• 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.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Respond appropriately to all alleged violations.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
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.
Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Reasonably accommodate the needs and preferences of each resident.
Ensure residents have reasonable access to and privacy in their use of communication methods.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure the activities program is directed by a qualified professional.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide safe and appropriate respiratory care for a resident when needed.
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.
Post nurse staffing information every day.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Provide and implement an infection prevention and control program.
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.
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Provide and implement an infection prevention and control program.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
+ 15 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| ALEXANDER, RAINEY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jan 1, 2022 |