Federal inspection record · CMS data as of October 1, 2026
Markley Rehabilitation And Healthcare Center
550 East Fornance Street, Norristown, PA · (610) 272-5600
- Certified beds
- 121
- Residents per day
- 114
- Ownership
- For-Profit
- Chain
- Marquis Health Services
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 25, 1980
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Pennsylvania.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Pennsylvania homes
Markley Rehabilitation And Healthcare Center carries 36 inspection points. That is fewer than 63% of Pennsylvania's 652 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Pennsylvania: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–8 pts
- 4★ 8–33 pts
- 3★ 33–65 pts
- 2★ 65–128 pts
- 1★ over 128 pts
Bars show every rated home in Pennsylvania by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
25 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care6D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide or obtain dental services for each resident.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Assessment and Care Planning6D
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Infection Control3E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- E
Implement a program that monitors antibiotic use.
Pharmacy Service2E
- E
Ensure that residents are free from significant medication errors.
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Administration2D
- D
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
- D
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Environmental2E
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Respond appropriately to all alleged violations.
Resident Rights1D
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Nursing and Physician Services1D
- D
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Inspection history
2026-07-10
4 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2025-08-07
17 health deficiencies · 18 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
2024-10-18
4 health deficiencies · 3 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 21 min of nursing staff time a day, 43 min of it from a registered nurse.
This home
3 h 21 min
Pennsylvania average
3 h 54 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 36% of nursing staff and 13% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.8 pts better | 0.7 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts better | 0.3 | 1.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.8 pts better | 93.6% | 87.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.3 pts better | 99.0% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.1 pts better | 0.0% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms27.4 pts worse | 41.2% | 13.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight1 pts worse | 7.0% | 6.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.3 pts better | 16.8% | 20.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.7 pts better | 13.9% | 17.6% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened12.9 pts better | 2.5% | 15.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased9.2 pts better | 7.2% | 16.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better | 0.0% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.8 pts better | 24.2% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.4 pts better | 3.3% | 4.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine16.6 pts better | 87.4% | 70.8% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.1 pts better | 9.4% | 9.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts better | 0.9% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine16.8 pts worse | 54.1% | 70.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.4 pts worse | 22.4% | 22.0% | 23.4% |
·
Who owns and runs it
28 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Graf, Andrew | Operational/Managerial Control · Individual | 0% | 9 facilities |
| Graf, Andrew | Adp Of The SNF · Individual | 0% | 9 facilities |
| Israel Discount Bank Of New York - Idb Bank Of York | 5% Or Greater Mortgage Interest · Organization | 0% | 11 facilities |
| Israel Discount Bank Of New York - Idb Bank Of York | 5% Or Greater Security Interest · Organization | 0% | 11 facilities |
| Markley Property LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Marquis Limited LLC | Operational/Managerial Control · Organization | 0% | 82 facilities |
| Marquis Limited LLC | Adp Of The SNF · Organization | 0% | 82 facilities |
| Nfr 2020 Irrv Tr | Adp Of The SNF · Organization | 0% | 76 facilities |
| Nutraco LLC | Operational/Managerial Control · Organization | 0% | 39 facilities |
| Nutraco LLC | Adp Of The SNF · Organization | 0% | 39 facilities |
| Papada, Jonathan | Managing Control - Governing Body · Individual | 0% | 8 facilities |
| Papada, Jonathan | Adp Of The SNF · Individual | 0% | 8 facilities |
| Posen, Mindee | Corporate Officer · Individual | 0% | 88 facilities |
| Posen, Mindee | Adp Of The SNF · Individual | 0% | 88 facilities |
| Quinto Nexgen LLC | Adp Of The SNF · Organization | 0% | 50 facilities |
| Reliant Pro Rehab LLC | Operational/Managerial Control · Organization | 0% | 77 facilities |
| Reliant Pro Rehab LLC | Adp Of The SNF · Organization | 0% | 77 facilities |
| Rsbrmk Holdings LLC | Adp Of The SNF · Organization | 0% | 74 facilities |
| Schultz, Thomas | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Schultz, Thomas | Corporate Director · Individual | 0% | 1 facilities |
| Schultz, Thomas | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Schultz, Thomas | Adp Of The SNF · Individual | 0% | 1 facilities |
| Sk Nexgen Tr | Adp Of The SNF · Organization | 0% | 51 facilities |
| Tryko Nexgen Holdings LLC | Adp Of The SNF · Organization | 0% | 50 facilities |
| Uak 2020 Irrv Tr | Adp Of The SNF · Organization | 0% | 74 facilities |
| Ukr Nexgen LLC | Adp Of The SNF · Organization | 0% | 51 facilities |
| Yk Nexgen Tr | Adp Of The SNF · Organization | 0% | 52 facilities |
| Yr Nexgen Tr | Adp Of The SNF · Organization | 0% | 52 facilities |
·
Fire safety
25 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke10F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Install corridor and hallway doors that block smoke.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Emergency Preparedness8F
- F
Establish emergency prep training and testing.
- F
Conduct risk assessment and an All-Hazards approach.
- C
Develop Emergency Preparedness policies and procedures.
- C
Create arrangements with other facilities to receive patients.
- C
Conduct testing and exercise requirements.
- C
Develop and maintain an Emergency Preparedness Program (EP).
- C
Address patient/client population and determine types of services needed.
- C
Include a process for Emergency Preparedness collaboration.
Gas, Vacuum, and Electrical Systems5F
- E
Ensure proper usage of power strips and extension cords.
- E
Have proper medical gas storage and administration areas.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Meet requirements for the installation and maintenance of electrical systems.
- E
Meet requirements for the installation and maintenance of electrical systems.
Services1E
- E
Install properly constructed and protected linen or trash chutes.
Miscellaneous1E
- E
Have simulated fire drills held at unexpected times.
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Other homes nearby
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Norriton Square Nursing And Rehabilitation Center
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★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 28 min
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- $0
-
ONYX Nursing & Rehabilitation
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★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 32 min
- Fines
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-
IVORY Nursing & Rehabilitation
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★★★★★- Worst citation, 3 yrs
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- Nursing / resident / day
- 3 h 41 min
- Fines
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