Markley Rehabilitation and Healthcare Center
550 East Fornance Street, Norristown, PA 19401 · Montgomery County · 121 certified beds · avg 113 residents/day · certified since Jun 25, 1980
Part of chain: MARQUIS HEALTH SERVICES (87 facilities, chain avg rating 3.0★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Sep 8, 2023 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Oct 5, 2023 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Sep 8, 2023 · F-0609 · triggered by a complaint
The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Why it matters: When incidents aren't reported promptly, abusers may continue harming residents and outside authorities can't step in.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Oct 5, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (33)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Nov 20, 2025 | E · Potential for harm, repeated | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Sep 24, 2025 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint |
| Aug 7, 2025 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Aug 7, 2025 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Aug 7, 2025 | E · Potential for harm, repeated | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. |
| Aug 7, 2025 | D · Potential for harm, one-off | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. |
| Aug 7, 2025 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Aug 7, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Aug 7, 2025 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Aug 7, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Aug 7, 2025 | D · Potential for harm, one-off | The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. |
| Aug 7, 2025 | D · Potential for harm, one-off | The facility did not properly inform residents or their representatives about arbitration agreements — contracts that give up the right to sue in court — including their right to refuse to sign. |
| Aug 7, 2025 | D · Potential for harm, one-off | The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. |
| Jul 8, 2025 | E · Potential for harm, repeated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint |
| Jun 17, 2025 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Jun 17, 2025 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Jun 17, 2025 | D · Potential for harm, one-off | The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. · from a complaint |
| Mar 4, 2025 | D · Potential for harm, one-off | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint |
| Oct 18, 2024 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. |
| Oct 18, 2024 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Oct 18, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Oct 18, 2024 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Jan 2, 2024 | F · Potential for harm, facility-wide | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. |
| Jan 2, 2024 | E · Potential for harm, repeated | The facility did not serve meals and snacks at times that fit residents' needs, preferences, and requests, or did not offer nourishing alternatives for residents who want to eat outside scheduled meal times. |
| Jan 2, 2024 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Jan 2, 2024 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Sep 8, 2023 | ▲ G · Actual harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Sep 8, 2023 | ▲ G · Actual harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Sep 8, 2023 | D · Potential for harm, one-off | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint |
| Aug 1, 2023 | D · Potential for harm, one-off | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint |
| Aug 1, 2023 | D · Potential for harm, one-off | The facility hired someone with an official finding of abuse, neglect, exploitation, or theft against them. Facilities are not allowed to employ people with such findings. · from a complaint |
| Aug 1, 2023 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Aug 1, 2023 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · from a complaint |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (4 → 11).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 7 | 2 | G ▲ |
| 2024 | 8 | 0 | F |
| 2025 | 18 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Pennsylvania avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.04 | 3.94 | 3.95 | bottom 13% in Pennsylvania; bottom 15% in the U.S. |
| Registered Nurse hours | 0.62 | 0.80 | 0.69 | bottom 45% in Pennsylvania; top 46% in the U.S. |
| Weekend total nurse staffing | 2.82 | 3.58 | 3.50 | bottom 17% in Pennsylvania; bottom 22% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.44 | 0.56 | 0.48 | top 50% in Pennsylvania; top 42% in the U.S. |
| Total nursing staff turnover (%) | 41.4 | 44.5 | 45.8 | top 40% in Pennsylvania; top 40% in the U.S. |
| RN turnover (%) | 26.7 | 39.9 | 42.9 | top 25% in Pennsylvania; top 24% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.48, RN 0.70, weekend 3.23. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Graf, Andrew | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/29/2020 |
| Graf, Andrew | Individual | ADP of the SNF | NOT APPLICABLE | 12/29/2020 |
| Israel Discount Bank of New York - Idb Bank of York | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 12/29/2020 |
| Israel Discount Bank of New York - Idb Bank of York | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 12/29/2020 |
| Markley Property LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/29/2020 |
| Marquis Limited LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/29/2020 |
| Marquis Limited LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/24/2025 |
| NFR 2020 Irrv Tr | Organization | ADP of the SNF | NOT APPLICABLE | 12/31/2021 |
| Nutraco LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/12/2024 |
| Nutraco LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/24/2025 |
| Papada, Jonathan | Individual | Managing Control - Governing Body | NOT APPLICABLE | 11/18/2022 |
| Papada, Jonathan | Individual | ADP of the SNF | NOT APPLICABLE | 11/18/2022 |
| Posen, Mindee | Individual | Corporate Officer | NOT APPLICABLE | 12/29/2020 |
| Posen, Mindee | Individual | ADP of the SNF | NOT APPLICABLE | 12/29/2020 |
| Quinto Nexgen LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/31/2021 |
| Reliant Pro Rehab LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/29/2020 |
| Reliant Pro Rehab LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/24/2025 |
| Rsbrmk Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/31/2021 |
| Schultz, Thomas | Individual | Managing Control - Governing Body | NOT APPLICABLE | 03/13/2025 |
| Schultz, Thomas | Individual | Corporate Director | NOT APPLICABLE | 03/13/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
- "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Norriton Square Nursing and Rehabilitation Center | 0.7 mi | Norristown, PA | ★★☆☆☆ | 2/5 | abuse |
| Onyx Wellness Center | 0.7 mi | Norristown, PA | ★☆☆☆☆ | 1/5 | |
| Ivory Wellness Center | 0.8 mi | Norristown, PA | ★★☆☆☆ | 2/5 | |
| Suburban Woods Health & Reha | 1.6 mi | Norristown, PA | ★★★★★ | 4/5 | |
| Aristacare at Meadow Springs | 1.9 mi | Plymouth Meeting, PA | ★☆☆☆☆ | 1/5 | abuse |
| King of Prussia Skilled Nursing and Rehabilitation | 3.6 mi | King of Prussia, PA | ★★☆☆☆ | 2/5 | |
| Montgomery Subacute and Respiratory Center | 4.3 mi | Plymouth Meeting, PA | ★★★★☆ | 4/5 | |
| Rehab at Shannondell | 4.3 mi | Audubon, PA | ★★★★☆ | 4/5 | |
| Health Center at the Hill at Whitemarsh, the | 5.1 mi | Lafayette Hill, PA | ★★★★★ | 5/5 | |
| Masonic Village at Lafayette Hill | 5.1 mi | Lafayette Hill, PA | ★★★★☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 395483.