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Nursing homesMaryland › Hartley Nursing and Rehab

Hartley Nursing and Rehab

1006 Market Street, Pocomoke City, MD 21851 · 4109572252 · 73 certified beds

Overall★★★☆☆ 3/5
Health inspections★★★☆☆ 3/5
Staffing★★☆☆☆ 2/5
Quality measures★★★☆☆ 3/5

Ownership group

Per CMS filings, this facility is affiliated with Key Health Management, a group operating 7 facilities in 1 states. Group record: average rating 1.6/5, 4 abuse citation icons, 2 facilities on the Special Focus list, $243,186 in federal fines. This facility rates above its group average (1.6/5).

See all 7 facilities in this group →

Staffing (hours per resident per day)

Total nurse staffing: 3.47 (Maryland median: 3.60). RN hours: 0.64. Weekend total: 3.02. Nursing staff turnover: 41%.

Inspection deficiencies

All-time on record: 37 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2026-01-23Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. EHealthcorrected 2026-03-18
2026-01-23Provide safe and appropriate respiratory care for a resident when needed. EHealthcorrected 2026-03-18
2026-01-23Have 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. EHealthcorrected 2026-03-18
2026-01-23Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. EHealthcorrected 2026-03-18
2026-01-23Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. DHealthcorrected 2026-03-18
2026-01-23Honor 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. DHealthcorrected 2026-03-18
2026-01-23Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. DHealthcorrected 2026-03-18
2026-01-23Provide appropriate treatment and care according to orders, resident’s preferences and goals. DHealthcorrected 2026-03-18
2026-01-23Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. DHealthcorrected 2026-03-18
2026-01-23Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. DHealthcorrected 2026-03-18
2026-01-23Provide and implement an infection prevention and control program. DHealthcorrected 2026-03-18
2026-01-23Implement a program that monitors antibiotic use. DHealthcorrected 2026-03-18
2026-01-23Develop and implement policies and procedures for flu and pneumonia vaccinations. DHealthcorrected 2026-03-18
2026-01-23Educate 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. DHealthcorrected 2026-03-18
2026-01-23Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. DHealthcorrected 2026-03-18
2026-01-23Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. DHealthcorrected 2026-03-18
2026-01-23Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. DHealthcorrected 2026-03-18
2026-01-23Provide training in compliance and ethics. DHealthcorrected 2026-03-18
2026-01-23Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. DHealthcorrected 2026-03-18
2026-01-23Provide behavior health training consistent with the requirements and as determined by a facility assessment. DHealthcorrected 2026-03-18
2025-10-29Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Dcomplaintcorrected 2025-12-10
2024-07-11Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. DHealthcorrected 2024-08-20
2024-07-11Honor 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. DHealthcorrected 2024-08-20
2024-07-11Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. DHealthcorrected 2024-08-20
2024-07-11Notify 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. DHealthcorrected 2024-08-20
2024-07-11Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. DHealthcorrected 2024-08-20
2024-07-11Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. DHealthcorrected 2024-08-20
2024-07-11Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. DHealthcorrected 2024-08-20
2024-07-11Ensure 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. DHealthcorrected 2024-08-20
2024-07-11Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. DHealthcorrected 2024-08-20

Federal penalties

No federal fines or payment denials on record.

Ownership & control records (CMS filings)

NameRoleType%Since
MD4 HOLDCO, LLC5% Or Greater Direct Ownership InterestOrganization100%since 04/01/2023
HIRTH, YECHIELCorporate OfficerIndividualNOT APPLICABLEsince 04/01/2023
BARAL, SARADOperational/Managerial ControlIndividualNOT APPLICABLEsince 04/01/2023
HIRTH, YECHIELOperational/Managerial ControlIndividualNOT APPLICABLEsince 04/01/2023
YOUNG, MICHELEOperational/Managerial ControlIndividualNOT APPLICABLEsince 02/17/2025

Compare nearby (Worcester County)

Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 215134. Corrections: data@carerecords.org.