For profit - Limited Liability company ·
65 certified beds ·
Medicare and Medicaid
1
Overall CMS Rating
★☆☆☆☆
Merkel Nursing Center is a Medicare-certified nursing home in Merkel, Texas. CMS rates it 1 out of 5 stars overall (4/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.78 hours per resident per day, above the Texas average of 3.40. Its most recent inspection on Dec 4, 2025 cited 21 deficiencies.
4 fines totaling $291,592 in CMS records.
4 total penalties
Not SLA EnrolledThis facility hasn't enrolled in resident survey verification. Learn about enrollment →
CMS Quality Ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars = highest quality.
Overall Rating
★☆☆☆☆ 1/5
Health Inspections
★☆☆☆☆ 1/5
Staffing
★★★★☆ 4/5
Quality Measures
★☆☆☆☆ 1/5
Long-Stay QM
★☆☆☆☆ 1/5
Short-Stay QM
No data
How Merkel Nursing Center compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
Metric
This facility
Texas avg
National avg
Total nurse staffing (hrs/resident/day)
3.78
3.40
3.89
above avg
RN staffing (hrs/resident/day)
0.44
0.44
0.68
below avg
Aide staffing (hrs/resident/day)
2.04
2.01
2.34
above avg
Nursing staff turnover
60.5%
51.5%
46.4%
above avg
Deficiencies cited, last inspection
21.0
9.1
9.5
above avg
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
3.78
Total Nurse Hrs/Resident/Day
0.44
RN Hrs/Resident/Day
1.31
LPN Hrs/Resident/Day
2.04
Aide Hrs/Resident/Day
3.20
Weekend Nurse Hrs/Resident/Day
Staff Turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is ~60%.
Total Nursing Staff
60.5%
Registered Nurses
40.0%
Administrator Changes0 in last year
Recent Health Inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Dec 4, 2025
Most Recent Inspection Date
21
Total Deficiencies Found
301
Health Inspection Score
4
Number of Fines
What inspectors found at Merkel Nursing Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
Immediate jeopardy
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.Nursing and Physician Services Deficiencies · Feb 16, 2026
Immediate jeopardy
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Nursing and Physician Services Deficiencies · Feb 16, 2026
Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care Deficiencies · Feb 16, 2026
Immediate jeopardy
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Freedom from Abuse, Neglect, and Exploitation Deficiencies · Feb 16, 2026
Potential for harm
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.Infection Control Deficiencies · Feb 16, 2026
Potential for harm
Implement a program that monitors antibiotic use.Infection Control Deficiencies · Feb 16, 2026
Potential 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.Nursing and Physician Services Deficiencies · Feb 16, 2026
Potential for harm
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.Nursing and Physician Services Deficiencies · Feb 16, 2026
Potential for harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Administration Deficiencies · Dec 4, 2025
Potential for harm
Provide behavior health training consistent with the requirements and as determined by a facility assessment.Administration Deficiencies · Dec 4, 2025
Potential for harm
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.Infection Control Deficiencies · Dec 4, 2025
Potential for harm
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.Administration Deficiencies · Dec 4, 2025
About This Facility
Address
1704 N 1St Merkel, TX 79536
CMS Certification #
676053
Ownership
For profit - Limited Liability company
Certified Beds
65
Avg Residents/Day
27.3
Provider Type
Medicare and Medicaid
First Certified
2005-06-01
Setting
Urban
Location & Nearby
Explore the area around Merkel Nursing Center using Google Maps.
CMS gives Merkel Nursing Center an overall rating of 1 out of 5 stars, including 4/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
Merkel Nursing Center reports 3.78 total nurse hours per resident per day, compared with the Texas average of 3.40.
Its most recent CMS inspection cited 21 deficiencies.
Merkel Nursing Center is certified for 65 beds.
Admissions at Merkel Nursing Center
For admissions, availability and rehab questions, call (325) 928-5673. If a parent is leaving the hospital, the hospital discharge planner can also check which nursing homes have a bed.
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