Hartley Nursing And Rehab
1006 Market Street, Pocomoke City, MD, 21851
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Key Health Management
- Certified beds
- 73 · avg 65 residents/day
- Total nursing staff turnover
- 40.3% — near the Maryland averageMaryland avg: 40.3% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 33.3% — lower than most Maryland nursing homesMaryland avg: 38.5% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 2 departed — near the Maryland averageMaryland avg: 0.5 · National avg: 0.5 · per CMS Care Compare
Medicare certification
- CMS Certification Number
- 215134
- Certified beds
- 73 beds · avg 65 residents/day
- Ownership type
- For profit - Limited Liability company
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Hartley Nursing And Rehab, Llc
- Chain affiliation
- Key Health Management
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Key Health Management chain — 7 facilities. Chain-wide average overall rating 1.6 / 5.
Parent entity
Md4 Holdco, Llc
Disclosed owners (8 on record)
- (unnamed Owner)
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
- Michele Young
Operational/managerial Control · since 2025
- Key Health Management Llc
Adp of The Snf · since 2023
- Md4 Holdco, LlcParent
5% or Greater Direct Ownership Interest · 100% · since 2023
- Md5 Investors Llc
5% or Greater Indirect Ownership Interest · 50% · since 2023
+ 2 additional owners on the federal record.
Recent change of ownership
April 2023 (3 years ago) · acquired from Peak Healthcare at Hartley
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 37)
- D0949·Jan 23, 2026
Administration Deficiencies
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
- D0947·Jan 23, 2026
Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- D0946·Jan 23, 2026
Administration Deficiencies
Provide training in compliance and ethics.
- D0945·Jan 23, 2026
Infection Control Deficiencies
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
- D0944·Jan 23, 2026
Administration Deficiencies
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
- D0943·Jan 23, 2026
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
- D0887·Jan 23, 2026
Infection Control Deficiencies
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.
- D0883·Jan 23, 2026
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Fire-safety citations
26 Life-Safety-Code citations on file. Most recent: Jan 23, 2026. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Hartley Nursing And Rehabinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.