Markley Rehabilitation And Healthcare Center
Inspection Findings
F-Tag F0760
F 0760 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
dated November 8, 2025, that indicated he/she received Spiriva orally instead of via inhalation.Interview on November 20, 2025, at approximately 10:30 a.m. with the Director of Nursing, Employee E2, revealed Spiriva 10 mcg is a small pill that gets inserted into the cartridge of the inhaler and inhaled through the device. Review of facility documentation revealed on November 8, 2025, Resident Resident R1 reported to his/her nurse that on November 7, 2025, the licensed nurse, identified as Employee E3, gave Resident Resident R1 an unfamiliar pill during morning medication pass. Review of Resident 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 Resident R1 medications for
the morning medication pass. Licensed nurse, Employee E3, subsequently gave Spiriva medication by mouth and did not have Resident Resident R1 inhale it.Review of Resident Resident R3's clinical record revealed the resident was admitted to the facility on [DATE REDACTED], and had a diagnosis of epilepsy (a disorder in which nerve cell activity in the brain is disturbed, causing seizures). Continued review of Resident 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 Resident R3 related to a medication issue. The grievance alleged that Resident 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 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 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 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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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.