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HARTLEY NURSING AND REHAB

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HARTLEY NURSING AND REHAB is a for profit - limited liability company facility in POCOMOKE CITY, MD with 73 certified beds and a 4-star overall CMS rating. The facility has 28 deficiency records on file.

1006 MARKET STREET, POCOMOKE CITY, MD 21851

Phone: 4109572252

Overall Rating

4/5

Health Inspection

4/5

Staffing

2/5

Quality Measures

3/5

Long-Stay Quality

4/5

Facility Information

Provider Number
215134
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
73
Residents
63
In Hospital
No
County
Worcester
Last Inspection
Jul 11, 2024

Staffing Data

RN Hours
0.77 (nat'l avg: 0.68)
LPN Hours
0.75
CNA Hours
1.86
Total Nursing Hours
3.39 (nat'l avg: 3.89)
PT Hours
0.01
Nursing Turnover
43.3%
RN Turnover
46.2%

What the CMS Record Reveals About HARTLEY NURSING AND REHAB

HARTLEY NURSING AND REHAB operates 73 certified beds in POCOMOKE CITY, MD with approximately 63 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (4★), staffing levels (2★), and quality measures (3★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 28 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 3.39 total nursing hours per resident day (national average 3.89), with RN coverage at 0.77 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, HARTLEY NURSING AND REHAB falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 43.3%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (28 most recent)

D — Isolated - Minimal harm Oct 29, 2025 Tag: 0627

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Category: Resident Rights Deficiencies

Corrected: Dec 10, 2025

D — Isolated - Minimal harm Jul 11, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 20, 2024

D — Isolated - Minimal harm Jul 11, 2024 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Aug 20, 2024

D — Isolated - Minimal harm Jul 11, 2024 Tag: 0711

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Category: Nursing and Physician Services Deficiencies

Corrected: Aug 20, 2024

D — Isolated - Minimal harm Jul 11, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 20, 2024

D — Isolated - Minimal harm Jul 11, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 20, 2024

D — Isolated - Minimal harm Jul 11, 2024 Tag: 0625

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.

Category: Resident Rights Deficiencies

Corrected: Aug 20, 2024

D — Isolated - Minimal harm Jul 11, 2024 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Aug 20, 2024

D — Isolated - Minimal harm Jul 11, 2024 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Aug 20, 2024

D — Isolated - Minimal harm Jul 11, 2024 Tag: 0582

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Category: Resident Rights Deficiencies

Corrected: Aug 20, 2024

D — Isolated - Minimal harm Aug 5, 2019 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Oct 11, 2019

E — Pattern - Minimal harm Aug 5, 2019 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 11, 2019

J — Isolated - Jeopardy Aug 5, 2019 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 11, 2019

D — Isolated - Minimal harm Aug 5, 2019 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 11, 2019

D — Isolated - Minimal harm Aug 5, 2019 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 11, 2019

D — Isolated - Minimal harm Aug 5, 2019 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Oct 11, 2019

D — Isolated - Minimal harm Aug 5, 2019 Tag: 0605

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Oct 11, 2019

D — Isolated - Minimal harm Apr 26, 2018 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jun 26, 2018

E — Pattern - Minimal harm Apr 26, 2018 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 26, 2018

D — Isolated - Minimal harm Apr 26, 2018 Tag: 0840

Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.

Category: Administration Deficiencies

Corrected: Jun 26, 2018

D — Isolated - Minimal harm Apr 26, 2018 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Jun 26, 2018

D — Isolated - Minimal harm Apr 26, 2018 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Jun 26, 2018

E — Pattern - Minimal harm Apr 26, 2018 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Jun 26, 2018

E — Pattern - Minimal harm Apr 26, 2018 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 26, 2018

D — Isolated - Minimal harm Apr 26, 2018 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 26, 2018

E — Pattern - Minimal harm Apr 26, 2018 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 26, 2018

D — Isolated - Minimal harm Apr 26, 2018 Tag: 0676

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 26, 2018

D — Isolated - Minimal harm Apr 26, 2018 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 26, 2018

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 32.4% Yes
Percentage of long-stay residents who lose too much weight Long Stay 16.8% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.2% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 41.1% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 0.0% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 98.2% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.7% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 35.6% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 10.5% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 97.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 94.8% No
Percentage of long-stay residents with pressure ulcers Long Stay 3.0% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 23.0% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 16.3% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for HARTLEY NURSING AND REHAB?
HARTLEY NURSING AND REHAB has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (4★), staffing levels (2★), and quality measures (3★).
What are the staffing levels at HARTLEY NURSING AND REHAB?
HARTLEY NURSING AND REHAB reports 3.39 total nursing hours per resident day (national average: 3.89). RN hours are 0.77 per resident day (national average: 0.68). Nursing staff turnover is 43.3%.
How many beds does HARTLEY NURSING AND REHAB have?
HARTLEY NURSING AND REHAB has 73 certified beds with approximately 63 residents. The facility is located at 1006 MARKET STREET, POCOMOKE CITY, MD 21851.
Does HARTLEY NURSING AND REHAB have any deficiencies on record?
Yes, HARTLEY NURSING AND REHAB has 28 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has HARTLEY NURSING AND REHAB received any fines or penalties?
No, HARTLEY NURSING AND REHAB has no fines or penalties on record.
Who owns HARTLEY NURSING AND REHAB?
HARTLEY NURSING AND REHAB is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was HARTLEY NURSING AND REHAB last inspected?
The most recent health inspection for HARTLEY NURSING AND REHAB was on Jul 11, 2024. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for HARTLEY NURSING AND REHAB?
HARTLEY NURSING AND REHAB is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial