Nursing Homes · Medicare certified
Merkel Nursing Center
1704 N 1st · Merkel, TX 79536 · 65 certified beds
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Public record
CMS Care Compare · Updated Jul 2026
CMS designation
Special Focus Facility candidate (CMS)
CMS lists this nursing home on the monthly Special Focus Facility candidate list. Candidate status means the facility qualifies for possible selection into the Special Focus Facility program based on CMS criteria. It is a public CMS designation, not an ElderCareCosts rating. CMS Special Focus Facility program.
Source: CMS Provider Information.GOVCertification
- Medicare-certified (CMS Certification Number on file)
Ratings
Staffing rating
2.0Quality-measure rating
1.0Inspections on record
2
Cited deficiencies
64
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Inspection history (64)
February 16, 2026 · F
Citation F0727Federal surveyors cited this nursing home on 2026-02-16 under CMS tag F0727 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2026-03-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-16.GOVFebruary 16, 2026 · K
Citation F0600Federal surveyors cited this nursing home on 2026-02-16 under CMS tag F0600 (CMS scope/severity K: pattern, immediate jeopardy) for Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. The deficiency was recorded as corrected on 2026-03-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-16.GOVFebruary 16, 2026 · K
Citation F0689Federal surveyors cited this nursing home on 2026-02-16 under CMS tag F0689 (CMS scope/severity K: pattern, immediate jeopardy) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2026-03-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-16.GOVFebruary 16, 2026 · F
Citation F0882Federal surveyors cited this nursing home on 2026-02-16 under CMS tag F0882 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. The deficiency was recorded as corrected on 2026-03-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-16.GOVFebruary 16, 2026 · K
Citation F0725Federal surveyors cited this nursing home on 2026-02-16 under CMS tag F0725 (CMS scope/severity K: pattern, immediate jeopardy) for Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. The deficiency was recorded as corrected on 2026-03-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-16.GOVFebruary 16, 2026 · F
Citation F0728Federal surveyors cited this nursing home on 2026-02-16 under CMS tag F0728 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2026-03-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-16.GOVFebruary 16, 2026 · K
Citation F0726Federal surveyors cited this nursing home on 2026-02-16 under CMS tag F0726 (CMS scope/severity K: pattern, immediate jeopardy) for 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. The deficiency was recorded as corrected on 2026-03-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-16.GOVFebruary 16, 2026 · F
Citation F0881Federal surveyors cited this nursing home on 2026-02-16 under CMS tag F0881 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Implement a program that monitors antibiotic use. The deficiency was recorded as corrected on 2026-03-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-16.GOVDecember 4, 2025 · E
Citation F0941Federal surveyors cited this nursing home on 2025-12-04 under CMS tag F0941 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. The deficiency was recorded as corrected on 2026-01-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-04.GOVDecember 4, 2025 · D
Citation F0842Federal surveyors cited this nursing home on 2025-12-04 under CMS tag F0842 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2026-01-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-04.GOVDecember 4, 2025 · E
Citation F0945Federal surveyors cited this nursing home on 2025-12-04 under CMS tag F0945 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. The deficiency was recorded as corrected on 2026-01-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-04.GOVDecember 4, 2025 · E
Citation F0940Federal surveyors cited this nursing home on 2025-12-04 under CMS tag F0940 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop, implement, and/or maintain an effective training program for all new and existing staff members. The deficiency was recorded as corrected on 2026-01-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-04.GOVDecember 4, 2025 · E
Citation F0909Federal surveyors cited this nursing home on 2025-12-04 under CMS tag F0909 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2026-01-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-04.GOVDecember 4, 2025 · E
Citation F0942Federal surveyors cited this nursing home on 2025-12-04 under CMS tag F0942 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. The deficiency was recorded as corrected on 2026-01-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-04.GOVDecember 4, 2025 · F
Citation F0867Federal surveyors cited this nursing home on 2025-12-04 under CMS tag F0867 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. The deficiency was recorded as corrected on 2026-01-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-04.GOVDecember 4, 2025 · E
Citation F0849Federal surveyors cited this nursing home on 2025-12-04 under CMS tag F0849 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2026-01-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-04.GOVDecember 4, 2025 · D
Citation F0880Federal surveyors cited this nursing home on 2025-12-04 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2026-01-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-04.GOVDecember 4, 2025 · E
Citation F0944Federal surveyors cited this nursing home on 2025-12-04 under CMS tag F0944 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. The deficiency was recorded as corrected on 2026-01-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-04.GOVDecember 4, 2025 · E
Citation F0949Federal surveyors cited this nursing home on 2025-12-04 under CMS tag F0949 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide behavior health training consistent with the requirements and as determined by a facility assessment. The deficiency was recorded as corrected on 2026-01-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-04.GOVDecember 4, 2025 · E
Citation F0695Federal surveyors cited this nursing home on 2025-12-04 under CMS tag F0695 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2026-01-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-04.GOV
Penalties
Total fines on file: $397,149
Staffing
Latest: 3.18 nurse staffing hours per resident per day (2026-06-01)
Staffing trend (2 periods)
- 2025Q43.18 hrs/resident/day
- 2026-06-013.18 hrs/resident/day
Most recent period is about the same as 2025Q4. Figures are CMS-reported nurse staffing hours, not our estimate.
Ownership
For profit - Limited Liability company
Parent organization: Stroh Properties LP
parent · PAC 5890285597
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Typical cost
Genworth Cost of Care Survey · 2024
This provider doesn't publish a specific price to us. Below is the typical TX range for the care type(s) it offers. Use it as context, not a quote.
Nursing Homes
Median · TX$6,003/moNursing Homes
Median · TX$5,627/moNearby alternatives
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