Merkel Nursing Center

• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

  Severity K of L: immediate jeopardy, patternFound during a complaint inspectionCorrected Mar 4, 2026

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity K of L: immediate jeopardy, patternFound during a complaint inspectionCorrected Mar 4, 2026

• Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

  Severity K of L: immediate jeopardy, patternFound during a complaint inspectionCorrected Mar 4, 2026

• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  Severity K of L: immediate jeopardy, patternFound during a complaint inspectionCorrected Mar 4, 2026

• Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Mar 4, 2026

• Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Mar 4, 2026

• Implement a program that monitors antibiotic use.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Mar 4, 2026

• Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Mar 4, 2026

• Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 7, 2026

• Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 7, 2026

• Provide behavior health training consistent with the requirements and as determined by a facility assessment.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 7, 2026

• Keep aisles, corridors, and exits free of obstruction in case of emergency.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 31, 2026

• Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 31, 2026

• Have proper medical gas storage and administration areas.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 31, 2026

• Have properly installed electrical wiring and gas equipment.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 31, 2026

• Provide safe and appropriate respiratory care for a resident when needed.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 7, 2026

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 7, 2026

• Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 7, 2026

• Develop, implement, and/or maintain an effective training program for all new and existing staff members.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 7, 2026

• Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 7, 2026

• Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 7, 2026

• Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 7, 2026

• Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 7, 2026

• Provide and implement an infection prevention and control program.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 7, 2026

• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 7, 2026

• Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

  Severity C of L: potential for minimal harm, widespreadCorrected Jan 12, 2026

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity K of L: immediate jeopardy, patternFound during a complaint inspectionCorrected Sep 1, 2025

• Administer the facility in a manner that enables it to use its resources effectively and efficiently.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Sep 15, 2025

• Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Sep 16, 2025

• Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Sep 25, 2025

• Develop and implement policies and procedures to prevent abuse, neglect, and theft.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Sep 17, 2025

• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Sep 17, 2025

• Respond appropriately to all alleged violations.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Sep 17, 2025

• Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.

  Severity C of L: potential for minimal harm, widespreadFound during a complaint inspectionCorrected Sep 18, 2025

• Provide and implement an infection prevention and control program.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 1, 2025

• Have policies on smoking.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Nov 8, 2024

• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Nov 8, 2024

• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Nov 8, 2024

• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Nov 8, 2024

• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Nov 8, 2024

• Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Nov 8, 2024

• Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Sep 15, 2024

• Conduct testing and exercise requirements.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Sep 30, 2024

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Sep 2, 2024

• Provide and implement an infection prevention and control program.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Sep 2, 2024

• Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Aug 20, 2024

• Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Sep 15, 2024

• Provide safe and appropriate respiratory care for a resident when needed.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Sep 5, 2024

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Sep 5, 2024

• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Sep 1, 2024

• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Sep 1, 2024

• Inspect, test, and maintain automatic sprinkler systems.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 1, 2024

• Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Sep 2, 2024

• Reasonably accommodate the needs and preferences of each resident.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 1, 2024

• Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 1, 2024

• Develop and implement policies and procedures to prevent abuse, neglect, and theft.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 15, 2024

• Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

  Severity C of L: potential for minimal harm, widespreadCorrected Oct 1, 2024

• Ensure the activities program is directed by a qualified professional.

  Severity C of L: potential for minimal harm, widespreadFound during a complaint inspectionCorrected Aug 19, 2024

• Ensure residents have reasonable access to and privacy in their use of communication methods.

  Severity C of L: potential for minimal harm, widespreadFound during a complaint inspectionCorrected Aug 31, 2024

• Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

  Severity B of L: potential for minimal harm, patternFound during a complaint inspectionCorrected Sep 5, 2024

• Provide behavior health training consistent with the requirements and as determined by a facility assessment.

  Severity B of L: potential for minimal harm, patternFound during a complaint inspectionCorrected Sep 5, 2024

• Post nurse staffing information every day.

  Severity B of L: potential for minimal harm, patternFound during a complaint inspectionCorrected Sep 5, 2024

• Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

  Severity B of L: potential for minimal harm, patternFound during a complaint inspectionCorrected Sep 5, 2024

• Keep all essential equipment working safely.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Dec 20, 2023

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 7, 2023

• Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 7, 2023

• Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 7, 2023

• Honor the resident's right to manage his or her financial affairs.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 7, 2023

• Reasonably accommodate the needs and preferences of each resident.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 7, 2023

• Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 7, 2023

• Provide and implement an infection prevention and control program.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 7, 2023

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 7, 2023

• Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

  Severity C of L: potential for minimal harm, widespreadCorrected Jul 9, 2023

Merkel Nursing Center offers Skilled Nursing / Long Term Care.

Merkel Nursing Center is located at 1704 N 1st in Merkel, Texas.

Merkel Nursing Center is a skilled nursing facility in Merkel, Texas, that emphasizes resident dignity, individualized care, and on-site therapy services. Public reviews are very limited, with only one on-site comment available and no detailed feedback on day-to-day care quality.

Merkel Nursing Center had 8 government inspection visits in the last three years, with 73 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

Submit the Request Information form on this page to connect with Merkel Nursing Center and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.