Starfile / Texas

Merkel Nursing Center

1704 N 1ST, Merkel, TX 79536 · CCN 676053

Inspection history vs Texas & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$291,592

Number of fines

4

Number of penalties

4

Payment denials

0

Inspection citations (56)1 immediate jeopardy

1. EF0695Provide safe and appropriate respiratory care for a resident when needed.2025-12-04 · Health · corrected 2026-01-07

   Potential for more than minimal harm

2. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-12-04 · Health · corrected 2026-01-07

   Potential for more than minimal harm

3. EF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2025-12-04 · Health · corrected 2026-01-07

   Potential for more than minimal harm

4. FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2025-12-04 · Health · corrected 2026-01-07

   Potential for more than minimal harm

5. DF0880Provide and implement an infection prevention and control program.2025-12-04 · Health · corrected 2026-01-07

   Potential for more than minimal harm

6. EF0909Regularly 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.2025-12-04 · Health · corrected 2026-01-07

   Potential for more than minimal harm

7. EF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.2025-12-04 · Health · corrected 2026-01-07

   Potential for more than minimal harm

8. EF0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.2025-12-04 · Health · corrected 2026-01-07

   Potential for more than minimal harm

9. EF0942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.2025-12-04 · Health · corrected 2026-01-07

   Potential for more than minimal harm

10. EF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2025-12-04 · Health · corrected 2026-01-07

    Potential for more than minimal harm

11. EF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2025-12-04 · Health · corrected 2026-01-07

    Potential for more than minimal harm

12. EF0945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.2025-12-04 · Health · corrected 2026-01-07

    Potential for more than minimal harm

13. EF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.2025-12-04 · Health · corrected 2026-01-07

    Potential for more than minimal harm

14. EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-08-22 · Health · corrected 2025-09-17

    Potential for more than minimal harm

15. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-08-22 · Health · corrected 2025-09-17

    Potential for more than minimal harm

16. EF0610Respond appropriately to all alleged violations.2025-08-22 · Health · corrected 2025-09-17

    Potential for more than minimal harm

17. KF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-08-22 · Health · corrected 2025-09-01

    Immediate jeopardy

18. FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2025-08-22 · Health · corrected 2025-09-25

    Potential for more than minimal harm

19. FF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2025-08-22 · Health · corrected 2025-09-15

    Potential for more than minimal harm

20. FF0838Conduct 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.2025-08-22 · Health · corrected 2025-09-16

    Potential for more than minimal harm

21. CF0844Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.2025-08-22 · Health · corrected 2025-09-18

    Potential for minimal harm

22. DF0880Provide and implement an infection prevention and control program.2024-12-12 · Health · corrected 2025-01-01

    Potential for more than minimal harm

23. EF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-10-17 · Health · corrected 2024-11-08

    Potential for more than minimal harm

24. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-10-17 · Health · corrected 2024-11-08

    Potential for more than minimal harm

25. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-10-17 · Health · corrected 2024-11-08

    Potential for more than minimal harm

26. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-10-17 · Health · corrected 2024-11-08

    Potential for more than minimal harm

27. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-10-17 · Health · corrected 2024-11-08

    Potential for more than minimal harm

28. EF0926Have policies on smoking.2024-10-17 · Health · corrected 2024-11-08

    Potential for more than minimal harm

29. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-07-31 · Health · corrected 2024-09-01

    Potential for more than minimal harm

30. DF0558Reasonably accommodate the needs and preferences of each resident.2024-07-31 · Health · corrected 2024-09-01

    Potential for more than minimal harm

31. CF0576Ensure residents have reasonable access to and privacy in their use of communication methods.2024-07-31 · Health · corrected 2024-08-31

    Potential for minimal harm

32. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-07-31 · Health · corrected 2024-09-15

    Potential for more than minimal harm

33. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-07-31 · Health · corrected 2024-09-01

    Potential for more than minimal harm

34. CF0680Ensure the activities program is directed by a qualified professional.2024-07-31 · Health · corrected 2024-08-19

    Potential for minimal harm

35. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-07-31 · Health · corrected 2024-09-01

    Potential for more than minimal harm

36. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-07-31 · Health · corrected 2024-09-05

    Potential for more than minimal harm

37. EF0695Provide safe and appropriate respiratory care for a resident when needed.2024-07-31 · Health · corrected 2024-09-05

    Potential for more than minimal harm

38. EF0728Ensure 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.2024-07-31 · Health · corrected 2024-09-15

    Potential for more than minimal harm

39. BF0732Post nurse staffing information every day.2024-07-31 · Health · corrected 2024-09-05

    Potential for minimal harm

40. EF0803Ensure 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.2024-07-31 · Health · corrected 2024-09-02

    Potential for more than minimal harm

41. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-07-31 · Health · corrected 2024-09-02

    Potential for more than minimal harm

42. FF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2024-07-31 · Health · corrected 2024-09-15

    Potential for more than minimal harm

43. EF0880Provide and implement an infection prevention and control program.2024-07-31 · Health · corrected 2024-09-02

    Potential for more than minimal harm

44. EF0909Regularly 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.2024-07-31 · Health · corrected 2024-08-20

    Potential for more than minimal harm

45. BF0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.2024-07-31 · Health · corrected 2024-09-05

    Potential for minimal harm

46. BF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2024-07-31 · Health · corrected 2024-09-05

    Potential for minimal harm

47. BF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.2024-07-31 · Health · corrected 2024-09-05

    Potential for minimal harm

48. EF0908Keep all essential equipment working safely.2023-12-15 · Health · corrected 2023-12-20

    Potential for more than minimal harm

49. EF0558Reasonably accommodate the needs and preferences of each resident.2023-06-08 · Health · corrected 2023-07-07

    Potential for more than minimal harm

50. EF0567Honor the resident's right to manage his or her financial affairs.2023-06-08 · Health · corrected 2023-07-07

    Potential for more than minimal harm

51. EF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.2023-06-08 · Health · corrected 2023-07-07

    Potential for more than minimal harm

52. EF0727Have 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.2023-06-08 · Health · corrected 2023-07-07

    Potential for more than minimal harm

53. EF0761Ensure 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.2023-06-08 · Health · corrected 2023-07-07

    Potential for more than minimal harm

54. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-06-08 · Health · corrected 2023-07-07

    Potential for more than minimal harm

55. EF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2023-06-08 · Health · corrected 2023-07-07

    Potential for more than minimal harm

56. EF0880Provide and implement an infection prevention and control program.2023-06-08 · Health · corrected 2023-07-07

    Potential for more than minimal harm

Ownership

Other facilities in Merkel

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.