Merkel Nursing Center has received an F grade based on CMS data, with a score of 7/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Merkel facility should carefully review its inspection history and quality metrics.
Staffing at Merkel Nursing Center is near the national average, with 3.78 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 56 deficiencies at Merkel Nursing Center, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.78 | 3.8 | Average |
| Registered Nurses (RN) | 0.44 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.31 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.04 | 2.4 | Below Average |
| Weekend Total Nursing | 3.20 | 3.8 | Below Average |
| Weekend RN Hours | 0.34 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0867 Severity FSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Dec 3, 2025 · Administration Deficiencies
- Tag 0695 Severity EProvide safe and appropriate respiratory care for a resident when needed.Dec 3, 2025 · Quality of Life and Care Deficiencies
- Tag 0849 Severity EArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice servDec 3, 2025 · Administration Deficiencies
- Tag 0909 Severity ERegularly 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.Dec 3, 2025 · Environmental Deficiencies
- Tag 0940 Severity EDevelop, implement, and/or maintain an effective training program for all new and existing staff members.Dec 3, 2025 · Administration Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 11.5% | 4.5% | Worse |
| Falls with major injury | 7.4% | 3.0% | Worse |
| On antipsychotic medication | 21.3% | 14.5% | Worse |
| Urinary tract infections | 8.5% | 2.5% | Worse |
| ADL decline (daily activities) | 13.7% | 14.0% | Average |
| Excessive weight loss | 10.1% | 7.5% | Worse |
| New/worsened incontinence | 7.1% | 45.0% | Better |
⚠️ Penalties & Fines
4 penalties recorded by CMS
Total fines: $291,592
How This Grade Was Calculated
This facility's grade of F is based on a score of 7 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 1★ → 3 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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