Hartley Nursing and Rehab in Pocomoke City, MD has a 3 out of 5 overall rating, with 3-star health inspection and quality measures but a lower 2-star staffing rating. Reported nurse staffing is 3.22 hours per resident per day, below the federal benchmark of 4.1, there were no fines in the last 24 months, and recent inspection citations included accident hazards, care planning, and respiratory care.
Last inspection: January 23, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2179.
Staffing detail
Registered nurses
0.65
Licensed practical nurses
0.79
Nurse aides
1.77
Weekend nursing
2.84
Hours per resident per day.
Total staff turnover: 40%
Registered nurse turnover: 33%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
17.6%6.5%Improving
Residents with a fall causing major injury
0%1.8%Worsening
Residents with pressure ulcers (bedsores)
4.1%3.2%Improving
Residents with a urinary tract infection
1.7%0%Improving
Residents who lost too much weight
24.6%1.9%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
37.7%8.2%Improving
Residents whose ability to walk got worse
—28%—
Long-stay residents on antianxiety or sleep medication
12.1%11.1%Improving
Short-stay residents newly given an antipsychotic
3.3%4%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
30.5%26.9%Improving
Residents with depressive symptoms
46%26.5%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—97%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—94.8%—
Short-stay residents given the pneumonia vaccine
100%96.6%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2019 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited January 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited January 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 695 — 42 CFR §483.25(i) — S/S: E
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited January 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2026 — limited pattern, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 20 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of KEY HEALTH MANAGEMENT · 7 homes · 1.6 stars avg
Occupancy
64.8 residents on an average day (89% of 73 beds)
Resident voice
Resident council
Medicare history
Certified for 44 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.