Pennsylvania Department of Health
 MARKLEY REHABILITATION AND HEALTHCARE CENTER
Patient Care Inspection Results

Note: If you need to change the font size, click the "View" menu at the top of the page, place the mouse over the "Text Size" menu item, and select the desired font size.

Severity Designations

Click here for definitions Click here for definitions Click here for definitions Click here for definitions
Minimal Citation - No Harm Minimal Harm Actual Harm Serious Harm
MARKLEY REHABILITATION AND HEALTHCARE CENTER
Inspection Results For:

There are  139 surveys for this facility. Please select a date to view the survey results.

Surveys don't appear on this website until at least 41 days have elapsed since the exit date of the survey.
MARKLEY REHABILITATION AND HEALTHCARE CENTER - Inspection Results Scope of Citation
Number of Residents Affected
By Deficient Practice
Initial comments:
Based on an Abbreviated Survey in response to two complaints, completed on June 4, 2026, at Markley Rehabilitation and Healthcare Center, identified no deficient practice under the requirements of 42 CFR Part 483, Subpart B, Requirements for Long Term Care Facilities. However, the facility was not in compliance with the 28 PA Code, Commonwealth of Pennsylvania Long Term Care Licensure Regulations, related to the health portion of the survey process.\~



 Plan of Correction:


§ 211.12(f.1)(3) LICENSURE Nursing services. :State only Deficiency.
(3) Effective July 1, 2024, a minimum of 1 nurse aide per 10 residents during the day, 1 nurse aide per 11 residents during the evening, and 1 nurse aide per 15 residents overnight.

Observations:
Based on review of nurse staffing data, it was determined that the facility failed to provide a minimum of 1 nurse aide per 10 residents during the day, 1 nurse aide per 11 residents during the evening, and 1 nurse aide per 15 residents overnight for four of four weeks reviewed (11/26/2025 through 06/03/2026).

Findings Include:

A review of facility census data, nursing schedules, and staff punch reports over a period of four weeks revealed the facility failed to provide one nurse aide per 10 residents during the day shift on the following dates:

-11/28/2025, 11/29/2025, 11/30/2025, 12/01/2025
-02/16/2026, 02/19/2026
-05/16/2026, 05/17/2026, 05/18/2026, 05/21/2026
-05/28/2026, 05/31/2026, 06/01/2026, 06/02/2026

Continued review of facility documentation revealed the facility failed to provide 1 nurse aide per 11 residents during the evening shift on the following dates:

-11/27/2025
-05/15/2026, 05/21/2026
-06/01/2026

Further review of facility documentation revealed the facility failed to provide 1 nurse aide per 15 residents during the overnight shift on the following dates:

-11/28/2025, 11/29/2025, 11/30/2025
-02/14/2026
-05/15/2026, 05/16/2026, 05/17/2026, 05/18/2026
-05/29/2026, 05/30/2026, 05/31/2026, 06/01/2026, 06/02/2026, 06/03/2026





 Plan of Correction - To be completed: 07/10/2026

1. No residents were negatively impacted by the CNA staffing ratios.

2. An audit was completed of CNA staffing ratios for the past 30 days. Variances were reviewed with the HRD and recorded on the facility audit tool.

3. The Administrator re-educated the HRD on the CNA staffing ratios. The Administrator has reviewed staff recruitment and retention initiatives and have communicated those initiatives to the facility recruitment manager.

4. The Administrator / Designee will audit CNA staffing ratios 3 times per week for 4 weeks then weekly for 2 months. HRD / Designee will review staffing ratios prior to scheduled dates to address understaffing concerns. Audit findings will be submitted to the Quality Assurance Performance Improvement Committee monthly for further review and recommendations as needed. Further audit frequency will be determined based on the outcome of the previously completed audit findings.
§ 211.12(f.1)(4) LICENSURE Nursing services. :State only Deficiency.
(4) Effective July 1, 2023, a minimum of 1 LPN per 25 residents during the day, 1 LPN per 30 residents during the evening, and 1 LPN per 40 residents overnight.
Observations:
Based on review of nurse staffing data, it was determined that the facility failed to provide a minimum of 1 LPN per 25 residents on the day shift for one of four weeks reviewed (05/15/2026 through 05/21/2026).

Findings Include:

A review of facility census data, nursing schedules, and staff punch reports over a period of four weeks revealed the facility failed to provide 1 licensed practical nurse (LPN) per 25 residents during the day shift on the following dates:

-May 21, 2026







 Plan of Correction - To be completed: 07/10/2026

1. No residents were negatively impacted by the LPN staffing ratios.

2. An audit was completed of LPN staffing ratios for the past 30 days. Variances were reviewed with the HRD and recorded on the facility audit tool.

3. The Administrator re-educated the HRD on the LPN staffing ratios. The Administrator has reviewed staff recruitment and retention initiatives and have communicated those initiatives to the facility recruitment manager.

4. The Administrator / Designee will audit LPN staffing ratios 3 times per week for 4 weeks then weekly for 2 months. HRD / Designee will review staffing ratios prior to scheduled dates to address understaffing concerns. Audit findings will be submitted to the Quality Assurance Performance Improvement Committee monthly for further review and recommendations as needed. Further audit frequency will be determined based on the outcome of the previously completed audit findings.
§ 211.12(i)(2) LICENSURE Nursing services.:State only Deficiency.
(2) Effective July 1, 2024, the total number of hours of general nursing care provided in each 24-hour period shall, when totaled for the entire facility, be a minimum of 3.2 hours of direct resident care for each resident.

Observations:
Based on review of nurse staffing data, it was determined that the facility failed to provide a minimum of 3.20 hours of direct nursing care per resident on four of four weeks reviewed (11/26/2025 through 06/03/2026).

Findings Include:

A review of facility census data, nursing schedules, and staff punch reports over a period of four weeks revealed the facility failed to provide a minimum of 3.20 hours of direct nursing care per resident (PPD) on the following dates:

-11/27/2025, 11/28/2025, 11/29/2025, 11/30/2025, 12/01/2025, 12/02/2025
-02/13/2026, 02/19/2026
-05/15/2026, 05/16/2026, 05/17/2026, 05/18/2026, 05/21/2026
-05/28/2026, 05/29/2026, 05/30/2026, 05/31/2026, 06/01/2026, 06/02/2026, 06/03/2026





 Plan of Correction - To be completed: 07/10/2026

1. No residents were negatively impacted by the HPPD staffing ratios.

2. An audit was completed of staffing ratios for the past 30 days. Variances were reviewed with the HRD and recorded on the facility audit tool.

3. The Administrator re-educated the HRD on the HPPD staffing ratios. The Administrator has reviewed staff recruitment and retention initiatives and have communicated those initiatives to the facility recruitment manager.

4. The Administrator / Designee will audit HPPD staffing ratios 3 times per week for 4 weeks, then weekly for 2 months. HRD / Designee will review staffing ratios prior to scheduled dates to address understaffing concerns. Audit findings will be submitted to the Quality Assurance Performance Improvement Committee monthly for further review and recommendations as needed. Further audit frequency will be determined based on the outcome of the previously completed audit findings.

Back to County Map


  
Home : Press Releases : Administration
Health Planning and Assessment : Office of the Secretary
Health Promotion and Disease Prevention : Quality Assurance


Copyright © 2001 Commonwealth of Pennsylvania. All Rights Reserved.
Commonwealth of PA Privacy Statement
Visit the PA Power Port