Nursing Homes · Medicare certified
Merkel Nursing Center
1704 N. 1st · Merkel, TX 79536 · 65 certified beds
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About Merkel Nursing Center
Merkel Nursing Center is a nursing home in Merkel, Texas. Its capacity is 65 beds, below the Taylor County median of 96 for nursing homes. It is run by a for-profit operator and is part of Stroh Properties LP. It is Medicare certified. Its public inspection record shows 64 citations, the most recent on February 16, 2026. CMS also lists 2 fines or payment denials against it. Nurse staffing averages 3.35 hours per resident per day. Residents and families can raise concerns with the Texas Long-Term Care Ombudsman Program at 1-800-252-2412. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Special Focus Facility candidate
CMS lists this nursing home as a candidate for its Special Focus Facility program, which is for nursing homes with a history of serious quality issues. About the program.
Certification
Medicare-certified.
Ratings
Overall
1.0Staffing
1.0Quality measures
1.0CMS Care Compare, October 2026.
Inspection history (64)
Records from June 2023 to February 2026.
December 4, 2025
Tag F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 7, 2026.
August 22, 2025
Tag F0610Respond appropriately to all alleged violations.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 17, 2025.
August 22, 2025
Tag F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected September 15, 2025.
August 22, 2025
Tag F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 17, 2025.
August 22, 2025
Tag F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 17, 2025.
August 22, 2025
Tag F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected September 25, 2025.
August 22, 2025
Tag F0838Conduct 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.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected September 16, 2025.
August 22, 2025
Tag F0844Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.
Severity C: widespread, no actual harm, potential for minimal harm. Corrected September 18, 2025.
August 22, 2025
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity K: pattern, immediate jeopardy. Corrected September 1, 2025.
December 12, 2024
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 1, 2025.
October 17, 2024
Tag F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 8, 2024.
October 17, 2024
Tag F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 8, 2024.
October 17, 2024
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 8, 2024.
October 17, 2024
Tag F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 8, 2024.
October 17, 2024
Tag F0926Have policies on smoking.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 8, 2024.
October 17, 2024
Tag F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 8, 2024.
July 31, 2024
Tag F0680Ensure the activities program is directed by a qualified professional.
Severity C: widespread, no actual harm, potential for minimal harm. Corrected August 19, 2024.
July 31, 2024
Tag F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 1, 2024.
July 31, 2024
Tag F0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Severity B: pattern, no actual harm, potential for minimal harm. Corrected September 5, 2024.
July 31, 2024
Tag F0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Severity B: pattern, no actual harm, potential for minimal harm. Corrected September 5, 2024.
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
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Texas.
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