Nursing homes › Texas › Merkel Nursing Center
1704 N. 1st, Merkel, TX 79536 · (325) 928-5673 · 65 certified beds
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Open your comparisonCMS overall star rating: this provider 1/5; median among 1,165 providers with a published value in the same state and provider category: 3/5.
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CMS lists no chain affiliation for this facility. Ownership type on record: For profit - Limited Liability company.
Total nurse staffing: 3.35 (Texas median: 3.27). RN hours: 0.68. Weekend total: 2.52. Nursing staff turnover: 71%.
In the downloaded CMS dataset: 64 deficiency citations, including 5 at immediate-jeopardy level. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-02-16 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | complaint | corrected 2026-03-04 |
| 2026-02-16 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | complaint | corrected 2026-03-04 |
| 2026-02-16 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | K | complaint | corrected 2026-03-04 |
| 2026-02-16 | 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. | K | complaint | corrected 2026-03-04 |
| 2026-02-16 | 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. | F | complaint | corrected 2026-03-04 |
| 2026-02-16 | 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. | F | complaint | corrected 2026-03-04 |
| 2026-02-16 | Implement a program that monitors antibiotic use. | F | complaint | corrected 2026-03-04 |
| 2026-02-16 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | complaint | corrected 2026-03-04 |
| 2025-12-04 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Health | corrected 2026-01-07 |
| 2025-12-04 | Provide safe and appropriate respiratory care for a resident when needed. | E | Health | corrected 2026-01-07 |
| 2025-12-04 | 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. | E | Health | corrected 2026-01-07 |
| 2025-12-04 | 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. | E | Health | corrected 2026-01-07 |
| 2025-12-04 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | E | Health | corrected 2026-01-07 |
| 2025-12-04 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | E | Health | corrected 2026-01-07 |
| 2025-12-04 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | E | Health | corrected 2026-01-07 |
| 2025-12-04 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E | Health | corrected 2026-01-07 |
| 2025-12-04 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | E | Health | corrected 2026-01-07 |
| 2025-12-04 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | E | Health | corrected 2026-01-07 |
| 2025-12-04 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | E | Health | corrected 2026-01-07 |
| 2025-12-04 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2026-01-07 |
| 2025-12-04 | Provide and implement an infection prevention and control program. | D | Health | corrected 2026-01-07 |
| 2025-08-22 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | complaint | corrected 2025-09-01 |
| 2025-08-22 | 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 | complaint | corrected 2025-09-25 |
| 2025-08-22 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | complaint | corrected 2025-09-15 |
| 2025-08-22 | 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. | F | complaint | corrected 2025-09-16 |
| 2025-08-22 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | complaint | corrected 2025-09-17 |
| 2025-08-22 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | complaint | corrected 2025-09-17 |
| 2025-08-22 | Respond appropriately to all alleged violations. | E | complaint | corrected 2025-09-17 |
| 2025-08-22 | Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel. | C | complaint | corrected 2025-09-18 |
| 2024-12-12 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2025-01-01 |
| 2024-10-17 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | complaint | corrected 2024-11-08 |
| 2024-10-17 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | complaint | corrected 2024-11-08 |
| 2024-10-17 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | complaint | corrected 2024-11-08 |
| 2024-10-17 | Have policies on smoking. | E | complaint | corrected 2024-11-08 |
| 2024-10-17 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | complaint | corrected 2024-11-08 |
| 2024-10-17 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | complaint | corrected 2024-11-08 |
| 2024-07-31 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | complaint | corrected 2024-09-15 |
| 2024-07-31 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | complaint | corrected 2024-09-01 |
| 2024-07-31 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | complaint | corrected 2024-09-01 |
| 2024-07-31 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | complaint | corrected 2024-09-05 |
| Date | Type | Amount |
|---|---|---|
| 2026-02-16 | Fine | $137,108 |
| 2025-08-22 | Fine | $180,952 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| ALEXANDER, RAINEY | Direct Ownership Interest | Individual | NOT APPLICABLE | since 01/01/2022 |
| ALEXANDER, RAINEY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2022 |
How to cite this page: CareRecords, “Merkel Nursing Center — compliance, penalty and ownership record” (CCN 676053), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/merkel-nursing-center-merkel-tx/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 676053. Corrections: data@carerecords.org.