Hartley Nursing And Rehab
Inspection Findings
F-Tag F0627
F 0627 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for
a safe transfer/discharge. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on complaint review, medical record review and interviews, it was determined the facility staff failed to ensure home health services and community referrals were in place at discharge for a resident (Resident #2). This was evident for 1 of 4 residents reviewed for community discharge during a complaint survey.The findings include: Review of Resident #2's medical record on 10/27/25 for complaint 337322 related to the Resident's discharge on [DATE REDACTED] revealed the Resident was admitted to the facility in March 2022 for rehabilitation following hospitalization. Further review of Resident #2's medical record revealed on 8/15/24 the facility received a Denial of Continued Nursing Facility Services based on patients' needs and documentation, patient has a BIMS (Brief Interview of Mental Status), needs no skilled nursing services, no daily subcutaneous medications, no behaviors and does not need hands on assistance with any ADLs (Activities of Daily Living) and does not meet criteria for NFLOC (Nursing Facility Level of Care) and will deny.
Discussed with MDH (Maryland Department of Health). Further review of Resident #2's medical record revealed the Resident was discharged on 12/3/24 to independent living apartment but referrals for home health and meals on wheels were not sent until 12/6/24. The independent living apartment was located behind a nursing home of a sister facility. During interview with Staff #9 (former social services) on 10/27/25 at 1:50 PM, Staff #9 was asked why the Resident was discharged on 12/3/24 but referrals for home health, home care and meals on wheels were not made until 12/6/24. Staff #9 stated this was the first discharge
she had made to independent living and was not aware of the resources the Resident needed. Staff #9 stated the Regional Social Worker got involved and told her what referrals she needed to make. During
interview with the Regional Social Worker (Staff #11) on 10/28/25 at 9:38 AM, Staff #11 was asked why referrals were not put in place for the Resident at discharge. Staff #11 stated Staff #9 should have ensured
the referrals were in place at discharge. Staff #11 stated a referral for home health services was made on 12/6/24 and the Resident began to receive services including physical therapy, skilled nursing services and
a home health aide on 12/10/24. Staff #11 stated she ensured when the Resident was discharged to the independent living apartment that the Resident had all of his/her medications, household items and was provided meals from the nursing home. Staff #11 also stated the Resident 's apartment had a call system that she educated him/her to that if the Resident needed help the nursing home staff would respond.
Interview with the Director of Nursing on 10/29/25 at 9:50 AM confirmed the facility staff failed to ensure Resident #2 had home health services and community referrals in place at discharge on [DATE REDACTED].
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
HARTLEY NURSING AND REHAB in POCOMOKE CITY, MD inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in POCOMOKE CITY, MD, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from HARTLEY NURSING AND REHAB or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.