Merkel Nursing Center

Certification

Medicare-certified.

Ratings

Inspection history (64)

Records from June 2023 to February 2026.

• February 16, 2026

  Tag F0600

  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  Severity K: pattern, immediate jeopardy. Corrected March 4, 2026.

• February 16, 2026

  Tag F0689

  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity K: pattern, immediate jeopardy. Corrected March 4, 2026.

• February 16, 2026

  Tag F0728

  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.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected March 4, 2026.

• February 16, 2026

  Tag F0881

  Implement a program that monitors antibiotic use.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected March 4, 2026.

• February 16, 2026

  Tag F0727

  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.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected March 4, 2026.

• February 16, 2026

  Tag F0725

  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

  Severity K: pattern, immediate jeopardy. Corrected March 4, 2026.

• February 16, 2026

  Tag F0882

  Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected March 4, 2026.

• February 16, 2026

  Tag F0726

  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.

  Severity K: pattern, immediate jeopardy. Corrected March 4, 2026.

• December 4, 2025

  Tag F0945

  Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 7, 2026.

• December 4, 2025

  Tag F0867

  Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected January 7, 2026.

• December 4, 2025

  Tag F0942

  Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 7, 2026.

• December 4, 2025

  Tag F0695

  Provide safe and appropriate respiratory care for a resident when needed.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 7, 2026.

• December 4, 2025

  Tag F0943

  Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 7, 2026.

• December 4, 2025

  Tag F0940

  Develop, implement, and/or maintain an effective training program for all new and existing staff members.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 7, 2026.

• December 4, 2025

  Tag F0849

  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.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 7, 2026.

• December 4, 2025

  Tag F0880

  Provide and implement an infection prevention and control program.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 7, 2026.

• December 4, 2025

  Tag F0944

  Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 7, 2026.

• December 4, 2025

  Tag F0949

  Provide behavior health training consistent with the requirements and as determined by a facility assessment.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 7, 2026.

• December 4, 2025

  Tag F0909

  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.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 7, 2026.

• December 4, 2025

  Tag F0941

  Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 7, 2026.

Penalties (2)

Total fines: $397,149

• February 16, 2026 · Fine

  CMS recorded a civil money penalty of $210,935 against this nursing home on February 16, 2026.

• August 22, 2025 · Fine

  CMS recorded a civil money penalty of $180,952 against this nursing home on August 22, 2025.

Staffing

3.35 nurse hours per resident per day in Q1 2026, up from 3.18 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

For profit

• Parent company: Stroh Properties LP