Markley Rehabilitation And Healthcare Center
Inspection Findings
F-Tag F0657
F 0657 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
treatment. Toe dressings were off. Wound note dated September 10, 2025 revealed Resident examined at bedside with staff including DON (Director of Nursing), ADON (Assistant Director of Nursing), unit managers, and staff nurse. Resident reported self-ordering and applying dressings, described as ABD pads with tape and foam dressings. No treatment observed on BLE heels or great toes. Resident reported dressings frequently come off and expressed burning sensations with gauze treatment. Resident refused Dakin's cleansing, gauze, wound gel, and calcium alginate treatments citing burning sensations. Current treatment was Xeroform. Staff reported resident refusal of treatment changes, which the resident denied.
Discussion with staff present revealed challenges in assessing treatment effectiveness due to resident removing prescribed dressings and self-applying unapproved dressings. Resident continues to use heels to self-propel wheelchair despite PCP (Primary Care Physician) recommendations for wheelchair leg lifts, which the resident does not use. Resident is inconsistent with compression therapy and declined heel lift boots. Review of the resident's care plan, initiated on August 25, 2025, revealed that the resident has skin breakdown and/or potential for skin breakdown related to cardiovascular disease, edema, a history of skin breakdown, impaired sensory perception, neuropathy, and vasculitis. Continued review of the resident's care plan failed to address interventions related to the resident purchasing own treatment supplies and risk and consequences of applying these treatments. 28 Pa. Code (d)(1) Nursing Services28 Pa. Code (c)(d) Resident Care Policies
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MARKLEY REHABILITATION AND HEALTHCARE CENTER in NORRISTOWN, PA 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 NORRISTOWN, PA, (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 MARKLEY REHABILITATION AND HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.