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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasMerkel Nursing Center

Merkel Nursing Center

1704 N 1st, Merkel, TX 795363259285673
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
4/5
Quality
1/5
Beds
65
certified
4 fine(s) totaling $291,592

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 65 certified beds with an average of 27.3 residents per day (42% occupancy)

• Last health inspection found 27 deficiencies (inspected Jul 31, 2024)

• Has been fined a total of $291,592 across 4 fine(s)

• Total nursing staff: 3.78 hours per resident per day

• Staff turnover rate: 60.5% (high)

Merkel Nursing Center is a 1-star Medicare and Medicaid certified nursing home in Merkel, Texas with 65 certified beds. It has been operating since 2005. The facility scored below average compared to Texas facilities.

Beds
65
Avg Residents/Day
27.3
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jun 1, 2005
Sprinklers
Yes
Council
Resident
County
Taylor
Last Inspection
Jul 31, 2024
Deficiencies (Cycle 1)
27
Weighted Score
251.8
Infection Citations
0

Deficiency Citations (45)

F0607Potential for Harm

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

Survey: Aug 22, 2025Corrected: NoCycle: 1
F0609Potential for Harm

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

Survey: Aug 22, 2025Corrected: NoCycle: 1
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: Aug 22, 2025Corrected: NoCycle: 1
F0689Immediate Jeopardy

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

Survey: Aug 22, 2025Corrected: NoCycle: 1
F0801Potential for Harm

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.

Survey: Aug 22, 2025Corrected: NoCycle: 1
F0835Potential for Harm

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

Survey: Aug 22, 2025Corrected: NoCycle: 1
F0838Potential for Harm

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.

Survey: Aug 22, 2025Corrected: NoCycle: 1
F0844Minimal Harm

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

Survey: Aug 22, 2025Corrected: NoCycle: 1
F0550Potential for Harm

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

Survey: Jul 31, 2024Corrected: NoCycle: 1
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Jul 31, 2024Corrected: NoCycle: 1
F0576Minimal Harm

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

Survey: Jul 31, 2024Corrected: NoCycle: 1
F0607Potential for Harm

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

Survey: Jul 31, 2024Corrected: NoCycle: 1
F0656Potential for Harm

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

Survey: Jul 31, 2024Corrected: NoCycle: 1
F0680Minimal Harm

Ensure the activities program is directed by a qualified professional.

Survey: Jul 31, 2024Corrected: NoCycle: 1
F0686Potential for Harm

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

Survey: Jul 31, 2024Corrected: NoCycle: 1
F0689Potential for Harm

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

Survey: Jul 31, 2024Corrected: NoCycle: 1
F0695Potential for Harm

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

Survey: Jul 31, 2024Corrected: NoCycle: 1
F0728Potential for Harm

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.

Survey: Jul 31, 2024Corrected: NoCycle: 1
F0732Minimal Harm

Post nurse staffing information every day.

Survey: Jul 31, 2024Corrected: NoCycle: 1
F0803Potential for Harm

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.

Survey: Jul 31, 2024Corrected: NoCycle: 1
F0812Potential for Harm

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

Survey: Jul 31, 2024Corrected: NoCycle: 1
F0868Potential for Harm

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

Survey: Jul 31, 2024Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jul 31, 2024Corrected: NoCycle: 1
F0909Potential for Harm

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.

Survey: Jul 31, 2024Corrected: NoCycle: 1
F0941Minimal Harm

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

Survey: Jul 31, 2024Corrected: NoCycle: 1
F0944Minimal Harm

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

Survey: Jul 31, 2024Corrected: NoCycle: 1
F0949Minimal Harm

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

Survey: Jul 31, 2024Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Dec 12, 2024Corrected: NoCycle: 2
F0580Potential for Harm

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

Survey: Oct 17, 2024Corrected: NoCycle: 2
F0655Potential for Harm

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

Survey: Oct 17, 2024Corrected: NoCycle: 2

+ 15 more deficiencies

Total Fines
$291,592
Number of Fines
4
Payment Denials
0
Total Penalties
4

Penalty History

FineJun 20, 2023
$3,846
FineJun 26, 2023
$4,196
FineMay 30, 2023
$9,440
FineAug 22, 2025
$274,110

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.04 hrs
National avg: 2.35 hrs
LPN1.31 hrs
National avg: 0.86 hrs
RN0.44 hrs
National avg: 0.68 hrs
Total Nursing3.78 hrs
National avg: 3.89 hrs
Weekend Total3.20 hrs
National avg: 0.00 hrs
Physical Therapist0.00 hrs
National avg: 0.07 hrs
Total Turnover
60.5%
RN Turnover
40.0%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (1)

NameRoleTypeOwnership %Since
ALEXANDER, RAINEYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 1, 2022

Frequently Asked Questions

What is the CMS rating for Merkel Nursing Center?▾
Merkel Nursing Center has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 4/5, and quality measures rating of 1/5. This facility is rated below average.
Has Merkel Nursing Center had any health inspection violations?▾
Merkel Nursing Center had 27 deficiency citations in its most recent health inspection (Jul 31, 2024). The facility has been fined a total of $291,592 across 4 fine(s).
What are the staffing levels at Merkel Nursing Center?▾
Merkel Nursing Center provides 3.78 total nursing staff hours per resident per day, including 0.44 RN hours, 1.31 LPN hours, and 2.04 nurse aide hours. The total staff turnover rate is 60.5%.
How many beds does Merkel Nursing Center have?▾
Merkel Nursing Center has 65 certified beds with an average of 27.3 residents per day, resulting in approximately 42% occupancy. The facility is For profit - Limited Liability company owned.