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Hartley Nursing and Rehab, Pocomoke City, MD: 2 star rating, no fines

Hartley Nursing and Rehab in Pocomoke City, MD is owned by Md4 HOLDCO, LLC, is rated 2 of 5 stars by Medicare, and had no fines in the three years to October 1, 2026. CMS lists 30 health citations from inspections in that time, the latest survey on January 23, 2026, and none of them found actual harm or immediate jeopardy.

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Address
1006 Market Street, Pocomoke City, MD 21851
Overall rating
2 of 5 stars
Health inspection rating
3 of 5
Staffing rating
1 of 5
Quality measure rating
3 of 5
Certified beds
73
Residents per day
66 on average
Ownership type
For profit, limited liability company
Legal business name
Hartley Nursing and Rehab, LLC
Chain
Key Health Management, 7 facilities
Fines
$0 across 0 fines, three years to October 1, 2026
Payment denials
0
Health citations
30, of which 0 with actual harm or immediate jeopardy
Latest survey
January 23, 2026
CMS Certification Number
215134
On Care Compare
Medicare Care Compare

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
January 23, 2026F949Provide behavior health training consistent with the requirements and as determined by a facility assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 18, 2026data.cms.gov
January 23, 2026F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 18, 2026data.cms.gov
January 23, 2026F946Provide training in compliance and ethics.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 18, 2026data.cms.gov
January 23, 2026F945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 18, 2026data.cms.gov
January 23, 2026F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 18, 2026data.cms.gov
January 23, 2026F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 18, 2026data.cms.gov
January 23, 2026F887Educate 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 18, 2026data.cms.gov
January 23, 2026F883Develop and implement policies and procedures for flu and pneumonia vaccinations.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 18, 2026data.cms.gov
January 23, 2026F881Implement a program that monitors antibiotic use.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 18, 2026data.cms.gov
January 23, 2026F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 18, 2026data.cms.gov
January 23, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 18, 2026data.cms.gov
January 23, 2026F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 18, 2026data.cms.gov
January 23, 2026F727Have 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 18, 2026data.cms.gov
January 23, 2026F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 18, 2026data.cms.gov
January 23, 2026F695Provide safe and appropriate respiratory care for a resident when needed.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 18, 2026data.cms.gov
January 23, 2026F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 18, 2026data.cms.gov
January 23, 2026F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 18, 2026data.cms.gov
January 23, 2026F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 18, 2026data.cms.gov
January 23, 2026F584Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 18, 2026data.cms.gov
January 23, 2026F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 18, 2026data.cms.gov
October 29, 2025F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 10, 2025data.cms.gov
July 11, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 20, 2024data.cms.gov
July 11, 2024F761Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 20, 2024data.cms.gov
July 11, 2024F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 20, 2024data.cms.gov
July 11, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 20, 2024data.cms.gov
July 11, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 20, 2024data.cms.gov
July 11, 2024F625Notify 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 20, 2024data.cms.gov
July 11, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 20, 2024data.cms.gov
July 11, 2024F584Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 20, 2024data.cms.gov
July 11, 2024F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 20, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 11 individual or personal trusts (3 managers, 6 officers, directors or trustees, 2 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Md4 HOLDCO, LLCDirect owner100%April 1, 2023data.cms.gov
Key Health Management LLCAdditional disclosable partyNot listedApril 1, 2023data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.