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Deficiency Records for Merkel Nursing Center

View the most recent health deficiencies and inspection results for Merkel Nursing Center. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Merkel Nursing Center. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2026-02-16 2026-03-04 Y
Implement a program that monitors antibiotic use. Health 2026-02-16 2026-03-04 Y
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. Health 2026-02-16 2026-03-04 Y
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. Health 2026-02-16 2026-03-04 Y
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. Health 2026-02-16 2026-03-04 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2026-02-16 2026-03-04 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2026-02-16 2026-03-04 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2026-02-16 2026-03-04 Y
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2025-12-04 2026-01-31 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2025-12-04 2026-01-31 N
Have proper medical gas storage and administration areas. Fire Safety 2025-12-04 2026-01-31 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2025-12-04 2026-01-31 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2025-12-04 2026-01-12 N
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Health 2025-12-04 2026-01-07 N
Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. Health 2025-12-04 2026-01-07 N
Provide behavior health training consistent with the requirements and as determined by a facility assessment. Health 2025-12-04 2026-01-07 N
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. Health 2025-12-04 2026-01-07 N
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. Health 2025-12-04 2026-01-07 N
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. Health 2025-12-04 2026-01-07 N
Develop, implement, and/or maintain an effective training program for all new and existing staff members. Health 2025-12-04 2026-01-07 N
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. Health 2025-12-04 2026-01-07 N
Provide and implement an infection prevention and control program. Health 2025-12-04 2026-01-07 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2025-12-04 2026-01-07 N
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. Health 2025-12-04 2026-01-07 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2025-12-04 2026-01-07 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2025-12-04 2026-01-07 N
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. Health 2025-08-22 2025-09-25 Y
Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel. Health 2025-08-22 2025-09-18 Y
Respond appropriately to all alleged violations. Health 2025-08-22 2025-09-17 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2025-08-22 2025-09-17 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2025-08-22 2025-09-17 Y
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. Health 2025-08-22 2025-09-16 Y
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2025-08-22 2025-09-15 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2025-08-22 2025-09-01 Y
Provide and implement an infection prevention and control program. Health 2024-12-12 2025-01-01 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-10-17 2024-11-08 Y
Have policies on smoking. Health 2024-10-17 2024-11-08 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-10-17 2024-11-08 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2024-10-17 2024-11-08 Y
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2024-10-17 2024-11-08 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-10-17 2024-11-08 Y
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-07-31 2024-10-01 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2024-07-31 2024-10-01 N
Conduct testing and exercise requirements. Fire Safety 2024-07-31 2024-09-30 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2024-07-31 2024-09-15 Y
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2024-07-31 2024-09-15 Y
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. Health 2024-07-31 2024-09-15 Y
Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. Health 2024-07-31 2024-09-05 Y
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. Health 2024-07-31 2024-09-05 Y
Post nurse staffing information every day. Health 2024-07-31 2024-09-05 Y
Provide behavior health training consistent with the requirements and as determined by a facility assessment. Health 2024-07-31 2024-09-05 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-07-31 2024-09-05 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-07-31 2024-09-05 Y
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. Health 2024-07-31 2024-09-02 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-07-31 2024-09-02 Y
Provide and implement an infection prevention and control program. Health 2024-07-31 2024-09-02 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-07-31 2024-09-01 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-07-31 2024-09-01 Y
Reasonably accommodate the needs and preferences of each resident. Health 2024-07-31 2024-09-01 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-07-31 2024-09-01 Y
Ensure residents have reasonable access to and privacy in their use of communication methods. Health 2024-07-31 2024-08-31 Y
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. Health 2024-07-31 2024-08-20 Y
Ensure the activities program is directed by a qualified professional. Health 2024-07-31 2024-08-19 Y
Keep all essential equipment working safely. Health 2023-12-15 2023-12-20 Y
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-06-08 2023-07-09 N
Reasonably accommodate the needs and preferences of each resident. Health 2023-06-08 2023-07-07 Y
Honor the resident's right to manage his or her financial affairs. Health 2023-06-08 2023-07-07 Y
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Health 2023-06-08 2023-07-07 Y
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. Health 2023-06-08 2023-07-07 Y
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. Health 2023-06-08 2023-07-07 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-06-08 2023-07-07 Y
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2023-06-08 2023-07-07 Y
Provide and implement an infection prevention and control program. Health 2023-06-08 2023-07-07 Y

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