nursing home in Merkel, TX

Merkel Nursing Center

1704 N. 1st, Merkel, TX 79536 · (325) 928-5673

★★★★★1
Much below average
CMS overall star rating
  • Health inspections★★★★★1
  • Staffing★★★★★3
  • Quality measures★★★★★1
  • Special Focus candidate
  • Abuse citation

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Merkel Nursing Center at a glance

Merkel Nursing Center is a 65-bed for-profit nursing home in Merkel, Texas (Taylor County).

CMS gives it 1 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.

Residents receive about 3.3 hours of nursing care per day (0.7 of them from registered nurses), close to the state average of 3.4 hours.

Its most recent standard health inspection (December 4, 2025) found 21 health citations. The Texas average is 9.4.

Federal regulators fined it 2 times in the past three years, totaling $318,060.

Nursing staff turnover is 71.1% per year (state average 55.3%).

Facility details

Type
Nursing home
Ownership
For Profit - Limited Liability Company
Beds
65
Certified for
Medicare and Medicaid
Medicare-certified since
June 1, 2005
Resident/family council
None
County
Taylor County
CMS Certification Number
676053

Ratings

MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)1 / 52.7 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)1 / 52.8 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)3 / 51.9 / 52.9 / 5Average
Quality measures rating ⓘ (higher is better)1 / 53.7 / 53.6 / 5Worse
Long-stay quality rating (higher is better)1 / 54 / 53.8 / 5Worse

Staffing

This facility3.35 hrsTexas average3.39 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.35 hrs3.39 hrs3.86 hrsWorse
Registered nurse hours per resident per day (higher is better)0.68 hrs0.43 hrs0.69 hrsAverage
Nurse aide hours per resident per day (higher is better)1.09 hrs2.01 hrs2.32 hrsWorse
Weekend nurse staff hours per resident per day (higher is better)2.52 hrs2.98 hrs3.42 hrsWorse
Nursing staff turnover (yearly) (lower is better)71.1%55.3%45.8%Worse
Administrators who left in the past year (lower is better)011Better

Inspections

This facility21Texas average9U.S. average9
Health citations in the most recent inspection: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)2199Worse
Citations from complaint investigations (latest cycle) (lower is better)843Worse
Weighted health inspection score ⓘ (lower is better)550.810280.6Worse

Penalties

This facility2Texas average1U.S. average1
Fines in the past 3 years: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)211Worse
Total fines in the past 3 years (lower is better)$318,060$44,141$30,972Worse
All federal penalties in the past 3 years (lower is better)221Worse

Size

MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Certified beds65113107
Average residents per day197686
Occupancy28.8%67.6%80.9%

Long-stay residents

This facility4.6%Texas average3.3%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)4.6%3.3%3.2%Worse
Long-stay residents with pressure ulcers (lower is better)14.8%3.8%4.6%Worse
Long-stay residents given antipsychotic medication (lower is better)17.8%9.6%15.4%Worse
Long-stay residents with a urinary tract infection (lower is better)10.3%0.8%1.6%Worse
Long-stay residents with a catheter left in the bladder (lower is better)0%0.3%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)15.3%15.8%13.9%Worse
Long-stay residents whose walking worsened (lower is better)16.3%14%14.1%Worse
Long-stay residents who lose too much weight (lower is better)3.6%3%5.2%Better
Long-stay residents with depressive symptoms (lower is better)10.3%2.4%12.8%Better
Long-stay residents who were physically restrained (lower is better)0%0%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)14.1%18%19.5%Better
Long-stay residents with new or worse incontinence (lower is better)9.4%13.4%19%Better
Long-stay residents given a flu vaccine (higher is better)100%98%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)97.2%96.6%93.6%Average

Short-stay residents

This facility90.9%Texas average88.9%U.S. average82%
Short-stay residents given a pneumonia vaccine: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Short-stay residents given a pneumonia vaccine (higher is better)90.9%88.9%82%Better

Inspection citations

State inspectors cited this home for 64 health deficiencies and 9 fire safety deficiencies in the inspection records CMS currently publishes. 5 citations involved actual harm, including 5 rated "immediate jeopardy".

