Hartley Nursing and Rehab
1006 Market Street, Pocomoke City, MD 21851 · (410) 957-2252
For profit - Limited Liability company · 73 certified beds
Hartley Nursing and Rehab has a 3-star overall rating from Medicare, out of 5. Its last standard inspection, in January 2026, found 20 citations (the Maryland average is 17). It hasn't been fined in the last three years.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 3 out of 5 stars · Average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 3 out of 5 stars · Average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 3 out of 5 stars · Average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 2 out of 5 stars · Below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on January 23, 2026 found 20 citations. What an inspection citation means
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.January 23, 2026 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide safe and appropriate respiratory care for a resident when needed.January 23, 2026 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.January 23, 2026 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.January 23, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.January 23, 2026 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.January 23, 2026 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.January 23, 2026 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.January 23, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.January 23, 2026 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.January 23, 2026 · F0756 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.January 23, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Implement a program that monitors antibiotic use.January 23, 2026 · F0881 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement policies and procedures for flu and pneumonia vaccinations.January 23, 2026 · F0883 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.January 23, 2026 · F0887 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.January 23, 2026 · F0943 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.January 23, 2026 · F0944 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.January 23, 2026 · F0945 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide training in compliance and ethics.January 23, 2026 · F0946 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.January 23, 2026 · F0947 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide behavior health training consistent with the requirements and as determined by a facility assessment.January 23, 2026 · F0949 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 1 citation.
- Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.October 29, 2025 · F0627 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
No fines or payment denials in the last three years.
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Maryland average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.47 | 3.87 | 3.86 |
| Registered nurses (RN) | 0.64 | 0.84 | 0.69 |
| Licensed practical nurses (LPN) | 0.90 | 0.91 | 0.86 |
| Nurse aides | 1.93 | 2.12 | 2.32 |
| Total nursing staff turnover | 41.3% | 40.2% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 73 |
| Average residents per day | 65.7 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Berlin Nursing and Rehabilitation Center Berlin · ★★★★★ 2 out of 5 stars
- Snow Hill Rehabilitation & Healthcare Center Snow Hill · ★★★★★ 1 out of 5 stars
- Alice Byrd Tawes Nursing Home Crisfield · ★★★★★ 5 out of 5 stars
- Manokin Nursing and Rehab Princess Anne · ★★★★★ 1 out of 5 stars
- Deer's Head Center Salisbury · ★★★★★ 5 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Hartley Nursing and Rehab on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.