Markley Rehabilitation And Healthcare Center
MARKLEY REHABILITATION AND HEALTHCARE CENTER in NORRISTOWN, PA — inspection on November 20, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Review of facility documentation revealed on November 8, 2025, Resident R1 reported to his/her nurse that on November 7, 2025, the licensed nurse, identified as Employee E3, gave Resident R1 an unfamiliar pill during morning medication pass.
Review of Resident R1's statement revealed he/she questioned the medication but was told by licensed nurse, Employee E3, that it was his/her Spiriva and that it was going to be given in an oral pill form versus through the inhaler.
Review of statement by licensed nurse, Employee E3, confirmed on November 8, 2025, this nurse went to give Resident R1 medications for the morning medication pass.
Licensed nurse, Employee E3, subsequently gave Spiriva medication by mouth and did not have Resident R1 inhale it.Review of Resident R3's clinical record revealed the resident was admitted to the facility on [DATE], and had a diagnosis of epilepsy (a disorder in which nerve cell activity in the brain is disturbed, causing seizures).
Continued review of Resident R3's clinical record revealed physician orders dated November 8, 2025, for Keppra and Lacosamide (anticonvulsant medications used to treat various types of seizures) to be given two times per day.
The start date for both medications was November 9, 2025.
Review of the facility's November 2025 grievance log revealed a grievance was submitted on November 12, 2025, by the family of Resident R3 related to a medication issue.
The grievance alleged that Resident R3 did not receive his/her seizure medication.
Review of facility documentation revealed an investigation was promptly initiated on November 12, 2025.
Upon investigation, it was determined that when Registered Nurse, Employee E4, input Resident R3's physician orders into the online electronic medical record, the software defaulted the Keppra and Lacosamide to start on November 9, 2025. As a result, Resident R3 missed doses of Keppra and Lacosamide on November 8, 2025.Interview on November 20, 2025, at approximately 11:00 a.m. with the Nursing Home Administrator, Employee E1, confirmed Resident R3 missed one dose of Keppra and one dose of Lacosamide on November 8, 2025. 28 Pa.
Code 211.9 (a)(1) Pharmacy services.28 Pa.
Code 211.9 (c) Pharmacy services.28 Pa.
Code 211.12 (d)(1) Nursing services.28 Pa.
Code 211.12 (d)(5) Nursing services.
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