About Merkel Nursing Center
Merkel Nursing Center, located in Merkel, TX, is a for-profit organization that accepts Medicare and Medicaid.
Why Families Choose Merkel Nursing Center
Key Performance Indicators
- CMS Overall Rating 1 Stars
- Nursing Hours 3.18 hrs
- Safety Record Issues
Chain Affiliations & Network
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Below Average Staffing
Merkel Nursing Center provides less care hours than the state average and less than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 1 |
|
| Health Inspection | 1 |
|
| Quality Measures | 1 |
|
| Staffing | 2 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 815 | Dec 04, 2025 |
| Weighted Average | 665 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | N/A |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | N/A |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | 4.8% |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | 4.1% |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 15.4% |
| Percentage of long-stay residents who lose too much weight (QM404) | 6.6% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 0.6% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 10.5% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 6.9% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.0% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 6.0% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 98.3% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | N/A |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | N/A |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 16.9% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 20.4% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 100.0% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | N/A |
| Percentage of long-stay residents with pressure ulcers (QM479) | 14.8% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 9.4% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 22.1% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2023: 9 complaints
- 2024: 25 complaints
- 2025: 9 complaints
- 2026: 8 complaints
- Total: 51 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Mar 04, 2026 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. |
| Mar 04, 2026 | Implement a program that monitors antibiotic use. |
| Mar 04, 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. |
| Mar 04, 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. |
| Mar 04, 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. |
| Mar 04, 2026 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. |
| Mar 04, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Mar 04, 2026 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Sep 25, 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. |
| Sep 18, 2025 | Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel. |
| Sep 17, 2025 | Respond appropriately to all alleged violations. |
| Sep 17, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Sep 17, 2025 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. |
| Sep 16, 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. |
| Sep 15, 2025 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. |
| Sep 01, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Jan 01, 2025 | Provide and implement an infection prevention and control program. |
| Nov 08, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| Nov 08, 2024 | Have policies on smoking. |
| Nov 08, 2024 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| Nov 08, 2024 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. |
| Nov 08, 2024 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted |
| Nov 08, 2024 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. |
| Sep 15, 2024 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. |
| Sep 15, 2024 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly |
| Sep 15, 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. |
| Sep 05, 2024 | Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. |
| Sep 05, 2024 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. |
| Sep 05, 2024 | Post nurse staffing information every day. |
| Sep 05, 2024 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. |
| Sep 05, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Sep 05, 2024 | Provide safe and appropriate respiratory care for a resident when needed. |
| Sep 02, 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. |
| Sep 02, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| Sep 02, 2024 | Provide and implement an infection prevention and control program. |
| Sep 01, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| Sep 01, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| Sep 01, 2024 | Reasonably accommodate the needs and preferences of each resident. |
| Sep 01, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. |
| Aug 31, 2024 | Ensure residents have reasonable access to and privacy in their use of communication methods. |
| Aug 20, 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. |
| Aug 19, 2024 | Ensure the activities program is directed by a qualified professional. |
| Dec 20, 2023 | Keep all essential equipment working safely. |
| Jul 07, 2023 | Reasonably accommodate the needs and preferences of each resident. |
| Jul 07, 2023 | Honor the resident's right to manage his or her financial affairs. |
| Jul 07, 2023 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. |
| Jul 07, 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. |
| Jul 07, 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. |
| Jul 07, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| Jul 07, 2023 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly |
| Jul 07, 2023 | Provide and implement an infection prevention and control program. |
Nearby Hospitals
HENDRICK MEDICAL CENTER
ABILENE, TX
ROLLING PLAINS MEMORIAL HOSPITAL
SWEETWATER, TX
OCEANS BEHAVIORAL HOSPITAL OF ABILENE
ABILENE, TX
ANSON GENERAL HOSPITAL
ANSON, TX
Owner & Operator Information
Business Entity
EMI HEALTHCARE LLC
Ownership Structure
Management & Direction
- JOE ALEXANDER ADP OF THE SNF
- RAINEY ALEXANDER OPERATIONAL/MANAGERIAL CONTROL
- AXEL MARTINEZ IRIZARRY ADP OF THE SNF
- STROH PROPERTIES LP ADP OF THE SNF
- CLARENCE STROH ADP OF THE SNF
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| Hendrick Skilled Nursing Facility | N/A | 5 |
| Sterling Hills Rehabilitation and Healthcare Cente | N/A | 3 |
| Wesley Court Health Center | N/A | 5 |
| Windcrest Health and Rehabilitation | N/A | 4 |
| Sweetwater Healthcare Center | N/A | 3 |
| Wisteria Place | N/A | 3 |
| Mesa Springs Healthcare Center | N/A | 2 |
| Northern Oaks Living and Rehabilitation Center | N/A | 3 |
| Avir at Coronado | N/A | 3 |
| Willowcreek Rehab and Nursing | N/A | 2 |
Related Analysis
Best Nursing Homes in Merkel, TX
Compare Merkel Nursing Center to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact Merkel Nursing Center directly at 3259285673. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.