Markle Health & Rehabilitation

In the surveyor’s words

From the most serious findings on record at Markle Health & Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF684Nov 20, 2025

  Based on record review and interview, the facility failed to ensure physician orders were followed, related to the timely administration of prescribed medications to resident. For 1 of 3 residents reviewed. (Resident K) Findings include:Resident K's record review began on 11/19/25 at 10:15 AM, diagnosis included, Hypothyroidism, unspecified.A review of the physicians orders indicated to give Thyroid tablet 60 mg, oral, once a day on Tuesday; at 5:00 AM. Start date of 10/13/25. Thyroid tablet; 90 mg, oral, once a day on Sunday, Monday, Wednesday, Thursday, Friday and Saturday at 5:00 AM. A review of the medication administration record (MAR) indicated Thyroid 60 mg was given on 10/13/25 at 10:00 AM. The reasons/comments section was noted administered late, with a further comment of given. […]

• No harm, potential for more than minimal, isolatedF550Aug 9, 2024

  Based on observation, interview and record review the facility failed to ensure residents were treated with respect for 1 of 1 residents reviewed. (Resident 30) Findings include: During an observation on 8/7/24 at 9:43 AM, Employee 4 used the term sweetheart to address Resident 30 when asking what hurt. Resident 30 became increasingly agitated when addressed by the label, sweetheart, rather than their name being used. Resident 30's record was reviewed on 8/6/24 at 1:05 PM. Diagnoses included dementia, chronic pain syndrome, history of stroke with residual deficits, and cognitive communication deficits. A review of Resident 30's current quarterly MDS (minimum data set) indicated their BIMS (basic interview for mental status) score was 1 (severely cognitively impaired). […]

• No harm, potential for more than minimal, isolatedF880Aug 9, 2024

  Based on observation, interview and record review, the facility failed to ensure infection control practices were maintained during medication administration for 3 of 5 administration attempts observed. Findings include: During an observation on 8/5/2024 at 9:38 AM, Registered Nurse (RN) 2 on the 200 hall medication cart pulled a medication card from the cart, popped medication from the blister pack into their bare hand, then placed the medication into a medication cup that was on the cart. During an observation on 8/5/2024 at 11:24 AM, RN 2 at the 200 hall medication cart, popped medication from the blister pack into their bare hand, then placed the into a medication cup. […]

• No harm, potential for more than minimal, isolatedF676Jul 27, 2023

  Based on observation, interview, and record review the facility failed to ensure care of communication deficit for 1 of 1 residents reviewed. (Resident 176) Findings include: During an observation on 07/24/23 at 10:21 AM, the Unit Manager was having difficulty understanding Resident 176. The Unit Manager requested Resident 176 start over from the beginning. The Unit Manager then repeated the parts she understood and asked Resident 176 if she was correct. There were no assistive devices used. Resident 176 was pacing with noted deficits to his left side. His lips and face had drooping on the affected side, he held left arm to his side, and he had an unusual gait. Resident 176 did not have oxygen on and was ambulating without assistance. […]

• No harm, potential for more than minimal, isolatedF600Jun 1, 2023

  Based on interview and record review the facility failed to ensure the residents' right to be free from verbal abuse for 2 of 4 residents reviewed. (Resident B, Resident C). Findings include: A facility reported incident, dated 5/28/23, was provided by the Administrator on 6/1/23 at 10:14 AM. The report indicated Certified Nurse Aide (CNA) 3 had accused CNA 2 of verbal abuse towards Resident B and reported her accusation to the Director of Nursing (DON). An investigation file was provided by the Administrator on 6/1/23 at 10:14 AM. The filed included statements, as follows: CNA 3's, statement, dated 5/28/23, indicated she and CNA 2 had assisted Resident B. CNA 3 indicated Resident B had become combative with care, by hitting and kicking. […]