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Merkel Nursing Center

1704 N 1st, Merkel, TX 79536
3259285673
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Overall CMS Rating

1.0/5

vs State Average: 2.8 stars

1.0/5

Health Inspections

vs State Average: 2.8/5

4.0/5

Staffing Level

vs State Average: 2.1/5

1.0/5

Quality Measures

vs State Average: 3.8/5

4 penalties in last 3 years
Penalties
vs State Average: 1.8 penalties

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Ratings Deep Dive

Score
1.0
State Average
2.8
National Average
2.8
5 Deficiencies found in last inspections
4 Penalties in last 3 years
4 Fines issued
Citation Date Description Severity
Aug 22, 2025 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. E
Aug 22, 2025 Respond appropriately to all alleged violations. E
Aug 22, 2025 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. K
Aug 22, 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. F
Aug 22, 2025 Develop and implement policies and procedures to prevent abuse, neglect, and theft. E
Score
4.0
State Average
2.1
National Average
2.9
0.4 RN Hours / Resident / Day
3.8 Total Nurse Hours / Resident / Day
40.0% RN Turnover Rate
Score
1.0
State Average
3.8
National Average
3.6
1.0 Long-Stay QM Rating
Short-Stay QM Rating
27.3 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info
OPERATIONAL/MANAGERIAL CONTROL ALEXANDER, RAINEY
Recent Penalties
Date Type Fine
Aug 22, 2025 Fine $274,110
Jun 26, 2023 Fine $4,196
Jun 20, 2023 Fine $3,846
May 30, 2023 Fine $9,440

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