Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Hartley Nursing And Rehab during CMS and state inspections, most recent first.
A resident was discharged to an independent living apartment without home health services or community referrals in place. The responsible staff member was unfamiliar with the discharge process for independent living and did not arrange for home health or meals on wheels until several days after discharge, resulting in a delay in services.
A facility failed to notify a resident with intact cognitive function that their Medicare services were ending, as evidenced by the absence of the resident's signature on the Notice of Medicare Non-Coverage form. The resident confirmed they were not informed about the termination of services and did not receive the notice to sign.
The facility was found deficient in maintaining a clean and homelike environment. Observations revealed damaged walls, cracked tiles, and dirty floors in several residents' rooms. The Administrator acknowledged the issues and mentioned ongoing renovations, but the deficiencies were evident during the survey.
A facility failed to provide written notification to a resident and/or their representative about a hospital transfer, including the reason for the transfer. The deficiency was identified during a medical record review, which showed no documentation of notification. Interviews with the DON and Administrator confirmed the lack of documentation, and the Ombudsman noted inconsistencies in receiving transfer/discharge forms.
A facility failed to notify a resident and/or their representative in writing about the bed hold policy during a transfer to an acute care facility. Medical record review and staff interviews confirmed the absence of written evidence of such notification.
The facility did not create person-centered care plans for two residents. One resident was prescribed Paxil for off-label use to manage sexually inappropriate behavior, but no care plan was in place. Another resident received pain management treatments, including Tylenol, Tramadol, and a steroid injection, yet lacked a care plan for pain management. These deficiencies were confirmed by the DON.
A facility failed to complete a smoking assessment for a resident identified as a smoker in their care plan. Despite the Administrator's claim of a smoke-free environment, the resident was observed smoking outside unattended. The resident's medical record noted their smoking habit, but no assessment was completed. The Administrator confirmed the resident was signed out daily to smoke.
A discrepancy was found in the documentation of a resident's medication. The resident, with anxiety and depressive disorders, was noted by a physician and NP to be on Lexapro for panic attacks, despite the medication being discontinued earlier. This inconsistency was confirmed by the ADON.
The facility was found to improperly store medications and biologicals at incorrect temperatures. During a survey, the North Hall medication storage room's refrigerator and freezer were observed to be above the required temperature limits. The Maintenance Director acknowledged the issue and planned to investigate.
During a survey, a facility was found to have failed in storing food according to professional standards. Items in the kitchen's refrigerators and freezer lacked date labels, including pudding, sandwiches, salsa, peaches, and meat products. The Kitchen Supervisor, new to the facility, acknowledged the issues and noted that temperature logs were incomplete or missing. These concerns were discussed with the Administration team.
Failure to Arrange Home Health and Community Referrals at Discharge
Penalty
Summary
Facility staff failed to ensure that home health services and community referrals were in place at the time of discharge for a resident who was transitioning to an independent living apartment. The resident, who had been admitted for rehabilitation following hospitalization and was later determined not to require skilled nursing services or meet the criteria for nursing facility level of care, was discharged without the necessary referrals for home health and meals on wheels. The referrals were not made until three days after discharge. Interviews revealed that the staff member responsible for the discharge was inexperienced with independent living discharges and was unaware of the resources needed for the resident. The regional social worker became involved after the fact and directed the necessary referrals, which resulted in a delay in the resident receiving home health services. The Director of Nursing confirmed that the facility did not have the required services and referrals in place at the time of discharge.
Failure to Notify Resident of Medicare Service Termination
Penalty
Summary
The facility failed to notify a resident that their Medicare services were ending, along with the right to appeal this decision. This deficiency was identified during a review of the medical records and interviews conducted with the resident and staff. Specifically, the Notice of Medicare Non-Coverage form, which indicated that the resident's Medicare-covered services would end on January 10, 2024, lacked the resident's signature, confirming receipt of the notice. Staff #10 confirmed that the form was not signed by the resident. The resident, who had a BIMS score of 15 out of 15, indicating intact cognitive function, was able to accurately state the current date and confirmed during an interview that they were not notified about the termination of Medicare services and did not receive the notice to sign.
Facility Fails to Maintain Clean and Homelike Environment
Penalty
Summary
The facility failed to provide a clean, comfortable, and homelike environment for its residents, as observed during a survey. In one room, the upper part of the wall above the headboard had ripped drywall with large holes, visible immediately upon entering. The floor had several cracked tiles, was black throughout, and had a broken and peeling baseboard near the sink. Additionally, the shower on the back hall had cracked and yellow-stained glass tiles. These issues were noted during an initial tour and remained unresolved by the time of the survey exit. Further observations revealed that the rooms of three residents were not maintained in a clean state. Two residents' rooms had floors that were dirty with streaks of a black-colored substance, piles of gray dust-like matter, and brown-colored stains under the beds. The Administrator acknowledged the condition of these rooms and mentioned ongoing renovations, but the deficiencies were evident during the survey period.
