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ElderCareCosts
UPDATED JUL 2026

Nursing Homes · Medicare certified

Merkel Nursing Center

1704 N 1st · Merkel, TX 79536 · 65 certified beds

3259285673

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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.GOV

Certification

  • Medicare-certified (CMS Certification Number on file)

Ratings

1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-06-01.GOV

Staffing rating

2.0

Quality-measure rating

1.0

Inspections on record

2

Cited deficiencies

64

Not yet ratedSource: CMS Care Compare · Updated 2025Q4.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

Inspection history (64)

  • July 31, 2024 · D

    Citation F0607

    Federal surveyors cited this nursing home on 2024-07-31 under CMS tag F0607 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement policies and procedures to prevent abuse, neglect, and theft. The deficiency was recorded as corrected on 2024-09-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-31.GOV
  • July 31, 2024 · E

    Citation F0695

    Federal surveyors cited this nursing home on 2024-07-31 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 2024-09-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-31.GOV
  • July 31, 2024 · D

    Citation F0686

    Federal surveyors cited this nursing home on 2024-07-31 under CMS tag F0686 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate pressure ulcer care and prevent new ulcers from developing. The deficiency was recorded as corrected on 2024-09-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-31.GOV
  • July 31, 2024 · C

    Citation F0680

    Federal surveyors cited this nursing home on 2024-07-31 under CMS tag F0680 (CMS scope/severity C: widespread, no actual harm, potential for minimal harm) for Ensure the activities program is directed by a qualified professional. The deficiency was recorded as corrected on 2024-08-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-31.GOV
  • July 31, 2024 · F

    Citation F0868

    Federal surveyors cited this nursing home on 2024-07-31 under CMS tag F0868 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Have the Quality Assessment and Assurance group have the required members and meet at least quarterly. The deficiency was recorded as corrected on 2024-09-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-31.GOV
  • July 31, 2024 · E

    Citation F0880

    Federal surveyors cited this nursing home on 2024-07-31 under CMS tag F0880 (CMS scope/severity E: pattern, 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 2024-09-02. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-31.GOV
  • July 31, 2024 · B

    Citation F0944

    Federal surveyors cited this nursing home on 2024-07-31 under CMS tag F0944 (CMS scope/severity B: pattern, no actual harm, potential for 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 2024-09-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-31.GOV
  • July 31, 2024 · D

    Citation F0558

    Federal surveyors cited this nursing home on 2024-07-31 under CMS tag F0558 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Reasonably accommodate the needs and preferences of each resident. The deficiency was recorded as corrected on 2024-09-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-31.GOV
  • July 31, 2024 · B

    Citation F0732

    Federal surveyors cited this nursing home on 2024-07-31 under CMS tag F0732 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Post nurse staffing information every day. The deficiency was recorded as corrected on 2024-09-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-31.GOV
  • July 31, 2024 · E

    Citation F0909

    Federal surveyors cited this nursing home on 2024-07-31 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 2024-08-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-31.GOV
  • July 31, 2024 · E

    Citation F0689

    Federal surveyors cited this nursing home on 2024-07-31 under CMS tag F0689 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) 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 2024-09-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-31.GOV
  • July 31, 2024 · E

    Citation F0550

    Federal surveyors cited this nursing home on 2024-07-31 under CMS tag F0550 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. The deficiency was recorded as corrected on 2024-09-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-31.GOV
  • July 31, 2024 · B

    Citation F0941

    Federal surveyors cited this nursing home on 2024-07-31 under CMS tag F0941 (CMS scope/severity B: pattern, no actual harm, potential for 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 2024-09-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-31.GOV
  • July 31, 2024 · B

    Citation F0949

    Federal surveyors cited this nursing home on 2024-07-31 under CMS tag F0949 (CMS scope/severity B: pattern, no actual harm, potential for 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 2024-09-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-31.GOV
  • July 31, 2024 · E

    Citation F0656

    Federal surveyors cited this nursing home on 2024-07-31 under CMS tag F0656 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2024-09-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-31.GOV
  • December 15, 2023 · E

    Citation F0908

    Federal surveyors cited this nursing home on 2023-12-15 under CMS tag F0908 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Keep all essential equipment working safely. The deficiency was recorded as corrected on 2023-12-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-15.GOV
  • June 8, 2023 · E

    Citation F0727

    Federal surveyors cited this nursing home on 2023-06-08 under CMS tag F0727 (CMS scope/severity E: pattern, 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 2023-07-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-06-08.GOV
  • June 8, 2023 · E

    Citation F0868

    Federal surveyors cited this nursing home on 2023-06-08 under CMS tag F0868 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Have the Quality Assessment and Assurance group have the required members and meet at least quarterly. The deficiency was recorded as corrected on 2023-07-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-06-08.GOV
  • June 8, 2023 · E

    Citation F0761

    Federal surveyors cited this nursing home on 2023-06-08 under CMS tag F0761 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure 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. The deficiency was recorded as corrected on 2023-07-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-06-08.GOV
  • June 8, 2023 · E

    Citation F0880

    Federal surveyors cited this nursing home on 2023-06-08 under CMS tag F0880 (CMS scope/severity E: pattern, 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 2023-07-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-06-08.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)

  1. 2025Q43.18 hrs/resident/day
  2. 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

  1. 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/mo
See full TX cost breakdownSource: Genworth Cost of Care Survey · Updated 2024

Nursing Homes

Median · TX$5,627/mo
See full TX cost breakdownSource: Genworth CareScout Cost of Care Survey · Updated 2025

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