Hartley Nursing and Rehab

Nursing Home · Pocomoke City, MD

CMS overall rating 3/5 For profit - Limited Liability company

CMS certification number215134

Contact & location

1006 Market Street
Pocomoke City, MD 21851
Worcester County

Phone: (410) 957-2252
ZIP code: 21851 – all care providers

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Facility details

Certified beds: 73
Residents per day: 65.7 (90% occupied)
Ownership: For profit - Limited Liability company
Legal name: Hartley Nursing and Rehab, LLC
Chain: Key Health Management (7 facilities, avg 1.6★)
Medicare certified since: October 1, 1981
Participates in: Medicare and Medicaid
Council: Resident council

CMS star ratings

Overall★★★★★ 3/5

State avg 3.1

Health inspections★★★★★ 3/5

State avg 2.8

Staffing★★★★★ 2/5

State avg 3.2

Quality measures★★★★★ 3/5

State avg 3.9

Long-stay quality★★★★★ 4/5

Short-stay quality★★★★★ 2/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing: 3.47 (state 3.87 · U.S. 3.86)
Registered nurses (RN): 0.64 (state 0.84 · U.S. 0.69)
Licensed practical nurses: 0.90 (state 0.91 · U.S. 0.86)
Nurse aides: 1.93 (state 2.12 · U.S. 2.32)
Weekend total: 3.02 (state 3.47 · U.S. 3.42)
Nursing staff turnover: 41.3 (state 40.2 · U.S. 45.8)%
RN turnover: 27.3 (state 38.7 · U.S. 42.9)%
Administrators who left: 3 in the last year

Inspections

Last standard inspection: January 23, 2026
Health deficiencies (last cycle): 21.0 (state 17.5 · U.S. 9.3)
From complaints: 1
Citations on record (3 years): 37 health · 26 fire safety · includes immediate jeopardy

Date	Citation	Severity	Status
2026-01-23	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2026-03-18
2026-01-23	Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2026-03-18
2026-01-23	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. F0727 · Nursing and Physician Services Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2026-03-18
2026-01-23	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2026-03-18
2026-01-23	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-03-18
2026-01-23	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. F0584 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-03-18
2026-01-23	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-03-18
2026-01-23	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-03-18
2026-01-23	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. F0726 · Nursing and Physician Services Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-03-18
2026-01-23	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-03-18
2026-01-23	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-03-18
2026-01-23	Implement a program that monitors antibiotic use. F0881 · Infection Control Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-03-18
2026-01-23	Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-03-18
2026-01-23	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. F0887 · Infection Control Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-03-18
2026-01-23	Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. F0943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-03-18
2026-01-23	Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. F0944 · Administration Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-03-18
2026-01-23	Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. F0945 · Infection Control Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-03-18
2026-01-23	Provide training in compliance and ethics. F0946 · Administration Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-03-18
2026-01-23	Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. F0947 · Nursing and Physician Services Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-03-18
2026-01-23	Provide behavior health training consistent with the requirements and as determined by a facility assessment. F0949 · Administration Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-03-18
2025-10-29	Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. F0627 · Resident Rights Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-12-10
2024-07-11	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-08-20
2024-07-11	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. F0584 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-08-20
2024-07-11	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-08-20
2024-07-11	Notify 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. F0625 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-08-20
2024-07-11	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-08-20
2024-07-11	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-08-20
2024-07-11	Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. F0711 · Nursing and Physician Services Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-08-20
2024-07-11	Ensure 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. F0761 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-08-20
2024-07-11	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-08-20
2019-08-05	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies	J Immediate jeopardy to resident health or safety	Corrected 2019-10-11
2019-08-05	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2019-10-11
2019-08-05	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-10-11
2019-08-05	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-10-11
2019-08-05	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-10-11
2019-08-05	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-10-11
2019-08-05	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-10-11

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

Name	Role	Since
MD4 Holdco, LLC (organization)	5%+ Direct Ownership Interest · 100%
Baral, Sarad (individual)	Administrator · NOT APPLICABLE
Key Health Management LLC (organization)	Administrator · NOT APPLICABLE
Young, Michele (individual)	Administrator · NOT APPLICABLE
Hirth, Yechiel (individual)	Corporate Officer · NOT APPLICABLE
Ausch, Sara (individual)	Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Eisen, Menashe (individual)	Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Klein, Yehudis (individual)	Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Perlstein, Barry (individual)	Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Schlussel, Naftali (individual)	Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Baral, Sarad (individual)	Operational/managerial Control · NOT APPLICABLE
Hirth, Yechiel (individual)	Operational/managerial Control · NOT APPLICABLE
Young, Michele (individual)	Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Hartley Nursing and Rehab?

Hartley Nursing and Rehab has a 3-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Maryland.

How many beds does Hartley Nursing and Rehab have?

It has 73 certified beds and cares for about 66 residents per day.

Has Hartley Nursing and Rehab been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns Hartley Nursing and Rehab?

It is part of Key Health Management and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Hartley Nursing and Rehab?

(410) 957-2252. The facility is located at 1006 Market Street, Pocomoke City, MD 21851.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.