Above average — CMS composite of the measures below.
A standard survey is most likely before around September 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Markle Health & Rehabilitation during CMS and state inspections, most recent first.
A resident with hypothyroidism had an ordered thyroid medication due at 5:00 AM administered at 10:00 AM, and the MAR marked it as late without a specific reason documented by the RN. The resident's husband said the meds were given late and that the thyroid medication should be given early in the morning, while the DON noted the family wanted the same timing used at home and that it was unclear why the RN did not document the delay.
A resident with severe cognitive impairment was addressed by an employee using the term 'sweetheart,' causing agitation. The resident's care plan lacked guidance on nickname use, and the spouse confirmed the preference for using the resident's name. An employee noted a trend of inappropriate nickname use, contrary to the facility's policy on respectful treatment.
The facility failed to maintain infection control practices during medication administration, as observed in three out of five attempts. An RN and an LPN were seen popping medication from blister packs into their bare hands before placing it into medication cups, violating the facility's procedure for contamination-free medication handling.
Late Administration of Ordered Thyroid Medication
Penalty
Summary
The facility failed to ensure physician orders were followed for Resident K, who had a diagnosis of hypothyroidism. The physician ordered Thyroid 60 mg by mouth once daily on Tuesday at 5:00 AM, and Thyroid 90 mg by mouth once daily on Sunday, Monday, Wednesday, Thursday, Friday, and Saturday at 5:00 AM. The MAR showed the 60 mg dose was administered at 10:00 AM on 10/13/25, and the entry was marked as administered late with a comment of given, but no specific reason for the delay was documented by RN 4. The progress notes for 10/13/25 did not include documentation explaining why the medication was given late. During interview, Resident K's husband stated that all medications were given at 10:00 AM and were late, and he reported telling the facility that the thyroid medication should be given early in the morning. The DON stated that Resident K had come from home where her husband had been giving medications at specific times and wanted that practice continued, and that staff had educated RN 4 on ensuring medications were given on time, but it remained unclear why RN 4 did not document the reason for the late administration.
Resident Disrespected by Use of Nickname
Penalty
Summary
The facility failed to ensure that residents were treated with respect, as evidenced by the interaction with Resident 30. During an observation, an employee addressed Resident 30 using the term 'sweetheart' instead of their name, which caused the resident to become agitated. Resident 30 has a history of dementia, chronic pain syndrome, a stroke with residual deficits, and cognitive communication deficits, with a BIMS score indicating severe cognitive impairment. The resident's care plan did not include any guidance regarding the use of nicknames. Additionally, Resident 30's spouse expressed that the resident would prefer to be addressed by their name rather than pet names. An employee acknowledged a trend of using nicknames and recognized it as inappropriate. The facility's policy states that residents have the right to be treated with respect.
Infection Control Breach During Medication Administration
Penalty
Summary
The facility failed to maintain proper infection control practices during medication administration, as observed in three out of five medication administration attempts. On two separate occasions, a Registered Nurse (RN) on the 200 hall medication cart was seen popping medication from a blister pack directly into their bare hand before placing it into a medication cup. Similarly, a Licensed Practical Nurse (LPN) was observed performing the same action during a medication pass. These actions were in direct violation of the facility's Medication Administration Skills Competency procedure, which requires medications to be opened without contamination.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Markle
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| River Terrace Health Care Center | 7.8 mi | ★★★★★ | 30 | 0 |
| Ossian Health Care And Rehabilitation Center | 9.6 mi | ★★★★★ | 3 | 0 |
| Waters Of Huntington Skilled Nursing Facility, The | 9.7 mi | ★★★★★ | 18 | 1 |
| Hickory Creek At Huntington | 9.7 mi | ★★★★★ | 6 | 0 |
| Envive Of Huntington | 9.9 mi | ★★★★★ | 10 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.