ElderGrade
C

64.4/100

Average

Hartley Nursing And Rehab

1006 Market Street, Pocomoke City, MD 21851

CMS 3/5 stars #1 of 3 in Worcester County (410) 957-2252
Certified beds
73
Occupancy
90%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 1 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

25.4/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -4.6 for 30 total citations against a national median of 17

Staffing

10/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.2 total nurse hours per resident per day (national median 3.77)
  • 0.64 RN hours per resident per day
  • Weekend staffing drops 13% against weekdays

Staff stability

10/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 41% of nursing staff left in the last year
  • -2 for 3 administrator departures

Resident outcomes

9/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 3 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.47 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.64 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.02 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 41.30%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 37 citations

Last standard health inspection: January 23, 2026 (7 months ago).

E Jan 23, 2026 F0656

Resident Assessment and Care Planning Deficiencies

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

No actual harm, potential for more than minimal harm

E Jan 23, 2026 F0695

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

No actual harm, potential for more than minimal harm

E Jan 23, 2026 F0727

Nursing and Physician Services Deficiencies

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.

No actual harm, potential for more than minimal harm

E Jan 23, 2026 F0812

Nutrition and Dietary Deficiencies

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

No actual harm, potential for more than minimal harm

D Jan 23, 2026 F0580

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

No actual harm, potential for more than minimal harm

D Jan 23, 2026 F0584

Resident Rights Deficiencies

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.

No actual harm, potential for more than minimal harm

D Jan 23, 2026 F0657

Resident Assessment and Care Planning Deficiencies

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

No actual harm, potential for more than minimal harm

D Jan 23, 2026 F0684

Quality of Life and Care Deficiencies

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

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of KEY HEALTH MANAGEMENT, which operates 7 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
HIRTH, YECHIEL Individual CORPORATE OFFICER
BARAL, SARAD Individual OPERATIONAL/MANAGERIAL CONTROL
HIRTH, YECHIEL Individual OPERATIONAL/MANAGERIAL CONTROL
YOUNG, MICHELE Individual OPERATIONAL/MANAGERIAL CONTROL
AUSCH, SARA Individual INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE O...
EISEN, MENASHE Individual INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE O...
KLEIN, YEHUDIS Individual INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE O...
PERLSTEIN, BARRY Individual INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE O...
SCHLUSSEL, NAFTALI Individual INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE O...
KEY HEALTH MANAGEMENT LLC Organization ADP OF THE SNF
BARAL, SARAD Individual ADP OF THE SNF
YOUNG, MICHELE Individual ADP OF THE SNF

What families say

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Common questions about Hartley Nursing And Rehab

What is the ElderGrade for Hartley Nursing And Rehab? +

Hartley Nursing And Rehab holds an ElderGrade of C (64.4 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Hartley Nursing And Rehab? +

Residents receive an average of 3.47 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Hartley Nursing And Rehab been cited for harming residents? +

Yes. 1 of the 37 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Hartley Nursing And Rehab accept Medicaid? +

Yes, Hartley Nursing And Rehab is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.