DateCitationSeverityStatus
February 16, 2026
Complaint
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 · Tag F0725
K
Immediate jeopardy, pattern
Corrected March 4, 2026
February 16, 2026
Complaint
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 · Tag F0726
K
Immediate jeopardy, pattern
Corrected March 4, 2026
February 16, 2026
Complaint
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 · Tag F0600
K
Immediate jeopardy, pattern
Corrected March 4, 2026
February 16, 2026
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
K
Immediate jeopardy, pattern
Corrected March 4, 2026
February 16, 2026
Complaint
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 · Tag F0728
F
Potential harm, widespread
Corrected March 4, 2026
February 16, 2026
Complaint
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control Deficiencies · Tag F0882
F
Potential harm, widespread
Corrected March 4, 2026
February 16, 2026
Complaint
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 · Tag F0727
F
Potential harm, widespread
Corrected March 4, 2026
February 16, 2026
Complaint
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · Tag F0881
F
Potential harm, widespread
Corrected March 4, 2026
December 4, 2025
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
E
Potential harm, pattern
Corrected January 31, 2026
December 4, 2025
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
E
Potential harm, pattern
Corrected January 31, 2026
December 4, 2025
Fire safety
Have proper medical gas storage and administration areas.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923
E
Potential harm, pattern
Corrected January 31, 2026
December 4, 2025
Fire safety
Have properly installed electrical wiring and gas equipment.
Services Deficiencies · Tag K0511
E
Potential harm, pattern
Corrected January 31, 2026
December 4, 2025
Fire safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies · Tag K0521
C
No harm, widespread
Corrected January 12, 2026
December 4, 2025
Standard
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Tag F0867
F
Potential harm, widespread
Corrected January 7, 2026
December 4, 2025
Standard
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.
Environmental Deficiencies · Tag F0909
E
Potential harm, pattern
Corrected January 7, 2026
December 4, 2025
Standard
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Administration Deficiencies · Tag F0949
E
Potential harm, pattern
Corrected January 7, 2026
December 4, 2025
Standard
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Administration Deficiencies · Tag F0940
E
Potential harm, pattern
Corrected January 7, 2026
December 4, 2025
Standard
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 · Tag F0945
E
Potential harm, pattern
Corrected January 7, 2026
December 4, 2025
Standard
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Administration Deficiencies · Tag F0944
E
Potential harm, pattern
Corrected January 7, 2026
December 4, 2025
Standard
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0943
E
Potential harm, pattern
Corrected January 7, 2026
December 4, 2025
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
E
Potential harm, pattern
Corrected January 7, 2026
December 4, 2025
Standard
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.
Administration Deficiencies · Tag F0849
E
Potential harm, pattern
Corrected January 7, 2026
December 4, 2025
Standard
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Resident Rights Deficiencies · Tag F0942
E
Potential harm, pattern
Corrected January 7, 2026
December 4, 2025
Standard
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Administration Deficiencies · Tag F0941
E
Potential harm, pattern
Corrected January 7, 2026
December 4, 2025
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected January 7, 2026
December 4, 2025
Standard
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected January 7, 2026
August 22, 2025
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
K
Immediate jeopardy, pattern
Corrected September 1, 2025
August 22, 2025
Complaint
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.
Administration Deficiencies · Tag F0838
F
Potential harm, widespread
Corrected September 16, 2025
August 22, 2025
Complaint
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.
Nutrition and Dietary Deficiencies · Tag F0801
F
Potential harm, widespread
Corrected September 25, 2025
August 22, 2025
Complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · Tag F0835
F
Potential harm, widespread
Corrected September 15, 2025
August 22, 2025
Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
E
Potential harm, pattern
Corrected September 17, 2025
August 22, 2025
Complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607
E
Potential harm, pattern
Corrected September 17, 2025
August 22, 2025
Complaint
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610
E
Potential harm, pattern
Corrected September 17, 2025
August 22, 2025
Complaint
Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.
Administration Deficiencies · Tag F0844
C
No harm, widespread
Corrected September 18, 2025
December 12, 2024
Complaint
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected January 1, 2025
October 17, 2024
Complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Tag F0580
E
Potential harm, pattern
Corrected November 8, 2024
October 17, 2024
Complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
E
Potential harm, pattern
Corrected November 8, 2024
October 17, 2024
Complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
E
Potential harm, pattern
Corrected November 8, 2024
October 17, 2024
Complaint
Have policies on smoking.
Environmental Deficiencies · Tag F0926
E
Potential harm, pattern
Corrected November 8, 2024
October 17, 2024
Complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Tag F0657
D
Potential harm, isolated
Corrected November 8, 2024
October 17, 2024
Complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Tag F0655
D
Potential harm, isolated
Corrected November 8, 2024
July 31, 2024
Fire safety
Conduct testing and exercise requirements.
Emergency Preparedness Deficiencies · Tag E0039
F
Potential harm, widespread
Corrected September 30, 2024
July 31, 2024
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
E
Potential harm, pattern
Corrected October 1, 2024
July 31, 2024
Fire safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies · Tag K0521
C
No harm, widespread
Corrected October 1, 2024
July 31, 2024
Complaint
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration Deficiencies · Tag F0868
F
Potential harm, widespread
Corrected September 15, 2024
July 31, 2024
Complaint
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 · Tag F0728
E
Potential harm, pattern
Corrected September 15, 2024
July 31, 2024
Complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
E
Potential harm, pattern
Corrected September 1, 2024
July 31, 2024
Complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
E
Potential harm, pattern
Corrected September 1, 2024
July 31, 2024
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
E
Potential harm, pattern
Corrected September 5, 2024
July 31, 2024
Complaint
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
E
Potential harm, pattern
Corrected September 5, 2024
July 31, 2024
Complaint
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.
Nutrition and Dietary Deficiencies · Tag F0803
E
Potential harm, pattern
Corrected September 2, 2024
July 31, 2024
Complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected September 2, 2024
July 31, 2024
Complaint
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected September 2, 2024
July 31, 2024
Complaint
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.
Environmental Deficiencies · Tag F0909
E
Potential harm, pattern
Corrected August 20, 2024
July 31, 2024
Complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
D
Potential harm, isolated
Corrected September 1, 2024
July 31, 2024
Complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607
D
Potential harm, isolated
Corrected September 15, 2024
July 31, 2024
Complaint
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Tag F0558
D
Potential harm, isolated
Corrected September 1, 2024
July 31, 2024
Complaint
Ensure the activities program is directed by a qualified professional.
Quality of Life and Care Deficiencies · Tag F0680
C
No harm, widespread
Corrected August 19, 2024
July 31, 2024
Complaint
Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights Deficiencies · Tag F0576
C
No harm, widespread
Corrected August 31, 2024
July 31, 2024
Complaint
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Administration Deficiencies · Tag F0949
B
No harm, pattern
Corrected September 5, 2024
July 31, 2024
Complaint
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Administration Deficiencies · Tag F0944
B
No harm, pattern
Corrected September 5, 2024
July 31, 2024
Complaint
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Administration Deficiencies · Tag F0941
B
No harm, pattern
Corrected September 5, 2024
July 31, 2024
Complaint
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Tag F0732
B
No harm, pattern
Corrected September 5, 2024
December 15, 2023
Complaint
Keep all essential equipment working safely.
Environmental Deficiencies · Tag F0908
E
Potential harm, pattern
Corrected December 20, 2023
June 8, 2023
Fire safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies · Tag K0521
C
No harm, widespread
Corrected July 9, 2023
June 8, 2023
Standard
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration Deficiencies · Tag F0868
E
Potential harm, pattern
Corrected July 7, 2023
June 8, 2023
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected July 7, 2023
June 8, 2023
Standard
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.
Pharmacy Service Deficiencies · Tag F0761
E
Potential harm, pattern
Corrected July 7, 2023
June 8, 2023
Standard
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 · Tag F0727
E
Potential harm, pattern
Corrected July 7, 2023
June 8, 2023
Standard
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Nursing and Physician Services Deficiencies · Tag F0711
E
Potential harm, pattern
Corrected July 7, 2023
June 8, 2023
Standard
Honor the resident's right to manage his or her financial affairs.
Resident Rights Deficiencies · Tag F0567
E
Potential harm, pattern
Corrected July 7, 2023
June 8, 2023
Standard
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Tag F0558
E
Potential harm, pattern
Corrected July 7, 2023
June 8, 2023
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected July 7, 2023

