01/2023 | |
| Young, Michele | Operational/managerial control | Individual | 02/17/2025 | |
| Ausch, Sara | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 06/25/2025 | |
| Eisen, Menashe | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 06/25/2025 | |
| Klein, Yehudis | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 06/25/2025 | |
| Perlstein, Barry | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 06/25/2025 | |
| Schlussel, Naftali | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 06/25/2025 | |
| Key Health Management LLC | Adp of the SNF | Organization | 04/01/2023 | |
| Baral, Sarad | Adp of the SNF | Individual | 04/01/2023 | |
| Young, Michele | Adp of the SNF | Individual | 02/17/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 8 problems in this area, most recently on 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."
- When is the care plan meeting, and can family attend it?Inspectors cited 6 problems in this area, most recently on 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."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 6 problems in this area, most recently on January 23, 2026: "Provide and implement an infection prevention and control program."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on January 23, 2026: "Provide safe and appropriate respiratory care for a resident when needed."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.02 hours per resident per day, below the Maryland average of 3.47.
- How long has the current administrator been here?CMS counts 3 administrators who left in the period it measured.
Other nursing homes nearby
- Snow Hill Rehabilitation & Healthcare Center Snow Hill, 11.4 mi · 1 of 5 stars · 58 citations
- Manokin Nursing and Rehab Princess Anne, 12.5 mi · 1 of 5 stars · 75 citations
- Alice Byrd Tawes Nursing Home Crisfield, 16.8 mi · 5 of 5 stars · 31 citations
- Anchorage Rehabilitation and Wellness Center Salisbury, 20.6 mi · 2 of 5 stars · 96 citations
- Bay Harbor Post Acute Healthcare Center Salisbury, 21 mi · 1 of 5 stars · 96 citations
- Wicomico Nursing Home Salisbury, 21.6 mi · 4 of 5 stars · 40 citations
- Shore Health & Rehab Center Parksley, 21.7 mi · 4 of 5 stars · 34 citations
- Deer's Head Center Salisbury, 21.8 mi · 5 of 5 stars · 19 citations
Maryland contacts for a concern about a nursing home
These are the official offices in Maryland. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Maryland Department of Health, Office of Health Care Quality, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Maryland Long-Term Care Ombudsman Program, Maryland Department of Aging, 800-243-3425. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Maryland Health Care Commission, Maryland Quality Reporting, Nursing Homes, where Maryland publishes its own records on licensed homes.
Common questions
- What is Hartley Nursing and Rehab's Medicare star rating?
- CMS rates Hartley Nursing and Rehab 3 out of 5 stars overall, with 3 for health inspections, 2 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Hartley Nursing and Rehab get at its last inspection?
- 20 health deficiencies at the standard inspection on January 23, 2026. The Maryland average is 17.
- Has Hartley Nursing and Rehab been fined?
- CMS lists no fines in the last three years.
- Does Hartley Nursing and Rehab accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Hartley Nursing and Rehab?
- CMS lists 13 owners and managers, and links the home to Key Health Management. Legal business name: HARTLEY NURSING AND REHAB, LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.