Markley Rehabilitation and Healthcare Center

In the surveyor’s words

From the most serious findings on record at Markley Rehabilitation and Healthcare Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Jan 17, 2023

  Based on review of facility policies, review of facility documentation, review of security camera video, clinical record review and interviews with residents and staff, it was determined that the facility failed to ensure that a resident was free from physical abuse for one of three residents reviewed (Resident R1). This failure resulted in actual harm to Resident R1 who was rough handled, slapped, poked, punched, pushed and pulled by three nurse aides (Employee E26, Employee E27 and Employee E28). […]

• Immediate jeopardy, isolatedF600Oct 12, 2021

  Based on review of clinical records, review of facility documentation, review of facility policies, and interviews with staff, it was determined that the facility failed to protect the rights of Resident R1 to be free from neglect, which resulted in actual harm to Resident R1 who did not receive insulin medication as ordered by the physician and developing high blood sugar levels. This failure was identified as past non-compliance (Resident R1) for one of 13 clinical records reviewed. […]

• Immediate jeopardy, isolatedF684Oct 12, 2021

  Based on review of clinical records, review of facility documentation, review of facility policies, and interviews with staff, it was determined that the facility failed to ensure that physician's orders were reconcile upon readmission to the facility, that physician's orders for insulin administration were followed and that blood glucose levels were checked as ordered by the physician. This failure resulted in actual harm to Resident R1 who developed high glucose levels for one of 13 clinical records reviewed. This failure was identified as past non-compliance. […]

• Actual harm, isolatedF600Sep 8, 2023

  Based on observations, review of facility policies, review of clinical record, review of facility documentation and interviews with staff, it was determined that the facility failed to ensure that one of six residents reviewed (Resident R1) remained free from neglect, which resulted in actual harm to Resident R1 who sustained an acute avulsion fracture of the tibial tuberosity (separation of the kneecap from the shin bone). Findings include: Review of facility policy, Abuse, Neglect, Exploitation and Misappropriation Prevention Program dated October 2022, revealed, Residents have the right to be free from abuse, neglect, misappropriation of resident property and exploitation. […]

• Actual harm, isolatedF609Sep 8, 2023

  Based on observations, review of facility policy, review of resident records, review of facility documents, and interviews with staff, it was determined that the facility failed to make certain that all allegations of abuse and neglect were timely reported to the Administrator of the facility for one of six residents reviewed (Resident R1). This delay in reporting a fall incident sustained by Resident R1, resulted in actual harm to Resident R1 who experienced a delay of treatment and was diagnosed with an acute avulsion fracture of the right tibial tuberosity (separation of the kneecap from the shin bone). […]