Failure to Notify Resident of Hospital Transfer
Penalty
Summary
The facility failed to provide timely written notification to a resident and/or their representative regarding a transfer to the hospital, including the reason for the transfer. This deficiency was identified during a review of the medical record of a resident who was hospitalized due to a change in their medical condition. The review revealed that there was no documentation indicating that the resident or their representative was informed in writing about the transfer. Interviews with the Director of Nursing and the Administrator confirmed the absence of such documentation, and it was noted that the facility previously used The Maryland Notice of Involuntary Transfer and Discharge Forms for hospital transfers. Additionally, the Ombudsman reported inconsistencies in receiving transfer/discharge forms for residents.
Failure to Provide Written Bed Hold Policy Notification
Penalty
Summary
The facility failed to notify a resident and/or the resident's representative in writing of the bed hold policy when the resident was transferred to an acute care facility. This deficiency was identified during a review of the medical record for a resident who was sent to an acute care facility due to a change in medical condition. The review revealed that there was no written evidence provided to the resident or their representative regarding the bed hold policy. Interviews with two social workers confirmed that they were unable to produce or locate any written notice of the bed hold policy given to the resident or their representative.
Failure to Develop Person-Centered Care Plans
Penalty
Summary
The facility failed to develop person-centered care plans for two residents, leading to deficiencies in their care. For Resident #11, the electronic medical record indicated the prescription of Paxil for off-label use to manage sexually inappropriate behavior. However, there was no care plan addressing the use of Paxil or the resident's behavior. The Director of Nursing confirmed the absence of a care plan and noted that the Unit Manager should have completed it. For Resident #21, the medical record showed physician orders for Tylenol and Tramadol to manage right knee pain, and a steroid injection was administered in June 2024 at a pain management clinic. Despite these interventions, there was no care plan developed for pain management. This oversight was identified during the survey, highlighting a gap in the facility's care planning process.
Failure to Complete Smoking Assessment for Resident
Penalty
Summary
The facility failed to complete a smoking assessment for Resident #56, who was identified as a smoker in their care plan. During the entrance conference, the Administrator stated that the facility was smoke-free and had no smoking residents. However, during observation rounds, Resident #56 was found smoking outside unattended on the facility property. The resident's medical record indicated they were admitted on Hospice and had a care plan noting they were a smoker, but no smoking assessment was completed. The Administrator acknowledged that Resident #56 was a smoker and was signed out daily for a leave of absence to smoke outside.
Discrepancy in Resident Medication Documentation
Penalty
Summary
A deficiency was identified in the documentation of a resident's medical record at the facility. The resident, who was admitted with diagnoses including anxiety disorder and depressive disorder, was seen by a physician and a nurse practitioner on separate occasions. During these visits, both healthcare providers documented that the resident was receiving Lexapro for panic attacks. However, a review of the Medication Administration Record and the Physician Order revealed that Lexapro had been discontinued by the physician prior to these visits. This discrepancy in documentation was confirmed during an interview with the Assistant Director of Nursing.
Improper Medication Storage Temperatures
Penalty
Summary
The facility failed to properly store medications and biologicals under appropriate temperature controls, as observed during a survey. In the North Hall medication storage room, the refrigerator thermometer displayed a temperature of 44 degrees Fahrenheit, and the freezer thermometer showed 30 degrees Fahrenheit. These temperatures exceeded the facility's policy requirements, which mandate that refrigerator storage must be maintained at or below 41 degrees Fahrenheit and freezer storage at or below -4 degrees Fahrenheit. This deficiency was identified during observation rounds conducted with the Maintenance Director, who acknowledged the temperature discrepancies and indicated an intention to investigate further.
Food Storage and Labeling Deficiencies
Penalty
Summary
The facility failed to store food in accordance with professional standards for food safety, as observed during a recertification survey. During an initial tour of the facility's kitchen, several items inside the Reach In Refrigerator and the main Refrigerator were found without date labels, including nine containers of pudding, one sandwich, a 69-ounce container of chunky salsa, a half-full bucket of peaches, a half-full bucket of bar-b-que sauce, a quarter-full bucket of vanilla pudding, a quarter-full bucket of chocolate pudding, and a half-full bucket of pears. Additionally, inside the Freezer, a large bag containing approximately 15-16 hamburgers and two large bags of meatloaf patties were also found without date labels. The Kitchen Supervisor, who had recently started at the facility, acknowledged these issues during an interview. She mentioned that the hamburgers and meatloaf patties were placed in the freezer by the activities department and expressed her intention to discuss the supervision of these items with the administration. Furthermore, the temperature logs for June 2024 were incomplete, and the July 2024 temperature log was missing entirely. The supervisor stated that temperature logs are supposed to be completed during both morning and evening shifts but was unable to identify who was responsible for the missing July log. These concerns were communicated to the Administration team at the time of the survey exit.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Pocomoke City
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Snow Hill Rehabilitation & Healthcare Center | 11.4 mi | — | 5 | 0 |
| Manokin Nursing And Rehab | 12.5 mi | — | 44 | 2 |
| Alice Byrd Tawes Nursing Home | 16.8 mi | — | 0 | 0 |
| Anchorage Rehabilitation And Wellness Center | 20.6 mi | — | 28 | 0 |
| Bay Harbor Post Acute Healthcare Center | 21 mi | — | 15 | 2 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.