Hartley Nursing and Rehab

    1006 Market St, Pocomoke City, MD 21851
    • Assisted Living
    • Memory Care
    • Skilled Nursing
    3.5ยท32 reviews

    Spotless facility with caring staff

    I'm very pleased with this facility - it's spotless, bright, and odor-free, and the nursing and support staff are consistently caring, friendly, and attentive; the high-quality medical care gives me confidence, though a few small improvements would make it outstanding.

    Current/former resident
    Jul 2026

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    3.50ยท(32)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.0
    • Staff

      3.3
    • Meals

      3.5
    • Amenities

      3.5
    • Value

      3.5

    Pros

    • Clean, odor-free environment
    • Bright, well-maintained interior spaces
    • Pleasant and helpful direct-care staff
    • Caring and attentive nursing personnel
    • Demonstrated clinical competence among some nursing staff

    Cons

    • Inconsistent clinical oversight and leadership
    • Insufficient staffing and high workload
    • Poor staff morale and workplace culture
    • Gaps in resident safety protocols and incident response
    • Weak family communication and incident transparency
    • Property security and belongings handling
    • Discriminatory conduct and unprofessional interactions

    Summary of reviews

    The reviews present a mixed and polarized view of Hartley Nursing and Rehab. Positive comments consistently reference a clean, bright facility with pleasant common areas and generally well-maintained rooms. Several families praised frontline staff as helpful and caring and highlighted instances of competent nursing care. At the same time, other reviewers described serious operational concerns that suggest variability in the resident experience.

    Care quality and staff: Feedback about clinical care is divided. Some reviewers described attentive, high-quality nursing and compassionate caregiving, while others raised concerns about responsiveness to medical needs and instances where family members felt their concerns were not taken seriously. Comments about staffing emphasize a heavy workload and what reviewers perceived as inadequate staffing levels; this, combined with reports of low morale, may contribute to inconsistent care delivery. There are also reports that raise questions about staff conduct, including discriminatory behavior and unprofessional interactions, which would warrant attention to staff training and supervision.

    Dining and activities: The set of summaries contains little direct commentary on dining or recreational programming. No strong, consistent patterns emerged about meal quality or the activities schedule in these reviews. Prospective families should request current menus and an activities calendar during a tour to evaluate those areas directly.

    Facilities and sanitation: Cleanliness and absence of unpleasant odors are recurring positives across the summaries. Multiple comments emphasize that the interior is bright and well-maintained. These observations suggest that housekeeping and environmental services are a relative strength for the facility.

    Management and communication: Management and leadership are the most frequently noted areas of concern. Reviewers referenced issues with the director of nursing and broader management practices, describing poor communication around incidents and a lack of transparent incident-response processes. Concerns about property security and belongings handling were also raised. Taken together, the pattern points to a need for stronger clinical oversight, clearer family communication protocols, and improved incident documentation and follow-up.

    Notable patterns and recommendation: The overall pattern is one of significant variability: visible strengths in cleanliness and some nursing relationships coexist with recurring operational weaknesses in leadership, staffing, safety processes, and workplace culture. For families considering Hartley Nursing and Rehab, an in-person visit focusing on staffing levels during the proposed placement shift, clarity of incident-communication procedures, property-security measures, and observing staffโ€“resident interactions is advised. Ask management for recent staffing ratios, incident logs or summaries, and any staff-training initiatives addressing conduct and cultural competence to assess whether the facility is addressing the highlighted concerns.

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    Medicare Ratings

    3ยท/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Hartley Nursing and Rehab

    Hartley Nursing and Rehab is located at 1006 Market St, Pocomoke City, MD, 21851.

    About Hartley Nursing and Rehab

    Hartley Nursing and Rehab, which has been around for over 60 years, is a non-profit facility with 73 federally certified beds, and they take Medicaid and Medicare if you've got those, and the building is open around the clock every day of the week, with folks on staff who handle both your daily health needs and emotional care, and you'll find a director of nursing, a charge nurse, a mental and behavioral needs specialist, and a dedicated team handling everything from nursing care to supportive services. The rooms come with private bathrooms, cable TV, a kitchenette, telephone, air conditioning, Wi-Fi, and furniture, so you don't have to bring much, and while you're here you get meals served in a restaurant-style dining area, which can meet special diets like for diabetes or allergies, and you'll see an activities director making sure there are things to do, from wellness programs to art or movie nights, music and games, and you've got a library, a fitness room, rooms for activities, and there's outdoor space with gardens and walking paths too if you like to be outside. The place gives help with bathing, dressing, and taking meds, as well as housekeeping, laundry, dry cleaning, transportation, and some parking options. There's 24-hour supervision, emergency alert systems, and a call system, plus a focus on safety protocols and best care practices, with non-ambulatory care and help for those needing transfers, and if you need it, they've got a business office to help with your funds or the paperwork for benefits. They say they aim for compassionate care and hope to meet your needs with respect, keeping folks comfortable, and offering resident-run activities, and since they cater to everyone regardless of age or faith, they try to make it feel home-like rather than institutional if that's what you're after. Now, in the most recent inspection there were 11 health deficiencies, and that's higher than the national average, and they paid a notable federal fine back in 2014 for some issues, so it's wise to know that, and the nurse staffing hours per resident are lower than state or national numbers, with only about 36 minutes of RN care per day, which is something you might want to keep in mind. Still, Hartley Nursing and Rehab scores well on a few important things: there's very good vaccination rates, low rates of physical restraints, low use of antipsychotic meds, and fewer long-term residents with depressive symptoms or falls, plus they offer a complaint procedure if you've ever got major concerns. Quality gets a four-star measurement, even if the overall Medicare rating is only one star out of five, so if you're considering this place for either short visits or longer stays, you'll want to look at the inspection reports yourself and, if you want more information on rules or life there, you can check their general info page at hartleyrehab.com, because while the care is wide-ranging and the people seem caring, the facts show a fair bit of room for improvement.

    People often ask...

    Hartley Nursing and Rehab offers assisted living, memory care, and skilled nursing.

    The full address for this community is 1006 Market St, Pocomoke City, MD 21851.

    No, Hartley Nursing and Rehab does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Hartley Nursing and Rehab. The information above has not been verified or approved by the owner or operator. For exact information, please contact Hartley Nursing and Rehab directly. There is no cost for this service. We are compensated by the community you select.

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