Hartley Nursing and Rehab
1006 MARKET STREET, Pocomoke City, MD, 21851
Yes. Federal inspectors cited 21 deficiencies against Hartley Nursing and Rehab in Pocomoke City, Maryland at its most recent standard inspection on 2026-01-23, 1 of them arising from complaints. 1 finding has been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare rates it 3 out of 5 overall.
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · F0656 · 2026-01-23 · standard survey · No actual harm, potential for more than minimal harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · F0695 · 2026-01-23 · standard survey · No actual harm, potential for more than minimal harm
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.
Nursing and Physician Services Deficiencies · F0727 · 2026-01-23 · standard survey · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2026-01-23 · standard survey · No actual harm, potential for more than minimal harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · F0580 · 2026-01-23 · standard survey · No actual harm, potential for more than minimal harm
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.
Resident Rights Deficiencies · F0584 · 2026-01-23 · standard survey · No actual harm, potential for more than minimal harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · F0657 · 2026-01-23 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2026-01-23 · standard survey · No actual harm, potential for more than minimal harm
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.
Nursing and Physician Services Deficiencies · F0726 · 2026-01-23 · standard survey · No actual harm, potential for more than minimal harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · F0756 · 2026-01-23 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2026-01-23 · standard survey · No actual harm, potential for more than minimal harm
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · F0881 · 2026-01-23 · standard survey · No actual harm, potential for more than minimal harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · F0883 · 2026-01-23 · standard survey · No actual harm, potential for more than minimal harm
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.
Infection Control Deficiencies · F0887 · 2026-01-23 · standard survey · No actual harm, potential for more than minimal harm
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0943 · 2026-01-23 · standard survey · No actual harm, potential for more than minimal harm
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Administration Deficiencies · F0944 · 2026-01-23 · standard survey · No actual harm, potential for more than minimal harm
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Infection Control Deficiencies · F0945 · 2026-01-23 · standard survey · No actual harm, potential for more than minimal harm
Provide training in compliance and ethics.
Administration Deficiencies · F0946 · 2026-01-23 · standard survey · No actual harm, potential for more than minimal harm
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services Deficiencies · F0947 · 2026-01-23 · standard survey · No actual harm, potential for more than minimal harm
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Administration Deficiencies · F0949 · 2026-01-23 · standard survey · No actual harm, potential for more than minimal harm
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
Who owns Hartley Nursing and Rehab
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| MD4 HOLDCO, LLC | Organization | 100% | since 04/01/2023 |
| HIRTH, YECHIEL | Individual | NOT APPLICABLE | since 04/01/2023 |
| BARAL, SARAD | Individual | NOT APPLICABLE | since 04/01/2023 |
| HIRTH, YECHIEL | Individual | NOT APPLICABLE | since 04/01/2023 |
| YOUNG, MICHELE | Individual | NOT APPLICABLE | since 02/17/2025 |
| AUSCH, SARA | Individual | NOT APPLICABLE | since 06/25/2025 |
| EISEN, MENASHE | Individual | NOT APPLICABLE | since 06/25/2025 |
| KLEIN, YEHUDIS | Individual | NOT APPLICABLE | since 06/25/2025 |
| PERLSTEIN, BARRY | Individual | NOT APPLICABLE | since 06/25/2025 |
| SCHLUSSEL, NAFTALI | Individual | NOT APPLICABLE | since 06/25/2025 |
| KEY HEALTH MANAGEMENT LLC | Organization | NOT APPLICABLE | since 04/01/2023 |
| BARAL, SARAD | Individual | NOT APPLICABLE | since 04/01/2023 |
Part of the KEY HEALTH MANAGEMENT group.
Ask Hartley Nursing and Rehab a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 215134.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction