Merkel Nursing Center

1704 N. 1st, Merkel, TX 79536

Phone: 3259285673

CMS ratings and facility information

Merkel Nursing Center is a Medicare-certified nursing facility in Merkel, Taylor County, Texas. CMS data for this profile was updated August 2026. Ratings and facility details can change; confirm current information with CMS and the facility.

CMS overall rating1 of 5 stars
Health inspection rating1 of 5
Staffing rating3 of 5
Quality measures rating1 of 5
Certified beds65
OwnershipFor profit - Limited Liability company
CMS certification number676053

Staffing

Total nurse hours per resident day3.35
RN hours per resident day0.68
Nurse aide hours per resident day1.09
Total nursing staff turnover percent71.1

Resident outcome measures

MeasureValueUnitPeriod
Hospitalizations2.59events_per_1000_resident_days20250101-20251231
Emergency-department visits3.69events_per_1000_resident_days20250101-20251231
Falls with major injury4.59percent2025Q2-2026Q1
Pressure ulcers14.75percent2025Q2-2026Q1
Urinary tract infections10.28percent2025Q2-2026Q1
Antipsychotic medication use17.81percent2025Q2-2026Q1

Health inspection citations

Survey dateTagCitationSeverity
2025-12-040867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.F
2025-12-040695Provide safe and appropriate respiratory care for a resident when needed.E
2025-12-040849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.E
2025-12-040909Regularly 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.E
2025-12-040940Develop, implement, and/or maintain an effective training program for all new and existing staff members.E
2025-12-040941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.E
2025-12-040942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.E
2025-12-040943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.E
2025-12-040944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.E
2025-12-040945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.E
2025-12-040949Provide behavior health training consistent with the requirements and as determined by a facility assessment.E
2025-12-040842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2025-12-040880Provide and implement an infection prevention and control program.D
2024-07-310868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyF
2024-07-310550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E
2024-07-310656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E
2024-07-310689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E
2024-07-310695Provide safe and appropriate respiratory care for a resident when needed.E
2024-07-310728Ensure 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.E
2024-07-310803Ensure 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.E
2024-07-310812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2024-07-310880Provide and implement an infection prevention and control program.E
2024-07-310909Regularly 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.E
2024-07-310558Reasonably accommodate the needs and preferences of each resident.D
2024-07-310607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D
2024-07-310686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D
2024-07-310576Ensure residents have reasonable access to and privacy in their use of communication methods.C
2024-07-310680Ensure the activities program is directed by a qualified professional.C
2024-07-310732Post nurse staffing information every day.B
2024-07-310941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.B
2024-07-310944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.B
2024-07-310949Provide behavior health training consistent with the requirements and as determined by a facility assessment.B
2023-06-080558Reasonably accommodate the needs and preferences of each resident.E
2023-06-080567Honor the resident's right to manage his or her financial affairs.E
2023-06-080711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.E
2023-06-080727Have 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.E
2023-06-080761Ensure 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.E
2023-06-080812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2023-06-080868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyE
2023-06-080880Provide and implement an infection prevention and control program.E

Penalties

DateTypeAmount
2026-02-16Fine7,108
2025-08-22Fine0,952

Ownership records

NameTypeRole
ALEXANDER, RAINEYIndividualDIRECT OWNERSHIP INTEREST
ALEXANDER, RAINEYIndividualOPERATIONAL/MANAGERIAL CONTROL
STROH PROPERTIES LPOrganizationADP OF THE SNF
ALEXANDER, JOEIndividualADP OF THE SNF
MARTINEZ IRIZARRY, AXELIndividualADP OF THE SNF
STROH, CLARENCEIndividualADP OF THE SNF

Compare nursing homes in Taylor County, Texas.

Source: Centers for Medicare & Medicaid Services Care Compare data. Data snapshot: August 2026. Read Our Data & Methodology. This directory does not provide medical or legal advice.