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports 2 federal penalties in the past three years, including $318,060 in fines.

DatePenaltyAmount / length
February 16, 2026Fine$137,108
August 22, 2025Fine$180,952

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
ALEXANDER, JOE
Individual
adp of the snfNOT APPLICABLE01/01/2022
MARTINEZ IRIZARRY, AXEL
Individual
adp of the snfNOT APPLICABLE01/01/2025
STROH, CLARENCE
Individual
adp of the snfNOT APPLICABLE01/01/2022
STROH PROPERTIES LP
Organization
adp of the snfNOT APPLICABLE01/01/2022
ALEXANDER, RAINEY
Individual
direct ownership interestNOT APPLICABLE01/01/2022
ALEXANDER, RAINEY
Individual
operational/managerial controlNOT APPLICABLE01/01/2022

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  6. Hendrick Skilled Nursing Facility

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Frequently asked questions

What is Merkel Nursing Center's rating?

Merkel Nursing Center has 1 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.

How many inspection citations did Merkel Nursing Center receive?

Its most recent standard health inspection found 21 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.

Does Merkel Nursing Center accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Merkel Nursing Center?

It is for profit - limited liability company. The ownership section on this page lists the owners and managers reported to CMS.

Where is Merkel Nursing Center and how do I contact it?

Merkel Nursing Center is at 1704 N. 1st, Merkel, TX 79536. Phone: (325) 928-5673.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.